Executive functions and mental health in students during COVID-19 pandemic

Authors

  • Ana Paula Soares de Campos Universidade Presbiteriana Mackenzie
  • Alessandra Gotuzo Seabra Universidade Presbiteriana Mackenzie
  • Luiz Renato Rodrigues Carreiro Universidade Presbiteriana Mackenzie

DOI:

https://doi.org/10.51207/2179-4057.20230014

Keywords:

Executive Functions, Mental Health, Behavior, Childhood, COVID-19

Abstract

Executive functions (EF) are a set of higher-order cognitive processes that regulate thoughts, emotions, and actions. Adequate EF are required to deal with unexpected changes in daily routines, such as those that occurred because of the COVID-19 pandemic and maintain healthy emotional and behavioral regulation. This study analyzed the EF and mental health of grade 3 to 5 schoolchildren (8-9 years old) before and during the COVID-19 pandemic in Brazil and sought to identify any variations and correlations between these two factors. Parents of students completed the Strengths and Difficulties Questionnaire (SDQ) for emotional and behavioral screening, and the Inventory of Difficulties in Executive Functions, Regulation, and Delay Aversion for children (IFERA-I) to evaluate EF. The Wilcoxon test for paired samples was used to compare the differences between the variables before and during the pandemic and revealed problems in EF (inhibitory control: Z=-1.967; p=0.049; working memory: Z=-2.476; p=0.013; regulation: Z=-2.521; p=0.012) and in respect of the emotional symptoms’ subscale of the SDQ (Z=-2.392; p=0.17). Using Spearman’s correlation, significant associations were observed between worse mental health in children and greater problems with EF. There was a statistically significant positive correlation between the emotional symptoms scale in the SDQ and problems with cognitive flexibility (ρ=0.600; p=0.002) and delay aversion (ρ=0.398; p=0.054) identified by the IFERA-I. Our results highlight the need for the implementation of appropriate public policies that enable schools to stimulate the development of EF abilities to protect the mental health of children.

Downloads

Download data is not yet available.

References

Ahmed, S. F., Tang, S., Waters, N. E., & Davis-Kean, P. (2019). Executive function and academic achievement: longitudinal relations from early childhood to adolescence. Journal of Educational Psychology, 111(3), 446-458. https://doi.org/10.1037/edu0000296

Azevedo, J. P., Hasan, A., Goldemberg, D., Iqbal, S. A. & Geven, K. (2020). Simulating the potential impacts of COVID-19 school closures on schooling and learning outcomes: a set of global estimates. Policy Research Working Paper: nº 9284. World Bank. http://hdl.handle.net/10986/33945

Baron, E. J., Goldstein, E. G. & Wallace, C. T. (2020). Suffering in silence: how COVID-19 school closures inhibit the reporting of child maltreatment. Journal of Public Economics, 190, 104258. https://doi.org/10.1016/j.jpubeco.2020.104258

Bilar, J. A., Bulhões, C. S. G., Sette, G. C. S., Perrelli, J., G. A., Soares, A. K. F., & Lima, A. P. E. (2022). Saúde mental de crianças na pandemia da COVID-19: revisão integrativa. REME-Revista Mineira de Enfermagem, 26, e-145. https://doi.org/10.35699/2316-9389.2022.37693

Blair, C. (2017). Educating executive function. Wiley interdisciplinary reviews. Cognitive science, 8(12), 10.1002/wcs.1403. https://doi.org/10.1002/wcs.1403

Bodrova, E., & Leong, D. J. (2007). Tools of the Mind: the vygotskian approach to early childhood education. Merrill / Prentice Hall.

Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: a rapid review of the evidence. Lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8

Cardoso, C. O. & Fonseca, R. P. (2016). PENSE: programa de estimulação neuropsicológica da cognição em escolares – ênfase nas funções executivas. Book Toy.

Carvalho, C. F. (2017). Programa de estimulação das funções executivas: contribuições para o desenvolvimento cognitivo de crianças em situação de vulnerabilidade e expostas ao manganês. [Tese de doutorado em psicologia, Universidade Federal da Bahia]. https://repositorio.ufba.br/handle/ri/25658

Chan, R. C. K, Shum, D., Toulopoulou, T. & Chen, E. Y. H. (2008). Assessment of executive functions: review of instruments and identification of critical issues. Archives of Clinical Neuropsychology, 23(2), 201-216. https://doi.org/10.1016/j.acn.2007.08.010

Christoffel, M. M., Gomes, A. L. M., Souza, T. V. De, & Ciuffo, L. L. (2020). A (in)visibilidade da criança em vulnerabilidade social e o impacto do novo coronavírus (COVID19). Revista Brasileira de Enfermagem, 73 (Suppl 2), e20200302. https://doi.org/10.1590/0034-7167-2020-0302

Dawson, P., & Guare, R. (2010). Executive skills in children and adolescents: a practical guide to assessment and intervention. (2nd ed.). Guildford Press.

Dawson, P. (2021). Helping children and teens strengthen executive skills to reach their full potential. Archives of Clinical Neuropsychology, 36(7), 1279-282. https://doi.org/10.1093/arclin/acab057

Dias, N. M. & Seabra, A. G. (2013). Programa de intervenção em autorregulação e funções executivas – PIAFEX. Memmon.

Dias, N. M., & Malloy-Diniz, L. F. (2020). Funções Executivas Modelos e Aplicações. Coleção Neuropsicologia na prática clínica. Pearson Clinical Brasil.

Diamond, A. (2013). Executive functions. Annual Review Psychology, 64, 135-168. https://doi.org/10.1146/annurev-psych-113011-143750

Diamond, A., & Ling, D. S. (2019). Review of the evidence on, and fundamental questions surrounding, efforts to improve executive functions, including working memory. (pp. 1-169). University of British Columbia. https://doi.10.1093/oso/9780199974467.003.0008

Donida, G. C. C., Pavoni, R. F., Sangalette, B. S., Tabaquim, M. D. L. M., & Toledo, G. L. (2021). Impacto do distanciamento social na saúde mental em tempos de pandemia da COVID-19. Brazilian Journal of Health Review, 4(2), 9201-9218. https://doi.org/10.34119/bjhrv4n2-422

Engzell, P., Frey, A., & Verhagen, M. D. (2021). Learning loss due to school closures during the Covid-19 pandemic. Proceedings of the National Academy of Sciences of the United States of America, 118(17), e2022376118. https://doi.org/10.1073/pnas.202237611

Fonseca, R. P., Sganzerla, G. C., & Enéas, L. V. (2020). Fechamento das escolas na pandemia de COVID-19: impacto socioemocional, cognitivo e de aprendizagem. Revista Debates em Psiquiatria, 10(4), 28-37. https://doi.org/10.25118/2763-9037.2020.v10.23

Golberstein, E., Wen, H., & Miller, B. F. (2020). Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. JAMA Pediatrics, 174(9), 819-820. https://doi:10.1001/jamapediatrics.2020.1456

Gonçalves, J. O., Miranda, M. F. O., & Gonçalves, E. (2020). Uma reflexão sobre a parceria da família e escola em tempos de COVID-19: aspectos pedagógicos, econômicos e jurídicos. Revista Científica Multidisciplinar Núcleo do Conhecimento, 11(6), 141-154. https://10.32749/nucleodoconhecimento.com.br/educacao/economicos-e-juridicos

Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, and Psychiatry, and Allied Disciplines, 38(5), 581-586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x

Grewenig, E., Lergetporer, P., Werner, K., Woessmann, L., & Zierow, L. (2021). COVID-19 and educational inequality: how school closures affect low-and high-Achieving students. European Economic Review, 140, 103920. https://doi.org/10.1016/j.euroecorev.2021.103920

He, S., Shuai, L., Wang, Z., Qiu, M., Wilson, A., Xia, W., Cao, X., Lu, L., & Zhang, J. (2021). Online learning performances of children and adolescents with attention deficit hyperactivity disorder during the COVID-19 pandemic. Inquiry: a Journal of Medical Care Organization, Provision, and Financing, 58, 469580211049065. https://doi.org/10.1177/00469580211049065

Hendry, A., Gibson, S. P., Davies, C., McGillion, M., & Gonzalez-Gomez, N. (2022). Toward a dimensional model of risk and protective factors influencing children’s early cognitive, social, and emotional development during the COVID-19 pandemic. Infancy, 28(1), 158-186. https://doi.org/10.1111/infa.12495

Instituto Península. (2020). Sentimento e percepção dos professores brasileiros nos diferentes estágios de Coronavírus. https://institutopeninsula.org.br/pesquisa-sentimento-e-percepcao-dos-professores-nos-diferentes-estagios-do-coronavirus-no-brasil

Korucu, I., Ayturk, E., Finders, J. K., Schnur, G., Bailey, C. S., Tominey, S. L., & Schmitt, S. A. (2022). Self-regulation in preschool: examining its factor structure and associations with pre-academic skills and social-emotional competence. Frontiers in Psychology, 12, 717317. https://doi.org/10.3389/fpsyg.2021.717317

Kuhfeld, M., Soland, J., Tarasawa, B., Johnson, A., Ruzek, E., & Liu, J. (2020). Projecting the potential impacts of COVID-19 school closures on academic achievement. Educational Researcher, 49(8), 549-565. https://doi.org/10.3102/0013189X20965918

Lavigne-Cerván, R., Costa-López, B., Juárez-Ruiz de Mier, R., Real-Fernández, M., Sánchez-Muñoz de León, M., & Navarro-Soria, I. (2021). Consequences of COVID-19 confinement on anxiety, sleep and executive functions of children and adolescents in Spain. Frontiers in Psychology, 12, 565516. https://doi.org/10.3389/fpsyg.2021.565516

León, C. B. R. (2018). Programa de Intervenção para Promoção de Autorregulação (PIPA): Desenvolvimento e efetividade em crianças pré-escolares. [Tese de doutorado em Distúrbios do Desenvolvimento da Universidade Presbiteriana Mackenzie de São Paulo]. https://dspace.mackenzie.br/bitstream/handle/10899/24568/Camila%20Barbosa%20Ricardi%20Le%C3%B3n.pdf?sequence=1&isAllowed=y

Linhares, M. B. M., & Enumo, S. R. F. (2020). Reflexões baseadas na Psicologia sobre efeitos da pandemia COVID-19 no desenvolvimento infantil. Estudos de Psicologia, 37, e200089. https://doi.org/10.1590/1982-0275202037e200089

Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., Linney, C., Mcmanus, M. N., Borwick, C., & Crawley, E. (2020). Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. Journal of the American Academy of Child and Adolescent Psychiatry, 59(11), 1218-1239. https://doi.org/10.1016/j.jaac.2020.05.009

Mattar J., Hamaidi D., & Al Anati J. (2020). Emotion regulation and its relationship to academic difficulties among Jordanian first-grade students. Early Child Development and Care, 190(7), 1313-1322. https://doi.org/10.1080/03004430.2018.1534842

Meltzer, L. (2010). Promoting executive function in the classroom. The Guilford Press.

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(1), 49-100. https://doi.org/10.1006/cogp.1999.0734

Miyake, A., & Friedman, N. P. (2012). The nature and organization of individual differences in executive functions: four general conclusions. Current Directions in Psychological Science, 21(1), 8-14. https://doi.org/10.1177/0963721411429458

Newlove-Delgado, T., Mcmanus, S., Sadler, K., Thandi, S.V., & Cartright, C. (2021). Child mental health in England before and during the COVID-19 lockdown. The Lancet Psychiatry, 8(5), 353-354. https://doi.org/10.1016/S2215-0366(20)30570-8

Nichols, D. L. (2022). The context of background TV exposure and children’s executive functioning. Pediatric Research, 92(4), 1168-1174. https://doi.org/10.1038/s41390-021-01916-6

Oliveira, J. B. A., Gomes, M., & Barcellos, T. A (2020). Covid – 19 e a volta às aulas ouvindo as evidências. Ensaio Avaliação e Políticas Públicas em Educação, 28(108), 555-578. https://doi.org/10.1590/S0104-40362020002802885

Pereda, N., & Diaz-Faes, D. A. (2020). Family violence against children in the wake of COVID-19 pandemic: a review of current perspectives and risk factors. Child and Adolescent Psychiatry and Mental Health, 14(40). https://doi.org/10.1186/s13034-020-00347-1

Pericàs, J. M., Hernandez-Meneses, M., Sheahan, T. P., Quintana, E., Ambrosioni, J., Sandoval, E., Falces, C., Marcos, M. A., Tuset, M., Vilella, A., Moreno, A., & Miro, J. M. (2020). Hospital clínic cardiovascular infections study group. Covid-19: epidemiology to treatment. European Heart Journal, 41(22), 2092-2112. https://doi.org/10.1093/eurheartj/ehaa462

Ribner, A. D., Willoughby, M.T., & Blair, C.B. (2017). Executive function buffers the association between early math and later academic skills. Frontiers in Psychology, 8, 869. https://doi.org/10.3389/fpsyg.2017.00869

Robson, D. A., Allen, M. S., & Howard, S. J. (2020). Self-regulation in childhood as a predictor of future outcomes: a meta-analytic review. Psychological Bulletin, 146(4), 324-354. https://doi.org/10.1037/bul0000227

Rosário, P., Núnes, J. C., & Gonzáles-Pienda, J. (2007). Autorregulação em crianças sub10: projecto sarilhos do amarelo. Porto Editora.

Saur, A. M., & Loureiro, S. R. (2012). Qualidades psicométricas do questionário de capacidades e dificuldades: revisão da literatura. Estudos de Psicologia, 29(4), 619-629. https://doi.org/10.1590/S0103-166X2012000400016

Seabra, A. G., Reppold, C. T., Dias, N. M., & Pedron, A. C. (2014). Modelos de funções executivas. In A. G. Seabra, J. A. Laros, E. C. Macedo & N. Abreu (Eds.), Inteligência e funções executivas: avanços e desafios para a avaliação neuropsicológica (pp. 41-55). Memnon.

da Silva Moreira, A. F., & Passig da Silva, L. D. (2020). Saúde Mental Infantil no Contexto da Pandemia de COVID-19. Psicologia da Saúde e Processos Clínicos, 1(1), 1-8. https://koan.emnuvens.com.br/psisaude/article/view/15

Smithers, L. G., Sawyer, A., Chittleborough, C. R., Davies, N. M., Davey Smith, G., & Lynch, J. W. (2018). A systematic review and meta-analysis of effects of early life non-cognitive skills on academic, psychosocial, cognitive, and health outcomes. Nature Human Behaviour, 2(11), 867-880. https://doi.org/10.1038/s41562-018-0461-x

Sociedade Brasileira de Pediatria (SBP). (2021). Repercussões do isolamento social na aprendizagem e no comportamento dos estudantes: desafios a enfrentar. Documento científico: departamento científico. https://www.sbp.com.br/imprensa/detalhe/nid/repercussoes-do-isolamento-social-na-aprendizagem-e-no-comportamento-dos-estudantes-desafios-a-enfrentar/

Sousa, R. P., & Carvalho, D. P. S. R. P. (2020). Evidências científicas sobre fatores que influenciam na aprendizagem escolar em tempos de pandemia da Covid-19. Educação & Linguagem, 7(3), 50-58. https://www.fvj.br/revista/wp-content/uploads/2021/02/5_REdLi_2020.3.pdf

Stivanin, L., Scheuer, C. I., & Assumpção Jr., F. B. (2008). SDQ (Strengths and Difficulties Questionnaire): identificação de características comportamentais de crianças leitoras. Psicologia: Teoria e Pesquisa, 24(4), 407-413. https://doi.org/10.1590/S0102-37722008000400003

Todos Pela Educação (2021). 2º relatório anual de acompanhamento do Educação Já. https://todospelaeducacao.org.br/wordpress/wp-content/uploads/2021/02/2o-Relatorio-Anual-de-Acompanhamento-do-Educacao-Ja_final.pdf

Trevisan, B. T. (2014). Adaptação e desenvolvimento de instrumentos para avaliação de crianças e adolescentes com TDAH, análise de perfil neuropsicológico e relação com desempenho funcional. [Tese de doutorado em distúrbios do desenvolvimento da Universidade Presbiteriana Mackenzie de São Paulo]. https://dspace.mackenzie.br/handle/10899/24532

Wang, G., Zhang, Y., Zhao, J., Zhang, J., & Jiang, F. (2020). Mitigate the effects of home confinement on children during the COVID-19 outbreak. Lancet, 395(10228), 945-947. https://doi.org/10.1016/S0140-6736(20)30547-X

Weintraub, S., Dikmen, S. S., Heaton, R. K., Tulsky, D. S., Zelazo, P. D., Bauer, P. J., Carlozzi, N. E., Slotkin, J., Blitz, D., Wallner-Allen, K., Fox, N. A., Beaumont, J. L., Mungas, D., Nowinski, C. J., Richler, J., Deocampo, J. A., Anderson, J. E., Manly, J. J., Borosh, B., … Gershon, R. C. (2013). Cognition Assessment Using the NIH Toolbox. Neurology, 80(11 Suppl 3), S54-S64. https://doi.org/10.1212/WNL.0b013e3182872ded

Zelazo, P. D., & Carlson, S. M. (2012). Hot and cool executive function in childhood and adolescence: development and plasticity. Child Development Perspectives, 6(4), 354-360. https://doi.org/10.1111/j.1750-8606.2012.00246.x

Zelazo, P. D., Anderson, J. E., Richler, J., Wallner-Allen, K., Beaumont, J. L., & Weintraub, S. (2013). II. NIH Toolbox Cognition Battery (CB): measuring executive function and attention. Monographs of the Society for Research in Child Development, 78(4), 16-33. https://doi.org/10.1111/mono.12032.

Published

2023-05-03

How to Cite

Campos, A. P. S. de, Seabra, A. G., & Carreiro, L. R. R. (2023). Executive functions and mental health in students during COVID-19 pandemic. Psychopedagogy Journal, 40(122), 159–167. https://doi.org/10.51207/2179-4057.20230014

Issue

Section

Original Articles