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Purpose: The aim of this study was to examine whether cortical activity changes during exercise with increasing cognitive demands in preadolescent children. Method: Twenty healthy children (8.75 [0.91] y) performed one movement game, which was conducted with lower and higher cognitive demands. During a baseline measurement and both exercise conditions, cortical activity was recorded using a 64-channel electroencephalographic system, and heart rate was assessed. Ratings of perceived excertion and perceived cognitive engagement were examined after each condition. To analyze power spectral density in the theta, alpha-1, and alpha-2 frequency bands, an adaptive mixture independent component analysis was used to determine the spatiotemporal sources of cortical activity, and brain components were clustered to identify spatial clusters. Results: One-way repeated-measures analyses of variance revealed significant main effects for condition on theta in the prefrontal cluster, on alpha-1 in the prefrontal, central, bilateral motor, bilateral parieto-occipital, and occipital clusters, and on alpha-2 in the left motor, central, and left parieto-occipital clusters. Compared with the lower cognitive demand exercise, cortical activity was significantly higher in theta power in the prefrontal cluster and in alpha-1 power in the occipital cluster during the higher cognitive demand exercise. Conclusion: The present study shows that exercise complexity seems to influence cortical processing as it increased with increasing cognitive demands. [ABSTRACT FROM AUTHOR]

The advancement of public services, including the increased accessibility of health services, has led to a rise in life expectancy globally. As a result, aging populations are becoming more prevalent, raising concerns about cognitive decline. Fortunately, non-pharmacological methods, such as physical exercise, have been shown to mitigate the effects of aging on the brain. In this perspective article, we examined meta-analyses on the impact of physical exercise on cognition in older adults. The results indicate that combined exercise (i.e., aerobic plus strength training), has a significant positive effect on overall cognition and executive function. However, we found a lack of scientific studies on this topic in Latin American and Caribbean countries. Therefore, there is a pressing need for research to identify the feasibility of physical exercise interventions to improve cognitive skills in older adults from these regions.

This study investigates the temporal dynamics and affective associations related to executive function (EF) performance in primary school classrooms using an intensive longitudinal design. Data were collected from 35 students aged 8.9 to 11.4 years. Participants reported their affective experiences and completed EF measures three times daily following a fixed sampling schedule. The data collection spanned two consecutive school weeks across three primary school classrooms. Utilising Dynamic Structural Equation Modeling (DSEM), we examined 505 measurements of EF tasks and self-reported affective states over two weeks. The findings reveal significant within-person variability in EF, accounting for 52% of the observed variance, with performance declining later in the day and week. At the within-person level, positive affect was associated with improved EF performance, while negative affect was associated with poorer EF. No significant between-person relationships were found. These results underscore the importance of considering within-person processes and affective experiences in educational settings and highlight the need for further research employing intensive longitudinal methods to better understand the nuanced dynamics of affect and EF in real-world classroom environments. [ABSTRACT FROM AUTHOR]

Based on a novel approach, this study explores feasibility and relevance of an inhibition task for studying age-related differences in motor inhibition during gait initiation. When presented with a go-signal, young adults (YA, n = 24) and older adults (OA, n = 55) were required to promptly initiate gait. Participants completed 3 blocks of 12 gait trials. Each block contained 3 stop trials in which the go-signal was followed by a stop-signal that required the person to block gait initiation and remain standing. Stop-signals were presented randomly and with different delays. Data analyses focused on changes in the centre of pressure (COP) and success of motor inhibition. Compared to go-trials, stop trials resulted in a marked decrease of timing and amplitude of COP displacement. Overall success rate of motor inhibition was low (29% in YA vs. 19% in OA) and decreased with increasing COP displacement. Inhibitory success was associated with two strategies: a pro-active cautious COP displacement; and the inhibition of further COP displacement after a stop-signal. Results demonstrate age-related differences in adaptive behavior as well as boundaries beyond which neither old nor young persons were successful. This study yields important insights into motor inhibition during gait and essential input nto further studies. [ABSTRACT FROM AUTHOR]

AbstractObjectivesMethodsResultsConclusions\nKEY POINTSSeveral studies consistently showed that patients with attention deficit hyperactivity disorder (ADHD) have high rates of hoarding disorder (HD) comorbidity. The aim of the present study was to compare the clinical and cognitive features of adult ADHD patients with and without hoarding comorbidity according to a self-report measure, and a sample of healthy controls.Fifty-seven consecutive adult outpatients with a primary diagnosis of ADHD with comorbid hoarding disorder (ADHD+HD), 57 matched ADHD patients without hoarding disorder comorbidity (ADHD-HD), and a control group of 47 healthy controls (HCs) were enrolled. All subjects undergone a comprehensive clinical assessment and a neurocognitive assessment focused on attention, memory, and executive functions.The ADHD groups differed on most of the clinical and cognitive measures compared to HCs. ADHD+HD patients showed similar ADHD symptoms but greater subjective impulsivity, mood and anxiety symptoms, and a greater functional impairment compared to ADHD-HD patients as well as greater attentional and executive functioning impairments.ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype correlated to a greater functional impairment compared to ADHD patients without this comorbidity. These results further highlight the relevance of assessing and treating hoarding behaviours in adults with ADHD.Hoarding disorder is a frequent comorbidity in adult patients with ADHD.ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype compared to ADHD patients without this comorbidity.ADHD patients with comorbid hoarding disorder also show a greater functional impairment.Hoarding behaviours in adult ADHD patients should be routinely assessed.Hoarding disorder is a frequent comorbidity in adult patients with ADHD.ADHD patients with comorbid hoarding disorder present a more complex clinical and neuropsychological phenotype compared to ADHD patients without this comorbidity.ADHD patients with comorbid hoarding disorder also show a greater functional impairment.Hoarding behaviours in adult ADHD patients should be routinely assessed. [ABSTRACT FROM AUTHOR]

There is growing interest in identifying the mechanisms underpinning the effects of physical activity on executive functions (e.g. inhibitory control, cognitive flexibility) in children. Our study examined cardiorespiratory fitness, muscular fitness, and motor competence as potential mediators of this relationship. The study used baseline data from the Learning to Lead (L2L) cluster randomised controlled trial. In total, 675 children (7–11 years, 49.5% girls) completed measures of moderate-to-vigorous physical activity (MVPA), cardiorespiratory fitness, muscular fitness, motor competence, and executive functions. Structural equation modelling was used to examine the potential mediating roles of cardiorespiratory fitness, muscular fitness, and motor competence in the cross-sectional association between MVPA and executive functions. Cardiorespiratory fitness (β = 0.06, SE = 0.021, p = 0.004) partially mediated the association between MVPA and cognitive flexibility. Muscular fitness was a significant mediator of the association between MVPA and both inhibitory control (β = 0.03, SE = 0.014, p = 0.027) and cognitive flexibility (β = 0.06, SE = 0.021, p = 0.005). No significant mediated effects were found for motor competence. Our findings suggest cardiorespiratory and muscular fitness (but not motor competence) mediate the association between physical activity and executive functions in children. [ABSTRACT FROM AUTHOR]

AbstractPurposeMethodsResultsConclusions\nIMPLICATIONS FOR REHABILITATIONThe aim of this study is to clarify inconsistencies in the literature regarding the neuropsychological impact of chronic pain and determine how pain catastrophizing and pain intensity may explain cognitive impairment.This cross-sectional study involved 30 participants with chronic primary musculoskeletal pain and 30 healthy controls without pain. The instruments used were the Pain Catastrophizing Scale, the Visual Analogue Scale, the Beck Anxiety Inventory, the Beck Depression Inventory–II, the Wisconsin Card Sorting Test, the Stroop Test, and the Working Memory Index of the Wechsler Adult Intelligence Scale.Chronic pain patients showed slight cognitive impairments in selective attention, sustained attention, working memory, problem solving, planning, abstract reasoning, inhibition, and resistance to interference. The data also indicate that higher levels of pain catastrophizing and pain intensity were independently associated with greater cognitive impairment in patients with pain, specifically in attention and executive functioning. Additionally, the interaction between these pain-related variables predicted further cognitive impairment.This research has contributed to establishing the neuropsychological profile of patients with chronic primary musculoskeletal pain and reinforces evidence of the impact of chronic pain on cognition. These findings may help guide the design of programs aimed at improving cognitive performance.Chronic pain has a significant impact on the psychological wellbeing of those who experience it.Chronic pain is associated with cognitive impairment.Patients with chronic pain may benefit from neuropsychological programs that focus on improving cognitive performance. [ABSTRACT FROM AUTHOR]

Children with ADHD suffer from impaired attentional, executive, and emotional processing. This study aimed to compare attentional and executive processing using (non)emotional stimuli in children with and without ADHD. Eighty-five children with ADHD and 72 matched typically developing children performed the Stroop, continuous performance, and Go/No-Go tasks using (non)emotional stimuli. Greater performance in selective attention, inhibitory control, and sustained attention was found in emotional stimuli compared to non-emotional stimuli in both groups. Emotional stimuli facilitated attentional and executive functions in children with and without ADHD. Impaired attentional and executive functions in children with ADHD are not valence-sensitive. [ABSTRACT FROM AUTHOR]

Objective: This study was to investigate the developmental characteristics of executive function (EF) in obese adolescents and the time-course effects of a 14-week exercise intervention combining aerobic exercise and resistance training on EF in this population. Methods: The experimental group of 28 obese junior high school students participated in the exercise intervention combining aerobic exercise and resistance training, while the control group of 24 healthy weight junior high school students engaged in the regular recess exercise. EF, including inhibition, working memory, and cognitive flexibility, was assessed 1 week prior to the exercise intervention and at 12 and 14 weeks post-intervention. Changes in EF sub-functions in both groups at different time points during the exercise intervention were analyzed. Results: The findings revealed that obese junior high school students exhibited lower levels of inhibition (p = 0.003, Cohen's d = 0.848) and cognitive flexibility (p = 0.013, Cohen's d = 0.706) compared to their healthy weight peers. The exercise intervention combining aerobic exercise and resistance training led to significant improvements in EF among obese junior high school students, with inhibition (p < 0.01, Cohen's d = 0.713; p = 0.003, Cohen's d = 0.683) and cognitive flexibility (p = 0.001, Cohen's d = 0.797; p < 0.01, Cohen's d = 0.890) showing significant improvement at 12 and 14 weeks post-intervention, and working memory demonstrating significant improvement at 14 weeks (p = 0.004, Cohen's d = 0.710). No significant differences were observed in EF over time in healthy weight junior high school students. Conclusion: Obese adolescents had impaired EF, as evidenced by low levels of the inhibition and cognitive flexibility compared to healthy weight adolescents. The exercise intervention combining aerobic exercise and resistance training had a positive effect on EF of obese adolescents. The time-course effects of the intervention on improvements in inhibition, working memory, and cognitive flexibility varied with intervention duration in obese adolescents, with significant changes in inhibition and cognitive flexibility observed at 12 weeks and significant changes in working memory at 14 weeks. [ABSTRACT FROM AUTHOR]

Introduction: The development of reading and complex executive functions is fundamental for achieving social, academic, and professional success. So far, there is no single neuropsychological instrument that comprehensively assesses the domains of inhibitory control, cognitive flexibility, working memory, and reading comprehension. To assess executive functions related to reading, the "Assessment of Reading and Executive Functions" (AREF) was developed. In this study, we show initial evidence of validity and reliability for four subtests - Graphophonological-Semantic Flexibility, Inhibitory Control, Flexibility, and Working Memory. Methods: A total of 93 students from 4th to 9th grade, aged 8-14, in public (n = 61) and private (n = 32) schools were evaluated. Tasks from the AREF instrument, as well as measures of reading comprehension, inhibitory control, cognitive flexibility, working memory, and intelligence, were administered. Correlations between AREF scores and the other measures were performed to assess external construct validity. Performance differences between school groups on AREF subtests were analyzed using ANOVA, t-test, and Mann-Whitney tests, and the internal consistency of the instrument's tasks was evaluated using Cronbach's alpha coefficient. Results: The scores of the AREF subtests demonstrated significant positive correlations with reading measures (ranging from 0.339 to 0.367) and executive functions (ranging from 0.209 to 0.396). Significant differences were found in the performance of some AREF tasks when comparing individuals from public and private schools, as well as between 4th and 5th graders compared to students in higher grades. The internal consistency of the tasks was low for Graphophonological-Semantic Flexibility (Cronbach's α = 0.566), moderate for Inhibitory Control and Flexibility (Cronbach's α = 0.768), and high for Working Memory (Cronbach's α = 0.881). Discussion: The results provide initial evidence of construct validity and reliability for the AREF subtests. It is expected that this new neuropsychological test will contribute to the assessment of reading skills and executive functions, assisting in guiding clinical and educational interventions for individuals with and without neurodevelopmental disorders. [ABSTRACT FROM AUTHOR]

There is increasing evidence that using more than one languages has significant effects on brain function. These effects have been observed in the developing, adult and aging brain, and have been suggested to have implications for cognitive and brain decline in bilinguals and multilinguals. Aside from extensive investigations with behavioral methods, such effects are now commonly investigated with functional neuroimaging methods, mostly functional Magnetic Resonance Imaging (fMRI) and electroencephalography (EEG). A relatively underused method in the field is functional Near-Infrared Spectroscopy (fNIRS), which carries several advantages over more established methods, including being appropriate for use with infants and children, but also with older and diseased samples. This paper provides an overview of the method and an account of how it has been used in the field of bilingual cognition. It concludes with suggestions of how the method can be best utilized in future research, highlighting it as a method with a strong potential for updating existing theories on the effects of bilingualism on brain function. [ABSTRACT FROM AUTHOR]

The purpose of the present study was to compare executive functions in people with high and low resilience. Based on the results of a structured clinical interview and Connor- Davidson resilience Scale (CD-RISC), a total of 140 adults were assigned to high resilience (n = 70) and low resilience (n = 70) groups. Working memory, inhibition and cognitive flexibility were assessed by N-Back, Go/No-Go and Wisconsin Card Sorting task, respectively. The results showed that individuals with high resilience compared to individuals with low resilience scored significantly higher on inhibition and cognitive flexibility, but there were no significant differences on working memory. The current findings suggest a role of high-level cognitive processes in resilience, which in turn may contribute to mental health. Also, the results of this research may be important in the design of therapeutic interventions based on executive functions. • Individuals with high resilience compared to individuals with low resilience scored significantly higher on inhibition. • Individuals with high resilience compared to individuals with low resilience scored significantly cognitive flexibility. • There were no significant differences between individuals with high and low resilience on working memory. [ABSTRACT FROM AUTHOR]

Sleep problems are common in children with autism spectrum disorder. Although previous research has shown the positive effects of parent-based sleep intervention, it was mainly focused on face-to-face modality, which might limit accessibility. This study aimed to examine the efficacy of a telehealth-delivered parent-based sleep-focused intervention in treating insomnia in preschool children with autism spectrum disorder. A total of 62 parents/caregivers with a child with autism spectrum disorder and comorbid insomnia (aged 3–6 years) were randomized to receive either three weekly group sessions of sleep-focused intervention via Zoom with telephone support (n = 30) or treatment as usual (n = 32). The intervention group had significantly greater improvements in overall sleep problems (Children's Sleep Habit Questionnaire total score; p < 0.05), bedtime resistance (p < 0.05), and sleep-onset delay (p < 0.05) at post-treatment as compared to the treatment as usual group. The intervention group also showed significant improvements in overall behavioral and emotional problems (p < 0.05), especially externalizing problems (p < 0.05) as measured by Strengths and Difficulties Questionnaire, and parental stress level (p < 0.05) as measured by Depression, Anxiety and Stress Scale-21 as compared to the treatment as usual group (partial η2 = 0.081–0.101). The findings supported the feasibility and promising effects of a brief parent-based sleep intervention delivered via telehealth. Sleep problems are common in children with autism spectrum disorder. Although the effects of parent-based sleep intervention were shown to be promising, previous research was limited to the face-to-face service model, which might limit accessibility. This study examined a sleep-focused parent training group delivered via telehealth for treating insomnia in preschool children with autism spectrum disorder, which allowed parents to join the intervention remotely. Results showed that children in the intervention group had greater improvements in sleep and insomnia symptoms after treatment, as compared to those who only received care as usual. This sleep-focused treatment also led to improved daytime behaviors, especially externalizing problems such as hyperactivity and conduct problems, in children with autism spectrum disorder. Parents who had attended the training also reported reduced parental stress level after treatment. The findings supported the feasibility and promising effects of a brief parent-based sleep intervention delivered via telehealth for preschooler with autism spectrum disorder. [ABSTRACT FROM AUTHOR]

Previous research has demonstrated the effectiveness of executive functions (EFs) training, both in computer‐based and school‐based formats. However, there is limited research on the combined effects of these training modalities. This study aims to assess the feasibility and preliminary efficacy of an EFs training programme for primary school children. The programme includes computerized training sessions for home use and school activities with metacognitive elements. The study included a sample of 53 second‐grade children, with 21 children in the training group and 32 children in the control group. Feasibility questionnaires were completed by children, parents and teachers. The children also underwent an EFs evaluation. The results indicate that the training was enjoyable for children and feasible for parents and teachers. Furthermore, preliminary efficacy analysis revealed significant improvements in working memory. These findings suggest that the training model holds promise for enhancing EFs in children in the school context. Practitioner notesWhat is already known about this topic Individual differences in executive functions influence acquisitions, behaviours and competencies in several specific domains from infancy to adulthood.Enhancing executive functions during school‐age years can contribute to reducing or preventing academic, behavioural and social difficulties.Among interventions targeting executive functions in school‐aged children, school‐based interventions have shown the highest effectiveness, followed by metacognitive interventions and computer‐based interventions.What this paper adds This paper presents the implementation of an innovative school‐based training programme designed to improve executive functions (EFs). The programme combines metacognitive sessions conducted at school with computer‐based sessions carried out at home. The goal was to enhance the effectiveness and generalizability of the training.The training programme was found to be enjoyable for children and feasible for both parents and teachers.Preliminary efficacy data indicate promising results, suggesting that the training programme is effective in achieving its intended goals.Implications for practice and/or policy Integrating school‐based metacognitive training with computerized sessions delivered at home can provide a high‐intensity training programme that may not be achievable in the school context alone.The school activities, conducted in group settings with teachers and peers, were found to be the most appreciated by the children, indicating that computer sessions alone cannot replace the value of metacognitive sessions at school, within a meaningful social context for the child.It is crucial to actively involve families in the training process to ensure good adherence. Additionally, the availability of technological resources in each family should be evaluated before implementing the training programme. [ABSTRACT FROM AUTHOR]

This study investigated whether feedback on their errors and speed improves kindergarten children's performance in an executive function (EF) task. Children from Switzerland (N = 213, 49% female, Mage = 6.4 years) were tested in the Hearts and Flowers task pre‐ and post‐training and trained either on a variant of this task with (n = 71) or without feedback (n = 72), or on a control learning task (n = 70). The feedback group performed more efficiently than the no‐feedback group during the intervention and partially also in the post‐test. Both EF training groups performed more efficiently than the control group in the post‐test. These results suggest that kindergarten children detect and monitor their errors and even get better at it given the opportunity to practice. Moreover, they benefit additionally from external feedback. Integrating feedback into computerized cognitive training (and learning apps) could be a potential avenue for interventions in school settings. [ABSTRACT FROM AUTHOR]

Human factors, including the level of cognitive functioning, are the most influential factors in road traffic crashes. Among cognitive abilities, executive functions (EFs) of the brain play a pivotal role in driving performance and outcomes, including crash numbers. The current study was aimed to explore, for the first time, the ability of EF tests to predict success on the official driving tests in applicants of driving license in Iran. We administered a relevant set of commonly used EF tests, including a computerized Stroop test and six tests from the Delis-Kaplan Executive Function System (D-KEFS) and the Behavioral Assessment of the Dysexecutive Syndrome (BADS), to 87 healthy new drivers applying for a driver's license (Mage = 25.9 years, SD = 8.2; 43 female). We also administered a series of demographic and psychological questionnaires. The data regarding the participants' official driving tests were extracted from the official records. To determine the relations of the EF tests with success on the driving tests, several correlation and regression analyses were conducted. Most of the EF measures had significant correlations with the road test success, while having no significant relations with the theory test success. Moreover, in our regression analyses, The EF measures predicted success on the official driving road test, but not success on the driving theory test, even after controlling for the effects of previous unlicensed driving experience and stress symptoms. The results demonstrate the predictability of the driving road test success from executive functioning. [ABSTRACT FROM AUTHOR]

Almost all of our everyday activities depend on executive function (EF) skills. In line with the increasing attention to the ecological validation of neuropsychological assessment and intervention methods, this study aimed to explore the ecological validity of a relevant set of widely used EF tests, mostly from well-known paradigms of EF assessment, in predicting driving ability. Ninety-six healthy novice drivers (Mage = 26.2 years, SD = 8.4; 48 female) completed four stages of our data collection including psychological, EF, and driving assessments. For the psychological assessment, validated measures of sensation-seeking, risk-taking, personality traits, ADHD symptoms, depression, anxiety, and stress were administered. For the EF assessment, selected tests from the Delis-Kaplan Executive Function System (D-KEFS: Trail Making, Design Fluency, and Tower) and the Behavioral Assessment of the Dysexecutive Syndrome (BADS: Key Search, Zoo Map, and Modified Six Elements) along with a computerized Stroop test were administered. For the driving assessment, we used a simulated driving test comprising of 14 key dimensions of driving skills. Several correlations and multiple regression analyses were conducted. Significant correlations were found between all the EF measures and driving performance. Moreover, the EF measures predicted the driving ability over and above the effects of previous driving experience and the psychological variables. These results provide supporting evidence for the ecological validity of the EF tests in predicting driving performance. The incorporation of assessment and intervention targeting multiple domains of EF into driving rehabilitation and education programs could be a focus of future research. [ABSTRACT FROM AUTHOR]

The main goal of the study was to scrutinize mediating and moderating mechanisms identified in line with the predictions of Somatic Marker Hypothesis (SMH) and Dual Process Theory of the effect of acute stress on decision making. The sample group of the research comprised of 61 (31 females, 30 males) healthy university students aged between 18 and 23 (x̄ = 21, SD = 1.28). Data measurement tools were Skin Conductance Response Measurement, Iowa Gambling Test, Wisconsin Card Sorting Test, Wechsler Memory Scale-III Spatial Span Subtest, Stroop Test TBAG Form, Wechsler Adult Intelligence Matrix Reasoning Subtest, Stress Rating Scale, The State-Trait Anxiety Inventory, Big Five Personality Traits Scale, Ways of Coping Inventory, Beck Depression Inventory. The findings indicated that acute stress gives rise to decision-making failures by suppressing the SCR emphasized in SMH and mental processes defined in System 2. Furthermore, neuroticism had a moderating role in the relationship between stress and decision-making. Accordingly, the abovementioned theories cannot separately be sufficient to explain decision-making under stress; but, the predictions of these theories can complement each other to thoroughly make out the physiological and cognitive mechanisms of decision-making. [ABSTRACT FROM AUTHOR]

Fibromyalgia (FMS) is a chronic condition that encompasses widespread pain associated with cognitive impairment and significant emotional distress related to functional disability. This study aimed to obtain evidence of the role of pain in the effect of time since FMS diagnosis and cognitive performance using a novel online protocol of neuropsychological evaluation since the COVID-19 pandemic has challenged traditional neuropsychology testing leading to the need for novel procedures transitioning to tele-neuropsychology. A sample of 70 adult women was evaluated (50 with FMS and 19 controls) using online questionnaires that evaluated pain and executive functioning (impulsivity, inhibition control, monitoring, and planning). Afterward, participants were evaluated by trained neuropsychologists in a 30 min online session using virtually adapted cognitive tests: the Hopkins Verbal Learning Test (memory), the Symbol-Digit Modalities Test (attention and speed processing), the F-A-S test (verbal fluency), and Digit Span tests (working memory). We found that the time of FMS diagnosis has an effect on cognitive functioning predominantly mediated by pain. Our results point out the role of pain as a mediator on cognitive performance, specifically in executive functions which are directly affected by the cumulative effect of the time of diagnosis. Furthermore, the importance of considering a broader perspective for assessment and treatment including novel procedures via tele-neuropsychology. [ABSTRACT FROM AUTHOR]

Mental representations of space can be generated and communicated with respect to different reference frames and perspectives. The present study investigated the effects of age and individual differences in domain-general executive functions on people's ability to process spatial relations as expressed in language within different spatial reference frames (SRFs). Healthy adults aged between 18 and 85 completed a novel task involving self-, third-person-, object-, and environment-centered judgements of spatial relations between two objects, as well as standard tests of working memory, inhibition, and mental flexibility. A psychometric evaluation confirmed the test-retest reliability and the convergent and divergent validity of the new task. Results showed that the lifespan trajectories varied depending on the SRF. Processing from a self-centered perspective or an object-centered frame remained intact throughout the adult-lifespan. By contrast, spatial processing from a third-person-centered perspective or within an environment-centered frame declined in late adulthood. Mediation regression models showed that mental flexibility accounted for a significant part of the age-related variance in spatial processing across all allocentric SRFs. The age effects on environment-centered processing were also partially mediated by age-related changes in visuospatial working memory capacity. These findings suggest that at least partially distinct systems are involved in mentally representing space under different SRFs, which are differentially affected by typical aging. Our results also highlight that people's ability to process spatial relations across different SRFs depends on their capacity to employ domain-general effortful cognitive resources. [ABSTRACT FROM AUTHOR]

The term "Activities of Daily Living" (ADLs) refers to a set of fundamental tasks (i.e., toileting, bathing, personal care, eating, grooming, and getting dressed) considered necessary for living and being autonomous in everyday life. Although in the clinical setting ADLs efficiency is a marker to diagnose dementia, limited evidence on the mechanism implicating muscular function and cognitive alterations in ADLs skills in late adulthood exists. This study primarily intended to determine the extent to which executive functions mediate between muscular strength, as assessed through handgrip strength (HGS) measurement, and ADLs skills of older community-dwellers. A further goal was to explore the impact of gender and cognitive status on ADLs and HGS scores, using education as a covariate. Three hundred and thirty-four older participants, 199 females and 135 males (Mage = 77.5 years, SD = 5.6 years, age range = 63–93 years) completed a battery of tests assessing ADLs, HGS, and executive functions. The results showed that 34–56% of the variance in the ADLs condition was explained by HGS and executive functioning. Furthermore, cognitively healthy participants exhibited better ADLs skills, whereas cognitively impaired individuals, both males and females, exhibited poorer HGS efficiency. In conclusion, in clinical settings, the concurrent evaluation of ADLs skills, motor, and higher-order cognitive processes should be encouraged to detect individuals needing a person-tailored intervention to boost their quality of life. [ABSTRACT FROM AUTHOR]

Research in the field of figurative language processing in Autism Spectrum Disorders (ASD) has demonstrated that autistic individuals experience systematic difficulties in the comprehension of different types of metaphors. However, there is scarce evidence regarding metaphor production skills in ASD. Importantly, the exact source of metaphor processing difficulties in ASD remains largely controversial. The debate has mainly focused on the mediating role of structural language skills (i.e., lexical knowledge) and cognitive abilities (i.e., Theory of Mind and executive functions) in ASD individuals' ability to comprehend and generate metaphors. The present study examines metaphor comprehension and production in 18 Greek‐speaking verbally able children with ASD and 31 typically‐developing (TD) controls. Participants completed two tasks, namely, a low‐verbal multiple‐choice sentence‐picture matching task that tested their ability to comprehend conventional predicate metaphors, and a sentence continuation task that assessed their ability to generate metaphors. The study also included measures of fluid intelligence, expressive vocabulary, and working memory within the sample. The results show that the ASD group had significantly lower performance than the TD group in both metaphor comprehension and production. The findings also reveal that expressive vocabulary skills were a key factor in the metaphor comprehension and production performance of the children with ASD. Working memory capacity was also found to correlate significantly with metaphor comprehension performance in the ASD group. Conversely, no correlations were found in the TD group with neither of the above factors. Of note, children with ASD generated significantly more inappropriate responses and no‐responses to the metaphor production task compared with the control group. The overall results reveal that children with ASD had difficulty with both comprehending and using metaphorical language. The findings also indicate that TD children may employ diverse cognitive strategies or rely on different underlying skills when processing metaphors compared with children with ASD. Lay Summary: Difficulties related to metaphor comprehension are commonly observed in ASD individuals. However, less is known about metaphor production abilities in ASD. In this study, we compared metaphor comprehension and production skills in 18 verbally able Greek‐speaking children with ASD and 31 TD children, and also examined the role of vocabulary knowledge and working memory in metaphor processing. The overall results show that both metaphor comprehension and production were more challenging for the children with ASD as compared with their TD peers. Furthermore, we found that vocabulary knowledge is a factor that significantly influences both metaphor comprehension and production performance of ASD participants. The study also reveals that metaphor comprehension abilities in children with ASD are based on working memory skills. [ABSTRACT FROM AUTHOR]

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Introduction: Recent research has recognized executive dysfunction as another component affected in Primary Progressive Aphasia (PPA). This systematic review aimed to examine what information distinctive neurophysiological markers can provide in the evaluation of executive function (EF) deficits in PPA, and to what effect executive function deficits can be assessed through the characteristics of functional markers. Methods: We conducted a systematic literature search following the PRISMA guidelines across studies that employed neuropsychological assessments and neurophysiological imaging techniques (EEG, MEG; PET, SPECT, fMRI, fNIRS) to investigate executive dysfunction correlates in PPA. Results: Findings from nine articles including a total number of 111 individuals with PPA met our inclusion criteria and were synthesized. Although research on the neural correlates of EF deficits is scarce, MEG studies revealed widespread oscillatory slowing, with increased delta and decreased alpha power, where alterations in alpha, theta, and beta activities were significant predictors of executive function deficits. PET findings demonstrated significant correlations between executive dysfunction and hypometabolism in frontal brain regions. fMRI results indicated elevated homotopic connectivity in PPA patients, with a broader and more anterior distribution of abnormal hippocampal connections of which were associated with reduced executive performance. Conclusion: Our study provides indirect support for the assumption regarding the significance of the frontal regions and inferior frontal junction in executive control and demonstrates that neurophysiological tools can be a useful aid to further investigate clinical-neurophysiological correlations in PPA. [ABSTRACT FROM AUTHOR]

Introduction: Cognitive control is a prerequisite for successful, goal-oriented behavior. The dorsolateral prefrontal cortex (DLPFC) is assumed to be a key player in applying cognitive control; however, the neural mechanisms by which this process is accomplished are still unclear. Methods: To further address this question, an audiovisual Stroop task was used, comprising simultaneously presented pictures and spoken names of actors and politicians. Depending on the task block, participants had to indicate whether they saw the face or heard the name of a politician or an actor (visual vs. auditory blocks). In congruent trials, both stimuli (visual and auditory) belonged to the same response category (actor or politician); in incongruent trials, they belonged to different categories. During this task, activity in sensory target regions was measured via functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG), respectively. Specifically, fNIRS was used to monitor activity levels within the auditory cortex, while the EEG-based eventrelated potential of the N170 was considered as a marker of FFA (fusiform face area) involvement. Additionally, we assessed the effects of inhibitory thetaburst stimulation--a specific protocol based on repetitive transcranial magnetic stimulation (rTMS)--over the right DLPFC. Non-invasive brain stimulation is one of the few means to draw causal conclusions in human neuroscience. In this case, rTMS was used to temporarily inhibit the right DLPFC as a presumed key player in solving Stroop conflicts in one of two measurement sessions; then, effects were examined on behavioral measures as well as neurophysiological signals reflecting task-related activity in the frontal lobes and sensory cortices. Results: The results indicate a central role of the DLPFC in the implementation of cognitive control in terms of a suppression of distracting sensory input in both the auditory cortex and visual system (FFA) in high-conflict situations. Behavioral data confirm a reduced Stroop effect following previous incongruent trials ("Gratton effect") that was only accomplished with an intact DLPFC (i.e., following placebo stimulation). Discussion: Because non-invasive brain stimulation is uniquely suited to causally test neuroscientific hypotheses in humans, these data give important insights into some of the mechanisms by which the DLPFC establishes conflict resolution across different sensory modalities. [ABSTRACT FROM AUTHOR]

Prospective memory (PM) is the ability to remember and realize one’s intentions in the future; therefore, it is crucial for the daily functioning of children and adolescents and their ability to become independent from caregivers. PM errors can have repercussions during childhood, such as influencing school performance and social relationships. The aim of this systematic review was to synthesize studies analysing PM in children and adolescents (age range: 0–16 years) following PRISMA guidelines. The goal was to outline the most commonly used tasks, offering information on the development of PM, and— through a detailed analysis of the assessment of specific cognitive processes carried out in the primary studies included—providing information on the main cognitive processes involved in PM within this age group. Forty-nine studies were selected that examined PM in children and adolescents with typical development. The studies used many different tasks that can be traced back to eleven different main paradigms to evaluate PM, each structured into a PM and an ongoing task. Older children performed better on PM targets than younger children, suggesting a developmental trajectory of PM that follows a J-shaped function. Children as young as 2 years old exhibited the first signs of PM, while adolescents performed similarly to adults on PM tasks. Several factors are involved in PM development: retrospective memory, executive functions (planning, working memory, inhibitory control, monitoring), attention, metamemory, and motivation. This review May be considered a starting point to summarize the most used tools to evaluate PM in children and adolescents, and to shed light on the primary cognitive functions involved in PM, potentially offering indications to researchers in selecting optimal tasks for measuring PM across different age groups. Additionally, it underscores the importance of developing standardized measures for potential clinical applications. [ABSTRACT FROM AUTHOR]

Mathematics, along with reading and writing, is a core academic subject in the school curriculum. The development of mathematical skills is influenced by various cognitive factors, with executive functions (EF) playing a central role. EF, which encompasses working memory, inhibitory control, and cognitive flexibility, is critical for supporting complex cognitive processes required for problem-solving and mathematical reasoning. Research consistently shows that children with stronger EF tend to achieve better academic outcomes, including in mathematics. The goal of the present study was to examine the relationships between the global EF and its three core components – working memory, inhibitory control, and cognitive flexibility – and their impact on mathematics achievement. The sample for this study consisted of 180 children, aged 8–11 years (mean age: 9.6, SD: 1.0 year; 83 girls, 97 boys). EF was assessed using the Yellow-Red test, while mathematics achievement was evaluated based on teachers’ evaluations of the child’s mathematics performance. The results indicated a statistically significant effect of global EF and its three components on mathematics achievement. Given the potential malleability of EFs, we conclude with recommendations for strategies to enhance EF development at an early school age. [ABSTRACT FROM AUTHOR]

Patients with complex congenital heart disease (cCHD) are at risk for neurodevelopmental impairments, yet many patients develop normally. This study investigated associations between a favorable neurodevelopmental profile and protective factors, quality of life (QoL), resilience, and brain development. Adolescents with cCHD (n = 100) were prospectively enrolled. Neurodevelopmental profiles comprised IQ, executive functions, and behavior. Standardized neuropsychological tests and questionnaires were used to assess neurodevelopmental outcomes, family factors, QoL, and resilience. Clinical data were obtained from medical charts. Cerebral MRI was acquired. Specific neurodevelopmental profiles were identified by latent profile analysis and were associated with clinical and family factors, QoL and resilience, and MRI markers. We identified two distinct groups of neurodevelopmental profiles (favorable profile: n = 57, vulnerable profile: n = 43). The favorable profile group had significantly better neurodevelopmental outcome, better family functioning, and better parental mental health compared to the vulnerable profile group. Clinical factors were not significantly associated with profile group. The favorable profile group reported significantly better QoL and resilience and had larger total brain volumes. A positive family environment may be protective for long-term neurodevelopment and may outweigh the role of clinical factors. This study underlines the importance of family-centered care to promote favorable brain development and neurodevelopmental outcome. [ABSTRACT FROM AUTHOR]

Difficulty tolerating uncertainty is a central deficit across psychopathologies, and checking behavior is a common response to uncertainty. Inducing inhibition improves resolution of uncertainty. However, it is unclear whether inducing inhibition improves decision-making under conditions of uncertainty or whether it reduces checking. This study evaluated how inducing inhibition affects resolution of uncertainty and checking separately. Healthy adults (N = 34) completed three experiments combining an inhibition-induction task with a novel visual-matching task, which dissociated resolving uncertainty from checking. In Experiment 1, the visual-matching task included only "certainty" trials with unlimited checking. In Experiment 2, the task featured "certainty" and "uncertainty" trials, without checking. In Experiment 3, the task featured "certainty" trials, without checking. All participants completed self-report assessments of relevant clinical constructs including obsessive-compulsive symptoms and depressive symptoms. Our results indicate that inducing inhibition reduces unnecessary checking in "certainty" trials. Inducing inhibition also improves accuracy in "uncertainty" trials when checking is impossible, by limiting the harmful propagation of uncertainty. The propagation of uncertainty correlated with depressive symptoms and checking correlated with obsessive-compulsive symptoms. Our results offer a novel measure of different uncertainty facets and demonstrate the interactions between inhibition, uncertainty, and checking. We also outline implications for understanding specific uncertainty facets in psychopathologies and suggest that inducing inhibition may play a role in alleviating certain mental health symptoms. [ABSTRACT FROM AUTHOR]

Given the pervasive integration of technology into everyday life and its importance in mitigating the negative consequences of global crises, an understanding of human adaptation and preceding cognitive abilities remains highly relevant. A systematic review synthesising empirical findings on the association of executive functions (EFs) and the adaptation to new technologies is currently lacking in the literature. The presented pre-registered, systematic review adheres to PRISMA 2020 guidelines and aims to extract the current state of research on this topic [Registration DOI:10.17605/OSF.IO/MKA82]. Empirical studies investigating the influence of EFs on human adaptation were eligible for inclusion, resulting in 11 studies and 3,733 participants among PubMed, Scopus, Web of Science, and PsycINFO. Results suggest an enhancing influence of EFs on the adaptation to new technologies, although findings were partially mixed. Inconsistent findings and the performed risk of bias assessment point toward a need for further high-quality research, e.g. on the influence of technological context. A model of possible covariates was proposed that provides guidance for a structured investigation of the process of human adaptation to technology. This review contributes to a better understanding of the association between EFs and human adaptation to new technologies. [ABSTRACT FROM AUTHOR]

Background: Diagnosing neurodevelopmental disorders can sometimes be challenging, especially when the clinical presentation is different from what is normally observed. Evaluating executive functions can provide valuable information about children's and adolescents' mental states. There is no available executive function rating scale for Azerbaijani. From this perspective, there is great utility in translating and validating the Barkley Deficits in Executive Functioning Scale – Children and Adolescents (BDEF-CA). For this research, we decided to use the short form of the BDEF-CA. The rating scale was translated into the Azerbaijani by a bilingual clinical psychologist and by a professional translator. After performing backward translation, the final version was prepared, read and approved by two professors in the psychology department at the university. The study population included 148 parents of children aged 6-17 years (78 males and 70 females). Results: The findings of this research support the validity and reliability of the Azerbaijani translation of the BDEF-CA short version (Cronbach's alpha and McDonald's omega coefficient were both greater than 0.9, and Confirmatory Factor Analysis (CFA) results indicated an adequate fit). Conclusion: The short version of the Azerbaijani translation of the BDEF-CA could be used for assessing executive functioning deficits in children and adolescents. [ABSTRACT FROM AUTHOR]

This study examined the effects of visual perception and executive function skills on the writing skills of Turkish students with learning disabilities and typically developing Turkish students. Given the unique features of the Turkish language, such as vowel harmony and articulatory structure, this research addresses a significant gap in understanding how these factors influence writing abilities in this population. The study employed a comparative design involving students with learning disabilities and typically developing students and analysed their writing errors, executive function and visual perception levels. Significant differences were found between the two groups, with students with learning disabilities performing worse across all the measures. Correlation analysis indicated significant relationships between writing errors and visual perception, working memory and executive functioning. Multiple regression analysis further revealed that these cognitive factors were crucial predictors of writing skills. These findings underscore the importance of considering visual perception and executive functions when formulating and implementing writing instruction strategies for Turkish students with learning disabilities. [ABSTRACT FROM AUTHOR]

Background: Postural control is dependent on the central nervous system's accurate interpretation of sensory information to formulate and execute adequate motor actions. Research has shown that cognitive functions are associated with both postural control and fall risk, but specific associations are not established. The aim of this study was to explore how specific components of everyday postural control tasks are associated with both general and specific cognitive functions. Methods: Forty-six community-dwelling older adults reported their age, sex, physical activity level, falls and fall-related concerns. The following cognitive aspects were assessed: global cognition, executive functions, processing speed and intraindividual variability. Postural control was quantified by measuring postural sway in quiet stance, walking at a self-selected pace, and walking while performing a concurrent arithmetical task. Separate orthogonal projections of latent structures models were generated for each postural control outcome using descriptive and cognitive variables as explanatory variables. Results: Longer step length and faster gait speed were related to faster processing speed and less intraindividual variability in the choice reaction test. Moreover, longer step length was also related to less fall-related concerns and less severe fall-related injuries, while faster gait speed was also related to female sex and poorer global cognition. Lower dual-task cost for gait speed was explained by the executive function inhibition and faster processing speed. Postural sway in quiet stance was not explained by cognitive functions. Conclusions: Cognitive functions explained gait speed and step length during normal walking, as well as the decrease of gait speed while performing a concurrent cognitive task. The results suggest that different cognitive processes are important for different postural control aspects. Postural sway in quiet stance, step time and gait variability seem to depend more on physical and automatic processes rather than higher cognitive functions among physically active older people. The relationships between cognitive functions and postural control likely vary depending on the specific tasks and the characteristics of different populations. [ABSTRACT FROM AUTHOR]

AbstractExecutive functions (EF) decline with age and this decline in older adults with generalised anxiety disorder (GAD) may be influenced by heart rate variability (HRV), brain-derived neurotrophic factor (BDNF), and physical fitness. Understanding these relationships is important for tailored treatments in this population. In this study, 51 adults with GAD (M age = 66.46, SD = 4.08) and 51 healthy controls (M age = 67.67, SD = 4.04) were assessed on cognitive inhibition (Stroop task), shifting (Trails part 4), flexibility (Wisconsin Card Sorting Test – Perseverative errors), working memory (Digit Span Backwards), IQ (Wechsler Abbreviated Scale of Intelligence), high frequency HRV, serum mature BDNF levels, and VO2 max. Results indicated that participants with GAD exhibited better cognitive inhibition compared to controls, with no general reduction in EF. Cognitive inhibition was predicted by gender, HRV, and BDNF levels, while cognitive shifting was predicted by gender and IQ, and cognitive flexibility and working memory by IQ. The enhanced cognitive inhibition in GAD participants might stem from maladaptive use of this function, characteristic of GAD, or protection from EF decline due to normal HRV. Increased BDNF levels, possibly due to good fitness, or compensatory mechanisms related to the disorder, might also play a role. These findings highlight the complexity of EF and related mechanisms in GAD, highlighting the need for interventions that consider both cognitive and physiological factors for optimal outcomes. [ABSTRACT FROM AUTHOR]

AbstractWith cognitive plasticity being a “sluggish” process, regular long-term engagement in interventions like cognitive training is required to realize the potential that such interventions may confer for cognitive enhancement. A significant challenge associated with extended cognitive training studies is poor adherence and attrition. The current qualitative investigation therefore explored 66 older adult participants’ experiences of, and motivations during, a gamified cognitive training program to understand reasons for (non)adherence. Preferences regarding cognitive training were also explored to provide insight into how such programs might be designed and implemented to maximize motivation and long-term engagement. Using a qualitative description design drawing upon thematic analysis, findings revealed that participants were generally motivated by challenge, novelty, and opportunity to focus. In contrast, repetition, external factors, and negative mindsets detracted from the motivation of participants. Suggestions to improve cognitive training programs to promote long-term engagement included the addition of a large selection of games, an incentive system, mini daily challenges, reminder notifications, and social features. These findings may inform the design of cognitive training programs that accommodate the preferences and needs of older adults, which in turn, may promote adherence and improve intervention effectiveness. [ABSTRACT FROM AUTHOR]

Objective: This study was to investigate the developmental characteristics of executive function (EF) in obese adolescents and the time-course effects of a 14-week exercise intervention combining aerobic exercise and resistance training on EF in this population. Methods: The experimental group of 28 obese junior high school students participated in the exercise intervention combining aerobic exercise and resistance training, while the control group of 24 healthy weight junior high school students engaged in the regular recess exercise. EF, including inhibition, working memory, and cognitive flexibility, was assessed 1 week prior to the exercise intervention and at 12 and 14 weeks post-intervention. Changes in EF sub-functions in both groups at different time points during the exercise intervention were analyzed. Results: The findings revealed that obese junior high school students exhibited lower levels of inhibition (p = 0.003, Cohen's d = 0.848) and cognitive flexibility (p = 0.013, Cohen's d = 0.706) compared to their healthy weight peers. The exercise intervention combining aerobic exercise and resistance training led to significant improvements in EF among obese junior high school students, with inhibition (p < 0.01, Cohen's d = 0.713; p = 0.003, Cohen's d = 0.683) and cognitive flexibility (p = 0.001, Cohen's d = 0.797; p < 0.01, Cohen's d = 0.890) showing significant improvement at 12 and 14 weeks post-intervention, and working memory demonstrating significant improvement at 14 weeks (p = 0.004, Cohen's d = 0.710). No significant differences were observed in EF over time in healthy weight junior high school students. Conclusion: Obese adolescents had impaired EF, as evidenced by low levels of the inhibition and cognitive flexibility compared to healthy weight adolescents. The exercise intervention combining aerobic exercise and resistance training had a positive effect on EF of obese adolescents. The time-course effects of the intervention on improvements in inhibition, working memory, and cognitive flexibility varied with intervention duration in obese adolescents, with significant changes in inhibition and cognitive flexibility observed at 12 weeks and significant changes in working memory at 14 weeks. [ABSTRACT FROM AUTHOR]

Background: Considering the importance of cognitive and motor functions of the elderly people, the present study was conducted to evaluate the effectiveness of a cognitive exergame, called Neurolight compared to computerized cognitive games, in enhancing core executive functions and motor performance. Methods: A total of 36 individuals in the age range of 60 to 69 years were studied in the form of three groups: The control group continued their daily activities, while the Neurolight group underwent a cognitive-motor training and the Maghzineh performed a computer-based cognitive training program for 24 sessions. Before and after interventions, working memory, inhibitory control, and balance were measured respectively by the N-back, Stroop, and TUG tests. Results: The results showed that cognitive-motor exercises using Neurolight, for 24 sessions, were able to significantly improve working memory, inhibitory control, and balance in individuals in this age group. Conclusion: This finding supports the other studies suggesting combined cognitive and physical exercises for better effect. Based on its findings, the use of this exercise system can be suggested to coaches and therapists working with the elderly. [ABSTRACT FROM AUTHOR]

This summary discusses the integration of EEG biomarkers in the neurocognitive screening of executive functions in substance and behavioral addiction. It emphasizes the importance of understanding neurocognitive impairment in addiction to develop effective assessment and treatment strategies. The article suggests using standardized procedures for screening that include computerized cognitive tasks and EEG data collection, as well as wearable devices for continuous monitoring and personalized treatment. While wearables have the potential to enhance addiction treatment, challenges such as privacy concerns and cost need to be addressed. The summary also mentions a separate study on the use of wearable EEG devices to detect distractions during motor rehabilitation, which found promising results. [Extracted from the article]

As armed conflict can influence social behavior, exposed individuals would experience modulated executive functioning, crucial to regulating aggressive responses. Since it is still unclear whether there is an association, this study examines the relationship between performance in executive functions and expression of reactive and proactive aggression, measured using the Reacting Proactive Aggression Questionnaire. The sample includes 128 civilians and ex‐combatants with different levels of exposure to the Colombian armed conflict. The study found that reactive aggression was directly linked to conflict exposure and was also influenced by age and monitoring ability. This suggests that an updated working memory and age play a role in reactive aggression. In contrast, proactive aggression was directly linked to conflict exposure but not to specific executive functions. In conclusion, individuals with less monitoring who live in high‐conflict regions present an increased likelihood of reactive aggression. Additionally, reasonable executive control of thoughts and actions, which involves updating past experiences, appears to be crucial in social contexts, especially violent ones. These findings shall inform interventions and public policies that address the psychosocial risks of aggressive behaviors. [ABSTRACT FROM AUTHOR]

Meta-analyses have found that working memory (WM) can be improved with cognitive training; however, some authors have suggested that these improvements are mostly driven by biases in the measurement of WM, especially the use of similar tasks for assessment and training. In the present meta-analysis, we investigated whether WM, fluid intelligence, executive functions, and short-term memory can be improved by cognitive training and evaluated the impact of possible sources of bias. We performed a risk of bias assessment of the included studies and took special care in controlling for practice effects. Data from 52 independent comparisons were analyzed, including cognitive training aimed at different cognitive functions. Our results show small improvements in WM after training (SMD = 0.18). Much larger effects were observed when the analysis was restricted to assessment tasks similar to those used for training (SMD = 1.15). Fluid intelligence was not found to improve as a result of training, and improvements in WM were not related to changes in fluid intelligence. Our analyses did however indicate that cognitive training can improve specific executive functions. Contrary to expectations, a set of meta-regressions indicated that characteristics of the training programme, such as dosage and type of training, do not have an impact on the effectiveness of training. The risk of bias assessment revealed some concerns in the randomization process and possible selective reporting among studies. Overall, our results identified various potential sources of bias, with the most significant being the choice of assessment tasks. [ABSTRACT FROM AUTHOR]

Background/Objectives: Research suggests that metalinguistic and cognitive/attentional-control processes are key variables in literacy development in young learners. Interactions between these variables are complex, and this complexity is increased in multilingual learners. With data on the interplay between metalinguistic and cognitive awareness, literacy, and multilingualism being scarce, it is far from clear how these variables interact and how they impact the individual child. This article sets out to shine some light on the interconnectedness and interactions between metalinguistic awareness, cognitive/executive functions, and (multilingual) literacy. Conclusions: We argue that the three dimensions are strongly correlated and that this correlation comes with important implications for language learning, language processing, and language development. However, the exact nature of these correlations is yet to be established. [ABSTRACT FROM AUTHOR]

Background: In contrast to most other languages, where the spoken and written words are similar, children that have mastered Spoken Arabic (SA) learn to read a new written form of Arabic usually called Literary Arabic (LA). This phenomenon is called "diglossia". Methods: Based on a series of studies comparing monolingual Arabic speaking and bilingual children, it has been suggested that Arabic speaking individuals develop metacognitive abilities that are considered bilinguals de facto. Some of the cognitive functions that would seem to benefit from fluency in more than one language are metalinguistic and metacognitive awareness. Results: This review article summarizes the results of studies on the relationship between bilingualism, diglossia and executive functions (EFs) which involve metacognitive awareness, selective attention, control of inhibition and cognitive flexibility as well as working memory (phonemic manipulation and metalingual performances). Conclusions: The findings are in line with research results that have shown that bilingualism has a positive effect on the functioning of an individual's attentional system across the lifespan. The neural basis of diglossia in Arabic, as well as the conclusions and implications drawn from the impact of diglossia on EF and on reading in Arabic, are discussed. [ABSTRACT FROM AUTHOR]

Students with reading disabilities form a heterogeneous group: some struggle with accurate and fast reading (dysfluent readers), others with comprehension (poor comprehenders), and some face challenges in both areas (poor readers). Research has indicated a link between executive functioning skills and reading performance; yet, further studies are necessary to fully understand the executive profiles in various types of reading disabilities. The goal of this study was to examine differences in executive functioning among three types of reading disabilities, comparing their performance with that of children without difficulties in either skill (typical readers). Ninety-one students from schools in Portugal participated in the study. The results reveal specific deficits in naming speed and cognitive flexibility in poor readers and dysfluent readers compared to the other groups. Additionally, poor readers exhibited significantly slower processing speed and lower working memory. However, no significant differences were observed in planning. Discriminant function analysis results indicated that the examined executive functions are better at discriminating groups with fluency deficits than those with comprehension difficulties. In conclusion, these results suggest distinct deficit patterns in executive functioning skills across different types of reading disabilities. Taking into account these findings is crucial for effective assessment and intervention with these children. [ABSTRACT FROM AUTHOR]

Interacting with children's cognitive processes and mental health status, body mass index (BMI) could be analyzed in relation to motor performance. This study aims to analyse the relationship between BMI and agility of primary school students in the northeast of Romania. Hypothesis testing was done by analyzing data obtained from 3250 pupils (1605 girls and 1645 boys) aged 6 to 11 years old from the North-East of Romania. BMI was calculated based on height and weight, as well as agility through the 505 change of direction speed test. The sample was divided according to gender and age, and the differences and correlations were analysed. We assumed that our sample has a significant correlation of BMI with agility and that its strength increases with age, based on neural maturation. Children's results showed gender- and age-determined differences in anthropometric as well as motor skills. The development of Romanian girls and boys differs punctually at this stage, with the two genders having close BMI values at age 11. The time to complete the 505 test is close at age 6, with boys performing better by age 11. The correlation between BMI and agility has weak strength in the 6-11 years age group of Romanian students. It is significant in girls at 9 (r = 0.20) and 10 years (r = 0.15), and in boys from 7 (r = 0.20) to 10 years (r = 0.22). The data partially confirm our hypothesis, with the correlation existing in the 7-10 years age range, its strength having a fluctuating evolution. At 11 years the link between BMI and agility ceases to exist. [ABSTRACT FROM AUTHOR]

Patients with congenital heart disease (CHD) demonstrate altered structural brain network connectivity. However, there is large variability between reported results and little information is available to identify those patients at highest risk for brain alterations. Thus, we aimed to investigate if network connectivity measures were associated with the individual patient's cumulative load of clinical risk factors and with family‐environmental factors in a cohort of adolescents with CHD. Further, we investigated associations with executive function impairments. In 53 adolescents with CHD who underwent open‐heart surgery during infancy, and 75 healthy controls, diffusion magnetic resonance imaging and neuropsychological assessment was conducted at a mean age of 13.2 ± 1.3 years. Structural connectomes were constructed using constrained spherical deconvolution tractography. Graph theory and network‐based statistics were applied to investigate network connectivity measures. A cumulative clinical risk (CCR) score was built by summing up binary risk factors (neonatal, cardiac, neurologic) based on clinically relevant thresholds. The role of family‐environmental factors (parental education, parental mental health, and family function) was investigated. An age‐adjusted executive function summary score was built from nine neuropsychological tests. While network integration and segregation were preserved in adolescents with CHD, they showed lower edge strength in a dense subnetwork. A higher CCR score was associated with lower network segregation, edge strength, and executive function performance. Edge strength was particularly reduced in a subnetwork including inter‐frontal and fronto‐parietal‐thalamic connections. There was no association with family‐environmental factors. Poorer executive functioning was associated with lower network integration and segregation. We demonstrated evidence for alterations of network connectivity strength in adolescents with CHD — particularly in those patients who face a cumulative exposure to multiple clinical risk factors over time. Quantifying the cumulative load of risk early in life may help to better predict trajectories of brain development in order to identify and support the most vulnerable patients as early as possible. [ABSTRACT FROM AUTHOR]

Increasing evidence points out that Executive Functions (i.e., EFs) may be core mechanisms for the generation of resilient responses to adversity. A systematic review testing the relations between either affective (hot) and/or non‐affective (cold) EFs (i.e., inhibition, flexibility and working memory updating) and resilience was conducted. A total of 449 articles were initially identified. After two steps of title‐and‐abstract (k = 449), and full‐text reading filtering (k = 67), 11 studies were reviewed. Three studies included cold measures of working memory and supported significant positive relations between higher working memory functioning and higher trait resilience levels. One study included cold measures of inhibition and another one both hot and cold measures, with only the first one supporting a positive relation between more efficient inhibition and higher trait resilience levels. Finally, 7 studies measured flexibility in its cold and/or hot dimensions and overall supported significant relations between higher flexibility and higher levels of trait, process and outcome resilience measures. These results support the role of EFs performance to promote different forms of resilience. This review allows to identify different issues that need to be addressed in future research and highlight the need to integrate the analysis of all hot and cold EFs components to understand their role in the generation of resilience. [ABSTRACT FROM AUTHOR]

The time course of socio-communicative disturbances in children after posterior fossa tumor resection is variable in clinical reports, and its assessment may help to understand the role of the cerebellum in the pathogenesis of socio-communicative disorders and improve rehabilitation plans. We report the 3-year cognitive-behavioral follow-up of a female patient (LZ) who underwent surgical ablation of the vermis due to medulloblastoma at age 9. LZ developed a severe post-operative Cerebellar Cognitive Affective Syndrome (CCAS) with cognitive-executive dysfunctions and behavioral alterations resembling an Autism Spectrum Disorder (ASD)-like syndrome. The lack of empathy and reduced ability to recognize others' intentions and mental states persisted at follow-up evaluations, as did language alterations. The present case report evidenced that lesions affecting cerebellar and vermal lobules may cause severe CCAS and impairment of social skills overlapping with that observed in ASD. This case is significant in its clinical features, revealing long-term social impairment, while the cognitive, linguistic, and executive functioning improved over time. Prospective case studies should plan the evaluation of symptoms of ASD within the clinical longitudinal assessment. [ABSTRACT FROM AUTHOR]

The aim of this pilot study was to explore whether executive functioning (EF) problems of children with severe congenital heart disease (CHD) could be improved through a personalized EF-training program. Eleven preschool-aged children (mean age = 62 months, SD = 6) received a standardized test battery. Eight children were eligible for training and six children participated in the training and posttest. Due to the small sample size, only effect sizes were analyzed. Clinically relevant improvements were found with large effect sizes. Findings indicate that a personalized EF-training program could be effective in improving EF of children with severe CHD. Further research is needed. [ABSTRACT FROM AUTHOR]

Cognitive mechanisms underpinning categorization development are still debated, either resulting from knowledge accretion or an increase in cognitive control. To disentangle the respective influence of accumulated factual knowledge and executive functions (inhibition, working memory, and cognitive flexibility) on (a) the development of categorization abilities in the food domain and (b) differences in this development by child characteristics (i.e., food neophobia), we conducted two experiments. The first experiment assessed 4−6-year-old children's (n = 122) ability to taxonomically categorize food at the superordinate level of categorization. The second experiment tested 3−6-year-old children's (n = 100) ability to cross-categorize the same food according to two different relationships alternatively (i.e., taxonomic and thematic). Results indicate that accumulated factual knowledge and executive functions mediated both the effect of age and the effect of food neophobia on categorization performance. Notably, the specific executive functions involved may vary depending on the categorization abilities tested, whereas world knowledge was always a prerequisite. Overall, this research highlights the complex interplay between accumulated factual knowledge, executive functions, and child characteristics in shaping the development of categorization abilities. Public Significance Statement: During development, children learn to categorize objects by identifying relevant features that distinguish them from others. Categorization becomes increasingly flexible, allowing children to categorize the same entity into different categories depending on the context. This study investigates the mechanisms underlying this development and reveals that while knowledge is essential for accurate categorization, it is not enough. Children also need sufficiently developed executive functions to effectively apply their knowledge. [ABSTRACT FROM AUTHOR]