Preterm Toddlers' Inhibitory Control Abilities Predict Attention Regulation and Academic Achievement at Age 8 Years
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Preterm Toddlers' Inhibitory Control Abilities Predict Attention Regulation and Academic Achievement at Age 8 Years. / Jaekel, Julia; Eryigit-Madzwamuse, Suna; Wolke, Dieter.
In: Journal of Pediatrics, Vol. 169, 01.02.2016, p. 87-92.e1.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Preterm Toddlers' Inhibitory Control Abilities Predict Attention Regulation and Academic Achievement at Age 8 Years
AU - Jaekel, Julia
AU - Eryigit-Madzwamuse, Suna
AU - Wolke, Dieter
N1 - Publisher Copyright: © 2016 Elsevier Inc.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - Objective To determine if adverse effects of preterm birth on attention and academic abilities at age 8 years are mediated by children's inhibitory control abilities. Study design Five hundred fifty-eight children born at 26-41 weeks gestation were studied as part of a prospective geographically defined longitudinal investigation in Germany. Toddlers' inhibitory control abilities were observed at age 20 months. At 8 years, attention and academic abilities were assessed. Results Preterm birth negatively affected children's inhibitory control abilities (B =.25, 95% CI [.11,.39], P <.001) and directly predicted subsequent low attention regulation (B =.23, 95% CI [.07,.38], P <.001) and academic achievement (B =.10, 95% CI [.03,.17], P <.001), after adjusting for other factors. Higher ability to inhibit unwanted behaviors predicted better later attention regulation (B =.24, 95% CI [.07,.41], P <.001) and academic achievement (B =.10, 95% CI [.03,.17], P <.001). Conclusions The lower a child's gestational age, the lower the inhibitory control and the more likely that the child had poor attention regulation and low academic achievement. Adverse effects of preterm birth on attention and academic outcomes are partially mediated by toddlers' inhibitory control abilities. These findings provide new information about the mechanisms linking preterm birth with long-term attention difficulties and academic underachievement.
AB - Objective To determine if adverse effects of preterm birth on attention and academic abilities at age 8 years are mediated by children's inhibitory control abilities. Study design Five hundred fifty-eight children born at 26-41 weeks gestation were studied as part of a prospective geographically defined longitudinal investigation in Germany. Toddlers' inhibitory control abilities were observed at age 20 months. At 8 years, attention and academic abilities were assessed. Results Preterm birth negatively affected children's inhibitory control abilities (B =.25, 95% CI [.11,.39], P <.001) and directly predicted subsequent low attention regulation (B =.23, 95% CI [.07,.38], P <.001) and academic achievement (B =.10, 95% CI [.03,.17], P <.001), after adjusting for other factors. Higher ability to inhibit unwanted behaviors predicted better later attention regulation (B =.24, 95% CI [.07,.41], P <.001) and academic achievement (B =.10, 95% CI [.03,.17], P <.001). Conclusions The lower a child's gestational age, the lower the inhibitory control and the more likely that the child had poor attention regulation and low academic achievement. Adverse effects of preterm birth on attention and academic outcomes are partially mediated by toddlers' inhibitory control abilities. These findings provide new information about the mechanisms linking preterm birth with long-term attention difficulties and academic underachievement.
KW - GA Gestational age
KW - SEM Structural equation modeling
KW - SES Socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=84959370210&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2015.10.029
DO - 10.1016/j.jpeds.2015.10.029
M3 - Journal article
C2 - 26608089
AN - SCOPUS:84959370210
VL - 169
SP - 87-92.e1
JO - Journal of Pediatrics
JF - Journal of Pediatrics
SN - 0022-3476
ER -
ID: 393168011