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Selective Difficulties in Lexical Retrieval and Nonverbal Executive Functioning in Children With HbSS Sickle Cell Disease
Language deficits in multilingual children with sickle cell disease (SCD) are poorly understood. We tested the hypothesis that selective language deficits in this population could relate to an impaired frontal lobe functioning often associated with high-risk homozygous HbS disease (HbSS). In all, 32...
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Published in: | Journal of pediatric psychology 2018-07, Vol.43 (6), p.666-677 |
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container_title | Journal of pediatric psychology |
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creator | Arfé, Barbara Montanaro, Maria Mottura, Elena Scaltritti, Michele Manara, Renzo Basso, Giuseppe Sainati, Laura Colombatti, Raffaella |
description | Language deficits in multilingual children with sickle cell disease (SCD) are poorly understood. We tested the hypothesis that selective language deficits in this population could relate to an impaired frontal lobe functioning often associated with high-risk homozygous HbS disease (HbSS). In all, 32 children from immigrant communities with HbSS SCD aged 6 to 12 years (mean age = 9.03, n = 9 with silent infarcts) and 35 demographically matched healthy controls (mean age = 9.14) were tested on their naming skills, phonological and semantic fluency, attention, and selected executive functions (response inhibition and planning skills). Analyses of variance showed significant differences between patients and controls in inhibition and planning (p = .001 and .001), and phonological fluency (p = .004). The poorer performance in phonological fluency of the children with SCD was not associated with any visible brain damage to language areas. Hierarchical regression analyses showed that, whereas the control children's vocabulary knowledge explained their performance in the phonological fluency tasks, only inhibition skills accounted for variance in the performance of the children with SCD. These results suggest a selective impairment of verbal and nonverbal executive functioning (i.e., planning, inhibition, and phonological fluency) in children with SCD, with deficits possibly owing to frontal area hypoxia. |
doi_str_mv | 10.1093/jpepsy/jsy005 |
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We tested the hypothesis that selective language deficits in this population could relate to an impaired frontal lobe functioning often associated with high-risk homozygous HbS disease (HbSS). In all, 32 children from immigrant communities with HbSS SCD aged 6 to 12 years (mean age = 9.03, n = 9 with silent infarcts) and 35 demographically matched healthy controls (mean age = 9.14) were tested on their naming skills, phonological and semantic fluency, attention, and selected executive functions (response inhibition and planning skills). Analyses of variance showed significant differences between patients and controls in inhibition and planning (p = .001 and .001), and phonological fluency (p = .004). The poorer performance in phonological fluency of the children with SCD was not associated with any visible brain damage to language areas. Hierarchical regression analyses showed that, whereas the control children's vocabulary knowledge explained their performance in the phonological fluency tasks, only inhibition skills accounted for variance in the performance of the children with SCD. These results suggest a selective impairment of verbal and nonverbal executive functioning (i.e., planning, inhibition, and phonological fluency) in children with SCD, with deficits possibly owing to frontal area hypoxia.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsy005</identifier><identifier>PMID: 29432593</identifier><language>eng</language><publisher>United States</publisher><ispartof>Journal of pediatric psychology, 2018-07, Vol.43 (6), p.666-677</ispartof><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. 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We tested the hypothesis that selective language deficits in this population could relate to an impaired frontal lobe functioning often associated with high-risk homozygous HbS disease (HbSS). In all, 32 children from immigrant communities with HbSS SCD aged 6 to 12 years (mean age = 9.03, n = 9 with silent infarcts) and 35 demographically matched healthy controls (mean age = 9.14) were tested on their naming skills, phonological and semantic fluency, attention, and selected executive functions (response inhibition and planning skills). Analyses of variance showed significant differences between patients and controls in inhibition and planning (p = .001 and .001), and phonological fluency (p = .004). The poorer performance in phonological fluency of the children with SCD was not associated with any visible brain damage to language areas. Hierarchical regression analyses showed that, whereas the control children's vocabulary knowledge explained their performance in the phonological fluency tasks, only inhibition skills accounted for variance in the performance of the children with SCD. These results suggest a selective impairment of verbal and nonverbal executive functioning (i.e., planning, inhibition, and phonological fluency) in children with SCD, with deficits possibly owing to frontal area hypoxia.</description><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNo9kMFPgzAUxhujcXN69Gp69IJrKXT0aHBzJosmotEbKe3DdTLAFpbx38tEPb33Jd_3vZcfQpeU3FAi2HRTQ-266cZ1hIRHaEwDHnozFr4fozHphRdxwUbozLkNISQIGD9FI18EzA8FG6MugQJUY3aA70yeG9UWjQGHTYlXsDdKFvgZGmtg12-y1PixKndgs17N96Dan-SiLfuKqjTlxyEYr02hLZT4zTRrvMySBCdGfRaAYyiK_o4D6eAcneSycHDxOyfodTF_iZfe6un-Ib5deYrNeOP5Puc049rXOtOaCA0ikFz6NFczBoQrASAZIzQiPmcQMSokyyLJaRRFIiRsgq6H3tpWXy24Jt0ap_pHZAlV61KfECoop316grzBqmzlnIU8ra3ZStullKQH2ulAOx1o9_6r3-o224L-d__hZd-34X44</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Arfé, Barbara</creator><creator>Montanaro, Maria</creator><creator>Mottura, Elena</creator><creator>Scaltritti, Michele</creator><creator>Manara, Renzo</creator><creator>Basso, Giuseppe</creator><creator>Sainati, Laura</creator><creator>Colombatti, Raffaella</creator><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180701</creationdate><title>Selective Difficulties in Lexical Retrieval and Nonverbal Executive Functioning in Children With HbSS Sickle Cell Disease</title><author>Arfé, Barbara ; Montanaro, Maria ; Mottura, Elena ; Scaltritti, Michele ; Manara, Renzo ; Basso, Giuseppe ; Sainati, Laura ; Colombatti, Raffaella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-22661b6d2ddbdd09de94a6a21fc73e06c9eea330180263e8319a3b8a618889503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arfé, Barbara</creatorcontrib><creatorcontrib>Montanaro, Maria</creatorcontrib><creatorcontrib>Mottura, Elena</creatorcontrib><creatorcontrib>Scaltritti, Michele</creatorcontrib><creatorcontrib>Manara, Renzo</creatorcontrib><creatorcontrib>Basso, Giuseppe</creatorcontrib><creatorcontrib>Sainati, Laura</creatorcontrib><creatorcontrib>Colombatti, Raffaella</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arfé, Barbara</au><au>Montanaro, Maria</au><au>Mottura, Elena</au><au>Scaltritti, Michele</au><au>Manara, Renzo</au><au>Basso, Giuseppe</au><au>Sainati, Laura</au><au>Colombatti, Raffaella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Selective Difficulties in Lexical Retrieval and Nonverbal Executive Functioning in Children With HbSS Sickle Cell Disease</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J Pediatr Psychol</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>43</volume><issue>6</issue><spage>666</spage><epage>677</epage><pages>666-677</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Language deficits in multilingual children with sickle cell disease (SCD) are poorly understood. We tested the hypothesis that selective language deficits in this population could relate to an impaired frontal lobe functioning often associated with high-risk homozygous HbS disease (HbSS). In all, 32 children from immigrant communities with HbSS SCD aged 6 to 12 years (mean age = 9.03, n = 9 with silent infarcts) and 35 demographically matched healthy controls (mean age = 9.14) were tested on their naming skills, phonological and semantic fluency, attention, and selected executive functions (response inhibition and planning skills). Analyses of variance showed significant differences between patients and controls in inhibition and planning (p = .001 and .001), and phonological fluency (p = .004). The poorer performance in phonological fluency of the children with SCD was not associated with any visible brain damage to language areas. Hierarchical regression analyses showed that, whereas the control children's vocabulary knowledge explained their performance in the phonological fluency tasks, only inhibition skills accounted for variance in the performance of the children with SCD. These results suggest a selective impairment of verbal and nonverbal executive functioning (i.e., planning, inhibition, and phonological fluency) in children with SCD, with deficits possibly owing to frontal area hypoxia.</abstract><cop>United States</cop><pmid>29432593</pmid><doi>10.1093/jpepsy/jsy005</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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title | Selective Difficulties in Lexical Retrieval and Nonverbal Executive Functioning in Children With HbSS Sickle Cell Disease |
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