Assessing Executive Function in Preschoolers

Executive function develops at an unprecedented rate during the preschool period, yet few clinicians attempt to assess executive processes in young children. The primary objective of this article is to demonstrate that executive function can be assessed in preschoolers, and to highlight the importance of detecting executive dysfunction as early as possible. Following a description of executive function and the underlying neural systems, this article outlines some of the challenges in assessing executive function in young children. The various assessment paradigms used for assessing executive function in preschoolers are presented, and based on studies that have applied these measurement tools normal development of executive domains is described. Finally, the benefits and opportunities for executive function intervention in the preschool period are considered.

[1]  R. Barkley Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. , 1997, Psychological bulletin.

[2]  H. Spinnler,et al.  Frontal lobe functioning in man: the riddle revisited. , 1998, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[3]  Donald A. Norman,et al.  Attention to Action , 1986 .

[4]  K. Espy,et al.  Executive Functioning in Preschool Children: Performance on A-Not-B and Other Delayed Response Format Tasks , 1999, Brain and Cognition.

[5]  B. Peterson,et al.  Normal Development of Brain Circuits , 2010, Neuropsychopharmacology.

[6]  P. Zelazo,et al.  Hot and cool aspects of executive function: Relations in early development. , 2005 .

[7]  J. Fletcher,et al.  Developmental changes in performance on tests of purported frontal lobe functioning , 1991 .

[8]  R. Allen,et al.  Stanford-Binet Intelligence Scales, Fifth Edition , 2011 .

[9]  Boris Suchan,et al.  Cortico-subcortical contributions to executive control. , 2004, Acta psychologica.

[10]  R. Morris,et al.  Neural correlates of planning ability: Frontal lobe activation during the tower of London test , 1993, Neuropsychologia.

[11]  Richard J. Brown Neuropsychology Mental Structure , 1989 .

[12]  Martha Ann Bell,et al.  Working memory and inhibitory control in early childhood: Contributions from physiology, temperament, and language. , 2004, Developmental psychobiology.

[13]  J. Donders The Behavior Rating Inventory of Executive Function: Introduction , 2002 .

[14]  L. Pulkkinen,et al.  Dimensions of executive functioning: Evidence from children , 2003 .

[15]  J. Rosenfeld,et al.  10 years outcome from childhood traumatic brain injury , 2012, International Journal of Developmental Neuroscience.

[16]  Conor V. Dolan,et al.  Source (or Part of the following Source): Type Article Title Age-related Change in Executive Function: Developmental Trends and a Latent Variable Analysis Author(s) Age-related Change in Executive Function: Developmental Trends and a Latent Variable Analysis , 2022 .

[17]  Jonathan D. Power,et al.  Functional Brain Networks Develop from a “Local to Distributed” Organization , 2009, PLoS Comput. Biol..

[18]  C. Moore,et al.  The development of prudence in the face of varying future rewards. , 2007, Developmental science.

[19]  J. Giedd,et al.  Brain development in children and adolescents: Insights from anatomical magnetic resonance imaging , 2006, Neuroscience & Biobehavioral Reviews.

[20]  Ulrich Müller,et al.  The development of executive function in early childhood: I. The development of executive function. , 2003 .

[21]  John O. Willis,et al.  Wechsler Preschool and Primary Scales of Intelligence–Third Edition , 2014 .

[22]  S. Wiebe,et al.  Executive function deficits in preschool children with ADHD and DBD. , 2012, Journal of child psychology and psychiatry, and allied disciplines.

[23]  R. Dolan,et al.  Neural systems engaged by planning: a PET study of the Tower of London task , 1996, Neuropsychologia.

[24]  Muriel D. Lezak,et al.  The Problem of Assessing Executive Functions , 1982 .

[25]  Bruce F. Pennington,et al.  A normative‐developmental study of executive function: A window on prefrontal function in children , 1991 .

[26]  R. Gur,et al.  Age-related volumetric changes of brain gray and white matter in healthy infants and children. , 2001, Cerebral cortex.

[27]  K. Espy,et al.  The Development of a Trial Making Test in Young Children: The TRAILS-P , 2004, The Clinical neuropsychologist.

[28]  J. P. O'donnell,et al.  Construct validity of neuropsychological tests of conceptual and attentional abilities. , 1994, Journal of clinical psychology.

[29]  A J Parkin,et al.  The central executive does not exist , 1998, Journal of the International Neuropsychological Society.

[30]  D. Norman,et al.  Attention to action: Willed and automatic control , 1980 .

[31]  L. Doyle,et al.  Executive functioning in school-aged children who were born very preterm or with extremely low birth weight in the 1990s. , 2004, Pediatrics.

[32]  S. Tsujimoto The Prefrontal Cortex: Functional Neural Development During Early Childhood , 2008, The Neuroscientist : a review journal bringing neurobiology, neurology and psychiatry.

[33]  W. Stroup,et al.  Measuring the development of executive control with the shape school. , 2006, Psychological assessment.

[34]  A. Kaufman,et al.  Kaufman Assessment Battery for Children, Second Edition , 2014 .

[35]  T. Senn,et al.  The Contribution of Executive Functions to Emergent Mathematic Skills in Preschool Children , 2004, Developmental neuropsychology.

[36]  J K Smith,et al.  Temporal and Spatial Development of Axonal Maturation and Myelination of White Matter in the Developing Brain , 2008, American Journal of Neuroradiology.

[37]  A. Baddeley Exploring the Central Executive , 1996 .

[38]  E. Bigler Frontal lobe damage and neuropsychological assessment. , 1988, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[39]  Angela D. Friederici,et al.  Functional Neural Networks of Semantic and Syntactic Processes in the Developing Brain , 2007, Journal of Cognitive Neuroscience.

[40]  Peter J. Anderson,et al.  Towards a developmental model of executive function. , 2008 .

[41]  Alan C. Evans,et al.  Brain development during childhood and adolescence: a longitudinal MRI study , 1999, Nature Neuroscience.

[42]  A. Diamond,et al.  Development of the ability to use recall to guide action, as indicated by infants' performance on AB. , 1985, Child development.

[43]  Adele Diamond,et al.  Color-object interference in young children: A Stroop effect in children 3½-6½ years old. , 2005, Cognitive development.

[44]  G. Gioia,et al.  Executive Function in Preschool Children: Examination Through Everyday Behavior , 2004, Developmental neuropsychology.

[45]  Donald T. Stuss,et al.  Biological and psychological development of executive functions , 1992, Brain and Cognition.

[46]  I. Baron,et al.  Neuropsychological Evaluation of the Child , 2003 .

[47]  K. Kerns,et al.  The Vigilance, Orienting, and Executive Attention Networks in 4-Year-Old Children , 2007, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[48]  G. Gioia,et al.  Assessment of executive functions in children with neurological impairment. , 2001 .

[49]  G. Kochanska,et al.  Effortful control in early childhood: continuity and change, antecedents, and implications for social development. , 2000, Developmental psychology.

[50]  B. Sodian,et al.  Hot and Cool Aspects of Executive Function: Relations in Early Development , 2014 .

[51]  A. Baddeley The central executive: A concept and some misconceptions , 1998, Journal of the International Neuropsychological Society.

[52]  Hangyi Jiang,et al.  Pediatric diffusion tensor imaging: Normal database and observation of the white matter maturation in early childhood , 2006, NeuroImage.

[53]  P. Goldman-Rakic,et al.  Comparison of human infants and rhesus monkeys on Piaget's AB task: evidence for dependence on dorsolateral prefrontal cortex , 2004, Experimental Brain Research.

[54]  K. Kerns,et al.  Test–Retest Reliability and Practice Effects of Executive Function Tasks in Preschool Children , 2012, The Clinical neuropsychologist.

[55]  Donald T. Stuss,et al.  Executive functions and the frontal lobes: a conceptual view , 2000, Psychological research.

[56]  S. Bryson,et al.  Executive function in preschoolers: a review using an integrative framework. , 2008, Psychological bulletin.

[57]  Benjamin Thyreau,et al.  Linear and curvilinear correlations of brain gray matter volume and density with age using voxel‐based morphometry with the Akaike information criterion in 291 healthy children , 2013, Human brain mapping.

[58]  A. Diamond,et al.  The relationship between cognition and action: performance of children 3 1 2 –7 years old on a stroop- like day-night test , 1994, Cognition.

[59]  G. Bohlin,et al.  Executive Functions in Children Aged 6 to 13: A Dimensional and Developmental Study , 2004, Developmental neuropsychology.

[60]  P. Anderson Assessment and Development of Executive Function (EF) During Childhood , 2002, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[61]  M. Greenberg,et al.  The measurement of executive function at age 3 years: psychometric properties and criterion validity of a new battery of tasks. , 2010, Psychological assessment.

[62]  P. Eslinger,et al.  Frontal lobe damage in children and adults: A comparative review , 1991 .

[63]  M. Willoughby,et al.  Contributions of modern measurement theory to measuring executive function in early childhood: An empirical demonstration. , 2011, Journal of experimental child psychology.

[64]  K. Espy,et al.  New Procedures to Assess Executive Functions in Preschool Children* , 2001, The Clinical neuropsychologist.

[65]  Alan C. Evans,et al.  Maturation of white matter in the human brain: a review of magnetic resonance studies , 2001, Brain Research Bulletin.

[66]  Fletcher Jm,et al.  Neuropsychological approaches to children: towards a developmental neuropsychology. , 1984 .

[67]  M Schwartz,et al.  The effects of focal and diffuse brain damage on strategy application: Evidence from focal lesions, traumatic brain injury and normal aging , 1998, Journal of the International Neuropsychological Society.

[68]  Robert J. Sbordone,et al.  Ecological Validity of Neuropsychological Testing , 1996 .

[69]  P. Reebye Psychological and Developmental Assessment: Children with Disabilities and Chronic Conditions. , 2003 .

[70]  D. Stuss,et al.  Principles of frontal lobe function , 2002 .

[71]  D. Stuss,et al.  Evidence from Focal Lesions in Humans , 2002 .

[72]  M. Willoughby,et al.  Test-retest reliability of a new executive function battery for use in early childhood , 2011, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[73]  G. Schwartz,et al.  Consciousness and Self-Regulation , 1976 .

[74]  A. Diamond,et al.  Prefrontal cortex cognitive deficits in children treated early and continuously for PKU. , 1991, Monographs of the Society for Research in Child Development.

[75]  Sarah Durston,et al.  A shift from diffuse to focal cortical activity with development. , 2006, Developmental science.

[76]  K. Lloyd Do As I Say, Not As I Do , 1994, The Behavior analyst.

[77]  C. Hughes Changes and challenges in 20 years of research into the development of executive functions , 2011 .

[78]  Hideaki Koizumi,et al.  Prefrontal cortical activation associated with working memory in adults and preschool children: an event-related optical topography study. , 2004, Cerebral cortex.

[79]  C. Clark,et al.  Executive control and dimensions of problem behaviors in preschool children. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[80]  V. Anderson,et al.  The Object Classification Task for Children (OCTC): A Measure of Concept Generation and Mental Flexibility in Early Childhood , 2004, Developmental neuropsychology.

[81]  Torkel Klingberg,et al.  Training and transfer effects of executive functions in preschool children. , 2009, Developmental science.

[82]  M. D’Esposito Working memory. , 2008, Handbook of clinical neurology.

[83]  M. Korkman,et al.  Differential Development of Attention and Executive Functions in 3- to 12-Year-Old Finnish Children , 2001, Developmental neuropsychology.

[84]  P. Huttenlocher,et al.  Regional differences in synaptogenesis in human cerebral cortex , 1997, The Journal of comparative neurology.

[85]  Suzanne E. Welcome,et al.  Longitudinal Mapping of Cortical Thickness and Brain Growth in Normal Children , 2022 .

[86]  J. Fletcher,et al.  Neuropsychological approaches to children: towards a developmental neuropsychology. , 1984, Journal of clinical neuropsychology.

[87]  C. Golden The Luria-Nebraska Children's Battery: Theory and Formulation , 1981 .

[88]  D. Stuss,et al.  Disorders of frontal lobe functioning. , 2000, Seminars in neurology.

[89]  John O. Willis,et al.  NEPSY: A Developmental Neuropsychological Assessment , 2008 .

[90]  S. M. Carlson Developmentally Sensitive Measures of Executive Function in Preschool Children , 2005, Developmental neuropsychology.

[91]  P. Anderson,et al.  Relationships Between Cognitive and Behavioral Measures of Executive Function in Children With Brain Disease , 2002, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[92]  T Shallice,et al.  The domain of supervisory processes and temporal organization of behaviour. , 1996, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[93]  P. H. Miller,et al.  A developmental perspective on executive function. , 2010, Child development.

[94]  P. Huttenlocher Morphometric study of human cerebral cortex development , 1990, Neuropsychologia.

[95]  L. Woodward,et al.  Preschool executive functioning abilities predict early mathematics achievement. , 2010, Developmental psychology.

[96]  Mark H. Johnson Functional brain development in humans , 2001, Nature Reviews Neuroscience.

[97]  Thomas F. Nugent,et al.  Dynamic mapping of human cortical development during childhood through early adulthood. , 2004, Proceedings of the National Academy of Sciences of the United States of America.

[98]  B. Sodian,et al.  Young children's cognitive development : interrelationships among executive functioning, working memory, verbal ability, and theory of mind , 2014 .

[99]  D. Tranel,et al.  Neuropsychological assessment, 5th ed. , 2012 .

[100]  Bruce D. McCandliss,et al.  Training, maturation, and genetic influences on the development of executive attention. , 2005, Proceedings of the National Academy of Sciences of the United States of America.

[101]  V. Anderson,et al.  Assessing Executive Functions in Children: Biological, Psychological, and Developmental Considerations , 1998 .

[102]  D. Amso,et al.  Conditions under which young children can hold two rules in mind and inhibit a prepotent response. , 2002, Developmental psychology.

[103]  Tiffany D. Sheffield,et al.  Age-related differences in reaction time task performance in young children. , 2009, Journal of experimental child psychology.

[104]  C. Blair,et al.  School readiness. Integrating cognition and emotion in a neurobiological conceptualization of children's functioning at school entry. , 2002, The American psychologist.

[105]  Tim Shallice,et al.  The domain of supervisory processes and the temporal organisation of behaviour , 1998 .

[106]  Claire Hughes,et al.  Executive function in preschoolers: Links with theory of mind and verbal ability , 1998 .

[107]  C. Nelson,et al.  The functional emergence of prefrontally-guided working memory systems in four- to eight-year-old children , 1998, Neuropsychologia.

[108]  T. Shallice Specific impairments of planning. , 1982, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[109]  T. Senn,et al.  A comparison of performance on the Towers of London and Hanoi in young children. , 2004, Journal of child psychology and psychiatry, and allied disciplines.

[110]  Stephanie T. Lanza,et al.  Demographic and familial predictors of early executive function development: contribution of a person-centered perspective. , 2011, Journal of experimental child psychology.

[111]  Leslie G. Ungerleider,et al.  An area specialized for spatial working memory in human frontal cortex. , 1998, Science.

[112]  M. J. Emerson,et al.  The Unity and Diversity of Executive Functions and Their Contributions to Complex “Frontal Lobe” Tasks: A Latent Variable Analysis , 2000, Cognitive Psychology.

[113]  C. L. Gerstadt,et al.  The relationship between cognition and action: Performance of children Article| PDF (1504 K)| View Record in Scopus| Cited by in Scopus (424) 3 1 2-7 years old on a Stroop-like day-night test , 1994 .

[114]  Claire Hughes,et al.  Tracking Executive Function Across the Transition to School: A Latent Variable Approach , 2009, Developmental neuropsychology.

[115]  Philip David Zelazo,et al.  Assessment of Hot and Cool Executive Function in Young Children: Age-Related Changes and Individual Differences , 2005, Developmental neuropsychology.

[116]  G. Gioia,et al.  TEST REVIEW Behavior Rating Inventory of Executive Function , 2000 .

[117]  N C Andreasen,et al.  The neuropsychology of the prefrontal cortex. , 1993, Archives of neurology.

[118]  S. Wiebe,et al.  Using confirmatory factor analysis to understand executive control in preschool children: I. Latent structure. , 2008, Developmental psychology.

[119]  Catherine Schaefer,et al.  Executive Function in Preschool Children: Test–Retest Reliability , 2011, Journal of cognition and development : official journal of the Cognitive Development Society.

[120]  A. Diamond,et al.  The performance of human infants on a measure of frontal cortex function, the delayed response task. , 1989, Developmental psychobiology.

[121]  K. Espy The Shape School: Assessing executive function in preschool children , 1997 .

[122]  A. Damasio,et al.  Severe disturbance of higher cognition after bilateral frontal lobe ablation , 1985, Neurology.

[123]  S. M. Carlson,et al.  From external regulation to self-regulation: early parenting precursors of young children's executive functioning. , 2010, Child development.

[124]  D. E. Montgomery,et al.  A review of the day–night task: The Stroop paradigm and interference control in young children , 2010 .

[125]  B. J. Casey,et al.  Imaging the developing brain: what have we learned about cognitive development? , 2005, Trends in Cognitive Sciences.

[126]  Arthur L. Benton,et al.  Differential behavioral effects in frontal lobe disease , 1968 .

[127]  Psychologie Wechsler Preschool and Primary Scale of Intelligence , 2011, Definitions.

[128]  Bruce F. Pennington,et al.  Assessing frontal lobe functioning in children: Views from developmental psychology , 1988 .

[129]  B. Pennington,et al.  Executive functions and developmental psychopathology. , 1996, Journal of child psychology and psychiatry, and allied disciplines.

[130]  A. Diamond,et al.  Development of an aspect of executive control: development of the abilities to remember what I said and to "do as I say, not as I do". , 1996, Developmental psychobiology.

[131]  C. Hughes,et al.  How do families help or hinder the emergence of early executive function? , 2009, New directions for child and adolescent development.

[132]  C. Clark,et al.  Underpinnings of the Costs of Flexibility in Preschool Children: The Roles of Inhibition and Working Memory , 2010, Developmental neuropsychology.

[133]  B. Pennington,et al.  Neuropsychology of early-treated phenylketonuria: specific executive function deficits. , 1990, Child development.

[134]  C. Urgesi,et al.  NEPSY-II. Second Edition. , 2011 .

[135]  Peter J. Anderson,et al.  Executive functions and the frontal lobes: A lifespan perspective. , 2008 .

[136]  B. J. Casey,et al.  Structural and functional brain development and its relation to cognitive development , 2000, Biological Psychology.

[137]  B. Pennington,et al.  Executive function deficits in high-functioning autistic individuals: relationship to theory of mind. , 1991, Journal of child psychology and psychiatry, and allied disciplines.

[138]  Philip David Zelazo,et al.  The Dimensional Change Card Sort (DCCS): a method of assessing executive function in children , 2006, Nature Protocols.

[139]  K. Walsh Neuropsychology: A Clinical Approach , 1978 .

[140]  W. Sturm,et al.  Neuropsychological assessment , 2007, Journal of Neurology.