PMID- 16209417 OWN - NLM STAT- MEDLINE DCOM- 20051207 LR - 20191109 IS - 1355-6177 (Print) IS - 1355-6177 (Linking) VI - 11 IP - 4 DP - 2005 Jul TI - Measuring executive dysfunction in an acute rehabilitation setting: using the dysexecutive questionnaire (DEX). PG - 376-85 AB - It is recognized that existing neuropsychological measures of executive dysfunction lack adequate sensitivity and selectivity. While attempts have been made to develop improved measures, these have not yet been of great value to those who need to accurately identify executive deficits in a clinical setting. Several behavioral rating scales have been developed for this reason, including the 20-item Dysexecutive Questionnaire (DEX), which forms part of the Behavioral Assessment of the Dysexecutive Syndrome (BADS) test battery. To investigate the ability of the DEX to identify executive dysfunction in an acute rehabilitation setting, the BADS was administered to 64 persons who had sustained traumatic brain injury. It was found to be almost as sensitive to executive dysfunction, as measured by the total score obtained on the BADS battery, as an extended 65-item version of the scale, when completed by either the occupational therapist or clinical neuropsychologist working with each patient. Family members and the patient themselves provided, as expected, less accurate information. Our results indicate that the DEX can be used with some confidence as a screening instrument to identify executive dysfunction in an acute rehabilitation setting, provided it is completed by professional personnel, trained to be sensitive to the cognitive and behavioral concomitants of this disorder. FAU - Bennett, Pauleen C AU - Bennett PC AD - Department of Psychology, School of Psychology, Psychiatry and Psychological Medicine, Monash University, Victoria, Australia. p.bennett@med.monash.edu.au FAU - Ong, Ben AU - Ong B FAU - Ponsford, Jennie AU - Ponsford J LA - eng PT - Comparative Study PT - Journal Article PL - England TA - J Int Neuropsychol Soc JT - Journal of the International Neuropsychological Society : JINS JID - 9503760 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Brain Injuries/*physiopathology MH - Cognition Disorders/*etiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Problem Solving/*physiology MH - Rehabilitation Centers/*statistics & numerical data MH - Reproducibility of Results MH - Severity of Illness Index MH - Statistics as Topic MH - *Surveys and Questionnaires MH - Volition/physiology EDAT- 2005/10/08 09:00 MHDA- 2005/12/13 09:00 CRDT- 2005/10/08 09:00 PHST- 2005/10/08 09:00 [pubmed] PHST- 2005/12/13 09:00 [medline] PHST- 2005/10/08 09:00 [entrez] AID - 10.1017/s1355617705050423 [doi] PST - ppublish SO - J Int Neuropsychol Soc. 2005 Jul;11(4):376-85. doi: 10.1017/s1355617705050423.