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Visual-motor and executive functions in children born preterm: The Bender Visual Motor Gestalt Test revisited
Stockholm University, Faculty of Social Sciences, Department of Psychology.
Stockholm University, Faculty of Social Sciences, Department of Psychology.
2010 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 51, no 5, 376-384 p.Article in journal (Refereed) Published
Abstract [en]

Visual-motor development and executive functions were investigated with the Bender Test at age 51/2 years in 175 children born preterm and 125 full-term controls, within the longitudinal Stockholm Neonatal Project. Assessment also included WPPSI-R and NEPSY neuropsychological battery for ages 4-7 (Korkman, 1990). Bender protocols were scored according to Brannigan & Decker (2003), Koppitz (1963) and a complementary neuropsychological scoring system (ABC), aimed at executive functions and developed for this study. Bender results by all three scoring systems were strongly related to overall cognitive level (Performance IQ), in both groups. The preterm group displayed inferior visual-motor skills compared to controls also when controlling for IQ. The largest group differences were found on the ABC scoring, which shared unique variance with NEPSY tests of executive function. Multiple regression analyses showed that hyperactive behavior and inattention increased the risk for visual-motor deficits in children born preterm, whereas no added risk was seen among hyperactive term children. Gender differences favoring girls were strongest within the preterm group, presumably reflecting the specific vulnerability of preterm boys. The results indicate that preterm children develop a different neurobehavioral organization from children born at term, and that the Bender test with a neuropsychological scoring is a useful tool in developmental screening around school start.

Place, publisher, year, edition, pages
2010. Vol. 51, no 5, 376-384 p.
Keyword [en]
Developmental assessment, executive function, eye-hand coordination, hyperactive, preterm
National Category
Psychology
Identifiers
URN: urn:nbn:se:su:diva-49436DOI: 10.1111/j.1467-9450.2010.00818.xISI: 000281950300003OAI: oai:DiVA.org:su-49436DiVA: diva2:379356
Note

authorCount :3

Available from: 2010-12-17 Created: 2010-12-14 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Longitudinal studies of executive and cognitive development after preterm birth
Open this publication in new window or tab >>Longitudinal studies of executive and cognitive development after preterm birth
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Stockholm Neonatal Project is a longitudinal population-based study of children born prematurely in 1988-93, with a very low birth weight (<1500 g), who have been followed prospectively from birth through adolescence. A matched control group was recruited at age 5 ½ years. The overall aim was to investigate long-term developmental outcome, paying particular attention to executive functions (EF) in relation to degree of prematurity, birth weight and medical risks. Study I showed a disadvantage in visuo-motor development at 5 ½ years, especially among the preterm boys. Visuo-motor skills were highly related to IQ, and also to EF. In Study II, neuropsychological profiles typical of preterm children and term born children, respectively, were identified through cluster analysis. The general level of performance corresponded well with IQ, motor functions and parental education in both groups, but preterm children had overall lower results and exhibited greater variability across domains. Study III showed that extremely preterm birth (w. 23-27) per se poses a risk for cognitive outcome at age 18, particularly for EF, and that perinatal medical complications add to the risk. By contrast, adolescents born very preterm (w. 28-31) performed just as well as term-born controls in all cognitive domains. However, adolescents born moderately preterm (w. 32-36) and small for gestational age showed general cognitive deficits. Study IV found that cognitive development was stable over time, with parental education and EF at 5 ½ years as significant predictors for cognitive outcome at age 18. Among preterm children, perinatal medical risks and being small for gestational age had a continued negative impact on cognitive development from 5 ½ to 18 years. Study V demonstrated that neuropsychological scoring of Bender drawings, developed in study I, predicted cognitive outcome in adolescence, indicating that the method  may be useful in developmental screening around school entry.

Place, publisher, year, edition, pages
Stockholm: Department of Psychology, Stockholm University, 2012. 98 p.
Keyword
Preterm birth, low birth-weight, degree of prematurity, medical risks, general intelligence, executive functions, parental education, gender, development
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:su:diva-78946 (URN)9789174475500 (ISBN)
Public defence
2012-09-26, David Magnussonsalen (U31), hus 8, Frescati Hagväg 8, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Manuscript. Paper 4: Manuscript. Paper 5: Submitted.

Available from: 2012-09-04 Created: 2012-08-21 Last updated: 2016-05-27Bibliographically approved

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