Friday, October 11, 2024

Inhibitory control and ADHD

Congrats! You just used your prefrontal cortex (PFC) to decide to read this blog post. The PFC is a crucial part of the brain responsible for decision-making skills. On of the aspects to decision making is inhibitory control (IC). IC is an important aspect of brain function that helps guide us of what to do or not to do.  This skill, which occur in the prefrontal cortex, develops over time.

IC is a key aspect of development in young children. Numerous studies have focused on the importance of IC throughout human life. New research gives us insight into the development of IC from infancy through the toddler stage, which can help us understand where developmental issues may arise. A core issue in ADHD is impaired IC. Research has shown that IC training can help reduce ADHD symptoms. Dr. Ann Bell has recently published research on the importance of IC as we develop from infancy to around four years old. Alongside this, Dr. Meyer has shared findings on how video games can be used to train young people with ADHD, improving their inhibitory control and, in turn, alleviating ADHD symptoms.

In the research article "Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children's early academic skills," Dr. Ann Bell and colleagues examined early brain maturation. Specifically, they focused on the development of IC from infancy to age 4 and its relationship to early academic success. This study used electroencephalography (EEG) to monitor brain activity from infancy to preschool age. The EEG recordings were taken to measure the frontal alpha power of the participants’ resting state. The study found that increased frontal alpha power was associated with better IC in preschool-age children. This research suggests that interventions targeting IC in young children may have benefits for their future academic success.

Students with ADHD often struggle in academic environments. This is because IC is one of the key skills needed for success in the classroom. Current research explores the various ways to improve ADHD symptoms by targeting and training IC skills. By improving IC, these skills can transfer over to classroom performance. One promising form of training involves video games. In a study led by Dr. Meyer and colleagues, the focus was on whether IC training could reduce ADHD symptoms and affect associated neural markers. The study, "Computer-based inhibitory control training in children with Attention-Deficit/Hyperactivity Disorder (ADHD): Evidence for behavioral and neural impact," showed that children who trained using IC-targeted video games improved their IC. The findings suggest that computerized IC training may be a viable adjunct treatment for ADHD, showing promise in reducing inattention symptoms and affecting underlying neural mechanisms linked to inhibitory control. This adds to the growing body of research, offering great promise for the future of ADHD treatment.


Works Cited:

 

Meyer KN, Santillana R, Miller B, Clapp W, Way M, et al. (2020) Computer-based inhibitory control training in children with Attention-Deficit/Hyperactivity Disorder (ADHD): Evidence for behavioral and neural impact. PLOS ONE 15(11): e0241352.  https://doi.org/10.1371/journal.pone.0241352

 

Margaret Whedon, Nicole B. Perry, Martha Ann Bell (2020) Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children’s early academic skills, Brain and Cognition, Volume 146, 2020, 105636, ISSN 0278-2626, https://doi.org/10.1016/j.bandc.2020.105636.

 

Constant Curvature Segments, the Visual System, and Impaired Vision in Olympians


   Over the summer, a familiar event graced the televisions of people globally: the Olympics. Every four years, athletes who dedicated their time and strength to represent their countries compete in various sporting events to earn pride and honor for their countries through medals. Though Olympians are considered physically perfect, many of them have unique variations to their senses and builds that could be either beneficial or detrimental to their athletic performances. However, the human brain is adept at compensating for senses and mechanisms that may not be up to the average – such can be seen in the Olympians with conditions that impair their vision (Davis). Many Olympians have impaired vision, whether it be astigmatism, nearsightedness, farsightedness, a combination of those conditions, or other conditions like strabismus and coloboma (the conditions that Stephen Nodoroscik, USA’s men’s pommel horse specialist, had) (Davis). While many may consider clear vision vital to athletic performance, many Olympians would disagree. For them, the neuroplasticity of their brains compensates for vision impairment by strengthening and drawing from other senses like proprioception, touch, auditory, and vestibular senses (Davis). The brain is able to fill in any gaps that the Olympians confront in their training or sporting events given enough information from the other senses – with, without, or with impaired vision (Davis).

The existence of vision-impaired Olympians creates an interesting conversation with the research done by Dr. Nick Baker, who studies how the visual system perceives and represents shapes. In his multiple-experiment research study “Constant Curvature Segments as Building Blocks of 2D Shape Representation,” Dr. Baker and his fellow researchers sought to elucidate whether or not constant curvature segments were more recognizable over other types of curvature segments (mathematical curvatures, etc.), as Dr. Baker’s research is based on finding if constant curvature segments are the building blocks of image outline recognition or not (e.g. the shape outline of a ball, chair, car, amorphous random shape, etc.) (Baker et al.). In this specific paper, Dr. Baker and his colleagues found that constant curvature segments were easily recognizable over other types of curvatures, supporting the idea that constant curvature segments could be the basis of how the human visual system recognizes outlines of images (Baker et al.). 

As vision gets blurrier depending on the severity of the eye condition, the need to rely on shapes and outlines along with other senses becomes stronger. In a way, the vision-impaired Olympians, depending on their vision conditions, are living examples of the brain’s reliance on constant curvatures to help in the perception of their surroundings. One athlete, Becky Sauerbrunn of the US soccer team, reported that she could recognize a person by their running gait (Davis). If not for the constant curvatures that outline a person’s running gait, it is possible to assume that Sauerbrunn would’ve struggled more to recognize that person. Additionally, it would be an interesting avenue of research to see whether or not the visualization that these vision-impaired Olympians use in their training (Davis) utilizes constant curvatures – if the brain regions that activate when exposed to constant curvatures are the same regions that activate in a vision-impaired olympian’s brain during a visualization session. While Dr. Baker’s research may not completely apply to how vision-impaired Olympians engage in their athletic performances, it is interesting to outline possible connections between this scientific research and a real-world application.


Baker, Nicholas, et al. “Constant curvature segments as building blocks of 2D shape 

    representation.” Journal of Experimental Psychology: General, vol. 150, no. 8, Aug. 

    2021, pp. 1556–1580, https://doi.org/10.1037/xge0001007. 

Davis, Maya. “These Vision-Impaired Olympic Stars Rely on a ‘sixth Sense’ When They 

    Compete.” CNN, Cable News Network, 5 Aug.

    2024, www.cnn.com/2024/08/04/health/olympics-athletes-vision-stephen-nedoroscik/index.htm

    l.



Discovery; a Future in our Understanding of Hepsins role in Nonsyndromic Hearing Loss

    As a scientist, it is easy to fall into the habit of looking at data with an end goal in mind. Strictly trying to prove or disprove a hypothesis, one may become selective in evaluating the outcomes of their work. When experimenting with something as complex as a genome, a researcher must be open to questioning the phenotypes that result from their manipulations, regardless of whether they immediately correspond to their predictions. In the case of Dr. Wei-Ming Yu and colleagues, their committed and observant perspective enabled them to look outside the bounds of their current research, and notice an unanticipated phenotype: partial cohort deafness. This observation allowed them to be the first to understand Hepsins’ role in the structural organization and development of the Tectorial Membrane, and ultimately, one's ability to hear. 


Inspired by the observation that a knockout mouse cohort lacking TMPRSS1/hepsin (hepsin) displayed severe hearing loss, Dr. Yu questioned hepsin’s contribution to developing auditory complexes. A major structure responsible for the conversion of mechanical stimulation into electrical is the Tectorial Membrane (TM). This structure is primarily composed of both collagenous and noncollagenous glycoproteins. The noncollagenous glycoproteins alpha tectorin  (TECTA) and beta tectorin (TECTB) were coexpressed with hepsin because they function as crosslinks between TM fibers. They are necessary components of the membrane's compact structure and if disrupted can lead to an inability to hear. Additionally, TECTA and TECTB contain Zona Pellucida (ZP) domains, which are essential to these proteins' polymerization; a process notably facilitated by hepsin: Dr. Yu’s protein of interest. Based on this information, one can theorize that if the expression of hepsin is disrupted or removed, the subsequent production of these glycoproteins would be deficient and lead to a structurally hindered tectorial membrane. To test this, Dr. Yu developed three transgenic mouse lines, all of which were crossed with a hepsin knockout cohort. The tectorial membrane in the initial hepsin knockout cohort was enlarged, perforated, and separated from the anchoring spiral limbus. The hearing threshold in this cohort was severely increased compared to the Wild-Type cohort, meaning their ability to register sound was greatly impaired. The first line, TgRS;KO, expresses a protease-dead mutant of human hepsin, its resulting phenotypic changes were non-functional in terms of restoring the structure of the TM, and its hearing threshold remained high. It is interesting to note that although this line was nonfunctional, it displayed the greatest rate of hepsin expression among the three lines. The second line,Tg5;KO, contained a lower expression of hepsin, and as such did not replenish the production of the tectorins or the structure of the TM. The final line, Tg68;KO, contained a higher expression of hepsin as well as an incomplete restoration of proteins TECTA and TECTB. This line displays a more structurally sound Tectorial Membrane that is partially attached to the spiral limbus. These structural changes may contribute to this line's decreased hearing threshold. Dr. Yu’s results suggest that the reintroduction of human hepsin could partially restore hearing, but that still leaves one to question: what else is necessary for complete auditory restoration?

A recent paper focused on genetic counseling against variants in a different transmembrane serine protease, TMPRSS3. This research assessed how cochlear implants assisted human participants who suffered from autosomal recessive non-syndromic hearing loss. These patients presented both congenital and late-onset hearing loss and this mutated variant resulted in restricted hearing at higher frequencies. This variant causes structural changes to the cochlear ear cells, which may be a key factor in the participants’ loss of hearing. By directly stimulating the auditory nerve and bypassing any damaged structures, the cochlear implants (CI) used in this study offered a positive impact on the patients. On average, the participants who received the CI counseling reported an increase in hearing. 


Although there is a gap in the field regarding humans with diminished or non-existent TMPRSS1 expression, the idea that cochlear implants could bypass structural malformations suggests that individuals with partially attached Tectorial Membranes may benefit from this auditory therapy. However, this potential hearing restoration may only be applicable to individuals with partially attached TM. If it is determined at a pre-embryonic state that the offspring will present completely detached TM, early genetic intervention will likely be necessary, as proposed by Dr. Yu. These two therapies working in concert offer a foundation for future studies regarding restoring hearing to those deficient in hepsin/TMPRSS1.



Guipponi, M., Molina, F., Fasquelle, L., Nouvian, R., Salvetat, N., Scott, H. S., Puel, J. L., & Delprat, B. (2002). Tmprss3 loss of function impairs cochlear inner hair cell Kcnma1 channel membrane expression. Human Molecular Genetics, 22(7), 1289-1299. https://doi.org/10.1093/hmg/dds532


Moon, I. S., Grant, A. R., Sagi, V., Rehm, H. L., & Stankovic, K. M. (2021). TMPRSS3 Gene Variants With Implications for Auditory Treatment and Counseling. Frontiers in Genetics, 12, 780874. https://doi.org/10.3389/fgene.2021.780874


Yu, Wei-Ming. (2024). Critical role of hepsin/TMPRSS1 in hearing and tectorial membrane morphogenesis: insights from transgenic mouse models.


Face-to-Screen: Linking Inhibitory Control Development and Screen Time




The pre-frontal cortex (PFC), the part of our brain usually associated with executive function, also has connections to inhibitory control (IC). During the first couple of years of life, the PFC develops the ability of IC as it matures. IC is the capacity to self-regulate certain behaviors that would be considered inappropriate due to the circumstance or environment. The development of IC is important during the first few years of life since children typically begin preschool, which is a new setting for children to adjust to. Since IC plays a significant role in classroom behavior and school transitions, increased capacity for IC has been associated with higher academic achievement and learning outcomes. In the classroom, children who have difficulty waiting for their turn in line or children who are hyper and excited all the time are examples of potentially having lower IC. 

While environmental factors, such as caregiving, can also affect IC, research reflects that IC's ability largely depends on the functional capacity of the PFC. In Dr. Bell’s research study, electroencephalogram (EEG) activity during rest from the ages of 10 months to 4 years old was measured. For IC and academic capability, the amount of change in frontal alpha power at age 4 could be used as a predictor for these abilities, as well as an association of better results on the Woodcock-Johnson math and reading tests at age 6. These changes in EEG also reflected in vocabulary abilities at age 4, but they were unable to be found in association with other academic skills. Yet, IC and PFC development is still linked to language ability and development.

As technology has become increasingly accessible, children have been exposed to more screen time than ever before. The term, “technoference,” which is a combination of the words “technology” and “interference” has become actualized in child and caregiver relationships. There has been a relationship found between toddlers with high levels of screen time having fewer conversations (including listening, speaking, and back-and-forth dialogue) with their caregivers. While technology (especially social media algorithms and on-demand media) has shown alterations to the capacity of IC, these results show an additional decrease in language exposure, face-to-face interactions, and social interactions. Since IC development is linked to environmental factors, such as caregiving, as well as language ability, the increased usage of screens does not promote IC abilities, which also can lead to difficulty educationally in the future. 

To remedy some of the negative effects of screen time in children, it is beneficial to limit screen time, as some of the most significant decreases in words spoken and vocalizations was at 3 years old with an average of 2 hours 52 minutes of screen time daily. By being mindful of what is shown to children and what media they are exposed to, as well as reducing screen time and encouraging face-to-face interactions, these negative effects to IC due to screen exposure can be mitigated.


By: Thérèse Giannini


References 


Baumgaertner, E. (2024). More Screen Time Means Less Parent-Child Talk, Study Finds. New York Times. https://www.nytimes.com/2024/03/04/health/children-screen-time.html 


Whedon, M., Perry, N. B., & Bell, M.A. (2020). Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children’s early academic skills. Brain and Cognition, 146. https://doi.org/10.1016/j.bandc.2020.105636.

 


From Silence to Sound: The Advances in Gene Therapy for Hearing Loss

Imagine living in a world where the hum of a gentle breeze, the laughter of your friends, and the catchy beat of your favorite songs are suddenly silenced. For millions living with genetic hearing loss this is not a shocking imagination but a disorienting reality. Yet, on the illustrious horizon of neuroscience research a murmur of hope is growing louder. Recent breakthroughs in gene therapy are promising to rewrite the cacophony of silence aiming to potentially restore the prized gift of sound to those living in a muted world.



Earlier this semester, during Dr. Yu’s talk on his new upcoming article “Critical role of hepsin/TMPRSS1 in hearing and tectorial membrane morphogenesis: insights from transgenic mouse models,” we were introduced to intriguing potential of targeting specific proteases within the TMPRSS family to better understand and combat hearing loss, specifically the hepsin/TMPRSS1 protease. Dr. Yu's research underscored how hepsin/TMPRSS1 mutations are linked to non-syndromic hearing loss as these mutations result in severe hearing loss and abnormal tectorial membrane structure development in mouse models. His findings, particularly those depicting partially restored auditory function and partially restored tectorial membrane structure in transgenic mice with wild type human hepsin, point to exciting possibilities for gene therapies aimed at non-syndromic hearing loss given that hearing loss is such a prevalent sensory deficit especially due to genetic mutations within the human population.



While Dr. Yu's work focused on a specific protease (TMPRSS1), it raises important questions about the broader potential of gene therapy in addressing hearing loss. A recent press release from Regeneron Pharmaceuticals back in May provides a complementary perspective, showcasing how quickly the field of hearing loss gene therapy is steadfastly advancing. In May 2024, Regeneron Pharmaceuticals announced promising results from its currently ongoing Phase 1/2 CHORD trial of DB-OTO which is a gene therapy for Otoferlin-Related Genetic Deafness. In the DB-OTO trial, a child who was dosed at the age of 11 months experienced significant hearing improvements and reached normal hearing levels within a time frame of 24 weeks while another child who was dosed at 4 years old displayed hearing improvements after a time frame of  6 weeks. Regeneron Pharmaceuticals report that both children were born with acute genetic deafness due to otoferlin gene mutations and remark that the therapy was delivered via a single intracochlear injection in conjunction with stating that the children’s hearing improvements were measured using pure tone audiometry (PTA) and auditory brainstem response (ABR) with both methods depicting notable gains in regards to the childrens’ improved auditory function.



Dr. Yu's research on Hepsin/TMPRSS1 and the DB-OTO clinical trial done by Regeneron Pharmaceuticals both emphasize the critical role that specific key genes play in auditory function. While Dr. Yu's work primarily focuses on a protease that affects the tectorial membrane (TMPRSS1), the DB-OTO gene therapy targets the Otoferlin gene which is essential for the correct functioning of hair cells located within the inner ear. This concurrent exploration of different research avenues underscores a crucial point, that genetic hearing deficits can arise unpredictably from different genetic mutations. As a result, developing successful therapies may necessitate a comprehensive, multifaceted approach. The DB-OTO clinical trial represents a large step forward in the right direction in regards to translating genetic research (like that of Dr. Yu’s) into potential medical treatments for hearing loss. Despite the DB-OTO clinical trial addressing one specific form of genetic hearing loss, it is imperative to understand that this approach towards the Otoferlin gene could pave the way for similar genetic therapies targeting other genes, including those such as TMPRSS1 within the TMPRSS family that Dr. Yu discussed. The DB-OTO clinical trial offers valuable insights as it suggests that while focusing on individual genes can lead to targeted therapies towards one specific mutation, ultimately, a comprehensive approach may be necessary to address the diverse genetic causes of hearing loss.



The combination of basic scientific research such as Dr. Yu's work on hepsin/TMPRSS1 and clinical trial advancements such as the DB-OTO trial paint an exciting picture for the future of genetic hearing loss treatments. As the understanding of the genetic intricacies of hearing loss continues to amass, so does the ability to develop targeted therapies towards genetic hearing loss. 

While it is still too early to say whether future gene therapies should focus on specific common genetic mutations or target multiple genes simultaneously, the progress that is being made in the literature underscores that both approaches may have their vital place within the realm of medicine. As we eagerly await the results of the ongoing DB-OTO trial and follow the concurrent research into genes like TMPRSS1 or Otoferlin, one thing is evident. We are now entering into a golden age in the treatment of genetic hearing loss, one that holds immense hope for millions of people globally.







References:  


Yu, W.-M., Lin, S.-W., Chung, F.-L., Liu, T.-C., Wu, C.-C., Pan, J.-Y., Chen, L.-F., Yen, A. C. C., Fang, M.-C., Hung, C.-J., Yeh, P., Hsu, Y.-C., & Yang, T.-H. (2024). Critical role of hepsin/TMPRSS1 in hearing and tectorial membrane morphogenesis: insights from transgenic mouse models. ms, Chicago. 


Regeneron Pharmaceuticals, Inc. (2024, May 8). Latest DB-OTO Results Show Dramatically Improved Hearing To Normal Levels In A Child With Profound Genetic Deafness Within 24 Weeks And Initial Hearing Improvements In A Second Child At 6 Weeks. Regeneron Pharmaceuticals. https://investor.regeneron.com/news-releases/news-release-details/latest-db-oto-results-show-dramatically-improved-hearing-normal 


The Relationship Between Screen Time and Developmental Delays at 4 Years of Age.

    Past work, such as that done by Dr. Martha Ann Bell, has shown the importance of prefrontal cortex development in brain maturation and adolescent academic achievement. Dr. Bell’s research has primarily used data from a longitudinal cohort study of 410 typically developing children. In the 2020 article, Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children’s early academic skills, only data from 364 participants is used for analysis due to the exclusion of other participants. 

    Additionally, research, including work done by Takahashi and colleagues, has shown developmental delays in tasks related to prefrontal cortex functioning, such as abilities in problem solving tasks, due to increased screen time in childhood. The participants in this study came from the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study, with 7097 child/mother pairs being in the analysis in the article, Screen Time at Age 1 Year and Communication and Problem-Solving Developmental Delay at 2 and 4 years. The participants were all considered typically-developing. This study measured screen time at one year through a self-measure from the mother on how many hours of screen time a child was allowed on a typical day, and sorted into five response categories: no screen time, less than one hour, one to two hours, two to four hours, or over four hours of screen time a day. This study measured child development using the Ages & Stages Questionnaires, Third Edition (ASQ-3). Parents completed the questionnaire, and were questioned about child development at ages 2 and 4. 

    The Takahashi study found that there was an association between longer screen time at age one and developmental delays (specifically in communication and problem-solving) at both two and four years. Additionally, though not reported as a major finding, Takahashi and colleagues found that increased screen time at one year of age was associated with delays in fine motor and social skills in two years but not four years. Furthermore, the developmental delays found at both two and four years were most significant when more than four hours of screen time a day was reported at one year of age. 

    Altogether, while the Takahashi study does not use EEG data like Dr. Bell’s work, the fact that both studies look at development as a process, and the fact that both studies use longitudinal, cohort data for analysis makes the studies comparable. 

References

Takahashi, I., Obara, T., Ishikuro, M., Murakami, K., Ueno, F., Noda, A., Onuma, T., Shinoda, G., Nishimura, T., Tsuchiya, K. J., Kuriyama, S. (2023). Screen time at age 1 year and communication and problem-solving developmental delay at 2 and 4 years. JAMA Pediatr. 177(10), 1039-1046. https://doi.org/10.1001/jamapediatrics.2023.3057 

Whedon, M., Perry, N. B., & Bell, M. A. (2020). Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children's early academic skills. Brain and cognition, 146, 105636. https://doi.org/10.1016/j.bandc.2020.105636


Early Childhood Development and the Full Potential for Academic Success

It is generally accepted that the first few years of a child’s life are the tender, crucial phase of maturation for the rest of their lives. Neurogenesis and synaptic plasticity influence a child’s cognitive and other developmental skills, which are vital to their functions into adolescence and adulthood. Such phenomena occur within several brain regions as the child develops and matures, such as the prefrontal cortex with inhibitory control, resulting in a steady increase in skill proficiency and learning acquisition in domains such as academics, where a child may thrive dependent on their development. Early academic nurturing and achievement are ideal scenarios for a child’s future educational success and, as such, are viewed as critical areas of concern as they grow older. To evaluate the components of a child’s inclination to academic success, electroencephalography (EEG) may be used to measure and assess the neurodevelopment of cognitive and social skills. In an article titled “Relations between frontal EEG maturation and Inhibitory Control in Preschool in the prediction of children’s early academic skills” by Dr. Martha Ann Bell et al., the study employed EEG to measure a child’s resting state electroencephalogram activity from increases in frontal alpha power and its correlation to the development of inhibitory control, which is responsible for the ability to withdraw from engaging in impulsive or inappropriate behavior: factors important for acquiring skills in mathematics and reading. In a similar article by Dr. Supriya Bhavnani et al., titled “EEG signatures of cognitive and social development of preschool children–a systematic review,” the study underwent an alternative approach with EEG to measure the cognitive and social skills of children as they develop executive function, learning, memory, and the influences of age, gender, and socioeconomic status. To be able to determine the neurodevelopmental facilities of a child is an outstanding achievement, as it may allow future research to create interventions for those at risk for difficulties in academics due to a variety of factors, such as ADHD, giving hope to those to not be defined nor constrained by their dispositions beyond their control.

Dr. Bell’s research delved into the correlations between prefrontal cortex maturation and inhibitory control. It had been established that between the ages of 10 months and 3 years, prefrontal cortex maturation was observed through substantial increases in frontal alpha power, consistent with the cyclical periods of neurogenesis and synaptic pruning at this age range. The study also found that the resting frontal alpha power was positively correlated to inhibitory control; in further observation, Dr. Bell’s study concluded that children who demonstrate higher increases in frontal alpha power, or prefrontal maturation, often had higher inhibitory control once they were around 4 years old, the milestone when prefrontal cortex maturation declined in power values. The greater the values at age milestones, such as higher frontal alpha power from 10 months to 4 years, the greater the linguistic acquisition and comprehension, and by extension, skills in mathematics and reading. Interestingly enough, in the seminar featuring Dr. Bell, she explained that children with lower EEG alpha power values were later diagnosed with ADHD or other symptoms of ASD post-EEG examination, indicating that there is perhaps a biomarker in determining the likelihood for atypical neural development. While the research shows strong promise for determining the academic affinity in preschool and perhaps beyond from the developmental years of the age of a toddler to early childhood, Dr. Bell explains that limitations of early temperament, a parent’s education, and other socioeconomic factors were not necessarily accounted for in determining the maturation of their child. 

In a separate collaborative study by Dr. Supriya Bhavnani et al., they were also interested in the academic potential of preschool children and the risks they may be vulnerable to as they mature, resulting from factors like age, gender, and socioeconomic circumstances. In this review, alpha power in the medial frontal region was also a component of EEG and event-related potential (ERP, or the brain response to a sensory, cognitive, or motor event that retrieves data from EEG recordings), providing insight into the measurement of tasks involving cognitive and social development. Like Dr. Bell’s study, this review found that age 4 was where strides in cognition, precisely executive function, excelled when experiencing rates of high maturation. Aside from EEGs, the study utilized a comprehensive series of tasks and stimuli to evaluate the cognition and social development of children aged 2-5 years, which shares a similar overlap with the age ranges of children in Dr. Bell’s experiment. After the investigation, the results of this study indirectly reinforce Dr. Bell’s findings and address the limitations of “Relations between frontal EEG maturation and Inhibitory Control in Preschool in the prediction of children’s early academic skills.”

The study by Dr. Bhavanani et al. observed developmental changes across the aims of age, gender, and socioeconomic status from cross-sectional EEG data from various age ranges. This notes the non-linear shift in maturation as the brain develops, with varying EEG markers reflecting changes in maturation and the growth of cognitive abilities with age. One study noted that there were no significant associations due to gender differences, thus ruling out gender as a contributing factor to cognition and social development, especially to academic success. Those that have high LPP (Late Positive Potential, a biomarker for emotional development) have demonstrated higher emotional self-regulation later in life, thus showing the factor in determining socio-emotional development. As for socioeconomic status differences, large amplitudes in delays within tasks such as auditory attention, executive function, and social-emotional stimuli reception were observed in low-SES children compared to high-SES, yet no observable differences were seen in other cognition tasks. The study explains its limitations in the inability to honestly evaluate the scope of SES but speculates that other studies show that low SES may correlate to delayed resting state and frontal lobe maturation, thus affecting inhibition control and academic success. In regards to social development, children, as they grow, become more receptive to positive and negative emotional and facial stimuli. As a whole, this study seeks to improve and access children who are at high risk for developing hurdles later in life in the pursuit of education to ensure they reach their full potential. However, more data and harmonization of future studies are required to thoroughly investigate the risk factors present in children across age, gender, and SES to properly create interventions.

Ultimately, both studies highlight a key concern and hope for the future for the next generation of children. With the intent to recognize and discern the variables that contribute and implicate facets of academic success rooted in cognition, social skills, and other factors related to growth, each study focuses on its own perspective through the usage of EEG to evaluate and assess children. Dr. Bell’s and Dr. Bhavnani’s research advocates for further empirical support of resources to help contribute to the maturation of a child’s vulnerable and inquisitive mind. In doing so, these children may achieve better academic performance and success in various ways later in life.

References:

Bhavnani, S., Lockwood Estrin, G., Haartsen, R., Jensen, S. K. G., Gliga, T., Patel, V., & Johnson, M. H. (2021). EEG signatures of cognitive and social development of preschool children-a systematic review. PloS one, 16(2), e0247223. https://doi.org/10.1371/journal.pone.0247223


Whedon, M., Perry, N. B., & Bell, M. A. (2020). Relations between frontal EEG maturation and inhibitory control in preschool in the prediction of children's early academic skills. Brain and cognition, 146, 105636. https://doi.org/10.1016/j.bandc.2020.105636