Objective-Quantitative measures of pre-attentional, attentional and frontal lobe processes were compared to evaluate quantitative measures of these deficits in Ex-Preterm vs. Ex-Term adolescents.Methods-We compared 43 Ex-Preterm with 26 Ex-Term adolescents using the P50 auditory potential, the Psychomotor Vigilance Task (PVT), a reaction time (RT) test, and Near Infrared Spectroscopy (NIRS).Results-The mean amplitude (±SE) of the P50 amplitude was similar in the Ex-Preterm (1.8 ±1.4µv) vs. Ex-Term adolescents (1.8±0.6µv, df=68, F=0.05, p=0.8), but the Ex-Preterm group showed a trimodal distribution in amplitude (High, 3.3±0.4 µv,df=42.25, F=19.2, p<0.01; Medium, 1.7±0.1 µv, df=39, F=0.41, p=0.53; Low, 0.7±0.1 µv, df=40, F=49.5, p<0.01) suggested by statistically significant variance between populations (Kolmogorov-Kuiper test, df=42.25, F=5.4, p<0.01). Mean RT was longer in Ex-Preterm (250±8 msec) vs. Ex-Term subjects (200±5 ms, df=68, F=18.8, p<0.001). PVT lapses were increased in Ex-Preterm subjects, and varied inversely with P50 amplitude (Overall Mean 17±5 lapses, df=67, F=5.34, p<0.05; Low P50 amplitude, 25±10, df=40, F=8.8, p<0.01; Medium, 21±11, df=38, F=5.37, p<0.05; High, 6±2, df=39, F=6.78, p<0.01) vs. ExTerm subjects (2±0.4 lapses, p<0.01). NIRS levels did not differ statistically, but tended to correlate with P50 amplitude in the Ex-Preterm group.Conclusions-These findings suggest differential pre-attentional, attentional and frontal lobe dysfunction in ex-preterm adolescents.Significance-These measures could provide a means to objectively assess differential dysregulation of arousal and attention in Ex-Preterm adolescents, allowing optimization of therapeutic designs.