Variability Across Caregiver and Performance-Based Measures of Executive Functioning in an Acute Pediatric Neurocritical Care Population.
Variability Across Caregiver and Performance-Based Measures of Executive Functioning in an Acute Pediatric Neurocritical Care Population.
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DOI：
10.1089/neur.2022.0083
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发表时间：
2023
影响因子：
2.4
通讯作者：
Hall, Trevor A. A.
中科院分区：
文献类型：
--
作者：
Larson, Kera R. R.;Demers, Lauren A. A.;Holding, Emily Z. Z.;Williams, Cydni N. N.;Hall, Trevor A. A.
因创伤性脑损伤 (TBI) 入住儿科重症监护病房 (PICU) 的青少年通常会在身体、认知、情感和社会心理/家庭功能方面面临长期残留影响。在认知领域，经常观察到执行功能（EF）缺陷。执行功能行为评定量表第二版 (BRIEF-2) 是一项由家长/看护者完成的衡量标准，经常用于评估看护者对日常 EF 能力的看法。考虑到看护者的评分容易受到外部因素的影响，单独使用家长/看护者完成的测量（例如 Brief-2）作为捕获症状存在和严重程度的结果测量可能会存在问题。因此，本研究旨在调查青少年因 TBI 入住 PICU 后的急性恢复期，BRIEF-2 与基于表现的 EF 测量之间的关联。第二个目的是探索潜在混杂因素之间的关联，包括家庭层面的痛苦、伤害严重程度以及先前存在的神经发育状况的影响。参与者包括 65 名 8-19 岁的年轻人，他们因 TBI 入住 PICU，出院后幸存下来并被转诊接受后续护理。在 Brief-2 结果与基于绩效的 EF 测量之间发现非显着相关性。伤害严重程度的测量与基于表现的 EF 测量的得分密切相关，但与 Brief-2 无关。家长/看护者报告的与健康相关的生活质量的测量结果与看护者对 Brief-2 的反应相关。结果证明了基于表现的 EF 测量与护理人员报告测量所捕获的差异，并且还强调了考虑与 PICU 入院相关的其他发病率的重要性。
Youth admitted to the pediatric intensive care unit (PICU) for traumatic brain injury (TBI) commonly struggle with long-term residual effects in the domains of physical, cognitive, emotional, and psychosocial/family functioning. In the cognitive domain, executive functioning (EF) deficits are often observed. The Behavior Rating Inventory of Executive Functioning, Second Edition (BRIEF-2) is a parent/caregiver-completed measure that is regularly utilized to assess caregivers' perspectives of daily EF abilities. Using parent/caregiver-completed measures like the BRIEF-2 in isolation as outcome measures for capturing symptom presence and severity might be problematic given that caregiver ratings are vulnerable to influence from external factors. As such, this study aimed to investigate the association between the BRIEF-2 and performance-based measures of EF in youth during the acute recovery period post-PICU admission for TBI. A secondary aim was to explore associations among potential confounding factors, including family-level distress, injury severity, and the impact of pre-existing neurodevelopmental conditions. Participants included 65 youths, 8–19 years of age, admitted to the PICU for TBI, who survived hospital discharge and were referred for follow-up care. Non-significant correlations were found between BRIEF-2 outcomes and performance-based measures of EF. Measures of injury severity were strongly correlated with scores from performance-based EF measures, but not BRIEF-2. Parent/caregiver-reported measures of their own health-related quality of life were related to caregiver responses on the BRIEF-2. Results demonstrate the differences captured by performance-based versus caregiver-report measures of EF, and also highlight the importance of considering other morbidities related to PICU admission.
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影响因子：
1.5
作者：
Barnes, MA;Dennis, M;Wilkinson, M
通讯作者：
Wilkinson, M
影响因子：
3.4
作者：
Brown, Joshua B.;Gestring, Mark L.;Gaines, Barbara A.
通讯作者：
Gaines, Barbara A.
影响因子：
3.8
作者：
Dodd, Jonathan N.;Hall, Trevor A.;Piantino, Juan
通讯作者：
Piantino, Juan
DOI：
10.1097/00005373-197403000-00001
发表时间：
1974-01-01
影响因子：
--
作者：
BAKER, SP;ONEILL, B;LONG, WB
通讯作者：
LONG, WB
影响因子：
1.5
作者：
Bradbury, Kathryn R.;Williams, Cydni;Hall, Trevor A.
通讯作者：
Hall, Trevor A.