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

目前的研究检查了执行功能行为评定量表 - 学前版本 (BRIEF-P) 在捕捉有围产期卒中史的学龄前儿童执行功能新出现缺陷方面的效用。55 名临床转诊的学龄前儿童（3-5 岁）的家长和教师使用 Brief-P 进行评分。与标准样本相比，父母（M  = 56.02，p = .001）和教师评分（M  = 58.61，p = .002）都表明工作记忆的规模显着升高，尽管低于临床升高的范围。家长和老师的评分为中低相关（r = .05–.55）。更大的工作记忆缺陷（r= -.58)、抑制 ( r = -.45) 和计划/组织 ( r = -.51)，由教师评定，与较低的智力功能相关。父母的评分与智力功能无关。此外，没有神经或个人特征与执行功能评级相关。目前的研究表明，根据BRIEF-P评级，有围产期卒中病史的儿童平均遵循正常的执行功能发展轨迹。讨论了对多信息评级和基于绩效的措施的需求，以全面评估有中风史的学龄前儿童的执行功能。