Sensory processing in preterm preschoolers and its association with executive function
Open accessAbstract
Background Symptoms of abnormal sensory processing have been related to preterm birth, but have not yet been studied specifically in preterm preschoolers. The degree of association between sensory processing and other domains is important for understanding the role of sensory processing symptoms in the development of preterm children. Aims To test two related hypotheses: (1) preterm preschoolers have more sensory processing symptoms than full term preschoolers and (2) sensory processing is associated with both executive function and adaptive function in preterm preschoolers. Study Design Cross-sectional study Subjects Preterm children (≤34 weeks of gestation; n = 54) and full term controls (≥37 weeks of gestation; n = 73) ages 3-5 years. Outcome Measures Sensory processing was assessed with the Short Sensory Profile. Executive function was assessed with (1) parent ratings on the Behavior Rating Inventory of Executive Function- Preschool version and (2) a performance-based battery of tasks. Adaptive function was assessed with the Vineland Adaptive Behavior Scales-II. Results Preterm preschoolers showed significantly more sensory symptoms than full term controls. A higher percentage of preterm than full term preschoolers had elevated numbers of sensory symptoms (37% vs. 12%). Sensory symptoms in preterm preschoolers were associated with scores on executive function measures, but were not significantly associated with adaptive function. Conclusions Preterm preschoolers exhibited more sensory symptoms than full term controls. Preterm preschoolers with elevated numbers of sensory symptoms also showed executive function impairment. Future research should further examine whether sensory processing and executive function should be considered independent or overlapping constructs.
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- Findingown data
37% of the preterm sample was classified as having elevated numbers of sensory symptoms.
“The percentage of preterm children classified as having elevated numbers of sensory symptoms (37%) was consistent with results of a study by Wickremasinghe et al. (2013), who found that 39% of their preterm sample ages 1 to 8 years was classified as having atypical sensory processing on the Sensory Profile [9].”
- Also stated in: § 5. Conclusions · plain
“In this sample, over one-third of preschool age preterm children exhibited parent-reported elevated numbers of sensory processing symptoms.”
Quote in the paperNot a substantial claim - Also stated in: § 5. Conclusions · plain
- Findingown data
Gestational age was a significant predictor of sensory processing scores in this sample.
“We also found that gestational age was a significant predictor of sensory processing scores, consistent with previous studies [10].”
Quote in the paperNot a substantial claim - Findingown data
12% of full-term children were classified as having elevated numbers of sensory symptoms.
“Furthermore, our finding that 12% of full term children classified as having elevated numbers of sensory symptoms was consistent with the 13% rate found in a study of typically developing kindergarteners [29], suggesting that the SSP behaved similarly in our study.”
Quote in the paperNot a substantial claim - Findingown data
In the preterm sample, brain injury classification showed no significant association with sensory processing scores.
“The model was not significant (p = 0.54), indicating that brain injury classification was not significantly associated with sensory processing scores.”
Quote in the paperNot a substantial claim - Findingown data
Within the preterm sample, there was no significant association between gross structural brain injury or medical complications and sensory processing ability.
“There was no significant association between either gross structural brain injury or medical complications and sensory processing ability within the preterm sample.”
Quote in the paperSubstantial claim
- Findingown data
Partial correlations controlling for gestational age and birth weight left the BRIEF-P/SSP associations largely unchanged.
“The analysis was repeated with partial correlations controlling for gestational age and also birth weight, and the results remained largely consistent.”
Quote in the paperNot a substantial claim - Findingown data
No significant differences were found between PT+S and PT−S on the remaining performance-based EF battery tasks.
“No significant differences were found on the remaining EF Battery tasks using Mann-Whitney U tests (Table 4).”
- Also stated in: § 4. Discussion · plain
“On the remaining tasks, the difference in performance between the groups did not reach significance.”
Quote in the paperSubstantial claim - Also stated in: § 4. Discussion · plain
- Findingown data
On the parent-rated Vineland-II ABC, PT+S and PT−S did not differ significantly, t(47) = 1.45, p = 0.15.
“On the parent-rated Vineland-II ABC, no significant difference was found in scores between PT+S and PT−S, t(47) = 1.45, p = 0.15 (Table 4).”
- Also stated in: § 4. Discussion · plain
“There was no significant difference in parent-rated adaptive function scores between preterm preschoolers with elevated and typical numbers of sensory symptoms.”
Quote in the paperSubstantial claim - Also stated in: § 4. Discussion · plain
- Findingown data
In preterm preschoolers, sensory symptoms are not significantly associated with adaptive function.
“Sensory symptoms in preterm preschoolers were associated with scores on executive function measures, but were not significantly associated with adaptive function.”
Quote in the paperSubstantial claim - Findingown data
Gestational age was the only significant predictor of SSP total score in that model.
“Gestational age was the only significant predictor, p < 0.001.”
Quote in the paperSubstantial claim - Findingown data
A higher percentage of preterm children than full-term children met classification for elevated numbers of sensory symptoms, defined as probable or definite difference in SSP total score.
“A higher percentage of preterm children, compared to full term children, met classification as having elevated numbers of sensory symptoms, defined as “probable” or “definite” difference in SSP total score.”
Quote in the paperSubstantial claim - Findingown data
Among BRIEF-P subscales, working memory and inhibition had the strongest correlations with SSP total score, r = −0.63 and r = −0.55 respectively.
“The BRIEF-P subscales of working memory (r = −0.63, p < 0.001) and inhibition (r = −0.55, p < 0.001) had the highest correlations with SSP total score.”
- Also stated in: § 4. Discussion · plain
“Moreover, BRIEF-P subscales of working memory and inhibition had the highest associations with SSP total score; as sensory symptoms increased, working memory and inhibition decreased.”
Quote in the paperSubstantial claim - Also stated in: § 4. Discussion · plain
- Findingown data
The distribution of SSP total score classifications (typical, probable difference, definite difference) differs significantly between preterm and full term children.
“Further examination of the SSP total score classifications indicated that 5 full term children and 8 preterm children met criteria for classification as “probable difference”, while 4 full term children and 12 preterm children met criteria for classification as “definite difference”; this distribution was significant, X2 = 11.29, p = 0.004.”
Quote in the paperSubstantial claim - Findingown data
Birth status and sensory symptom classification were significantly associated for six of seven SSP subscales.
“The association between birth status and sensory symptom classification was also significant for six of seven SSP subscales (Table 2).”
Quote in the paperNot a substantial claim - Findingown data
In the preterm sample, none of the medical complications examined (respiratory distress syndrome, chronic lung disease, necrotizing enterocolitis, small for gestational age) showed a significant association with sensory processing scores.
“The model was not significant (p = 0.28), indicating that no medical complication was significantly associated with sensory processing scores.”
Quote in the paperSubstantial claim - Findingown data
Sex was not a significant predictor of SSP total score in this sample.
“in our sample, sex was not a significant predictor of SSP total score.”
Quote in the paperNot a substantial claim - Findingown data
When controlling for gestational age, the correlation between tactile and working memory subscales became significant, r = −0.30, p = 0.04.
“The only difference was when controlling for gestational age, the correlation between the tactile and working memory subscales became significant (r = −0.30, p = 0.04).”
Quote in the paperNot a substantial claim - Findingown data
Among preterm preschoolers, those with elevated sensory symptom counts also exhibit executive function impairment.
“Preterm preschoolers with elevated numbers of sensory symptoms also showed executive function impairment.”
Quote in the paperSubstantial claim - Findingown data
Within the preterm sample, BRIEF-P GEC and SSP total score were significantly negatively correlated, r = −0.59, p < 0.001.
“Within the preterm sample, the BRIEF-P GEC and SSP total score were significantly negatively correlated, r = −0.59, p < 0.001.”
Quote in the paperSubstantial claim - Findingown data
Preterm preschoolers had significantly more sensory processing symptoms than full-term children.
“As hypothesized, preterm preschoolers had significantly more sensory processing symptoms than full term children.”
Quote in the paperSubstantial claim - Findingown data
On performance-based EF tasks, differences between PT+S and PT−S varied by task.
“On performance-based tasks of executive function, differences between the preterm groups with elevated or typical numbers of sensory symptoms varied as a function of the task.”
Quote in the paperSubstantial claim - Findingown data
A regression model with birth weight instead of gestational age was significant (p = 0.001, R2 = 14.90).
“The regression was repeated with birth weight included instead of gestational age; the model remained significant (p = 0.001, R2 = 14.90).”
Quote in the paperNot a substantial claim - Findingown data
In preterm preschoolers, sensory symptoms correlate with executive function measure scores.
“Sensory symptoms in preterm preschoolers were associated with scores on executive function measures, but were not significantly associated with adaptive function.”
Quote in the paperSubstantial claim - Findingown data
Preterm preschoolers show more sensory processing symptoms than full term preschoolers.
“Preterm preschoolers showed significantly more sensory symptoms than full term controls.”
- Also stated in: § 3.2. Sensory Processing · hedged
“The preterm group scored significantly lower than the full term group on the SSP total score, t(125) = 4.40, p < 0.001, indicating more sensory symptoms.”
- Also stated in: § Conclusions · plain
“Preterm preschoolers exhibited more sensory symptoms than full term controls.”
Quote in the paperSubstantial claim - Also stated in: § 3.2. Sensory Processing · hedged
- Findingown data
There was no difference in receipt of occupational therapy services between preterm groups with elevated and typical sensory symptoms.
“In addition, there was no difference in the receipt of occupational therapy services in preterm groups with elevated and typical levels of sensory symptoms, which may have influenced parent ratings of sensory symptoms.”
Quote in the paperNot a substantial claim - Findingown data
Parent-reported executive function is associated with adaptive function in this sample.
“We found that parent-reported executive function is associated with adaptive function; this is consistent with results of the larger study from which this sample is drawn [28].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Loe IM Chatav M Alduncin N Complementary assessements of executive function in preterm and full term preschoolers Child Neuropsychol 2014 22 1 23 24754400 PMC4240749 source
Not checked in the free run.
- Premisecitation
Several other clinical populations show links between atypical sensory processing and executive or adaptive function impairment.
“Associations between atypical sensory processing and impairment in either executive function or adaptive function have been found in several other clinical populations [2, 5, 24, 25].”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [2] Rogers SJ Hepburn S Wehner E Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders J Autism Dev Disord 2003 33 6 631 42 14714932 source
Not checked in the free run.
- cites [5] John AE Mervis CB Sensory modulation impairments in children with Williams syndrome Am J Med Genet C Semin Med Genet 2010 154C 2 266 76 20425786 PMC2997471 source
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- cites [24] Thomas C vom Berg I Rupp A Seidl U Schroder J Roesch-Ely D P50 gating deficit in Alzheimer dementia correlates to frontal neuropsychological function Neurobiol Aging 2010 31 3 416 24 18562045 source
Not checked in the free run.
- cites [25] Perry W Minassian A Lopez B Maron L Lincoln A Sensorimotor gating deficits in adults with autism Biol Psychiatry 2007 61 4 482 6 16460695 source
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- Study design and conductown data
The preterm group had lower maternal education than the full term group.
“Maternal education level, used as a marker for socioeconomic status, was lower in the preterm group than the full term group.”
Quote in the paperNot a substantial claim - Study design and conductown data
The sample may have had insufficient power to detect an association between brain injury score and sensory processing because few children were in the mildly abnormal or abnormal brain injury categories.
“Our sample may not have had enough power to detect an association between brain injury score and sensory processing, because only a few children were classified in the “mildly abnormal” or “abnormal” brain injury categories.”
Quote in the paperSubstantial claim - Premisecitation
Higher order cognitive control has been shown to influence sensory processing.
“Sensory processing may be associated with executive function because sensory processing has been shown to be influenced by higher order cognitive control [21, 22].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [21] Shimamura AP The role of the prefrontal cortex in dynamic filtering Psychobiology 2000 28 2 207 18 source
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- cites [22] Kastner S Ungerleider LG Mechanisms of visual attention in the human cortex Annu Rev Neurosci 2000 23 315 41 10845067 source
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- Premisecitation
In preterm and late preterm infants, sensory differences range from modest to substantial when assessed by behavioral questionnaires or interactive sensory exams.
“Sensory differences in preterm and late preterm (34–36 weeks of gestation) infants have been found to be modest to substantial, measured through both behavioral questionnaires and interactive sensory exams [11–13].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [11] Case-Smith J Butcher L Reed D Parents’ report of sensory responsivenes and temperament in preterm infants Am J Occup Ther 1998 52 7 547 55 9693699 source
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- cites [12] Wiener AS Long T DeGangi G Battaile B Sensory processing of infants born prematurely or with regulatory disorders Phys Occup Ther Pediatr 1996 16 4 1 17 source
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- cites [13] Bart O Shayevits S Gabis LV Morag I Prediction of participation and sensory modulation of late preterm infants at 12 months: a prospective study Res Dev Disabil 2011 32 6 2732 8 21742470 source
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- Premisecitation
One study of preterm toddlers reported impaired sensory profiles across all modalities using a parent-report measure.
“A study of preterm toddlers found impaired sensory profile patterns across all sensory modalities on a parent-report measure, including behaviors such as sensation seeking, sensation avoiding, sensory sensitivity, and low registration [8].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8] Eeles AL Anderson PJ Brown NC Lee KJ Boyd RN Spittle AJ Sensory profiles of children born <30weeks’ gestation at 2 years of age and their environmental and biological predictors Early Hum Dev 2013 89 9 727 32 23764299 source
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- Interpretationown data
The sensory symptoms in preterm children were not specific to a single sensory domain.
“The preterm group had lower mean scores compared to the full term group for the SSP total score and five of seven subscale scores, indicating that the sensory symptoms were not specific to a single sensory domain, such as vision versus audition.”
Quote in the paperSubstantial claim - Interpretationown data
Within the preterm group, sensory processing was associated with executive function.
“As hypothesized, within the preterm group, sensory processing was associated with executive function.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Restricted range of maternal education may have limited the ability to identify contributions of SES to sensory processing outcomes.
“Restricted range of maternal education level may have limited the ability to identify contributions of SES to sensory processing outcomes.”
Quote in the paperNot a substantial claim - Study design and conductown data
The relatively high maternal education of the sample may not be representative of preterm and full-term populations with lower SES.
“A limitation of our study is the relatively high maternal education of the sample, which may not be representative of preterm and full term populations with lower SES.”
Quote in the paperNot a substantial claim - Premisecitation
There are few standardized objective measures of sensory processing in infants and children.
“There are few standardized objective measures of sensory processing in infants and children [34].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] Eeles AL Spittle AJ Anderson PJ Brown N Lee KJ Boyd RN Assessments of sensory processing in infants: a systematic review Dev Med Child Neurol 2013 55 4 314 26 23157488 source
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- Interpretationcitation
The findings fill a gap in previous research regarding the ages in which sensory processing has been studied in preterm children.
“The findings fill a gap in previous research regarding the ages in which sensory processing has been studied in preterm children [8, 9, 11, 12].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [8] Eeles AL Anderson PJ Brown NC Lee KJ Boyd RN Spittle AJ Sensory profiles of children born <30weeks’ gestation at 2 years of age and their environmental and biological predictors Early Hum Dev 2013 89 9 727 32 23764299 source
Not checked in the free run.
- cites [9] Wickremasinghe AC Rogers EE Johnson BC Shen A Barkovich AJ Marco EJ Children born prematurely have atypical sensory profiles J Perinatol 2013 33 8 631 5 23412641 PMC3738436 source
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- cites [11] Case-Smith J Butcher L Reed D Parents’ report of sensory responsivenes and temperament in preterm infants Am J Occup Ther 1998 52 7 547 55 9693699 source
Not checked in the free run.
- Rests on an assumption: This study is the first to specifically evaluate sensory processing in preterm preschoolers.
- Interpretationreasoning
The strong association between sensory processing and executive function in preterm children may be explained by the overlapping nature of the two domains.
“The strong association found between sensory processing and executive function in preterm children may be explained by the overlapping nature of the two domains.”
Quote in the paperNot a substantial claim - Premisecitation
Inability to filter irrelevant sensory stimuli may impair performance on executive function tasks.
“In addition, the inability to filter irrelevant sensory stimuli may also impair performance on executive function tasks [33].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] Zanto TP Gazzaley A Neural suppression of irrelevant information underlies optimal working memory performance J Neurosci 2009 29 10 3059 66 19279242 PMC2704557 source
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- Interpretationown data
The significant association between parent-rated sensory processing and parent-rated executive function was not due solely to parent report bias.
“Further, we do not believe the significant association between parent-rated sensory processing and parent-rated executive function was due solely to parent report bias.”
- Also stated in: § 4. Discussion · hedged
“The dissociation of the pattern observed with parent-rated sensory processing and executive function compared to adaptive function suggests that the results are not being driven by parent report bias.”
Quote in the paperSubstantial claim - Also stated in: § 4. Discussion · hedged
- Interpretationreasoning
The association between parent-rated sensory processing and parent-rated executive function may be due in part to similarity or overlap between constructs measured by SSP and BRIEF-P.
“The demonstrated association between parent-rated sensory processing and parent-rated executive function may be due in part to the similarity or overlap between the constructs measured by the SSP and BRIEF-P.”
Quote in the paperSubstantial claim - Premisereasoning
The SSP and BRIEF-P both contain items that assess attention and inhibition.
“The SSP and BRIEF-P both contain items that assess attention and inhibition.”
Quote in the paperSubstantial claim - Interpretationown data
The results conflict with other studies showing associations between sensory processing and adaptive function in children with Williams syndrome and autism.
“These results conflict with other studies that have shown associations between sensory processing and adaptive function in children with Williams syndrome [5] and autism [2].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [5] John AE Mervis CB Sensory modulation impairments in children with Williams syndrome Am J Med Genet C Semin Med Genet 2010 154C 2 266 76 20425786 PMC2997471 source
Not checked in the free run.
- cites [2] Rogers SJ Hepburn S Wehner E Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders J Autism Dev Disord 2003 33 6 631 42 14714932 source
Not checked in the free run.
- Study design and conductreasoning
Parent report measures were the only index of sensory processing in the study.
“Another limitation of our study is the use of parent report measures as the only index of sensory processing.”
Quote in the paperSubstantial claim - Study design and conductown data
Brain imaging was not collected concurrently with sensory assessment, limiting examination of associations between underlying brain injury and outcomes.
“We also did not have brain imaging collected concurrently with sensory assessment to examine associations between underlying brain injury and outcomes, which may have further explained the results.”
Quote in the paperNot a substantial claim - Interpretationcitation
The associations found between sensory processing symptoms and executive function impairment in preterm children are consistent with previous studies documenting similar associations in other clinical populations.
“Our findings of associations between sensory processing symptoms and executive function impairment in preterm children are consistent with the results of previous studies documenting similar associations in other clinical populations [5, 24, 25].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [5] John AE Mervis CB Sensory modulation impairments in children with Williams syndrome Am J Med Genet C Semin Med Genet 2010 154C 2 266 76 20425786 PMC2997471 source
Not checked in the free run.
- cites [24] Thomas C vom Berg I Rupp A Seidl U Schroder J Roesch-Ely D P50 gating deficit in Alzheimer dementia correlates to frontal neuropsychological function Neurobiol Aging 2010 31 3 416 24 18562045 source
Not checked in the free run.
- cites [25] Perry W Minassian A Lopez B Maron L Lincoln A Sensorimotor gating deficits in adults with autism Biol Psychiatry 2007 61 4 482 6 16460695 source
Not checked in the free run.
- May combine two claims. 21
- Classified as probably not a substantial claim. 18
May combine two claims.
Findingown dataBirth weight was a significant predictor of SSP total score, while SES, sex, and twin status were not.
“Birth weight was a significant predictor (p < 0.001), while SES, sex, and twin status remained non-significant.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn a linear regression within the preterm sample predicting Vineland-II ABC, BRIEF-P GEC was a significant predictor, p < 0.001, while SSP total score was not, p = 0.40.
“Linear regression analysis within the preterm sample predicting to the Vineland-II ABC included SSP total score and BRIEF-P GEC as predictors. The BRIEF-P GEC was a significant predictor (p = < 0.001), though the SSP total score was not (p = 0.40).”
- Also stated in: § 4. Discussion · plain
“Additionally, sensory processing scores, in contrast with executive function scores, did not contribute to variance in adaptive function scores within the preterm sample.”
Quote in the paperSubstantial claim- Also stated in: § 4. Discussion · plain
May combine two claims.
Findingown dataFive of seven SSP subscales showed the same preterm-full term difference, all p < 0.01.
“The pattern was replicated in five out of seven SSP subscales, all p’s < 0.01 (Table 2).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOn the performance-based EF battery, PT+S and PT−S differed significantly on the Gift Wrap task, X2(1) = 5.68, p = 0.02, with more PT+S children peeking before the allotted time.
“On the performance-based EF battery, there was a significant difference between the performance of PT+S and PT−S on the Gift Wrap task, X2(1) = 5.68, p = 0.02. More children in the PT+S group peeked before the allotted time than children in the PT−S group.”
- Also stated in: § 4. Discussion · plain
“Preterm children with elevated numbers of sensory symptoms performed significantly worse than preterm children with typical numbers of sensory symptoms on the Gift Wrap task.”
Quote in the paperSubstantial claim- Also stated in: § 4. Discussion · plain
May combine two claims.
Findingown dataThe mean GEC score of PT+S fell in the clinically elevated range for executive function impairment, while the mean GEC of PT−S fell in the average range.
“While the mean GEC score of the preterm with typical numbers of sensory symptoms group fell within the average range, the mean GEC score of the preterm with elevated numbers of sensory symptoms group fell within the clinically elevated range for executive function impairment.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe preterm group had lower mean scores than the full-term group on the SSP total score and five of seven subscale scores.
“The preterm group had lower mean scores compared to the full term group for the SSP total score and five of seven subscale scores, indicating that the sensory symptoms were not specific to a single sensory domain, such as vision versus audition.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataOn the parent-rated BRIEF-P GEC, preterm children with elevated sensory symptoms scored significantly higher than preterm children with typical sensory symptoms, indicating greater executive function impairment.
“On the parent-rated BRIEF-P GEC, the difference between PT+S and PT−S was significant, U = 133.00, z = −3.42, p < 0.001, r = −0.48 (Table 4). PT+S had higher scores than PT−S, indicating more executive function impairment.”
- Also stated in: § 4. Discussion · boosted
“On parent ratings of executive function, differences between the preterm groups with elevated or typical numbers of sensory symptoms were highly significant.”
Quote in the paperSubstantial claim- Also stated in: § 4. Discussion · boosted
May combine two claims.
Findingown dataIn the full sample, a linear regression model with gestational age, maternal education, sex, and twin status predicting SSP total score was significant and explained 16.4% of variance.
“The model was significant at p < 0.001, and explained 16.4% of the variance in SSP total score.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA higher proportion of preterm preschoolers than full term preschoolers are classified as having elevated numbers of sensory symptoms (37% vs 12%), a significant difference.
“A higher percentage of preterm than full term preschoolers had elevated numbers of sensory symptoms (37% vs. 12%).”
- Also stated in: § 3.2. Sensory Processing · plain
“A higher percentage of preterm than full term children were classified as having elevated numbers of sensory symptoms, 37% vs. 12%, respectively (Table 2).”
- Also stated in: § 3.2. Sensory Processing · boosted
“This association between birth status and sensory symptom classification was highly significant, X2(1) = 10.75, p < 0.001.”
Quote in the paperSubstantial claim- Also stated in: § 3.2. Sensory Processing · plain
May combine two claims.
Findingown dataCorrelations between BRIEF-P and SSP subscales ranged from non-significant to highly associated and varied by subscale.
“Correlation coefficient values between BRIEF-P and SSP subscales ranged from non-significant to highly associated, and varied as a function of subscale (Table 5).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPT+S children were rated as atypical or impaired on both SSP and BRIEF-P, while rated in the average range on Vineland-II.
“Preterm children with elevated numbers of sensory symptoms were rated as atypical or impaired on both the SSP and the BRIEF-P, while rated in the average range on the Vineland-II.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataMissing data occurred for several measures with specific counts.
“Missing data is as follows: BRIEF-P, n = 3; Vineland-II, n = 5; Day/Night, n = 1; Bird/Dragon, n = 1; Verbal Fluency, n = 13; Gift Wrap, n = 2.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationInternal consistency for the SSP total score was high (Cronbach's α = 0.96).
“The SSP total score has high internal consistency (Cronbach’s α = 0.96), as reported in the manual [26].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [26] McIntosh D Miller L Shyu V Dunn W Overview of the short sensory profile (SSP) The Sensory Profile: Examiner’s Manual 1999 59 73
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn preterm toddlers, sensory processing measures correlate with cognition and language measures.
“Measures of sensory processing have been found to correlate with measures of cognition and language in preterm toddlers [18].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [18] Eeles AL Anderson PJ Brown NC Lee KJ Boyd RN Spittle AJ Sensory profiles obtained from parental reports correlate with independent assessments of development in very preterm children at 2 years of age Early Hum Dev 2013 89 12 1075 80 23978398 source
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May combine two claims.
Study design and conductown dataPreterm and full term groups did not differ significantly in age, sex, or race.
“There were no significant differences between the preterm and full term groups in regard to age, sex, or race.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn adults with Alzheimer's disease, reduced auditory sensory gating is associated with worse executive function task performance.
“Reduced auditory sensory gating has been found to coincide with poorer performance on executive function tasks in adults with autism [25] and Alzheimer’s disease [24].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [24] Thomas C vom Berg I Rupp A Seidl U Schroder J Roesch-Ely D P50 gating deficit in Alzheimer dementia correlates to frontal neuropsychological function Neurobiol Aging 2010 31 3 416 24 18562045 source
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe BRIEF-P GEC demonstrated high internal consistency (α = 0.95) and test-retest reliability (r = 0.90).
“The GEC, which has high internal consistency (α = 0.95) and test-retest reliability (r = 0.90) as reported in the manual [20], was the main outcome measure used in analyses.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Gioia GA Epsy KA Isquith PK Behavior rating inventory of executive function, preschool version (BRIEF-P) Lutz, FL Psychological Assessment Resources 2003
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe Vineland-II ABC demonstrated high internal consistency (α = 0.97) and test-retest reliability (r = 0.94).
“The ABC, which has high internal consistency (α = 0.97) and test-retest reliability (r = 0.94) as reported in the manual [23], was used in our analyses.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [23] Sparrow SS Balla DA Cicchetti DV Vineland Adaptive Behavior Scales, Second Edition Bloomington, MN Pearson Assessments 2005
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAmong toddlers with autism, sensory scores predicted adaptive behavior scores even after accounting for autism symptom severity.
“In toddlers with autism, sensory scores significantly predicted adaptive behavior scores, over and above the severity of autism symptoms [2].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [2] Rogers SJ Hepburn S Wehner E Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders J Autism Dev Disord 2003 33 6 631 42 14714932 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExecutive function and adaptive function deficits are well documented in preterm preschoolers and children.
“Deficits in executive function and adaptive function have been well documented in preterm preschoolers and children [7, 19].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [7] Aarnoudse-Moens CS Weisglas-Kuperus N van Goudoever JB Oosterlaan J Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birth weight children Pediatrics 2009 124 2 717 28 19651588 source
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- cites [19] Msall ME Park JJ The spectrum of behavioral outcomes after extreme prematurity: regulatory, attention, social, and adaptive dimensions Semin Perinatol 2008 32 1 42 50 18249239 source
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Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationInhibition has been theorized to be an important component in sensory processing.
“The Gift Wrap task measures the executive function domain of inhibition, which has been theorized to be an important component in sensory processing [22].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [22] Kastner S Ungerleider LG Mechanisms of visual attention in the human cortex Annu Rev Neurosci 2000 23 315 41 10845067 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIn adults with autism, reduced auditory sensory gating is associated with worse executive function task performance.
“Reduced auditory sensory gating has been found to coincide with poorer performance on executive function tasks in adults with autism [25] and Alzheimer’s disease [24].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] Perry W Minassian A Lopez B Maron L Lincoln A Sensorimotor gating deficits in adults with autism Biol Psychiatry 2007 61 4 482 6 16460695 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPrior research has linked elevated sensory symptoms with premature birth.
“Research to date has found elevated levels of sensory symptoms to be associated with premature birth [8–10], and has primarily focused on preterm infants and toddlers.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [8] Eeles AL Anderson PJ Brown NC Lee KJ Boyd RN Spittle AJ Sensory profiles of children born <30weeks’ gestation at 2 years of age and their environmental and biological predictors Early Hum Dev 2013 89 9 727 32 23764299 source
Not checked in the free run.
- cites [9] Wickremasinghe AC Rogers EE Johnson BC Shen A Barkovich AJ Marco EJ Children born prematurely have atypical sensory profiles J Perinatol 2013 33 8 631 5 23412641 PMC3738436 source
Not checked in the free run.
- cites [10] Franci Crepeau-Hobson M The relationship between perinatal risk factors and sensory processing difficulties in preschool children J Dev Phys Disabil 2009 21 4 315 28 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAtypical sensory profiles have been observed in preterm individuals from 1 to 8 years old.
“Atypical sensory profiles were also observed in a broad age range of preterm infants and children, ranging from 1 to 8 years of age [9].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [9] Wickremasinghe AC Rogers EE Johnson BC Shen A Barkovich AJ Marco EJ Children born prematurely have atypical sensory profiles J Perinatol 2013 33 8 631 5 23412641 PMC3738436 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataMore preterm children were part of a twin set compared with full term children.
“The preterm group also had more children as part of a twin set than the full term sample.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe proportion of children receiving occupational therapy did not differ significantly between PT+S and PT−S.
“Additionally, there was no significant difference between PT+S and PT−S in the proportion of children in occupational therapy, X2(1) = 1.36, p = 0.24.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationChildren with Williams syndrome and high sensory impairment scored worse on executive and adaptive function measures than those with low sensory impairment.
“Finally, in a study of children with Williams syndrome, children classified as having high sensory impairment had poorer scores on both executive function and adaptive function measures than children classified as having low sensory impairment [5].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [5] John AE Mervis CB Sensory modulation impairments in children with Williams syndrome Am J Med Genet C Semin Med Genet 2010 154C 2 266 76 20425786 PMC2997471 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationNine-year-old preterm children showed reduced electrophysiological auditory responses relative to full term children in one study.
“A study of 9-year-old preterm children found reduced electrophysiological responses to auditory stimuli compared to the responses of full term children [14].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [14] Gomot M Bruneau N Laurent JP Barthelemy C Saliba E Left temporal impairment of auditory information processing in prematurely born 9-year-old children: an electrophysiological study Int J Psychophysiol 2007 64 2 123 9 17306396 source
Not checked in the free run.
May combine two claims.
Study design and conductown dataPT+S and PT−S groups did not differ significantly in demographics, brain injury, or medical complications.
“No significant differences were found between PT+S and PT−S in demographic variables, brain injury, or medical complications.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe association between sensory processing and executive function suggests that elevated numbers of sensory symptoms in preterm children are related to specific neurodevelopmental deficits rather than occurring in isolation.
“The association found between sensory processing and executive function suggests that elevated numbers of sensory symptoms in preterm children are related to specific neurodevelopmental deficits [18], rather than occurring in isolation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18] Eeles AL Anderson PJ Brown NC Lee KJ Boyd RN Spittle AJ Sensory profiles obtained from parental reports correlate with independent assessments of development in very preterm children at 2 years of age Early Hum Dev 2013 89 12 1075 80 23978398 source
Not checked in the free run.
May combine two claims.
Interpretationown dataElevated numbers of sensory symptoms in preterm children were associated with executive function impairment but not poor adaptive function.
“Elevated numbers of sensory symptoms in preterm children were associated with executive function impairment, but not poor adaptive function.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPerformance-based and parent-rated measures of executive function contribute divergent but related information to the measurement of executive function ability.
“Previous research has demonstrated that performance-based and parent-rated measures of executive function contribute divergent but related information to the measurement of executive function ability [28].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Loe IM Chatav M Alduncin N Complementary assessements of executive function in preterm and full term preschoolers Child Neuropsychol 2014 22 1 23 24754400 PMC4240749 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExecutive functions measured by both performance-based tasks and parent-rating scales are associated with neuroanatomical integrity.
“Neuroimaging studies have also found that executive functions measured by both performance based-tasks and parent-rating scales are associated with neuroanatomical integrity [31].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [31] Isquith PK Roth RM Gioia G Contribution of rating scales to the assessment of executive functions Appl Neuropsychol Child 2013 2 2 125 32 23442015 source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe data do not support the second hypothesis and suggest that sensory differences may not invariably limit adaptive function in preterm children.
“Our data do not support our second hypothesis and suggest that sensory differences may not invariably limit adaptive function in preterm children.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationWorking memory influences visual selective attention and exerts top-down control on neural activity in the visual cortex.
“For example, working memory has been demonstrated to influence visual selective attention [32] and to exert top-down control on neural activity in the visual cortex [22].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [32] de Fockert JW Rees G Frith CD Lavie N The role of working memory in visual selective attention Science 2001 291 5509 1803 6 11230699 source
Not checked in the free run.
- cites [22] Kastner S Ungerleider LG Mechanisms of visual attention in the human cortex Annu Rev Neurosci 2000 23 315 41 10845067 source
Not checked in the free run.
May combine two claims.
InterpretationreasoningThe significant association between sensory processing and executive function, and the similarity of items on the measures, calls into question whether sensory processing and executive function are distinct or overlapping constructs.
“The significant association between sensory processing and executive function, and the similarity of the items on the respective measures, calls into question whether sensory processing and executive function are distinct or overlapping constructs.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationExecutive function can exert top-down control over sensory processing and influence which sensory stimuli gain conscious awareness.
“It is likely that executive function can also exert top-down control over sensory processing and influence which sensory stimuli gain conscious awareness [21, 22].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [21] Shimamura AP The role of the prefrontal cortex in dynamic filtering Psychobiology 2000 28 2 207 18 source
Not checked in the free run.
- cites [22] Kastner S Ungerleider LG Mechanisms of visual attention in the human cortex Annu Rev Neurosci 2000 23 315 41 10845067 source
Not checked in the free run.
The authors state this as an assumption.
No prior study has specifically assessed sensory processing in preterm preschoolers.
“To our knowledge, sensory processing has not been evaluated specifically in preterm preschoolers, though the preschool period is important for consolidating development in multiple domains including communication, social development, and pre-academic skills.”
The authors state this as an assumption.
The link between sensory processing and other domains, such as executive and adaptive function, has not been studied in preterm preschoolers.
“The relationship between sensory processing in preterm preschoolers and other domains potentially impacted by sensory processing, specifically executive function and adaptive function, has not been investigated.”
The paper relies on this without support.
Preschool is a critical period for development across communication, social, and pre-academic domains.
“To our knowledge, sensory processing has not been evaluated specifically in preterm preschoolers, though the preschool period is important for consolidating development in multiple domains including communication, social development, and pre-academic skills.”
The paper relies on this without support.
This study is the first to specifically evaluate sensory processing in preterm preschoolers.
“To our knowledge, this study is the first to specifically evaluate sensory processing in preterm preschoolers.”
The paper relies on this without support.
The Gift Wrap task measures the executive function domain of inhibition.
“The Gift Wrap task measures the executive function domain of inhibition, which has been theorized to be an important component in sensory processing [22].”
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?
A strong and positive correlation has been observed between difficulties in sensory processing and executive function deficits in various populations, such as premature children, children with autism spectrum disorders, and children with attention deficit hyperactivity disorder.
“A strong and positive correlation has also been observed between difficulties in sensory processing and executive function deficits in various populations, such as premature children (21–23), children with ASDs (24–26), and children with attention deficit hyperactivity disorder (ADHD) (27–29).”
From Assessment of Sensory Processing and Executive Functions in Childhood: Development, Reliability, and Validity of the EPYFEI (2018) · cites this paper as [21]
Statistics that don’t add up
Each reported p-value recomputed from its test statistic and degrees of freedom.
Inconsistent p-value: X2(1) = 10.75, p < .001
MinorThe paper reports p < .001 here; recomputing from the test statistic and its degrees of freedom gives p = .001. The check cannot tell whether the statistic or the p-value is the misprint.
Reported p < .001 · recomputed p = .001
“X2(1) = 10.75, p < 0.001”
Statistics recomputed
Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.
- Doesn’t add upχ²(1) = 10.75reported p < .001 · recomputed p = .001
“X2(1) = 10.75, p < .001”
- Consistentχ²(1) = 1.36reported p = .24 · recomputed p = .244
“X2(1) = 1.36, p = .24”
- Consistentt(125) = 4.4reported p < .001 · recomputed p < .001
“t(125) = 4.40, p < .001”
- Consistentz = -3.42reported p < .001 · recomputed p < .001
“z = −3.42, p < .001”
- Consistentχ²(1) = 5.68reported p = .02 · recomputed p = .017
“X2(1) = 5.68, p = .02”
- Consistentt(47) = 1.45reported p = .15 · recomputed p = .154
“t(47) = 1.45, p = .15”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Self-check results appear here once an independent check has confirmed them.
The citation lists haven’t been fetched yet
References 36 · Cited by 85
- Authors
- Adams, J. N., Feldman, H. M., Huffman, L. C., & Loe, I. M.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Loe, Irene M.
- Venue
- Early Human Development
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 91
- Issue
- 3
- Pages
- 227-233
- ISSN
- 0378-3782 (ISSN-L)
- PMC
- PMC4392005
- OpenAlex
- W2140493476
- Semantic Scholar
- a8d0a541dbb92724374410595a7551d1a8574b8f
- Cited by
- 85
- References
- 36
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 11 · 2023: 9 · 2022: 7 · 2021: 14 · 2020: 10 · 2019: 9 · 2018: 5 · 2017: 8 · 2016: 1
- FWCI
- 4.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Early Human Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Child Health Research Institute
- Lucile Packard Foundation for Children's Health (1111239-128-JHACT)
- Society for Developmental–Behavioral Pediatrics
- National Institutes of Health (K23HD071971)
- Stanford Clinical and Translational Science Award (CTSA) (UL1 TR0001085)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- sensory processing, preterm birth, executive function, adaptive behavior, Short Sensory Profile, Behavior Rating Inventory of Executive Function, Vineland Adaptive Behavior Scales, full-term comparison, early childhood development
- MeSH terms
- Adult, Child, Child, Preschool, Female, Humans, Infant, Newborn, Infant, Premature, Male, Perception, Sensation, Case-Control Studies, Executive Function
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