Evidence map›Paper›PMID 31649749›Full record

ArticleChild and adolescent psychiatry and mental health2019

Executive functioning and neurodevelopmental disorders in early childhood: a prospective population-based study.

D Louise Otterman, M Elisabeth Koopman-Verhoeff, Tonya J White, Henning Tiemeier, Koen Bolhuis, Pauline W Jansen

Abstract read
In one paragraph

Article in Child and adolescent psychiatry and mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Longitudinally Predicting Behavioral Challenges From Executive Functioning in Youth With Down Syndrome.American journal on intellectual and developmental disabilities · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

D Louise Otterman1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.
M Elisabeth Koopman-Verhoeff1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.
Tonya J White1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.
Henning Tiemeier1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.
Koen Bolhuis1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.
Pauline W Jansen1Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC-University Medical Center-Sophia Children's Hospital, Wytemaweg 80, 3000 CA Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExecutive functioning deficits are common in children with neurodevelopmental disorders. However, prior research mainly focused on clinical populations employing cross-sectional designs, impeding conclusions on temporal neurodevelopmental pathways. Here, we examined the prospective association of executive functioning with subsequent autism spectrum disorder (ASD) traits and attention-deficit/hyperactivity disorder (ADHD) traits.

methodsThis study included young children from the Generation R Study, a general population birth cohort. The Brief Rating Inventory of Executive Function-Preschool Version was used to assess parent-reported behavioral executive functioning when the children were 4 years old. ASD traits were assessed at age 6 (n = 3938) using the parent-reported Social Responsiveness Scale. The Teacher Report Form was used to assess ADHD traits at age 7 (n = 2749). Children with high scores were screened to determine possible clinical ASD or ADHD diagnoses. We were able to confirm an ASD diagnosis for n = 56 children by retrieving their medical records and established an ADHD diagnosis for n = 194 children using the Diagnostic Interview Schedule for Children-Young Child version (DISC-YC). Data were analyzed using hierarchical linear and logistic regressions.

resultsImpaired executive functioning was associated with more ASD and ADHD traits across informants (for ASD traits and diagnoses: β = 0.33, 95% CI [0.30-0.37]; OR = 2.69, 95% CI [1.92-3.77], respectively; for ADHD traits and diagnoses: β = 0.12, 95% CI [0.07-0.16]; OR = 2.32, 95% CI [1.89-2.85], respectively). Deficits in all subdomains were associated with higher levels of ASD traits, whereas only impaired inhibition, working memory, and planning/organization were associated with more ADHD traits.

conclusionsThe findings of the current study suggest a graded association of executive functioning difficulties along the continuum of ASD and ADHD and that problems in executive functioning may be a precursor of ASD and ADHD traits from an early age onwards.

Indexed as

ADHDAutismExecutive functioningLongitudinalPopulation-based

Identifiers

PMID31649749
PMCPMC6805591

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.