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[早产儿执行功能的发展]

[Development of executive functions in preterm children].

作者信息

Borradori Tolsa C, Barisnikov K, Lejeune F, Hüppi P

机构信息

Service du développement et de la croissance, département de l'enfant et de l'adolescent, hôpitaux universitaire de Genève, 1211 Genève, Suisse.

Unité de psychologie clinique et neuropsychologie de l'enfant, faculté de psychologie et des sciences de l'éducation, université de Genève, Genève, Suisse.

出版信息

Arch Pediatr. 2014 Sep;21(9):1035-40. doi: 10.1016/j.arcped.2014.06.011. Epub 2014 Jul 23.

Abstract

The rate of children born prematurely has increased considerably in the last few decades, and their developmental outcome remains of great concern. The literature on the impact of prematurity has reported a wide range of cognitive and behavioral problems that may be related to deficits in executive function (EF) skills. EF refers to a series of high-level processes (selective attention, inhibition, set shifting, working memory, planning, goal setting) that develop throughout childhood and adolescence and play an important role in cognitive and social development as well as in school achievement. EF skills have been linked to the prefrontal cortex, as well as to other neural networks and brain regions including the basal ganglia and cerebellum. This paper focuses on studies related to the development of EF and social behavior in children born preterm. The preschool period is a critical time to perform neuropsychological assessment in addition to IQ testing, and to detect the child's specific needs in order to adapt effective intervention to enhance the development of executive processes in these high-risk children.

摘要

在过去几十年中,早产儿童的出生率大幅上升,其发育结果仍然备受关注。关于早产影响的文献报道了一系列可能与执行功能(EF)技能缺陷相关的认知和行为问题。EF指的是一系列高级过程(选择性注意、抑制、任务转换、工作记忆、计划、目标设定),这些过程在整个童年和青少年时期发展,并在认知和社会发展以及学业成就中发挥重要作用。EF技能与前额叶皮层以及包括基底神经节和小脑在内的其他神经网络和脑区有关。本文重点关注与早产儿童EF和社会行为发展相关的研究。除了智商测试外,学龄前阶段是进行神经心理学评估以及检测儿童特定需求的关键时期,以便采取有效的干预措施来促进这些高危儿童执行过程的发展。

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