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健康儿童和青少年的执行功能与社会心理适应:一项潜在变量建模研究。

Executive function and psychosocial adjustment in healthy children and adolescents: A latent variable modelling investigation.

作者信息

Cassidy Adam R

机构信息

a Center for Neuropsychology, Department of Psychiatry , Boston Children's Hospital, Harvard Medical School , Boston , MA , USA.

出版信息

Child Neuropsychol. 2016;22(3):292-317. doi: 10.1080/09297049.2014.994484. Epub 2015 Jan 8.

Abstract

The objective of this study was to establish latent executive function (EF) and psychosocial adjustment factor structure, to examine associations between EF and psychosocial adjustment, and to explore potential development differences in EF-psychosocial adjustment associations in healthy children and adolescents. Using data from the multisite National Institutes of Health (NIH) magnetic resonance imaging (MRI) Study of Normal Brain Development, the current investigation examined latent associations between theoretically and empirically derived EF factors and emotional and behavioral adjustment measures in a large, nationally representative sample of children and adolescents (7-18 years old; N = 352). Confirmatory factor analysis (CFA) was the primary method of data analysis. CFA results revealed that, in the whole sample, the proposed five-factor model (Working Memory, Shifting, Verbal Fluency, Externalizing, and Internalizing) provided a close fit to the data, χ(2)(66) = 114.48, p < .001; RMSEA = .046; NNFI = .973; CFI = .980. Significant negative associations were demonstrated between Externalizing and both Working Memory and Verbal Fluency (p < .01) factors. A series of increasingly restrictive tests led to the rejection of the hypothesis of invariance, thereby precluding formal statistical examination of age-related differences in latent EF-psychosocial adjustment associations. Findings indicate that childhood EF skills are best conceptualized as a constellation of interconnected yet distinguishable cognitive self-regulatory skills. Individual differences in certain domains of EF track meaningfully and in expected directions with emotional and behavioral adjustment indices. Externalizing behaviors, in particular, are associated with latent Working Memory and Verbal Fluency factors.

摘要

本研究的目的是建立潜在执行功能(EF)和心理社会适应的因素结构,检验EF与心理社会适应之间的关联,并探讨健康儿童和青少年在EF-心理社会适应关联方面潜在的发展差异。利用来自多站点的美国国立卫生研究院(NIH)正常脑发育磁共振成像(MRI)研究的数据,本调查在一个具有全国代表性的儿童和青少年大样本(7 - 18岁;N = 352)中,检验了理论上和实证得出的EF因素与情绪和行为适应测量之间的潜在关联。验证性因素分析(CFA)是数据分析的主要方法。CFA结果显示,在整个样本中,所提出的五因素模型(工作记忆、转换、言语流畅性、外化和内化)与数据拟合良好,χ(2)(66) = 114.48,p < .001;RMSEA = .046;NNFI = .973;CFI = .980。外化与工作记忆和言语流畅性(p < .01)因素之间均呈现显著负相关。一系列越来越严格的检验导致不变性假设被拒绝,从而排除了对潜在EF-心理社会适应关联中与年龄相关差异的正式统计检验。研究结果表明,儿童期的EF技能最好被概念化为一组相互关联但又可区分的认知自我调节技能。EF某些领域的个体差异与情绪和行为适应指标在有意义且符合预期的方向上相关。特别是外化行为与潜在的工作记忆和言语流畅性因素相关。

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