Does ADHD worsen inhibitory control in preschool children born very premature and/or with very low birth weight?
Trends psychiatry psychother. (Impr.)
;
42(4): 340-347, Oct.-Dec. 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1145185
ABSTRACT
Abstract Introduction Deficits in executive functioning, especially in inhibitory control, are present in children born very premature and/or with very low birth weight (VP/VLBW) and in children with attention-deficit/hyperactivity disorder (ADHD). Objective To evaluate whether ADHD imposes additional inhibitory control (IC) deficits in preschoolers born VP/VLBW. Methods 79 VP/VLBW (4 to 7 years) children were assessed for ADHD using the Schedule for Affective Disorders and Schizophrenia for School Aged Children - Present and Lifetime Version (K-SADS-PL). IC was measured with Conners' Kiddie Continuous Performance Test (K-CPT 2) and the Behavior Rating Inventory of Executive Function - Preschool Version (BRIEF-P).Results:
No significant differences were found between ADHD (n = 24) and non-ADHD children (n = 55) for any of the measures (p = 0.062 to p = 0.903). Both groups had deficits in most K-CPT 2 scores compared to normative samples, indicating poor IC and inconsistent reaction times. Conclusions ADHD does not aggravate IC deficits in VP/VLBW children. Either neuropsychological tasks and parent reports of executive functions (EFs) may not be sensitive enough to differentiate VP/VLBW preschoolers with and without ADHD, or these children's EFs are already so impaired that there is not much room for additional impairments imposed by ADHD.
Full text:
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Index:
LILACS (Americas)
Main subject:
Attention Deficit Disorder with Hyperactivity
/
Child Behavior
/
Child Development
/
Infant, Very Low Birth Weight
/
Executive Function
/
Infant, Extremely Premature
/
Inhibition, Psychological
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Trends psychiatry psychother. (Impr.)
Journal subject:
Psychiatry
Year:
2020
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital de Clínicas de Porto Alegre/BR
/
UFRGS/BR
/
Universidade Federal do Rio Grande do Sul/BR
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