"Cool" and "Hot" executive functions in deaf children: the executive brain battery (EBB).
Laura Fernández-García, Nahuel Gioiosa Maurno, Jessica Phillips-Silver and 1 others
PMID 40304700WHAT IT FOUND
Around 75% of deaf children aged 6 to 12 completed the game-based test of thinking and self-regulation, but some sign-language users struggled with instructions.
Older children made better uncertain choices, and younger boys showed more difficulty.
Key findings
01Around 75% of the 40 children completed every task in the battery.
02The only age-group difference was in decision-making under uncertainty, where older children had a higher net score than younger children.
03Task completion varied: set-shifting was completed by 75% of children and affective reversal learning by 85%.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
This was a small pilot with 40 analysed children after 18 of 58 recruited children were excluded. The sample came from one deaf school and one association, so it may not represent all deaf children. Native-signer children were excluded, so the study cannot say how children with full early sign-language access would perform. The study compared age groups once, not the same children over time, so it does not show individual development. Task order was fixed, with cognitive tasks first and socio-emotional tasks second, so order effects cannot be ruled out. Some children did not complete tasks because they did not understand the instructions, so non-completion may not mean an executive-function deficit. The analyses compared only groups within the deaf sample, and the study did not show that the battery diagnoses impairment. Parental educational level differed between age groups, which could affect comparisons.
Declared interests
The only declaration reported is funding from the Spanish Ministry of Science and Innovation and Spanish State Research Agency.
The easy way to misread this
Do not read unfinished tasks as proof of executive-function deficits. Some children failed to complete tasks because they did not understand the instructions, and this pilot did not show that the battery diagnoses impairment.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →