Heterogeneity of executive functions among preschool children with psychiatric symptoms
Teivaanmäki, S., Huhdanpää, H., Kiuru, N., Aronen, E. T., Närhi, V., & Klenberg, L. (2020). Heterogeneity of executive functions among preschool children with psychiatric symptoms. European Child and Adolescent Psychiatry, 29(9), 1237-1249. https://doi.org/10.1007/s00787-019-01437-y
Published inEuropean Child and Adolescent Psychiatry
© 2020 the Authors
The aim of the present study was to investigate associations between internalizing and externalizing symptoms and deficits in executive functions (EF) as well as to examine the overall heterogeneity of EFs in a sample of preschool children attending a psychiatric clinic (n = 171). First, based on cut-off points signifying clinical levels of impairment on the parent-completed Child Behavior Checklist (CBCL), children were assigned into groups of internalizing, externalizing, combined or mild symptoms and compared to a reference group (n = 667) with regard to day care teacher ratings of EFs on the Attention and Executive Function Rating Inventory-Preschool (ATTEX-P). Second, latent profile analysis (LPA) was employed to identify distinct subgroups of children representing different EF profiles with unique strengths and weaknesses in EFs. The first set of analyses indicated that all symptom groups had more difficulties in EFs than the reference group did, and the internalizing group had less inhibition-related problems than the other symptom groups did. Using LPA, five EF profiles were identified: average, weak average, attentional problems, inhibitory problems, and overall problems. The EF profiles were significantly associated with gender, maternal education level, and psychiatric symptom type. Overall, the findings suggest that the comparison of means of internalizing and externalizing groups mainly captures the fairly obvious differences in inhibition-related domains among young psychiatric outpatient children, whereas the person-oriented approach, based on individual differences, identifies heterogeneity related to attentional functions, planning, and initiating one’s action. The variability in EF difficulties suggests that a comprehensive evaluation of a child’s EF profile is important regardless of the type of psychiatric symptoms the child presents with. ...
Publication in research information system
MetadataShow full item record
Additional information about fundingThis study was supported by Grants from Helsinki University Central Hospital Research funds, a non-profit organization (TYH2013205 and TYH2016202) (Aronen and Huhdanpää).
Showing items with similar title or keywords.
Associations between Physical Activity, Motor Skills, Executive Functions and Early Numeracy in Preschoolers Vanhala, Anssi; Haapala, Eero A.; Sääkslahti, Arja; Hakkarainen, Airi; Widlund, Anna; Aunio, Pirjo (Taylor & Francis, 2022)We investigated direct and indirect cross-sectional associations of physical activity, fundamental motor skills, executive functions, and early numeracy in preschoolers. The participants were 214 preschoolers aged three ...
Paananen, Mika; Aro, Tuija; Närhi, Vesa; Aro, Mikko (Routledge, 2018)The objective of the study was to examine the effects of a group-based behavioural, cognitive and skills training intervention (Maltti) provided in schools for elementary school pupils with attention and executive function ...
Physical activity, aerobic fitness, and brain white matter : Their role for executive functions in adolescence Ruotsalainen, Ilona; Gorbach, Tetiana; Perkola, Jaana; Renvall, Ville; Syväoja, Heidi J.; Tammelin, Tuija H.; Karvanen, Juha; Parviainen, Tiina (Elsevier, 2020)Physical activity and exercise beneficially link to brain properties and cognitive functions in older adults, but the findings concerning adolescents remain tentative. During adolescence, the brain undergoes significant ...
Self-regulatory efficacy and sources of efficacy in elementary school pupils : Self-regulatory experiences in a population sample and pupils with attention and executive function difficulties Paananen, Mika; Aro, Tuija; Viholainen, Helena; Koponen, Tuire; Tolvanen, Asko; Westerholm, Jari; Aro, Mikko (Elsevier Ltd, 2019)In this study, we examined self-regulatory efficacy and sources of self-efficacy (mastery experiences, vicarious experiences, social persuasion and physiological/emotional states) and the relationships between self-efficacy ...
"I need your eyes to see myself" : on the inclusion of dialogues and an otherness of the other into psychology and clinical work : explored through studies of contexts where children live with violence in close relationships Flåm, Anna Margrete (Jyväskylän yliopisto, 2018)Violence in close relationships with children raises intriguing questions for our society. The sense making may go on in a fragile balance between possible false accusations and possible neglect of needed concerns. ...