Cited by 293Developmental and Educational NeuropsychologyChild and Animal Learning DevelopmentNeural and Behavioral Psychology Studies

Assessing Executive Function in Preschoolers

Open access
Anderson, Peter J., Reidy, Natalie·2012·Neuropsychology Review

Abstract

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.

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Crossref · 10.1007/s11065-012-9220-3

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Claims the paper makes

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  • Findingreasoning

    The Simon Says task is significantly more difficult for children than the Bear/Dragon task, despite both being Go/No-Go paradigms.

    “The Simon Says task is significantly more difficult for children than the Bear/Dragon task, despite both being Go/No-Go paradigms.”
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    • cites Carlson, 2005 source

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  • Findingcitation

    Go/No-Go tasks can be administered to children as young as 3 years, depending on the nature of the task and the degree of inhibitory control required.

    “Depending on the nature of the task and the degree of inhibitory control required, Go/No-Go tasks can be administered to children as young as 3 years (M.T. Willoughby, Blair, Wirth, & Greenberg, 2010).”
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    • cites M.T. Willoughby, Blair, Wirth, & Greenberg, 2010 source

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  • Findingcitation

    The Bear/Dragon task is age appropriate across the preschool period.

    “One paradigm that has been shown to be age appropriate across the preschool period is the Bear/Dragon task (Carlson, 2005).”
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    • cites Carlson, 2005 source

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  • Findingcitation

    The NEPSY has few subtests that assess executive functioning in the lower preschool age range.

    “While the NEPSY is an important and popular tool for pediatric neuropsychologists, it has few subtests that assess executive functioning in the lower ranges of the preschool period (K. A. Espy & Cwik, 2004).”
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    • cites K. A. Espy & Cwik, 2004

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  • Findingcitation

    Delay of gratification or self-control tasks can be administered to young preschool children, with the delay period adjusted according to the child's age.

    “Delay of gratification or self-control tasks can be administered in young preschool children, with the delay period adjusted according to child's age.”
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    • cites Carlson, 2005 source

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    Findingcitation

    Research demonstrates significant improvement in reaction/response time during the preschool period and that response speed varies as a function of complexity.

    “Further, there are well-established approaches for assessing information processing speed, with research demonstrating significant improvement in reaction/response time during the preschool period and that response speed varies as a function of complexity (Kiselev, Espy, & Sheffield, 2009).”
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    • cites Kiselev, Espy, & Sheffield, 2009

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    Findingnone given

    Anti-imitation tasks are suitable across the preschool age range, although young 3-year-olds may struggle.

    “These anti-imitation tasks are suitable across the preschool age range, although young 3-year-olds may struggle.”
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    • cites Diamond & Taylor, 1996 source

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    • cites Carlson, 2005 source

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    • cites C. Hughes, 1998

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    Findingcitation

    Self-ordered searching tasks are used with preschoolers and require information, usually visual-spatial, to be maintained and updated in short-term memory.

    “Another working memory paradigm used with preschoolers is self-ordered searching tasks, which requires information, usually visual-spatial, to be maintained and updated in short-term memory.”
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    • cites Hongwanishkul, Happaney, Lee, & Zelazo, 2005 source

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    • cites M. T. Willoughby, Wirth, & Blair, 2011 source

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    Findingcitation

    On the Bear/Dragon task, only about half of young 3-year-olds (< 31⁄2 yrs) can resist responding to the Dragon puppet; this increases to 75% for older 3-year-olds (> 31⁄2 yrs), and by age 5 most children successfully complete the task.

    “On the Bear/Dragon task (Go/No-Go task), only about half of young 3-year-olds (< 3½ yrs) are able to resist responding to the instructions of the Dragon puppet, however this increases to 75% for older 3-year-olds (> 3½ yrs) and by age 5 years most children are successfully completing this task (Carlson, 2005).”
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    • cites Carlson, 2005 source

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    Findingcitation

    Delayed Alternation is a task used to assess working memory in young children and can be administered to toddlers as well as throughout the preschool period.

    “Delayed Alternation is a task used to assess working memory in young children, and can be administered to toddlers as well as throughout the preschool period (K. A. Espy, Kaufmann, McDiarmid, & Glisky, 1999).”
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    • cites K. A. Espy, Kaufmann, McDiarmid, & Glisky, 1999 source

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    Findingreasoning

    Even 4- and 5-year-olds struggled to remain still on the No-Go items of the Simon Says task, demonstrating that task context makes some behaviors more difficult to resist than others.

    “In contrast, even 4-and 5-year-olds struggled to remain still on the No-Go items of the Simon Says task, demonstrating that the context of the task makes some behaviors more difficult to resist than others.”
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    Findingcitation

    The Tower of London is generally considered too difficult for preschoolers; less than half of a 4-year-old sample understood task requirements despite extensive training.

    “This task is generally considered too difficult for preschoolers, as demonstrated by Luciana and Nelson (1998) who found that less than half of their 4-year-old sample understood task requirements despite extensive training.”
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    • cites Luciana & Nelson, 1998 source

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    Findingcitation

    On the Shape School Inhibit condition, accuracy improved only marginally for children aged 3 to 5 years, but speed increased dramatically during this period.

    “Accuracy of responding improved only marginally for children aged between 3 and 5 years on the Inhibit condition (Go/No-Go) on the Shape School test, but speed increased dramatically during this developmental period (K. A. Espy, Kaufmann, & Glisky, 2001;K. Espy, 1997).”
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    • cites K. A. Espy, Kaufmann, & Glisky, 2001

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    • cites K. Espy, 1997 source

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    Findingcitation

    The child needs to inhibit a previously applied behavior to enable fluent switching; otherwise perseverative errors will be observed.

    “The child needs to inhibit a previously applied behavior to enable fluent switching, otherwise perseverative errors will be observed (Best & Miller, 2010).”
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    • cites Best & Miller, 2010 source

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    Findingcitation

    Carlson et al. (2005) showed continued maturation of inhibitory control across 3 to 5 years on delayed gratification tasks, but performance varied and the discrepancy may be explained by the intrinsic value of the gift.

    “While Carlson et al (2005) also showed continued maturation of inhibitory control across 3 to 5 years on delayed gratification tasks, performance again varied and the discrepancy may be explained by the intrinsic value of the gift.”
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    • cites Carlson et al., 2005 source

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    Findingnone given

    There is enormous inter-individual variability in developmental trajectories, particularly obvious in young children.

    “Following is a brief summary of developmental trajectories for attentional control, cognitive flexibility and goal setting domains, however it is important to note that there is enormous inter-individual variability in developmental trajectories and this is particularly obvious in young children.”
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    Findingcitation

    The Dimensional Change Card Sort task has been used extensively to evaluate shifting attention in preschoolers.

    “The Dimensional Change Card Sort task has been used extensively to evaluate shifting attention in preschoolers (P.D. Zelazo, Muller, Frye, & Marcovitch, 2003;P. D. Zelazo, 2006).”
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    • cites P.D. Zelazo, Muller, Frye, & Marcovitch, 2003

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    • cites P. D. Zelazo, 2006 source

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    Findingcitation

    Developmental spurts are commonly observed in individual children and can also be observed on a population level.

    “Developmental spurts are commonly observed in individual children, and can also be observed on a population level (P.Anderson, 2002).”
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    • cites P.Anderson, 2002

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    Findingcitation

    The inhibition trial of the Shape School is considered appropriate for preschoolers aged 3 years and older, while the switch and combined trials are considered appropriate for children aged 3 years 6 months and older.

    “The inhibition trial is considered appropriate for preschoolers aged 3-years and older, while the more complex switch and combined (switch & inhibit) trials are considered appropriate for children aged 3:6 years and older.”
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    • cites K.Espy, 1997 source

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    • cites K. A. Espy, Bull, Martin, & Stroup, 2006

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    Findingcitation

    Accuracy of switching on Trails-P improves between 3 and 5 years of age, although preschoolers generally make few errors on this task.

    “Accuracy of switching on Trails-P also improves between 3-and 5-years of age, although generally speaking preschoolers make few errors on this task.”
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    • cites K. A. Espy & Cwik, 2004

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    Findingcitation

    Very few 3-year-olds can correctly reverse the sequence of three digits, but by age 5 most children have this capacity.

    “For example, very few 3-year-olds are able to correctly reverse the sequence of three digits but by 5-years of age most children have this capacity (Carlson, 2005).”
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    • cites Carlson, 2005 source

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    Findingcitation

    Some children as young as 3 years apply an alternating search strategy at least some of the time, but some older children (e.g., 5 years) struggle with this concept.

    “Some children as young as 3-years apply an alternating search strategy at least some of the time, however there are also some older children (e.g.5-years) who struggle with this concept (K. A. Espy, Kaufmann, McDiarmid, & Glisky, 1999).”
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    • cites K. A. Espy, Kaufmann, McDiarmid, & Glisky, 1999 source

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    Findingcitation

    Children younger than 4 years get very few trials correct on the Tower of Hanoi, and a significant increase in performance is observed between 3 and 4 years.

    “It should be noted however, that children younger than 4-years of age get very few trials correct and a significant increase in performance is observed between 3-and 4-years.”
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    • cites K. A. Espy, Kaufmann, & Glisky, 2001

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    • cites Welsh, Pennington, & Groisser, 1991 source

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    Findingcitation

    The developmental trajectories for the Day-Night and Hand Tapping tasks differ, even though both require retention of two rules and inhibition of a dominant response.

    “Thus, the developmental trajectories for the Day-Night and Hand Tapping tasks differ, even though they both require the retention of two rules and inhibition of a dominant response (Diamond & Taylor, 1996).”
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    • cites Diamond & Taylor, 1996 source

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    Findingcitation

    The switch condition of the Shape School is successfully completed by most 4-year-olds; while accuracy increases slightly, improved performance in older preschoolers is predominantly reflected in better switching fluency and reduced time to complete the task.

    “The switch condition of the Shape School is successfully completed by most 4-year-olds, and while accuracy increases slightly, improved performance in older preschoolers is predominantly reflected in better switching fluency and reduced time needed to complete the task (K.Espy, 1997).”
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    • cites K.Espy, 1997 source

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    Findingcitation

    Children aged 5 years and older performed well on the Day-Night test in terms of both accuracy and speed.

    “In contrast, children aged 5 years and older performed well both in terms of accuracy and speed.”
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    • cites Gerstadt et al., 1994 source

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    Findingcitation

    On average, children as young as 31⁄2 years can get nearly two-thirds of trials correct on the Luria hand tapping test, but performance improves significantly throughout the preschool period in both accuracy and speed.

    “On average children as young as 3½ years are able to get nearly two-thirds of the trials correct on the Luria hand tapping test, but performance improves significantly throughout the preschool period both in terms of accuracy and speed (Diamond & Taylor, 1996).”
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    • cites Diamond & Taylor, 1996 source

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    Findingnone given

    Enormous development of inhibitory control is observed between 3 and 6 years of age, with continued maturation beyond the preschool period.

    “In summary, enormous development of inhibitory control is observed between 3-to 6years of age with continued maturation beyond the preschool period.”
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    Findingcitation

    Younger preschoolers tend to make their first perseverative error earlier than older preschoolers on the Six Boxes test, although the total number of searches needed to find all six boxes decreases only marginally with increasing age.

    “Consistent with these findings, younger preschoolers tend to make their first perseverative error prior to older preschoolers on the Six Boxes test, although the total number of searches needed to find all six boxes decreases only marginally with increasing age (Diamond, Prevor, Callender, & Druin, 1997).”
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    • cites Diamond, Prevor, Callender, & Druin, 1997

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  • May combine two claims.

    Findingcitation

    Luciana and Nelson (1998) reported that 4-year-olds make more perseverative errors than older preschoolers on a computerized self-ordered search task, which likely reflects less mature working memory.

    “With an older sample and a computerized self-ordered search task, Luciana and Nelson (1998) reported that 4-year-olds make more perseverative errors than older preschoolers, which likely reflects less mature working memory.”
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    • cites Luciana & Nelson, 1998 source

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    Findingcitation

    Hongwanishkul and colleagues (2005) reported significant developmental increments between 3 and 5 years on their Self-ordered Pointing task, with a particular spurt between 3 and 4 years.

    “Hongwanishkul and colleagues (2005) reported significant developmental increments between 3 to 5-years of age with their Self-ordered Pointing task, with a particular spurt observed between 3-and 4-years.”
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    • cites Hongwanishkul et al., 2005 source

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    Findingcitation

    All preschool age groups perform better at the start than at the end of the Day-Night test, suggesting the task requires considerable cognitive effort that is difficult to sustain.

    “Interestingly, all preschool age groups perform better at the start than at the end of the Day-Night test, suggesting that the task requires considerable cognitive effort that is difficult to sustain (Gerstadt, Hong, & Diamond, 1994).”
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    • cites Gerstadt, Hong, & Diamond, 1994 source

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    Findingcitation

    While 3-year-olds can complete the switch condition on the Trails-P, they are substantially slower than 4-year-olds and require almost twice the time needed by 5-year-olds.

    “While 3-year-olds can complete the switch condition on the Trails-P, they are substantially slower in completing the task than 4-year-olds and require almost twice the time needed by 5-year-olds (K. A. Espy & Cwik, 2004).”
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    • cites K. A. Espy & Cwik, 2004

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    Findingcitation

    On the Day-Night test, the most significant improvement in accuracy occurred between 41⁄2 and 5 years, although performance gains continued to age 7 years.

    “In terms of accuracy, the most significant improvement in performance was observed between 4½ and 5 years, although performance gains continued to age 7 years.”
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    • cites Gerstadt et al., 1994 source

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    Findingcitation

    Children younger than 41⁄2 years were slow on the Day-Night test, while average latency for older age groups did not differ.

    “Children younger than 4½ years were slow on the Day-Night test, while the average latency for the older age groups did not differ.”
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    • cites Gerstadt et al., 1994 source

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    Findingcitation

    On the Object Classification Task for Children, 3-year-olds struggle to identify a common feature within a group of six objects, but children aged 4 years and older find it relatively easy to sort objects according to a single dimension.

    “Using the Object Classification Task for Children 3-year-olds struggle to identify a common feature within a group of six objects (i.e.toys), but in contrast, children aged 4-years and older find it relatively easy to sort different objects according to a single dimension.”
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    • cites Smidts, Jacobs, & Anderson, 2004

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    Findingcitation

    Three-year-olds struggle to shift sorting categories on the Dimensional Change Card Sort test, but this perseverative behavior is far less common in older 4-year-olds.

    “In terms of shifting attention, 3-year-olds really struggle to shift sorting categories on the Dimensional Change Card Sort test, but this perseverative behavior is far less common in older 4-year-olds (Carlson, 2005).”
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    • cites Carlson, 2005 source

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  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Some preschool factor analytic studies have revealed a single latent variable.

    “certain preschool executive function factor analytic studies have revealed a single latent variable”
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    • cites Hughes, Ensor, Wilson & Graham, 2009 source

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    • cites Wiebe, Espy & Charak, 2008 source

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    Premisecitation

    Executive function processes are inter-related and can be conceptualized as an integrated supervisory or control system.

    “while executive function may comprise several distinct processes, they are inter-related and could still be conceptualized, and referred to, as an integrated supervisory or control system”
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    • cites Alexander & Stuss, 2000 source

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    • cites Stuss & Alexander, 2000 source

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    Interpretationcitation

    The single latent variable finding in preschool studies is at least partly related to the measures and variables included and does not necessarily challenge the view that executive function includes distinct components.

    “although this is at least partly related to the measures and variables included in the analysis and does not necessarily challenge the view that executive function includes distinct components”
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    • cites Hughes et al., 2009

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    Premisecitation

    The Executive Control System conceptualizes executive function as an overall control system comprising four distinct domains: attentional control, cognitive flexibility, goal setting, and information processing.

    “The Executive Control System conceptualizes executive function as an overall control system that comprises four distinct domains, attentional control, cognitive flexibility, goal setting, and information processing”
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    • cites P.J. Anderson, 2010

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    • cites P. Anderson, 2002

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    Premisecitation

    During early childhood, primary cortical areas and association areas have high levels of synaptic density and undergo a dynamic period of synaptic elimination at differing trajectories.

    “During early childhood primary cortical areas such as the auditory and visual cortex, and association areas such as the medial prefrontal cortex, have high levels of synaptic density and undergo a dynamic period of synaptic elimination at differing trajectories”
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    • cites Huttenlocher, 1990

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    • cites Huttenlocher & Dabholkar, 1997

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    Interpretationreasoning

    Early childhood is a period of rapid brain development.

    “Given that cognitive processes are emerging and developing at a rapid rate in early childhood, it comes as no surprise that this is also a period of rapid brain development”
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    • Rests on an assumption: Executive function develops at an unprecedented rate during the preschool period.
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    Premisecitation

    Increasing white matter volume with age is linear in many regions across the brain from age 5.

    “Taki and colleagues (2012) examined white matter volume change in children from age 5, and demonstrated that increasing white matter volume with age is linear in many regions across the brain.”
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    • cites Taki et al., 2012

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    Premisecitation

    During infancy and early childhood, total white matter is increasing in volume at a greater rate than total gray matter.

    “During infancy and early childhood, total white matter is increasing in volume at a greater rate than total gray matter”
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    • cites Matsuzawa et al., 2001

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    Premisecitation

    Total brain volume increases and reaches 95% of its adult size by age 6 years.

    “total brain volume increases and reaches 95% of its adult size by age 6 years”
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    • cites Lenroot & Giedd, 2006

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    Premisecitation

    Executive dysfunction is commonly observed in young children and has been reported in many developmental and acquired CNS disorders including ADHD, autism, traumatic brain injury, prematurity, and phenylketonuria.

    “Executive dysfunction is a common observation in young children and has been reported in many developmental and acquired disorders of the central nervous system (CNS) including attention deficit / hyperactivity disorder”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Barkley, 1997 source

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    • cites Ozonoff, Pennington, & Rogers, 1991 source

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    • cites V. Anderson, Godfrey, Rosenfeld, & Catroppa, 2012

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    Premisecitation

    The increase in white matter volume may be related to an increase in myelination.

    “The increase in white matter volume may be related to an increase in myelination”
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    • cites Tsujimoto, 2008

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    Premisenone given

    The frontal lobes develop much later in childhood and adolescence than other brain regions, but infancy and early childhood still sees rapid growth in this anterior area.

    “A widely held view in brain development is that the frontal lobes develop much later in childhood and adolescence than other brain regions, and although this region undergoes a period of protracted development, infancy and early childhood still sees rapid growth in this anterior area of the brain.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    The integrity of the prefrontal cortex is necessary but not sufficient for intact executive functioning.

    “it may be argued that the integrity of the prefrontal cortex is a necessary but not a sufficient condition for intact executive functioning”
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    • cites Della Sala, Gray, Spinnler, & Trivelli, 1998

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    Premisecitation

    The four domains of the Executive Control System depend on similar prefrontal networks and exhibit comparable developmental trajectories.

    “thus are dependent on similar prefrontal networks, and they exhibit comparable developmental trajectories”
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    • cites P. Anderson, 2002

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    Premisecitation

    Cognitive development is thought to reflect brain development.

    “Cognitive development is thought to reflect brain development”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Casey, Giedd, & Thomas, 2000

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    • cites Casey, Tottenham, Liston, & Durston, 2005

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    Premisecitation

    Individual tracts present in the frontal white matter are identifiable early in the post-natal period and continue to develop throughout the preschool years.

    “Individual tracts that are present in the frontal white matter are identifiable early in the post-natal period and continue to develop throughout the preschool years”
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    • cites Hermoye et al., 2006

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    Premisecitation

    These concomitant changes are partly explained by an increase in myelination of the lower cortical layers with age, causing both regional brain expansion and apparent cortical thinning.

    “These concomitant changes have been explained as partly reflecting an increase in myelination of the lower cortical layers with age, causing both regional brain expansion and apparent cortical thinning”
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    • cites Sowell et al 2004

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    Premisecitation

    From age 3 to age 4, children improve their performance on a conceptual switching task and show a concomitant increase in activation in the inferior prefrontal region.

    “Moriguchi and Hiraki (2011) demonstrated using near infra-red spectroscopy that from age 3 to age 4, children improve their performance on a conceptual switching task, and show a concomitant increase in activation in the inferior prefrontal region.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Moriguchi & Hiraki, 2011

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    Premisecitation

    The maturation of white matter, including myelination and increasing complexity of neural circuits, is thought to support the development of cognitive functions in addition to changes to the gray matter.

    “The maturation of white matter, including myelination and the increasing complexity of neural circuits, are thought to support the development of cognitive functions in addition to changes to the gray matter”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Johnson, 2001

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    • cites Tau & Peterson, 2010

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  • May combine two claims.

    Interpretationreasoning

    Executive dysfunction may not always reflect prefrontal pathology and may instead reflect compromised neural networks across the brain.

    “executive dysfunction may not always reflect prefrontal pathology and instead reflect compromised neural networks across the brain.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    From age 4, white matter volume increases steadily, but gray matter volumes in the frontal and parietal regions increase and peak during mid-childhood before reducing.

    “from age 4, white matter volume increases steadily, but gray matter volumes in the frontal and parietal regions increase and peak during mid-childhood before reducing.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Giedd et al., 1999

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Myelination of the major cerebral tracts begins in the post-natal period, with greatest development in the first two years of life, continuing throughout childhood and adolescence.

    “Myelination of the major cerebral tracts begins in the post-natal period, with greatest development in the first two years of life, continuing throughout childhood and adolescence”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Gao et al., 2009

      Not checked in the free run.

    • cites Paus et al., 2001

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Despite cortical thinning, the prefrontal region expands in size with age, more so than areas surrounding the central sulcus or the posterior medial surface.

    “Despite this cortical thinning, the prefrontal region expands in size with age, more so than areas surrounding the central sulcus or the posterior medial surface”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Sowell et al., 2004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Different executive processes are supported by widespread neural circuits that mature and change with age.

    “Different executive processes are supported by widespread neural circuits that mature and change with age”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Tau & Peterson, 2010

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Maturation of neural networks involves a move from interconnected local regions to connectivity of distributed regions that work together to subserve the same function, and this may mirror maturation of cognitive skills.

    “the maturation of neural networks involves a move from interconnected local regions, to the connectivity of distributed regions that work together to subserve the same function, and this may mirror maturation of cognitive skills”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Fair et al., 2009

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Minimal learning effects were observed on second testing of certain preschool executive function measures; slightly poorer performance was observed and interpreted as fatigue.

    “minimal learning effects were observed; instead slightly poorer performance was observed on second testing which was interpreted to reflect fatigue”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Beck, Schaefer, Pang, & Carlson, 2011

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Determining the underlying reason for sub-optimal performance on executive function tasks can be difficult, limiting the capacity to differentiate specific cognitive deficits.

    “determining the underlying reason for sub-optimal performance can be difficult, limiting the capacity to differentiate specific cognitive deficits.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    The novelty factor and level of complexity of adult-derived tests are likely to be greater in children.

    “the novelty factor and level of complexity of such tests are likely to be greater in children”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites V. Anderson, 1998 source

      Not checked in the free run.

    • cites Baron, 2004

      Not checked in the free run.

    • cites J. M. Fletcher & Taylor, 1984 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Test-retest reliability was good for working memory and planning tasks but moderate to poor for response inhibition tasks.

    “a recent report showed that test-retest reliability was good for working memory and planning tasks but moderate to poor for response inhibition tasks”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Muller, Kerns, & Konkin, 2012 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Established measures do not necessarily assess what they are claimed to assess, and purported measures of executive function are unlikely to be sensitive to impairments in all domains of executive function.

    “established measures do not necessarily assess what they are claimed to assess (Baron, 2004), and purported measures of executive function are unlikely to be sensitive to impairments in all domains of executive function.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Baron, 2004

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Interpretationnone given

    Summary scores may mask personal and situational factors that could explain impaired performance, especially for young children who are more distractible, have shorter attention spans, require greater novelty, and have less awareness of testing requirements.

    “Summary scores are often used to assess performance but these may mask personal and situational factors that could explain impaired performance, especially for young children who are more distractible, have shorter attention spans, require greater novelty and have less awareness of the requirements of the testing situation”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Reliability estimates vary across tasks and it may be that assessing certain executive processes may be more stable than others.

    “Reliability estimates vary across tasks and it may be that assessing certain executive processes may be more stable than others.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    Recent attempts to design measures for preschoolers appreciate the need for age-appropriate or child-friendly measures and have specifically designed tests that are appealing to young children.

    “Recent attempts to design measures for preschoolers appreciate the need for age appropriate or child friendly measures, and have specifically designed tests that are appealing to young children”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites C. Hughes, 2011 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Other papers reveal reasonable reliability for most experimental tests with estimates consistent with those reported with older childhood and adult populations and published subtests in the NEPSY battery.

    “Other papers reveal reasonable reliability for most experimental tests with estimates consistent with those reported with older childhood and adult populations”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites M. Willoughby & Blair, 2011

      Not checked in the free run.

    • cites K. A. Espy, Bull, Kaiser, Martin, & Banet, 2010

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    A major challenge is the attainment of good norms because determining age-appropriate behavior is very difficult when children are young and developing at a rapid rate.

    “A major challenge, however, is the attainment of good norms as determining age appropriate behavior is very difficult when children are young and developing at a rapid rate”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Baron, 2004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    There is a strong possibility that adult-derived tests tap different skills and neural networks in children or require greater cognitive resources.

    “there is a strong possibility that these tests tap different skills (and neural networks) in children or at least require greater cognitive resources”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites V. Anderson, 1998 source

      Not checked in the free run.

    • cites Baron, 2004

      Not checked in the free run.

    • cites J. M. Fletcher & Taylor, 1984 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationnone given

    Including rewards of different value can increase the complexity of a delay of gratification task.

    “Including rewards of different value can increase the complexity of the task.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Interpretationnone given

    Executive dysfunction can present in many forms, and impairment in one domain does not necessarily imply impairment in other executive domains.

    “Executive dysfunction can present in many forms, and impairment in one domain does not necessarily imply impairment in other executive domains.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The NEPSY-II includes a self-control subtest called Statue, which does not involve delay of gratification.

    “The NEPSY-II includes a self-control subtest, called Statue, which does not involve delay of gratification (Korkman, Kirk, & Kemp, 2007).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Korkman, Kirk, & Kemp, 2007

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    During assessments, examiners generally provide children with support and encouragement, initiate activities, provide structure, and help keep the child on task, and it has been suggested they act as the frontal lobes of the child.

    “during assessments examiners generally provide children with support and encouragement, initiate activities, provide structure, and help to keep the child on task”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites V. Anderson, 1998 source

      Not checked in the free run.

    • cites Lezak, Howieson, Bigler, & Tranel, 2012

      Not checked in the free run.

    • cites Stuss & Alexander, 2000 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Factors that may influence task complexity and age appropriateness include the stimuli used, the speed of stimulus presentation, and the response modality (verbal or motor).

    “Factors that may influence complexity, and therefore age appropriateness, include the stimuli used, the speed that stimuli are presented, and the response modality (verbal or motor).”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Interpretationcitation

    The discrepancy between traditional executive function measures and real life behavior may also reflect the assessment environment, which is generally a quiet, one-on-one, structured setting with minimal distractions and very different to most home, classroom, or social environments.

    “This discrepancy may also reflect the assessment environment, which is generally a quiet, one-on-one, structured setting with minimal distractions”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites V. Anderson, 1998 source

      Not checked in the free run.

    • cites Lezak, Howieson, Bigler, & Tranel, 2012

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    General cognitive batteries such as the WPPSI-III, SB5, DAS-II, and KABC-II were not designed specifically to assess executive functioning, but each includes subtests that measure executive processes.

    “While these general cognitive batteries were not designed to specifically assess executive functioning, all include subtests that tap executive processes.”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites Wechsler, 2002

      Not checked in the free run.

    • cites Roid, 2003

      Not checked in the free run.

    • cites Elliott, 2007

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The Six Boxes test is an updating working memory task described for use with preschoolers.

    “Another updating working memory task described for use with preschoolers is the Six Boxes test (Diamond, Prevor, Callender, & Druin, 1997).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Diamond, Prevor, Callender, & Druin, 1997

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    In Simon Says, the No-Go cue is a verbal statement embedded in the command, whereas in Bear/Dragon the Go and No-Go cues come from different puppets and are easier to differentiate.

    “In Simon Says the No-Go cue is a verbal statement embedded with the command, while the Go and No-Go cues in the Bear/Dragon task are commands from different puppets and much easier to differentiate.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Simon Says is more challenging because it involves active imitation, which is difficult for young children to inhibit.

    “Simon Says is also more challenging as it involves active imitation, which is difficult for young children to inhibit.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The Cambridge Neuropsychological Test Automated Battery (CANTAB) has a computerized version of self-ordered searching called Spatial Working Memory.

    “The Cambridge Neuropsychological Test Automated Battery (CANTAB) has a computerized version of self-ordered searching referred to as Spatial Working Memory.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Luciana & Nelson, 1998 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The Tower of Hanoi is purported to tap planning ability and requires moving three different sized disks across three pegs to achieve a specific configuration.

    “This test is purported to tap planning ability, and requires the child to move three different sized disks across three pegs to achieve a specific configuration.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites K. A. Espy, Kaufmann, & Glisky, 2001

      Not checked in the free run.

    • cites Welsh, Pennington, & Groisser, 1991 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Trails-P is a preschool adaptation of the Trail Making Test and is a measure of switching.

    “Trails-P is a preschool adaptation of the child and adult version of the Trail Making Test (K. A. Espy & Cwik, 2004), and is another measure of switching.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites K. A. Espy & Cwik, 2004

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Performance on switching tasks generally requires inhibition to suppress a previously applied rule set and working memory to maintain the alternating rules and when to shift.

    “Performance on switching tasks generally requires 1) inhibition to suppress previously applied rule set, and 2) working memory to maintain the alternating rules and when to shift (Chevalier et al., 2012).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Chevalier et al., 2012 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationnone given

    Good performance on Delayed Alternation requires the capacity to shift search strategy and, for older children, to learn the alternating pattern of the search location.

    “In addition to assessing working memory, good performance on the Delayed Alternation requires the capacity to shift search strategy and, for older kids, to learn the alternating pattern of the search location.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).

    Premisenone given

    The key processes in the cognitive flexibility domain for young children are working memory, switching between response sets, and shifting attention.

    “The key processes in the cognitive flexibility domain, especially when assessing young children, are working memory (capacity to update or manipulate information in short-term storage), switching between response sets, and shifting attention.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    The ongoing maturation of executive domains and their associated neural networks depends on refinement of other executive and non-executive skills, as well as enhanced coordination and integration of these systems.

    “The ongoing maturation of executive domains and their associated neural networks is dependent on refinement of other executive and non-executive skills, as well as the enhanced coordination and integration of these systems.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Young preschoolers have limited impulse control and delay of gratification, and simple Go/No-Go tasks are the most suitable for evaluating their developmental status.

    “Young preschoolers have limited impulse control and delay of gratification and simple Go/No-Go tasks are the most suitable for evaluating developmental status.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Problem solving tasks that require forward planning and conceptual reasoning can be administered to preschoolers, and this is potentially worthwhile.

    “In summary, problem solving tasks that require forward planning and conceptual reasoning can be administered to preschoolers, and this is potentially worthwhile.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Older preschoolers have greater inhibitory control, and more complex inhibitory control measures are probably necessary to detect subtle impairments in these children.

    “Older preschoolers have greater inhibitory control, and more complex inhibitory control measures are probably necessary to detect subtle impairments in these children.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    In preschoolers, a working memory intervention improved trained and untrained working memory and attentional control tasks, but not untrained inhibitory control tasks.

    “In contrast to children in control conditions, children who received the working memory intervention showed improvements in trained and non-trained working memory tasks as well as in attentional control tasks, but no effects in non-trained inhibitory control tasks.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Thorell, Lindqvist, Bergman Nutley, Bohlin, & Klingberg, 2009 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    Early studies suggest that cognitive training may enhance executive processes and help individuals with impairments.

    “However, early studies in this area suggest that cognitive training may be an avenue for enhancing the development of executive processes as well as assisting those who are impaired.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    Executive function develops rapidly during the preschool years.

    “In conclusion, executive function develops rapidly during the preschool period.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    A preschool version of the BRIEF, the BRIEF-P, exists and has parent and preschool/childcare teacher forms.

    “A preschool version of the BRIEF is available, called the BRIEF-P (P.K. Isquith, Gioia, & Espy, 2004), with forms for parents and preschool/childcare teachers.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites P.K. Isquith, Gioia, & Espy, 2004 source

      Not checked in the free run.

92 of 92
  • The paper relies on this without support.

    Executive function develops at an unprecedented rate during the preschool period.

    “Executive function develops at an unprecedented rate during the preschool period”
  • The paper relies on this without support.

    Few clinicians attempt to assess executive processes in young children.

    “yet few clinicians attempt to assess executive processes in young children”
  • The paper relies on this without support.

    Pediatric neuropsychologists continue to avoid detailed assessments of executive function until clients reach school-age.

    “pediatric neuropsychologists continue to avoid detailed assessments of executive function until clients reach school-age”
  • The paper relies on this without support.

    Even in research of brain injured clinical populations, executive function is rarely a focus before children are deemed school ready.

    “Even in research of brain injured clinical populations, executive function is rarely a focus before children are deemed school ready.”
  • The paper relies on this without support.

    A lack of validated standardized assessment batteries and a perception that preschoolers lack the necessary attention, inhibitory control, and communication capacities contribute to the avoidance of executive function assessment.

    “This is at least partly due to the lack of validated standardized assessment batteries, but also related to a perception that preschoolers don't have the attention, inhibitory control and communication capacities to adequately assess higher-order processes”
  • The paper relies on this without support.

    Young children get tired quickly, struggle to sustain attention during cognitive assessments, often fail to comply with non-appealing tasks, and have immature receptive and expressive communication skills.

    “Young children get tired quickly, struggle to sustain attention during cognitive assessments, often fail to comply with non-appealing tasks, and have immature receptive and expressive communication skills.”
  • The paper relies on this without support.

    Most executive function measures used with school-aged children were designed and validated in adult populations.

    “Most executive function measures used with school-aged children were designed and validated in adult populations.”
  • The paper relies on this without support.

    Specific neuropsychological measures for preschoolers are not easily accessed.

    “Specific neuropsychological measures for this age group are not easily accessed”
  • The paper relies on this without support.

    Fluctuations in motivation and interest levels are greater in young children and can be observed both across and within testing sessions.

    “fluctuations in motivation and interest levels is greater in young children and can be observed both across and within testing sessions.”
  • The paper relies on this without support.

    There is currently no commercially available, norm-referenced test battery that enables a comprehensive assessment of executive function in preschoolers.

    “There is currently no commercially available, norm-referenced test battery that enables a comprehensive assessment of executive function in preschoolers.”
  • The authors state this as an assumption.

    The strength of the dominant behavior that needs to be resisted differs and influences task difficulty.

    “it is assumed that the strength of the dominant behavior that needs to be resisted differs influencing task difficulty (K. A. Espy, Bull, Martin, & Stroup, 2006;M. B. Prevor & Diamond, 2005).”
  • The paper relies on this without support.

    Early intervention is an effective approach for minimizing the long-term consequences of cognitive impairments.

    “Early intervention is an effective approach for minimizing the long-term consequences of cognitive impairments, and detailed assessments of young children are the best way to detect children in need for early intervention and for tailoring interventions for the child's specific needs.”
  • The paper relies on this without support.

    Detailed assessments of young children are the best way to detect children in need of early intervention and to tailor interventions to the child's specific needs.

    “Early intervention is an effective approach for minimizing the long-term consequences of cognitive impairments, and detailed assessments of young children are the best way to detect children in need for early intervention and for tailoring interventions for the child's specific needs.”
  • The paper relies on this without support.

    Few executive function measures designed for preschoolers focus on the goal setting domain.

    “Few executive function measures designed for preschoolers focus on the goal setting domain, such as conceptual reasoning, planning ability, organizational skills, and strategic decision-making.”
  • The paper relies on this without support.

    Less research has investigated the early development of goal setting processes such as planning, organizational ability, and conceptual reasoning compared to attentional control and cognitive flexibility.

    “In contrast to attentional control and cognitive flexibility, less research has investigated the early development of goal setting processes such as planning and organizational ability, and conceptual reasoning.”
  • The paper relies on this without support.

    Brain and cognitive development are strongly shaped by environmental factors.

    “It is well recognized that brain and cognitive development are greatly determined by environmental factors.”
  • The authors state this as an assumption.

    The preschool period is a time when cognitive training may be most effective.

    “Given that the preschool period is associated with dramatic brain and cognitive development, one could assume that this is a period in which cognitive training may be most effective.”
  • The paper relies on this without support.

    Clinic-based cognitive test performance does not always match real-life behavior at school or home.

    “As performance on clinic based cognitive measures does not always correspond with behavior in real-life settings such as school and home, it is important to acquire as much information as possible about the child's functioning and behavior in these environments.”
  • The paper relies on this without support.

    Preschoolers today can access many child-friendly activities on computers, tablets, gaming devices, and similar devices.

    “Preschoolers of today have access to a large range of child friendly activities available on computers, tablets, gaming and other devices.”
  • The paper relies on this without support.

    Most young children are familiar with information technology platforms, and many are attracted to them.

    “As a result, most young children are now very familiar with these IT platforms, and many are drawn to these activities.”
  • The paper relies on this without support.

    Contemporary preschoolers are more technologically sophisticated than preschoolers from earlier generations.

    “As contemporary preschoolers are more technologically sophisticated then preschoolers of previous generations, the way many traditional preschool assessment tasks are presented may need to be updated if they are to continue to be appealing for this age group.”
21 of 21

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Critical developmental windows exist for different brain regions, including those linked to high-order functions such as language and executive planning.

    “These critical developmental windows exist for different brain regions, including those linked to high-order functions such as language and executive planning 18,19 (Figure 2).”

Cites

Flagged first, then by citations

6 of the 149 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Elliott, C. D. (2007). Differential ability scales second edition: Introductory and technical handbook. San Antonio: Harcourt Assessment.
  2. Roid, G. H. (2003). Stanford-binet intelligence scales, fifth edition: Technical manual. Itasca: Riverside.

Cited by

Sorted by citations

Authors
Anderson, P. J., & Reidy, N.
Affiliations
Royal Children's Hospital (AU)
Corresponding author
Anderson, Peter J.
Venue
Neuropsychology Review
Published
2012-10-30
Volume
22
Issue
4
Pages
345-360
ISSN
  • 1040-7308 (ISSN-L)
  • 1573-6660
OpenAlex
W1964937126
Cited by
293
References
149
Citations by year
2026: 19 · 2025: 14 · 2024: 32 · 2023: 35 · 2022: 30 · 2021: 27 · 2020: 20 · 2019: 22 · 2018: 16 · 2017: 19 · 2016: 21 · 2015: 15 · 2014: 18 · 2013: 4 · 2012: 1
FWCI
16.83
Type
journal article
Language
en
Locations
  • Neuropsychology Review (publishedVersion)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Funders
State Government of Victoria
Topics
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
  • Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
executive function, preschool children, executive function assessment, executive dysfunction, early detection, evaluation paradigms, executive function interventions
MeSH terms
Attention, Child, Child Development, Psychology, Child, Child, Preschool, Female, Humans, Male, Neuropsychological Tests, Psychometrics, Executive Function

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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-06.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-06.

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