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Executive Function in Preschool Children with Congenital Heart Disease and Controls: The Role of a Cognitively Stimulating Home Environment.
Chew, Andrew T M; Bonthrone, Alexandra F; Alford, Arezoo; Kelly, Christopher; Pushparajah, Kuberan; Egloff, Alexia; Hajnal, Joseph V; Simpson, John; Rutherford, Mary; Edwards, A David; Nosarti, Chiara; Counsell, Serena J.
Afiliación
  • Chew ATM; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Bonthrone AF; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Alford A; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Kelly C; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Pushparajah K; Paediatric Cardiology Department, Evelina London Children's Healthcare, London, United Kingdom.
  • Egloff A; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Hajnal JV; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Simpson J; Paediatric Cardiology Department, Evelina London Children's Healthcare, London, United Kingdom.
  • Rutherford M; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Edwards AD; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
  • Nosarti C; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
  • Counsell SJ; Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom. Electronic address: serena.counsell@kcl.ac.uk.
J Pediatr ; 267: 113897, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38171471
ABSTRACT

OBJECTIVE:

To assess the relationships between (1) environmental and demographic factors and executive function (EF) in preschool children with congenital heart disease (CHD) and controls and (2) clinical and surgical risk factors and EF in preschool children with CHD. STUDY

DESIGN:

At 4-6 years of age, parents of children with CHD (n = 51) and controls (n = 124) completed the Behavior Rating Inventory of Executive Function, Preschool Version questionnaire and the Cognitively Stimulating Parenting Scale (CSPS). Multivariable general linear modeling assessed the relationship between Behavior Rating Inventory of Executive Function, Preschool Version composite scores (Inhibitory Self-Control Index [ISCI], Flexibility Index [FI], and Emergent Metacognition Index [EMI]) and group (CHD/control), sex, age at assessment, gestational age, Index of Multiple Deprivation, and CSPS scores. The relationships between CHD type, surgical factors, and brain magnetic resonance imaging injury rating and ISCI, FI, and EMI scores were assessed.

RESULTS:

The presence of CHD, age at assessment, sex, and Index of Multiple Deprivation were not associated with EF scores. Lower gestational age was associated with greater ISCI and FI scores, and age at assessment was associated with lower FI scores. Group significantly moderated the relationship between CSPS and EF, such that CSPS significantly predicted EF in children with CHD (ISCI P = .0004; FI P = .0015; EMI P = .0004) but not controls (ISCI P = .2727; FI P = .6185; EMI P = .3332). There were no significant relationships between EF scores and surgical factors, CHD type, or brain magnetic resonance imaging injury rating.

CONCLUSIONS:

Supporting parents to provide a cognitively stimulating home environment may improve EF in children with CHD. The home and parenting environment should be considered when designing intervention studies aimed at improving EF in this patient group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ejecutiva / Cardiopatías Congénitas Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child, preschool / Humans Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Función Ejecutiva / Cardiopatías Congénitas Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Child, preschool / Humans Idioma: En Revista: J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Estados Unidos