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dc.contributor.authorTeivaanmäki, Sini
dc.contributor.authorHuhdanpää, Hanna
dc.contributor.authorKiuru, Noona
dc.contributor.authorAronen, Eeva T.
dc.contributor.authorNärhi, Vesa
dc.contributor.authorKlenberg, Liisa
dc.date.accessioned2020-09-15T10:32:48Z
dc.date.available2020-09-15T10:32:48Z
dc.date.issued2020
dc.identifier.citationTeivaanmäki, S., Huhdanpää, H., Kiuru, N., Aronen, E. T., Närhi, V., & Klenberg, L. (2020). Heterogeneity of executive functions among preschool children with psychiatric symptoms. <i>European Child and Adolescent Psychiatry</i>, <i>29</i>(9), 1237-1249. <a href="https://doi.org/10.1007/s00787-019-01437-y" target="_blank">https://doi.org/10.1007/s00787-019-01437-y</a>
dc.identifier.otherCONVID_33528120
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/71767
dc.description.abstractThe 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.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesEuropean Child and Adolescent Psychiatry
dc.rightsCC BY 4.0
dc.subject.otherexecutive functions
dc.subject.otherpreschool
dc.subject.otherinternalizing symptoms
dc.subject.otherexternalizing symptoms
dc.subject.otherpsychopathology
dc.titleHeterogeneity of executive functions among preschool children with psychiatric symptoms
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202009155862
dc.contributor.laitosKasvatustieteiden laitosfi
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Educationen
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologiafi
dc.contributor.oppiainePsychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange1237-1249
dc.relation.issn1018-8827
dc.relation.numberinseries9
dc.relation.volume29
dc.type.versionpublishedVersion
dc.rights.copyright© 2020 the Authors
dc.rights.accesslevelopenAccessfi
dc.subject.ysopsykopatologia
dc.subject.ysoesikouluikäiset
dc.subject.ysotoiminnanohjaus (psykologia)
dc.subject.ysolastenpsykiatria
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p7342
jyx.subject.urihttp://www.yso.fi/onto/yso/p6911
jyx.subject.urihttp://www.yso.fi/onto/yso/p29412
jyx.subject.urihttp://www.yso.fi/onto/yso/p4373
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s00787-019-01437-y
jyx.fundinginformationThis study was supported by Grants from Helsinki University Central Hospital Research funds, a non-profit organization (TYH2013205 and TYH2016202) (Aronen and Huhdanpää).
dc.type.okmA1


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