Environmental predictors of children's executive functioning development.
James D LynchYingying XuKimberly YoltonJane C KhouryAimin ChenBruce P LanphearKim M CecilJoseph M BraunJeffery N EpsteinPublished in: Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence (2023)
Executive functioning (EF) abilities develop through childhood, but this development can be impacted by various psychosocial environmental influences. Using longitudinal data from the Health Outcome and Measures of the Environment (HOME) Study, a prospective pregnancy and birth cohort study, we examined if psychosocial environmental factors were significant predictors of EF development. Study participants comprised 271 children and their primary caregivers (98.5% mothers) followed from birth to age 12. We identified four distinct EF developmental trajectory groups comprising a consistently impaired group (13.3%), a descending impairment group (27.7%), an ascending impairment group (9.95%), and a consistently not impaired group (49.1%). Higher levels of maternal ADHD and relational frustration appear to be risk factors for increased EF difficulty over time, while higher family income may serve as a protective factor delaying predisposed EF impairment. Important intervention targets might include teaching positive and effective parenting strategies to mothers whose children are at risk for EF dysfunction.
Keyphrases
- mental health
- young adults
- healthcare
- working memory
- randomized controlled trial
- pregnancy outcomes
- public health
- human health
- physical activity
- oxidative stress
- electronic health record
- gestational age
- preterm birth
- body mass index
- pulmonary artery
- machine learning
- coronary artery
- pulmonary arterial hypertension
- risk assessment
- medical students
- birth weight
- deep learning
- weight loss