The neuropsychological functions of schoolchildren after the reopening of brazilian schools during the Covid-19 pandemic.
Maria Rebeca de Carvalho Porto Ribeiro, Letícia Corrêa Celeste, Vanessa de Oliveira Martins Reis
PMID 39536165WHAT IT FOUND
After 15 months of school closure, 117 Brazilian children aged six to eight frequently showed alert or deficit scores in language, memory, attention, orientation, arithmetic, visuospatial skills and verbal fluency.
No pre-pandemic baseline was reported.
Key findings
01The assessment found alert or deficit rates of 58.12% for orientation, 62.40% for memory, 41.88% for attention, 62.24% for language, 66.67% for visuospatial skills, 69.23% for arithmetic, 51.28% for verbal fluency and 29.91% for inhibitory control.
02Children from economic classes B2/C1/C2 had significantly higher inhibitory control scores than children from economic classes D/E (p=0.020).
03Family-environment scores did not correlate with gross neuropsychological scores, and maternal schooling was not associated with performance. The only significant regression models were for orientation and language, with R2 values of 0.036 and 0.042.
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What it does not show
All children came from one public school in the Federal District, so the results may not apply to other schools, regions or socioeconomic groups. The sample included no children in economic classes A or B1 and was concentrated in classes C1 and C2, so socioeconomic variability was limited. Because local norms were unavailable, the researchers used norms from Rio Grande do Sul for public-school children aged six to eight, which may affect how scores are classified. The study measured children at one time point after school reopening and did not report a pre-pandemic baseline or non-reopening comparison group, so it cannot show that school closures caused the deficits. The significant regression models had R2 values of 0.036 and 0.042, so the family variables accounted for little of the variation in scores. The paper reports 51.28% verbal fluency alert or deficit in Table 1 and 48.72% in the Discussion, so the exact prevalence for that skill is inconsistent.
Declared interests
The paper states financial support from FAP-DF (149/2020); no conflict-of-interest statement is provided.
The easy way to misread this
Do not conclude that school closures caused these neuropsychological deficits or that family routines and resources will improve them. The study measured children at one time point after reopening, had no pre-pandemic baseline or comparison group, used norms from another state, and the significant regression models had R2 values of 0.036 and 0.042.