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Journal of Abnormal Child Psychology

, Volume 41, Issue 3, pp 457–471 | Cite as

Executive Functions in Preschool Children with Externalizing Behavior Problems: A Meta-Analysis

  • Kim Schoemaker
  • Hanna Mulder
  • Maja Deković
  • Walter Matthys
Article

Abstract

Deficits in executive functions (EF) have been found in school-age children and adolescents with externalizing behavior disorders. Present meta-analysis was carried out to determine whether these EF impairments can also be found in preschool children with externalizing behavior problems. Twenty-two studies were included with a total of 4021 children. Four separate meta-analyses were conducted, concerning overall EF, working memory, inhibition and cognitive flexibility. A medium correlation effect size was obtained for overall EF (ESzr = 0.22) and for inhibition (0.24), whereas a small effect size was found for working memory (0.17) and for cognitive flexibility (0.13). Moderator analyses revealed a stronger effect for older preschoolers compared to younger preschoolers, and for children from referred samples compared to community samples. These results show that EF, especially inhibition, is related to externalizing behavior problems already in preschool years.

Keywords

Executive Function Externalizing behavior problems Preschoolers Meta-analysis 

Supplementary material

10802_2012_9684_MOESM1_ESM.pdf (278 kb)
Online Resource 1 (PDF 277 kb)
10802_2012_9684_MOESM2_ESM.pdf (147 kb)
Online Resource 2 (PDF 146 kb)

References

References marked with an asterisk indicate studies included in the meta-analysis.

  1. Alderson, R. M., Rapport, M. D., & Kofler, M. J. (2007). Attention-deficit/hyperactivity disorder and behavioral inhibition: a meta-analytic review of the stop-signal paradigm. Journal of Abnormal Child Psychology, 35, 745–758.PubMedCrossRefGoogle Scholar
  2. Anderson, P. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychology, 8, 71–82.PubMedCrossRefGoogle Scholar
  3. *Antshel, K. M., & Nastasi, R. (2008). Metamemory development in preschool children with ADHD. Journal of Applied Developmental Psychology, 29, 403–411.CrossRefGoogle Scholar
  4. *Berlin, L., & Bohlin, G. (2002). Response inhibition, hyperactivity, and conduct problems among preschool children. Journal of Clinical Child Psychology, 31, 242–251.Google Scholar
  5. Berlin, L., Bohlin, G., & Rydell, A. M. (2003). Relations between inhibition, executive function, and ADHD symptoms: a longitudinal study from age 5 to 8 1/2 years. Child Neuropsychology, 9, 255–266.PubMedCrossRefGoogle Scholar
  6. *Berwid, O. G., Curko Kera, E. A., Marks, D. J., Santra, A., Bender, H.A., & Halperin, J.M (2005). Sustained attention and response inhibition in young children at risk for attention deficit/hyperactivity disorder. Journal of Child Psychology and Psychiatry, 46, 1219–1229.PubMedCrossRefGoogle Scholar
  7. *Brocki, K. C., Nyberg, L., Thorell, L. B., Bohlin, G. (2007). Early concurrent and longitudinal symptoms of ADHD and ODD: relations to different types of inhibitory control and working memory. Journal of Child Psychology and Psychiatry, 48, 10331041.PubMedCrossRefGoogle Scholar
  8. *Campbell, S. B., Pierce, E. W., March, C. L., Ewing, L. J., & Szumowski, E. K. (1994). Hard-to-manage preschool boys: symptomatic behavior across contexts and time. Child Development, 65, 836–851.PubMedCrossRefGoogle Scholar
  9. Carlson, S. M. (2005). Developmentally sensitive measures of executive function in preschool children. Developmental Neuropsychology, 28, 595–616.PubMedCrossRefGoogle Scholar
  10. *Dalen, L., Sonuga-Barke, E. J. S., Hall, M., & Remington, B. (2004). Inhibitory deficits, delay aversion and preschool AD/HD: implications for the dual pathway model. Neural Plasticity, 11, 1–11.PubMedCrossRefGoogle Scholar
  11. *Dennis, T. A., & Brotman, L. M. (2003). Effortful control, attention, and aggressive behavior in preschoolers at risk for conduct problems. Annals of the New York Academy of Sciences, 1008, 252255.PubMedCrossRefGoogle Scholar
  12. Diamond, A., & Lee, K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333, 959–964.PubMedCrossRefGoogle Scholar
  13. Egger, H. L., & Angold, A. (2004). The preschool Age psychiatric assessment (PAPA): A structured parent interview for diagnosing psychiatric disorders in preschool children. In R. Delcarmen-Wiggens & A. Carter (Eds.), Handbook of infant, toddler, and preschool mental assessment (pp. 223–243). New York: Oxford University Press.Google Scholar
  14. Espy, K. A., Kaufmann, P. M., McDiarmid, M. D., & Gilsky, M. L. (1999). Executive functioning in preschool children: performance on A-not-B and other delayed response format tasks. Brain and Cognition, 41, 178–199.PubMedCrossRefGoogle Scholar
  15. *Espy, K. A., Sheffield, T. D., Wiebe, S. A., Clark, C. A. C., & Moehr, M. J. (2011). Executive control and dimensions of problem behaviors in preschool children. Journal of Child Psychology and Psychiatry, 52, 3346.PubMedCrossRefGoogle Scholar
  16. Fairchild, G., van Goozen, S. H. M., Stollery, S. J., Aitken, M. R. F., Savage, J., Moore, S. C., & Goodyer, I. M. (2009). Decision making and executive function in male adolescents with early-onset or adolescence-onset conduct disorder and control subjects. Biological Psychiatry, 66, 162–168.PubMedCrossRefGoogle Scholar
  17. Garon, N., Bryson, S. E., & Smith, I. M. (2008). Executive function in preschoolers: a review using an integrative framework. Psychological Bulletin, 134, 31–60.PubMedCrossRefGoogle Scholar
  18. Hughes, C. (1998). Executive function in preschoolers: links with theory of mind and verbal ability. British Journal of Developmental Psychology, 16, 233–253.CrossRefGoogle Scholar
  19. Hughes, C. (2011). Changes and challenges in 20 years of research into the development of executive functions. Infant and Child Development, 20, 251–271.CrossRefGoogle Scholar
  20. *Hughes, C., Dunn, J., & White, A. (1998). Trick or treat? Uneven understanding of mind and emotion and executive dysfunction in hard-to-manage preschoolers. Journal of Child Psychology and Psychiatry, 39, 981994.PubMedCrossRefGoogle Scholar
  21. Hughes, C., Ensor, R., Wilson, A., & Graham, A. (2010). Tracking executive function across the transition to school: a latent variable approach. Developmental Neuropsychology, 35, 20–36.PubMedCrossRefGoogle Scholar
  22. Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589.PubMedCrossRefGoogle Scholar
  23. Keenan, K., & Shaw, D. (1997). Developmental and social influences on young girls’ early problem behavior. Psychological Bulletin, 121, 95–113.PubMedCrossRefGoogle Scholar
  24. Keenan, K., Wakschlag, L. S., Danis, B., Hill, C., Humphries, M., Duax, J., & Donald, R. (2007). Further evidence of the reliability and validity of DSM-IV ODD and CD in preschool children. Journal of the American Academy of Child and Adolescent Psychiatry, 26, 457–468.CrossRefGoogle Scholar
  25. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks: Sage.Google Scholar
  26. *Mahone, E. M., Pillion, J. P., Hoffman, J., Hiemenz, J. R., & Denckla, M. B. (2005). Construct validity of the auditory continues performance test for preschoolers. Developmental Neuropsychology, 27, 11–13.PubMedCrossRefGoogle Scholar
  27. Marakovitz, S. E., & Campbell, S. B. (1998). Inattention, impulsivity, and hyperactivity from preschool to school age: performance of hard-to-manage boys on laboratory measures. Journal of Child Psychology and Psychiatry, 39, 841–851.PubMedCrossRefGoogle Scholar
  28. *Mariani, M. A., & Barkley, R. A. (1997). Neuropsychological and academic functioning in preschool boys with attention deficit hyperactivity disorder. Developmental Neuropsychology, 13, 111–129.CrossRefGoogle Scholar
  29. Marks, D. J., Berwid, O. G., Santra, A., Kera, E. C., Cyrulnik, S. E., & Halperin, J. M. (2005). Neuropsychological correlates of ADHD symptoms in preschoolers. Neurpsychology, 19, 446–455.CrossRefGoogle Scholar
  30. Martinussen, R., Hayden, J., Hogg-Johnson, S., & Tannock, R. (2005). A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 377–384.PubMedCrossRefGoogle Scholar
  31. Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., Howerter, A., & Wager, T. D. (2000). The unity and diversity of executive functions and their contributions to complex frontal lobe tasks: a latent variable analysis. Cognitive Psychology, 41, 49–100.PubMedCrossRefGoogle Scholar
  32. Morgan, A. B., & Lilienfeld, S. O. (2000). A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clinical Psychology Review, 20, 113–136.PubMedCrossRefGoogle Scholar
  33. Murray, K. T., & Kochanska, G. (2002). Effortful control: factor structure and relation to externalizing and internalizing behaviors. Journal of Abnormal Child Psychology, 30, 503–514.PubMedCrossRefGoogle Scholar
  34. Nigg, J. T. (2006). What causes ADHD? Understanding what goes wrong and why. New York: The Guilford Press.Google Scholar
  35. Oosterlaan, J., Logan, G. D., & Sergeant, J. A. (1998). Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: a meta-analysis of studies with the stop task. Journal of Child Psychology and Psychiatry, 39, 411–425.PubMedCrossRefGoogle Scholar
  36. Oosterlaan, J., Scheres, A., & Sergeant, J. A. (2005). Which executive functioning deficits are associated with AD/HD, ODD/CD and comorbid AD/HD + ODD/CD? Journal of Abnormal Child Psychology, 33, 69–85.PubMedCrossRefGoogle Scholar
  37. Pauli-Pott, U., & Becker, K. (2011). Neuropsychological basic deficits in preschoolers at risk for ADHD: a meta-analysis. Clinical Psychology Review, 31, 626–637.PubMedCrossRefGoogle Scholar
  38. Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37, 51–87.PubMedCrossRefGoogle Scholar
  39. *Perner, J., Kain W., & Barchfield, P. (2002). Executive control and higher-order theory of mind in children at risk of ADHD. Infant and Child Development, 11, 141–158.CrossRefGoogle Scholar
  40. Prinzie, P., Stams, G. J., Deković, M., Reijntjes, A. H. A., & Belsky, J. (2009). The relations between parents’ Big Five personality factors and parenting: a meta-analytic review. Journal of Personality and Social Psychology, 97, 351–362.PubMedCrossRefGoogle Scholar
  41. *Raaijmakers, M. A. J., Smidts, D. P., Sergeant, J. A., Maassen, G. H., Posthumus, J. A., van Engeland, H., et al. (2008). Executive functions in preschool children with aggressive behavior: impairments in inhibitory control. Journal of Abnormal Child Psychology, 36, 1097–1107.PubMedCrossRefGoogle Scholar
  42. *Re, A., De Franchis, V., & Cornoldi, C. (2010). Working memory control deficit in kindergarten ADHD children. Child Neuropsychology, 16, 134–144.PubMedCrossRefGoogle Scholar
  43. *Rezazadeh, S. M., Wilding, J., & Cornish, K. (2011). The relationship between measures of cognitive attention and behavioral ratings of attention in typically developing children. Child Neuropsychology, 17, 197–208.PubMedCrossRefGoogle Scholar
  44. Rosenthal, R. (1995). Meta-analytic procedures for social research. Newbury Park: Sage.Google Scholar
  45. *Schoemaker, K., Bunte, T., Wiebe, S. A., Espy, K. A., Deković, M., & Matthys, W. (2012). Executive function deficits in preschool children with ADHD and DBD. Journal of Child Psychology and Psychiatry, 53, 111119.PubMedCrossRefGoogle Scholar
  46. Schutter, D. J. L. G., van Bokhoven, I., Vanderschuren, L. J. M. J., Lochman, J. E., & Matthys, W. (2011). Risky decision making in substance dependent adolescents with a disruptive behavior disorder. Journal of Abnormal Child Psychology, 39, 333–339.PubMedCrossRefGoogle Scholar
  47. Séguin, J. R., & Zelazo, P. D. (2005). In R. E. Tremblay, W. W. Hartup, & J. Archer (Eds.), Executive function in early physical aggression. New York: Guilford.Google Scholar
  48. Séguin, J. R., Pihl, R. O., Harden, P. W., Tremblay, R. E., & Boulerice, B. (1995). Cognitive and neuropsychological characteristics of physically aggressive boys. Journal of Abnormal Psychology, 104, 614–624.PubMedCrossRefGoogle Scholar
  49. Séguin, J. R., Boulerice, B., Harden, P. W., Tremblay, R. E., & Pihl, R. O. (1999). Executive functions and physical aggression after controlling for attention deficit hyperactivity disorder, general memory and IQ. Journal of Child Psychology and Psychiatry, 40, 1197–1208.PubMedCrossRefGoogle Scholar
  50. Shaw, D. S., Lacourse, E., & Nagin, D. S. (2005). Developmental trajectories of conduct problems and hyperactivity from ages 2 to 10. Journal of Child Psychology and Psychiatry, 46, 931–942.PubMedCrossRefGoogle Scholar
  51. Sonuga-Barke, E. J. S., Dalen, L., & Remington, B. (2003). Do executive deficits and delay aversion make independent contributions to preschool attention-deficit/hyperactivity disorder symptoms? Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1335–1342.PubMedCrossRefGoogle Scholar
  52. Sonuga-Barke, E. J. S., Dalen, L., Daley, D., & Remington, B. (2002). Are planning, working memory, and inhibition associated with individual differences in preschool ADHD symptoms? Developmental Neuropsychology, 21, 255–272.PubMedCrossRefGoogle Scholar
  53. Sterba, S., Egger, H. L., & Angold, A. (2007). Diagnostic specificity and nonspecificity in the dimensions of preschool psychopathology. Journal of Child Psychology and Psychiatry, 48, 1005–1013.PubMedCrossRefGoogle Scholar
  54. *Thorell, L. B., & Wåhlstedt, C. (2006). Executive functioning deficits in relation to symptoms of ADHD and/or ODD in preschool children. Infant and Child Development, 15, 503–518.CrossRefGoogle Scholar
  55. *Tillman, C. M., Thorell, L. B., Brocki, K. C., & Bohlin, G. (2008). Motor response inhibition and execution in the stop-signal task: development and relation to ADHD behaviors. Child Neuropsychology, 14, 42–59.PubMedCrossRefGoogle Scholar
  56. Van Goozen, S. H. M., Cohen-Kettenis, P. T., Snoek, H., Matthys, W., Swaab-Barneveld, H., & van Engeland, H. (2004). Executive functioning in children: a comparison of hospitalized ODD and ODD/ADHD children and normal controls. Journal of Child Psychology and Psychiatry, 45, 284–292.PubMedCrossRefGoogle Scholar
  57. *Von Stauffenberg, C., & Campbell, S. B. (2007). Predicting the early developmental course of symptoms of attention deficit hyperactivity disorder. Journal of Applied Developmental Psychology, 28, 536–552.CrossRefGoogle Scholar
  58. Wåhlstedt, C., Thorell, L. B., & Bohlin, G. (2008). ADHD symptoms and executive function impairment: early predictors of later behavioral problems. Developmental Neuropsychology, 33, 160–178.PubMedCrossRefGoogle Scholar
  59. Wiebe, S. A., Espy, K. A., & Charak, D. (2008). Using confirmatory factor analysis to understand executive control in preschool children: I. Latent structure. Developmental Psychology, 44, 575–587.PubMedCrossRefGoogle Scholar
  60. Wiebe, S. A., Sheffield, T., Nelson, J. M., Clark, C. A. C., Chevalier, N., & Espy, K. A. (2011). The structure of executive function in 3-year-olds. Journal of Experimental Child Psychology, 108, 436–452.PubMedCrossRefGoogle Scholar
  61. Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biological Psychiatry, 57, 1336–1346.PubMedCrossRefGoogle Scholar
  62. *Willoughby, M. T., Blair, C. B., Wirth, R. J., & Greenberg, M. (2010). The measurement of executive function at age 3 years: psychometric properties and criterion validity of a new battery of tasks. Psychological Assessment, 22, 306–317.PubMedCrossRefGoogle Scholar
  63. *Willoughby, M., Kupersmidt, J., Voegler-Lee, M., & Bryant, D. (2011). Contributions of hot and cool self-regulation to preschool disruptive behavior and academic achievement. Developmental Neuropsychology, 36, 162–180.PubMedCrossRefGoogle Scholar
  64. *Youngwirth, S. D., Harvey, A. H., Gates, E. C., Hashim, R. L., & Friedman-Weieneth, J. L. (2007). Neuropsychological abilities of preschool-aged children who display hyperactivity and/or oppositional-defiant behavior problems. Child Neuropsychology, 13, 422–443.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Kim Schoemaker
    • 1
    • 2
  • Hanna Mulder
    • 3
  • Maja Deković
    • 1
  • Walter Matthys
    • 1
    • 2
  1. 1.Department of Child and Adolescent StudiesUtrecht UniversityUtrechtthe Netherlands
  2. 2.Department of Child and Adolescent Psychiatry and Rudolf Magnus Institute of NeuroscienceUniversity Medical Center UtrechtUtrechtthe Netherlands
  3. 3.Department of Pedagogical and Educational SciencesUtrecht UniversityUtrechtThe Netherlands

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