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Goal Setting Deficits at 13 Years in Very Preterm Born Children

Published online by Cambridge University Press:  17 November 2017

Kristina M. Haebich
Affiliation:
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
Catherine Willmott
Affiliation:
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia Monash Epworth Rehabilitation Research Centre, Melbourne, Australia
Rachel Ellis
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
Alice C. Burnett
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Premature Infant Follow-up Programme, Royal Women’s Hospital, Melbourne, Australia Department of Paediatrics, University of Melbourne, Melbourne, Australia
Shannon E. Scratch
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada Department of Pediatrics, University of Toronto, Toronto, Canada
Leona Pascoe
Affiliation:
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
Megan M. Spencer-Smith
Affiliation:
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
Jeanie L.Y. Cheong
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Premature Infant Follow-up Programme, Royal Women’s Hospital, Melbourne, Australia Department of Obstetrics and Gynaecology, Royal Women’s Hospital, Melbourne, Australia
Terrie E. Inder
Affiliation:
Department of Pediatric Newborn Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Lex W. Doyle
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Premature Infant Follow-up Programme, Royal Women’s Hospital, Melbourne, Australia Department of Paediatrics, University of Melbourne, Melbourne, Australia Department of Obstetrics and Gynaecology, Royal Women’s Hospital, Melbourne, Australia
Deanne K. Thompson
Affiliation:
Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia Department of Paediatrics, University of Melbourne, Melbourne, Australia Florey Institute of Neurosciences and Mental Health, Melbourne, Australia
Peter J. Anderson*
Affiliation:
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Melbourne, Australia Clinical Sciences, Murdoch Children’s Research Institute, Melbourne, Australia
*
Correspondence and reprint requests to: Peter Anderson, School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton Campus, Clayton VIC 3800. E-mail: peter.j.anderson@monash.edu

Abstract

Objectives: Preterm children demonstrate deficits in executive functions including inhibition, working memory, and cognitive flexibility; however, their goal setting abilities (planning, organization, strategic reasoning) remain unclear. This study compared goal setting abilities between very preterm (VP: <30 weeks/<1250 grams) and term born controls during late childhood. Additionally, early risk factors (neonatal brain abnormalities, medical complications, and sex) were examined in relationship to goal setting outcomes within the VP group. Methods: Participants included 177 VP and 61 full-term born control children aged 13 years. Goal setting was assessed using several measures of planning, organization, and strategic reasoning. Parents also completed the Behavior Rating Inventory of Executive Function. Regression models were performed to compare groups, with secondary analyses adjusting for potential confounders (sex and social risk), and excluding children with major neurosensory impairment and/or IQ<70. Within the VP group, regression models were performed to examine the relationship between brain abnormalities, medical complications, and sex, on goal setting scores. Results: The VP group demonstrated a clear pattern of impairment and inefficiency across goal setting measures, consistent with parental report, compared with their full-term born peers. Within the VP group, moderate/severe brain abnormalities on neonatal MRI predicted adverse goal setting outcomes at 13. Conclusions: Goal setting difficulties are a significant area of concern in VP children during late childhood. These difficulties are associated with neonatal brain abnormalities, and are likely to have functional consequences academically, socially and vocationally. (JINS, 2018, 24, 372–381)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2017 

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