Attention in Children with Myelomeningocele

Abstract

This study examined attentional functioning in 64 children with myelomeningocele and 27 of their siblings, all ranging from 8 to 15 years of age. The children were assessed using measures of Mirsky's (1996) four elements of attention: encode, sustain, focus/execute, and shift. Their academic achievement also was assessed, and their parents provided ratings of attentional behavior. Demographic and medical background variables were derived from parent questionnaires, and medical records for children with myelomeningocele. Children with myelomeningocele showed deficits across all four elements of attention compared to siblings. Demographic and medical background variables predicted individual differences in the four elements of attention among children with myelomeningocele. The four elements of attention predicted behavior ratings and academic achievement, although the predictive relationships were different for the two outcomes and for the children with myelomeningocele and their siblings.