Relationships between cognitive and behavioral measures of executive function in children with brain disease
Relationships between cognitive and behavioral measures of executive function in children with brain disease
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DOI：
10.1076/chin.8.4.231.13509
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发表时间：
2002-12-01
影响因子：
2.2
通讯作者：
Mikiewicz, O
中科院分区：
文献类型：
--
作者：
Anderson, VA;Anderson, P;Mikiewicz, O
本研究旨在探讨执行功能行为评定量表的临床效度和结构效度。（Brief：Gioia，Isquith，Guy，& Kenworthy，2000），一份旨在挖掘儿童执行功能行为方面的问卷。对早期治疗的苯丙酮尿症（PKU; n = 44）、早期治疗的脑积水（n = 45）、额叶局灶性病变（n = 20）和对照组（n = 80）的简要概况进行了检查。通过组间比较，特别是额叶局灶性病变组与其他组之间的比较，支持临床有效性。为了检验结构效度，将认知执行功能测量的原始分数与BRIEF量表分数相关联，这些测量包括权变测验（CNT）、雷伊复杂图形（RCF）、伦敦塔（TOL）和控制性口头词语联想测验（COWAT）。很少有显着的相关性被发现，表明认知和行为的措施似乎利用不同的结构内的执行功能域。与PKU和脑积水组相比，额叶的行为和认知障碍之间存在分离。这是讨论有关的基本病理，认知措施，并可能限制在简短的有用性，测量行为执行功能障碍的群体，只有轻微影响神经系统的妥协。
This study addressed the clinical and construct validity of the Behavior Rating Inventory of Executive Function. (BRIEF: Gioia, Isquith, Guy, & Kenworthy, 2000), a questionnaire designed to tap behavioral aspects of executive functions in children. BRIEF profiles in early treated phenylketonuria (PKU; n = 44), early treated hydrocephalus (n = 45), frontal focal lesions (n = 20) and controls (n = 80) were examined. Clinical validity was supported through significant between-group comparisons, especially between the frontal focal lesion group and other groups. To examine construct validity, raw scores on cognitive executive function measures including the Contingency Naming Test (CNT), Rey Complex Figure (RCF), Tower of London (TOL), and Controlled Oral Word Association Test (COWAT), were correlated with BRIEF scale scores. Few significant correlations were found, indicating cognitive and behavioral measures appear to tap different constructs within the executive function domain. A dissociation was found between behavioral and cognitive impairments in the frontal as opposed to PKU and hydrocephalus groups. This is discussed in relation to underlying pathology, the cognitive measures used, and possible limitations in the BRIEF's usefulness for measuring behavioral executive dysfunction in groups only mildly affected by neurological compromise.