Abstract

The current study examined the utility of the Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P) in capturing emerging deficits in executive function in preschool children with a history of perinatal stroke. Parents and teachers of 55 clinically referred preschool children (3–5 years of age) provided ratings using the BRIEF-P. Both parent (M = 56.02, p = .001) and teacher ratings (M = 58.61, p = .002) indicated significant scale elevations for working memory compared to the normative sample, albeit below the clinically elevated range. Parent and teacher ratings were low-to-moderately correlated (r = .05–.55). Greater deficits in working memory (r = −.58), inhibition (r = −.45), and planning/organization (r = −.51), as rated by teachers, were associated with lower intellectual functioning. Parents’ ratings were not associated with intellectual functioning. Further, no neurological or personal characteristics were associated with ratings of executive function. The current study demonstrates children with a history of perinatal stroke are, on average, following a normal trajectory of executive function development according to BRIEF-P ratings. The needs for multi-informant ratings and performance-based measures to comprehensively assess executive functioning in preschoolers with a history of stroke are discussed.

摘要

当前的研究检查了执行功能-学前班行为分级量表（BRIEF-P）在捕获有围生期中风病史的学龄前儿童执行功能中新出现的缺陷中的效用。55位临床转诊的学龄前儿童（3至5岁）的父母和老师使用Brief-P提供了评分。父母（M  = 56.02，P = .001）和教师评分（M  = 58.61，P = .002）均表明，与正常样本相比，工作记忆的比例显着升高，尽管低于临床升高范围。父母和老师的评分低至中度相关（r = .05–.55）。工作记忆的更大缺陷（r= -.58），抑制（r = -.45）和计划/组织（r = -.51），与教师的智力功能较低相关。父母的等级与智力功能无关。此外，没有神经或个人特征与执行功能的等级相关。当前的研究表明，根据BRIEF-P评分，平均而言，具有围产期中风病史的儿童遵循执行功能发展的正常轨迹。讨论了对多信息等级和基于绩效的措施以全面评估具有中风病史的学龄前儿童执行功能的需求。