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We investigated the interactive effects of bilingualism and sleep on executive functioning at the behavioral level. We conducted two experiments using two independent samples of bilingual young adults, the Flanker task to assess executive performance, the Pittsburg Sleep Quality Index to measure retrospective sleep quality over a one-month period and the Insomnia Severity Index to assess insomnia-related symptoms. In Experiment 1, we registered bilingualism effects on executive performance in poor, but not in good sleepers. In Experiment 2, the magnitude of bilingual effects increased with increasing severity of insomnia symptoms. We conclude that when poor sleep quality and insomnia negatively affect cognitive resources, bilingualism-related cognitive effects emerge more prominently. This suggests higher degrees of bilingualism may compensate detrimental effects of poor sleep quality and insomnia on executive functioning. We suggest that cognitive research in bilingualism and sleep could benefit from controlling for interindividual variability in sleep quality and vice versa.
Difficulties in executive functions (EFs) and internalizing and externalizing problems are prospectively related. However, it remains unclear whether the bidirectional relations between specific EF components and internalizing and externalizing problems at the within-person level vary across developmental stages in childhood and early adolescence.
Methods
This study utilized data from seven waves of the Early Childhood Longitudinal Study, Kindergarten Class of 2010–2011 (ECLS-K: 2011), following a nationally representative sample of 15,055 children (mean age at baseline = 5.63 years, SD = 0.37; age range = 4.02–7.83) from kindergarten through fifth grade. Internalizing and externalizing problems and inhibitory control were assessed using teacher-reported measures, while working memory and cognitive flexibility were evaluated using standardized cognitive tasks. Data were analyzed using a random intercept cross-lagged panel model, adjusting for the complex sampling design.
Results
Working memory negatively predicted internalizing problems from kindergarten to first grade, with no significant link to externalizing problems. Cognitive flexibility showed limited effects, with only spring kindergarten externalizing problems predicting lower cognitive flexibility in first grade. Inhibitory control negatively predicted internalizing problems in early childhood, while internalizing problems positively predicted inhibitory control during the kindergarten-to-first-grade transition. Externalizing problems consistently reduced inhibitory control over time. Notably, inhibitory control negatively predicted externalizing problems until third grade but positively predicted them from third to fourth grade.
Conclusions
The findings suggest that while certain EFs can protect against internalizing and externalizing problems in early childhood, these symptoms may also influence EF development, with these interactions evolving as children transition into adolescence.
Executive dysfunction is prevalent in early stroke and can predict long-term outcomes. Impairments can be subtle and undetected in cognitive stroke screens. To better assess executive functions, this study introduced a novel sentence completion test, which assesses multiple executive processes in <5 minutes (Brief Executive Language Screen – Sentence Completion; BELS-SC). The aim was to determine construct, convergent and divergent validity, sensitivity and specificity of the BELS-SC, and to explore differences between left and right hemisphere stroke patients (LHS and RHS, respectively) on the BELS-SC and standard executive function tests.
Method:
Eighty-eight acute/early sub-acute stroke patients and 116 age-matched healthy controls were included.
Results:
Principal Component Analysis (PCA) suggested four to five factors of the BELS-SC: Initiation, Selection, Inhibition (with strategy loading on Inhibition), Inhibition Response Time, and Semantic Retrieval Response Time. The BELS-SC had good sensitivity (.84) but poorer specificity (.66) differentiating controls and stroke, and good sensitivity (.83) and specificity (.80) differentiating executive function impaired versus executive function intact groups. BELS-SC Initiation and Inhibition subtests demonstrated convergent and divergent validity with corresponding Hayling subtests. LHS and RHS showed impairment across initiation, selection, inhibition and strategy; however, greatest deficits were shown by RHS on Inhibition items requiring suppression of one dominant response. More patients were impaired on BELS-SC than other executive function tests.
Conclusions:
The BELS-SC demonstrated convergent, divergent, and construct validity, good sensitivity and specificity, taps multiple executive processes, and provides insight into strategy. Use in early stroke may aid in targeted and timely cognitive rehabilitation.
The bilingual advantage hypothesis, which associates bilingualism with benefits in executive functioning (EF), has been challenged by studies demonstrating inconsistent results. Considering explicit calls to revise the hypothesis, research has turned toward understanding which specific bilingualism-related aspects might impact bilinguals’ EF. Notably, patterns of everyday language use, referred to as interactional contexts in the adaptive control hypothesis (ACH), have emerged as a prominent factor modulating the association between bilingualism and EF. This scoping review synthesizes findings from 49 studies investigating interactional contexts and bilinguals’ EF. The results indicate that the current literature is highly heterogeneous regarding the operationalization, measurement, experimental manipulations of interactional contexts, the EF tasks employed and sample characteristics. This variability limits definitive conclusions about the adaptation of bilinguals’ EF to the demands of interactional contexts. More studies with comparable research designs and clearer predictions on the associations between EF domains and bilinguals’ language-use patterns are needed.
Describe the social, cognitive, and biological influences on adolescent decision-making; understand the risk and reward systems of the brain and how these can be influenced by different contexts; evaluate the roles of peer groups, executive functions, and sex differences in adolescent behaviour.
Non-word repetition (NWR) is often utilized for the assessment of phonological short-term memory (PSTM) and as a clinical marker for language-related disorders. In this study, associations between children's language competence and their performance in language-specific NWR tasks as well as the relevance of NWR for the prediction of language development were scrutinized. German preschoolers (N = 1,801) were compared regarding their performance in NWR, German vocabulary, and articulation. For 141 children, results of a school enrolment test were available. Multilingual children performed as well as monolingual German-speaking children in NWR only under the condition of comparable German language skills. NWR performance depended on item length, children's vocabulary and articulation skills and was weakly associated with language-related medical issues. The predictive power of NWR for children's performance in the school enrolment test was minimal. To conclude, chosen German-based NWR tasks did not deliver convincing results as a clinical marker or predictor of language development.
This study examined the linguistic and cognitive characteristics of two groups of Italian preschoolers with developmental language disorder (DLD): one group of monolingual Italian speakers and another of Italian-Slovenian bilinguals. The assessment focused on executive functions (EFs) (i.e., phonological working memory and inhibitory control) and linguistic abilities, which involved a multilevel analysis of discourse production. The bilingual group outperformed the monolingual group on tasks measuring EFs. While the two groups showed similar performance across several linguistic measures, the bilingual children demonstrated superior grammatical comprehension, albeit with high variability. A similar level of variability was observed in the bilingual group’s phonological discrimination abilities. Both grammatical comprehension and phonological discrimination were significantly correlated with EFs. These findings are discussed in the context of current theories of linguistic development in bilingual children with DLD.
This study investigates whether lower self-regulation (SR) facets are risk factors for internalizing symptoms (vulnerability models), consequences of these symptoms (scar models), or develop along the same continuum and thus share common causes (spectrum models) during middle childhood. To analyze these models simultaneously, a random intercept cross-lagged panel model was estimated using Mplus. Data were assessed at three measurement time points in a community-based sample of N = 1657 (52.2% female) children in Germany, aged 6–13. Internalizing symptoms were measured via parent report by the emotional problems scale of the Strengths and Difficulties Questionnaire. Seven SR facets were assessed behaviorally, via parent report and teacher report. At the within-person level, internalizing symptoms were concurrently associated with emotional reactivity at all measurement time points, while no cross-lagged paths reached significance. At the between-person level, internalizing symptoms were associated with working memory updating (r = −.29, p < .001), inhibitory control (r = −.29, p < .001), planning behavior (r = −.49, p < .001), and emotional reactivity (r = .59, p < .001). As internalizing symptoms and SR facets were primarily associated at the between-person level, the results lend support to spectrum models suggesting common causes of internalizing symptoms and impaired SR.
Reading difficulties (RD) frequently co-occur with attention-deficit/hyperactivity disorder (ADHD), and children with both RD + ADHD often demonstrate greater challenges in reading and executive functions (EF) than those with RD-only.
Methods:
This study examined the effect of a 4-week EF-based reading intervention on behavioral and neurobiological correlates of EF among 8–12 y.o. English-speaking children with RD + ADHD (n = 19), RD-only (n = 18), and typically developing children (n = 18). Behavioral and resting-state fMRI data were collected from all participants before and after 4 weeks of the EF-based reading computerized program. Group (RD + ADHD, RD-only, typical readers) x Test (pre- and post-intervention) repeated measures ANOVAs were conducted for reading, EF, and brain functional connectivity (FC) measures.
Results:
Across groups, reading (fluency, comprehension) and EF (inhibition, speed of processing) behavioral performance improved following the intervention. Exploratory subgroup comparisons revealed that children with RD + ADHD, but not RD-only, showed significant gains in reading comprehension, whereas inhibition improved in both RD groups, but not among typical readers. Furthermore, across groups, FC between the frontoparietal (FP) and cingulo-opercular (CO) networks decreased following the intervention. Exploratory subgroup comparisons revealed that children with RD + ADHD, but not RD-only, showed a significant decrease in FC of FP-CO and FP-dorsal attention network.
Conclusions:
These results support the differential response to an EF-based reading intervention of children with RD with and without comorbid ADHD at brain and behavioral levels.
This review investigates the complex dynamics of code-switching (CS), the spontaneous alternation between languages within a conversation, particularly its implications for cognitive processes like executive functions (EFs). Analysing post-2015 studies, it critically assesses 23 experiments. Through stringent criteria and comprehensive search strategies, the review identifies factors influencing CS types and their impact on cognition, highlighting methodological inconsistencies and confounds. It highlights the evolving perspectives on CS, ranging from pragmatic approaches emphasizing communicative functions to structural analyses focusing on linguistic constraints. It underscores the importance of considering factors such as language competence, typological proximity and cognitive processes in understanding CS behaviour. It emphasizes the need for precise CS typology assessment to understand the complex link between CS behaviour and cognitive functioning, bridging linguistic and cognitive domains. This review contributes to clarifying inconsistencies in CS research methodology and findings, aiming to elucidate the factors influencing CS types and their implications for cognition.
There is evidence to suggest that the effects of bilingualism on executive functions (EFs) need to be examined along a continuum rather than a dichotomy. The present study addressed this need by examining the influence of different bilingual experiences on executive functioning using a Flanker and Stroop mouse-tracking task that taps into more dynamic cognitive processes than typical behavioral paradigms. We sampled 98 bilingual young adults and investigated conflict and sequential congruency effects (SCEs). We found that mouse-tracking metrics captured links that were not identified with overall reaction times. SCEs were more sensitive to detecting relations between L2 experiences and EF than simple conflict effects. Second-language age of acquisition and L1/L2 switching frequency consistently predicted EF outcomes. This association was moderated by the attentional demands of the task. These findings highlight the complexity of the effects of bilingualism on cognition, and the use of more sensitive measures to capture these effects.
Introduction: Cognitive function has traditionally been associated with mental abilities, but there are reports that it may be associated with performance in physical function and even in ADLs. This relationship between the mental and the physical raises important questions about comprehensive health across the life course.
Methods: A cross-sectional descriptive observational study was carried out with correlation analysis between the main variables under study. The purpose of the research was to establish the functional relationship between muscle strength, gait speed, and cognitive functions in elderly people with or without cognitive impairments at 55 years of age. Cognitive function (MOCA), ABVD (Barthel index), IADL (Lawton and Brody questionnaire), and anthropometric and physical function variables were studied. A descriptive and inferential analysis of the data obtained was performed together with a correlation analysis to establish the functional relationship between the groups of variables. Ethical safeguards were taken in all cases, and informed consent approved by the Ethics Committee of the Catholic University of Temuco, Chile, was applied.
Results: The primary findings of this study show that, in older individuals with or without cognitive impairment, muscle strength, gait speed, and cognitive function have a functional relationship. There is also a strong correlation between these variables’ performance in the physical domain. In addition, sex-associated differences were detected that are relevant to study and investigate in further studies. The effect of aging was differentiated in the case of women (younger than 75 years and older than 75 years) without detecting significant differences, but there was a tendency to increase deterioration with increasing cognitive and physicalage.
Conclusions: Cognitive function is related to physical performance variables, and these may be predictors of aging as attenuators or aggravators. Therefore, it is of utmost importance to consider the interrelationship of these variables when addressing the health and well-being of this population. It is necessary to investigate aspects that generate preventive actions aimed at healthy and active aging, especially in the performance of cognitive function related to activities of daily living (basic and instrumental).
Traumatic Brain Injury (TBI) often leads to cognitive impairments, particularly regarding working memory (WM). This meta-analysis aims to examine the impact of TBI on WM, taking into account moderating factors which has received little attention in previous research, such as severity of injury, the different domains of Baddeley’s multi-component model, and the interaction between these two factors, as well as the interaction with other domains of executive functions.
Method:
Following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, a systematic review and meta-analysis searched Google Scholar, PubMed, and PsycNET for studies with objective WM measures. Multiple meta-analyses were performed to compare the effects of TBI severity on different WM components. Twenty-four English, peer-reviewed articles, mostly cross-sectional were included.
Results:
TBI significantly impairs general WM and all Baddeley’s model components, most notably the Central Executive (d’ = 0.74). Severity categories, mild-moderate and moderate-severe, were identified. Impairment was found across severities, with “moderate-severe” demonstrating the largest effect size (d’ = 0.81). Individuals with moderate-severe TBI showed greater impairments in the Central Executive and Episodic Buffer compared to those with mild-moderate injury, whereas no such differences were found for the Phonological Loop and Visuospatial Sketchpad.
Conclusions:
These findings enhance our understanding of WM deficits in varying severities of TBI, highlighting the importance of assessing and treating WM in clinical practice and intervention planning.
This study aimed to delineate profiles of self-regulation among sexually abused children and their association with behavior problems using a person-centered approach. A sample of 223 children aged six to 12, their parents, and teachers were recruited in specialized intervention centers. Latent profile analysis revealed four profiles: (1) Dysregulated, (2) Inhibited, (3) Flexibly Regulated, and (4) Parent Perceived Self-Regulation. Children from the Flexibly Regulated profile showed relatively low behavior problems, and those from the Dysregulated profile were characterized by high behavior problems. Children from the Parent Perceived Self-Regulation profile showed overall good adaptation, although teachers reported higher behavior problems than parents. Children from the Inhibited profile, characterized by the highest level of inhibition but low parent-rated emotion regulation competencies and executive functions, showed the highest level of internalizing behavior problems, indicating that high inhibition does not necessarily translate to better adaptation. Results also show a moderation effect of sex. Being assigned to the Inhibited profile was associated with decreased externalizing behaviors in boys and increased internalizing behaviors in girls. This study underscores the complexity of self-regulation in sexually abused children and supports the need to adopt a multi-method and multi-informant approach when assessing these children.
In processing their two languages, bilinguals have to selectively attend to the target language and reduce interference from the non-target language. This experience may have specific cognitive consequences on Executive Functions (EF) through bilingual language processing. Some studies found cognitive consequences in executive functioning skills. However, other studies did not replicate these findings or found a bilingual disadvantage. The aim of this study was to test for the cognitive consequences of bilingualism in EF among a large number of young adults using a latent variable approach, to rule out non-EF task differences as an explanation for inconsistency across studies. Also, we were interested in testing the EF structure using the Confirmatory Factor Analysis (CFA) approach. The results did not support a cognitive consequence of bilingualism and also the EF structure was the same for both groups. We discuss other possible variables that might contribute to the mixed results across studies.
This chapter considers the cognitive literature in relation to dyslexia, repeating the message that unitary explanations involving single processes are overly simplistic and multifactorial models are needed. Each of the various processes (deficits) that have been cited in the literature as having a potential causal role in reading disability is examined. Key processes considered in detail are phonological/phonemic awareness, rapid naming, short-term and working memory, executive functioning, auditory processing, visual processing, visual attention, and visual stress (scotopic sensitivity, psycho-motor processing). The educational and clinical implications that result from this body of work are considered.
White matter hyperintensity (WMH) volume is a neuroimaging marker of lesion load related to small vessel disease that has been associated with cognitive aging and Alzheimer’s disease (AD) risk.
Method:
The present study sought to examine whether regional WMH volume mediates the relationship between APOE ε4 status, a strong genetic risk factor for AD, and cognition and if this association is moderated by age group differences within a sample of 187 healthy older adults (APOE ε4 status [carrier/non-carrier] = 56/131).
Results:
After we controlled for sex, education, and vascular risk factors, ANCOVA analyses revealed significant age group by APOE ε4 status interactions for right parietal and left temporal WMH volumes. Within the young-old group (50-69 years), ε4 carriers had greater right parietal and left temporal WMH volumes than non-carriers. However, in the old-old group (70-89 years), right parietal and left temporal WMH volumes were comparable across APOE ε4 groups. Further, within ε4 non-carriers, old-old adults had greater right parietal and left temporal WMH volumes than young-old adults, but there were no significant differences across age groups in ε4 carriers. Follow-up moderated mediation analyses revealed that, in the young-old, but not the old-old group, there were significant indirect effects of ε4 status on memory and executive functions through left temporal WMH volume.
Conclusions:
These findings suggest that, among healthy young-old adults, increased left temporal WMH volume, in the context of the ε4 allele, may represent an early marker of cognitive aging with the potential to lead to greater risk for AD.
Executive functions (EFs) in both regulatory and meta-cognitive contexts are important for a wide variety of children’s daily activities, including play and learning. Despite the growing literature supporting the relationship between EF and language, few studies have focused on these links during everyday behaviours. Data were collected on 208 children from 6 to 12 years old of whom 89 were deaf children (55% female; M = 8;8; SD = 1;9) and 119 were typically hearing children (56% female, M = 8;9; SD = 1;5). Parents completed two inventories: to assess EFs and language proficiency. Parents of deaf children reported greater difficulties with EFs in daily activities than those of hearing children. Correlation analysis between EFs and language showed significant levels only in the deaf group, especially in relation to meta-cognitive EFs. The results are discussed in terms of the role of early parent–child interaction and the relevance of EFs for everyday conversational situations.
Prosody refers to stress and intonation patterns in a language. Previous studies have found that prosodic sensitivity (PS) and executive functions can affect reading comprehension in first (L1) and second languages (L2). The current study examined these factors among a group of L1 Mandarin speakers learning L2 English who participated in a series of tasks measuring phonological awareness, Mandarin tone sensitivity, English PS, along with three specific executive functions – namely, cognitive flexibility, inhibitory control, and working memory. The results demonstrated that Mandarin tone sensitivity and cognitive flexibility mediated English PS and reading. A simple slope analysis showed that PS positively predicted word reading for readers with higher but not lower cognitive flexibility. These results imply that PS in L2 reading is affected by both prosodic transfer of L1 tone sensitivity and cognitive flexibility.