Impairments of executive functionin young children referred to child psychiatric outpatient clinic

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http://hdl.handle.net/10138/309280

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Huhdanpää , H , Klenberg , L , Westerinen , H , Bergman , P H & Aronen , E T 2019 , ' Impairments of executive functionin young children referred to child psychiatric outpatient clinic ' , Clinical Child Psychology & Psychiatry , vol. 24 , no. 1 , pp. 95-111 . https://doi.org/10.1177/1359104518786537

Title: Impairments of executive functionin young children referred to child psychiatric outpatient clinic
Author: Huhdanpää, Hanna; Klenberg, Liisa; Westerinen, Hannu; Bergman, Paula Hannele; Aronen, Eeva Tuulikki
Contributor: University of Helsinki, Lastenpsykiatria
University of Helsinki, Department of Psychology and Logopedics
University of Helsinki, Children's Hospital
University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2019-01
Language: eng
Number of pages: 17
Belongs to series: Clinical Child Psychology & Psychiatry
ISSN: 1359-1045
URI: http://hdl.handle.net/10138/309280
Abstract: Few studies have reported on the quantity and quality of executive function (EF) deficits in young children referred to child psychiatric outpatient clinic with multiple psychiatric symptoms. We evaluated the EF deficits with the Attention and Executive Function Rating Inventory-Preschool (ATTEX-P) filled out by day care teachers for 4- to 7-year-old clinical group (n = 171) and reference group (n = 709). Family background information was collected from all families by parent questionnaire. Diagnoses of the referred children were collected from medical records. Clinical group exhibited higher mean ranks across the ATTEX-P Total score and all nine subscales than reference group (p <.001). Most of the children in the clinical group (58.5%) showed a significant amount of EF deficits (ATTEX-P Total score over clinical cut-off) including distractibility (55.6%) and impulsivity (53.8%) regardless of their diagnoses. In a multiple logistic regression model (controlling for age, gender and parental education), children in the clinical group had increased risk (odds ratio (OR)) = 10.6, 95% confidence interval (CI) = [6.88, 16.2], p <.001) for scoring over the clinical cut-off point on the ATTEX-P Total score. Assessment of EFs should be a routine part of the treatment plan in young children referred to child psychiatric outpatient clinic as it may guide the treatment choices.
Subject: Executive function
child psychiatric evaluation
preschool age
assessment of EF
EF rating scale
VISUOSPATIAL WORKING-MEMORY
PRESCHOOL-CHILDREN
PSYCHOMETRIC PROPERTIES
FUNCTION DEFICITS
RATING INVENTORY
ADHD
ATTENTION
515 Psychology
3124 Neurology and psychiatry
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