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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They can then read the letter whenever they need to. There are three types of perseveration: It has been shown that damage, such as lesions, in other areas of the brain may indirectly affect executive functions and lead to similar symptoms.
They are taught to write down which friend it may be, where they are going for lunch, what time they are going, how they will get there, etc. Since planning is needed in many activities, different techniques have been used to improve this deficit in patients with DES. It is thought to be Baddeley’s hypothesized working memory system and the central executive that are the hypothetical systems impaired in DES.
New problems and situations may be especially poorly handled because of the inability to transfer previous knowledge to the new event. Perseveration may explain why some patients appear to have obsessive-compulsive disorder. Utilization behaviour is thought to occur because an action is initiated when an object is seen, but patients with DES lack the central executive control to inhibit acting it out at inappropriate times.
The accumulated effects of the symptoms have a large questionnaide on daily life. The main objective of this work is to study the psychometric properties of the Spanish version of the Dysexecutive Questionnaire DEX-Sp. The emotional symptoms that individuals with DES experience may be quite extreme and can cause extensive problems.
The first step can cue the patient to go to the next step in their plan. This treatment method has resulted in improved daily executive functioning, however no improvements were seen on formal executive functioning tests.
Dysexecutive syndrome – Wikipedia
The Dysexecutive Questionnaire DEX is a item questionnaire designed to sample emotional, motivational, behavioural and cognitive changes in a subject with DES. This type of perseveration refers to when a patient cannot get out of a specific frame of mind, such as when asked to name animals they can only name one.
These tests assess executive functioning in more complex, real-life situations, which improves their ability to predict day-to-day difficulties of DES. To accomplish this, therapists teach patients a three-step model called the General Planning Approach. This page was last edited on 11 Septemberat Also tested were the dimensionality and structural model and its convergent and discriminant validity with other instruments.
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.
Handbook of clinical neuropsychology. DES can affect a number of functions in the brain and vary from person to person.
Symptoms of DES fall into three broad categories: For example, when you want to take a bus, you know from past experience that you have to walk to the bus stop, have the exact amount of change, put the change in the slot, and then you can go find a seat.
The second stage, Goal Setting and Planning, consists of patients making specific goals, as well as devising a plan to accomplish them. An example includes “how would you plan a quesionnaire. The term was introduced by Alan Baddeley   to describe a common questinnaire of dysfunction in executive functionssuch as planning, abstract thinking, flexibility and behavioural control.
Patients in the chronic phase of the disorder have significantly lower scores than those who are acute. Many of the symptoms can be seen as a direct result of impairment to the central executive component of working memory, which is responsible for attentional control and inhibition.
Some researchers have suggested that DES is mislabelled as a syndrome because it is possible for the symptoms to exist on their own. The Dysexecutive Questionnaire DEX is a tool for measuring everyday problems experienced with the dysexecutive syndrome.
This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment.
Execution and regulation are put into action with reminders of how to proceed if something goes wrong in the behavioural script. The dysfunction can range from mild and subtle to severe and obvious. Retrieved from ” https: Not all patients with questionnarie lobe damage have DES and some patients with no damage at all to the frontal lobe exhibit the necessary pattern of symptoms.
Individuals with questonnairedelirium or other severe psychiatric illnesses combined with DES often have disturbed sleep patterns. Series B, Biological Sciences,— Exploratory and confirmatory factor analysis offers four- and five-factor solutions.
Several studies have shown evidence of executive function impairment associated with substance abuse. Assessment of patients with DES can be difficult because traditional tests generally focus on one specific problem for a short period of time. Given such stimuli, subjects no longer performed below dyysexecutive age group average IQ. The patients are then taught to dysexecutivr their executive functions and begin to evaluate them. The most frequent cause of the syndrome is brain damage to the frontal lobe.