Does ADHD worsen inhibitory control in preschool children born very premature and/or with very low birth weight?

Introduction: Deficits in executive functioning, especially in inhibitory control, are present in children born very premature and/or with very low birth weight (VP/VLBW) and in children with attention-deficit/ hyperactivity disorder (ADHD). Objective: To evaluate whether ADHD imposes additional inh...

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Detalles Bibliográficos
Autores: Lacerda, Bárbara Calil, Martínez, Sophia B. S., Franz, Adelar Pedro, Maia, Carlos Renato Moreira, Silveira, Rita de Cássia dos Santos, Procianoy, Renato Soibelmann, Rohde, Luis Augusto Paim, Wagner, Flávia
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Repositório Institucional da UFRGS
Idioma:inglés
OAI Identifier:oai:www.lume.ufrgs.br:10183/225099
Acceso en línea:http://hdl.handle.net/10183/225099
Access Level:acceso abierto
Palabra clave:Transtorno do déficit de atenção com hiperatividade
Recém-nascido prematuro
Pré-escolar
Recém-nascido de muito baixo peso
Inhibitory control
Prematurity
Preschool
ADHD
Descripción
Sumario:Introduction: Deficits in executive functioning, especially in inhibitory control, are present in children born very premature and/or with very low birth weight (VP/VLBW) and in children with attention-deficit/ hyperactivity disorder (ADHD). Objective: To evaluate whether ADHD imposes additional inhibitory control (IC) deficits in preschoolers born VP/VLBW. Methods: 79 VP/VLBW (4 to 7 years) children were assessed for ADHD using the Schedule for Affective Disorders and Schizophrenia for School Aged Children – Present and Lifetime Version (K-SADS-PL). IC was measured with Conners’ Kiddie Continuous Performance Test (K-CPT 2) and the Behavior Rating Inventory of Executive Function – Preschool Version (BRIEF-P). Results: No significant differences were found between ADHD (n = 24) and non-ADHD children (n = 55) for any of the measures (p = 0.062 to p = 0.903). Both groups had deficits in most K-CPT 2 scores compared to normative samples, indicating poor IC and inconsistent reaction times. Conclusions: ADHD does not aggravate IC deficits in VP/VLBW children. Either neuropsychological tasks and parent reports of executive functions (EFs) may not be sensitive enough to differentiate VP/VLBW preschoolers with and without ADHD, or these children’s EFs are already so impaired that there is not much room for additional impairments imposed by ADHD.