Ecological assessment of executive function in traumatic brain injury
Ecological assessment of executive function in traumatic brain injury
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DOI：
10.1207/s15326942dn2501
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发表时间：
2004-01-01
影响因子：
1.5
通讯作者：
Isquith, PK
中科院分区：
文献类型：
--
作者：
Gioia, GA;Isquith, PK
执行功能障碍是遭受创伤性脑损伤 (TBI) 的儿童的常见结果。对这些复杂的相互关联的监管功能进行适当评估对于规划必要的干预措施至关重要，但这对我们的传统方法提出了挑战。生态有效性已成为神经心理学评估中越来越重要的焦点，尤其与执行功能相关，执行功能将一个人的认知和行为能力与现实世界的需求情况相协调。执行功能行为评定量表 (BRIEF) 的开发是为了捕捉执行功能障碍的现实行为表现。描述了它的发展和各种形式的有效性，包括生态有效性。提供了BRIEF 方法在TBI 执行功能障碍评估中的应用。我们提倡采用多层次的方法来理解 TBI 中执行功能的结果，包括传统的基于测试的执行功能测量、执行功能障碍的现实世界行为表现以及影响儿童的环境系统因素。在该模型中，执行功能障碍的生态有效评估为理解成分水平（即基于测试的）缺陷对儿童日常适应性功能的影响提供了重要的桥梁，这可以帮助定义干预目标。
Executive dysfunction is a common outcome in children who have sustained traumatic brain injury (TBI). Appropriate assessment of these complex interrelated regulatory functions is critical to plan for the necessary interventions yet present a challenge to our traditional methodologies. Ecological validity has become an increasingly important focus in neuropsychological assessment with particular relevance for the executive functions, which coordinate one's cognitive and behavioral capacities with real-world demand situations. The Behavior Rating Inventory of Executive Function (BRIEF) was developed to capture the real-world behavioral manifestations of executive dysfunction. Its development and various forms of validity, including ecological validity, are described. Application of the BRIEF's methodology to the assessment of executive dysfunction in TBI is provided. We advocate a multilevel approach to understanding executive function outcome in TBI, including traditional test-based measures of executive function, real-world behavioral manifestation of executive dysfunction, and the environmental system factors that impact the child. In this model, ecologically valid assessment of executive dysfunction provides an important bridge toward understanding the impact of component-level (i.e., test-based) deficits on the child's everyday adaptive functioning, which can assist the definition of targets for intervention.