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基于美国国立卫生研究院工具箱认知电池的执行功能发育分化

Developmental differentiation of executive functions on the NIH Toolbox Cognition Battery.

作者信息

Akshoomoff Natacha, Brown Timothy T, Bakeman Roger, Hagler Donald J

机构信息

Department of Psychiatry, University of California, San Diego.

Center for Human Development, University of California, San Diego.

出版信息

Neuropsychology. 2018 Oct;32(7):777-783. doi: 10.1037/neu0000476.

Abstract

OBJECTIVE

The NIH Toolbox Cognition Battery (NTCB) is a brief computerized method for evaluating neuropsychological functions in children, adolescents, and adults. We examined how performance on the 2 executive function measures of cognitive flexibility and inhibitory control was related to performance on the other NTCB measures across development.

METHOD

Participants were 1,020 typically developing individuals between the ages of 3 and 21 from the Pediatric Imaging, Neurocognition, and Genetics Study who were divided into 5 age groups (3-6, 7-9, 10-13, 14-17, and 18-21). Scores were adjusted for sex, level of parental education, and family income.

RESULTS

Although the correlations between the 2 executive function measures were moderate and consistent across age groups, their correlations with the other 5 cognitive measures were highest in the youngest age group and decreased across the older age groups. Exploratory factor analysis revealed that all NTCB measures loaded onto a single factor for the 3- to 6-year-olds. Across the older age groups, the executive function and processing speed measures loaded onto one factor, and the vocabulary knowledge, oral reading, and working memory measures loaded onto a second factor.

CONCLUSIONS

These results indicate that younger children's performance on the NTCB is more intercorrelated and less differentiated, while performance on the NTCB executive function measures becomes more differentiated from performance on the other measures with development. These results support the hypothesis that executive functions become increasingly differentiated from other cognitive functions with development as the functional specialization of neural systems progresses throughout childhood and young adulthood. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

摘要

目的

美国国立卫生研究院工具箱认知电池(NTCB)是一种用于评估儿童、青少年和成人神经心理功能的简短计算机化方法。我们研究了认知灵活性和抑制控制这两项执行功能测量指标的表现与整个发育过程中NTCB其他测量指标的表现之间的关系。

方法

参与者是来自儿科影像、神经认知和遗传学研究的1020名3至21岁发育正常的个体,他们被分为5个年龄组(3 - 6岁、7 - 9岁、10 - 13岁、14 - 17岁和18 - 21岁)。对分数进行了性别、父母教育水平和家庭收入的调整。

结果

尽管这两项执行功能测量指标之间的相关性在各年龄组中适中且一致,但它们与其他5项认知测量指标的相关性在最年幼的年龄组中最高,并随着年龄增长而降低。探索性因素分析表明,对于3至6岁的儿童,所有NTCB测量指标都加载到一个单一因素上。在较大年龄组中,执行功能和处理速度测量指标加载到一个因素上,词汇知识、口头阅读和工作记忆测量指标加载到第二个因素上。

结论

这些结果表明,年幼儿童在NTCB上的表现相关性更强且区分度更低,而随着发育,NTCB执行功能测量指标的表现与其他测量指标的表现差异越来越大。这些结果支持了这样一种假设,即随着神经系统在整个童年和青年期的功能专业化发展,执行功能与其他认知功能的差异越来越大。(PsycINFO数据库记录(c)2018美国心理学会,保留所有权利)

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