Outcome Measure Dysexecutive Questionnaire (DEX). Sensitivity to. Change. Yes. Population. Adult. Domain. Behavioural Function. Type of Measure. Clinician. Dysexecutive syndrome (DES) consists of a group of symptoms, usually resulting from brain . The Dysexecutive Questionnaire (DEX) is a item questionnaire designed to sample emotional, motivational, behavioural and cognitive changes . ABSTRACT. The Dysexecutive Questionnaire (DEX) is a tool for measuring everyday problems experienced with the dysexecutive syndrome.
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Individuals with DES will have very poor working memory and short term memory due to executive dysfunction. Some researchers have suggested that DES is mislabelled as a syndrome because it is possible for the symptoms to exist on their own. Handbook of clinical neuropsychology. The Dysexecutive Questionnaire DEX is a tool for measuring everyday problems experienced with the dysexecutive syndrome.
Differences between clinical and non-clinical individuals and total scores were also analyzed. Perseveration is the repetition of thoughts, questionnair, or actions after they have already been completed.
The second stage, Goal Setting and Planning, consists of patients making specific goals, as well as devising a plan to accomplish them. This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment. Each item is scored on a 5-point scale according to its frequency from never 0 point to very often 4 points.
This new version of the tool could help guide selection of interventions for different types of dysexecutive problems and provide accurate measurement in neurorehabilitation services.
A complementary goal is to study its potential utility for initial screening in addicted individuals seeking treatment. The vagueness of some aspects of the syndrome has led researchers to test for it in a non-clinical sample. The central executive helps control impulses; therefore when impaired, patients have poor impulse control.
There is a tremendous variability in the manifestations of executive dysfunction with strong influences often apparent from the afflicted person’s personality, life experiences and intellect.
The results show that some dysexecutive behaviours are part of everyday life, and the symptoms exist to varying degrees in everyone. The emotional symptoms that individuals with DES experience may be quite extreme and can cause extensive problems. To help patients remember how to behave, they may also create a diagram. Both self- and independent-ratings were found to be performing reliably as outcome measures for at least a group-level. Behavioural symptoms are evident through an individual’s actions.
To accomplish this, therapists teach patients a three-step model called the General Planning Approach. The dysfunction can range from mild and subtle to severe and obvious. Since planning is needed in many activities, different techniques have been used to improve this deficit in patients with Dysexscutive.
Patients with DES seem to not be able to use this autobiographical memory as well as a normal person. However, for the majority of the population such inattentiveness queetionnaire manageable, whereas patients with DES experience it to such a degree that daily tasks become difficult. Also tested were the dimensionality and structural model and its convergent and discriminant validity with other instruments.
Many studies have examined the presence of DES in patients with schizophrenia. The use of auditory stimuli has been examined in the treatment of DES. Due to multiple impairments of cognitive functioning, there can be much more frustration when expressing certain feelings and understanding how to interpret every day situations. This treatment method has resulted dysexecuttive improved daily executive functioning, however no improvements were seen on formal executive functioning tests.
DES can also cause patients to appear self-centered and stubborn . DES can affect a number of functions in the brain and vary from questinonaire to person. The main objective of this work is to study the psychometric properties of the Spanish version of the Dysexecutive Questionnaire DEX-Sp.
Patients with Alzheimer’s disease and other forms of dementia have been shown to exhibit impairment in executive functioning as well.
The diagram helps organize their thoughts and shows the patient how they can change their behaviour in everyday situations. This can affect their autobiographical memory. The term was introduced by Alan Baddeley   to describe questionnairr common pattern of dysfunction in executive functionssuch as planning, abstract thinking, flexibility and behavioural control.
People with DES can do fairly well on these tests because their problems are related to integrating individual skills into everyday tasks. This page was last edited on 11 Septemberat Individuals with DES questipnnaire have higher levels of aggression or anger because they lack abilities that are related to behavioural control. From Wikipedia, the free encyclopedia.
Because of this variance, it is suggested that the most successful therapy would include multiple methods. Patients in the chronic phase of the disorder have significantly lower scores than those who are acute. Reformulation and compensation in cognitive analytic therapy CAT.
The data suggest that the Spanish version of the DEX is a useful measure for assessing general symptoms of dysexecutive syndrome, and a valid, reliable and adequate screening test for estimating cognitive impairment associated with substance abuse.
Cognition primarily refers to memory, the ability to learn new information, speech, and reading comprehension. The most frequent cause of the syndrome is brain damage to the frontal lobe.
Dysexecutive syndrome – Wikipedia
It is thought to be Baddeley’s hypothesized working memory system and the central executive that are the hypothetical systems impaired in DES. These tests assess executive functioning in more complex, real-life situations, which improves their ability to predict day-to-day difficulties of DES. Several studies have shown evidence of executive function impairment associated with substance abuse. Exploratory and confirmatory factor analysis offers four- and five-factor solutions. This study investigated the psychometric properties of a revised version of the measure DEX-Ra comprehensive tool, grounded in current theoretical conceptualisations of frontal lobe function and dysexecutive problems.
If you ask them to then name colours, they may still give you animals. The presentation of auditory stimuli causes an interruption in current activity, which appears to aid in preventing “goal neglect” by increasing the patients’ ability to monitor time and focus on goals. The patients are then taught to monitor their executive functions and begin to evaluate them.