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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Patients with DES seem to not be able to use this autobiographical memory as well as a normal person. The vagueness of some aspects of the syndrome has led researchers to test for it in a non-clinical sample.
To accomplish this, therapists qufstionnaire patients a three-step model dyseecutive the General Planning Approach. Exploratory and confirmatory factor analysis offers four- and five-factor solutions. Because individuals with this syndrome have trouble integrating information into their actions it is often suggested that they have programmed reminders delivered to a cell phone or pager.
This can affect their autobiographical memory. Each item is scored on a 5-point scale according to its frequency from never 0 point to questionnire often 4 points. Patients in the chronic phase of the disorder have significantly lower scores than those who are acute.
Dysexecutive syndrome – Wikipedia
People with DES can do fairly well on these tests because their problems are related to integrating individual skills into everyday tasks. Perseveration may explain why some patients appear to have obsessive-compulsive disorder. The aim was to improve measurement of dysexecutive problems following acquired brain injury ABI.
Patients with Alzheimer’s disease and other forms of dementia have been shown to exhibit impairment in executive functioning as well. Dsyexecutive can also have difficulty understanding others’ points of view, which can lead to anger and frustration. Behavioural symptoms are evident through an individual’s qeustionnaire. This page was last edited on 11 Septemberat Several studies have shown evidence of executive function impairment associated with substance abuse. Autobiographical memories can be used to help direct future behaviour.
New problems and situations may be especially poorly handled because of the inability to transfer previous knowledge to the new event. DES often occurs with other disorders, which is known as comorbidity.
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. One of the main difficulties for an individual with DES is planning and reasoning. Handbook of clinical neuropsychology. There are three types of perseveration: It is thought to be Baddeley’s hypothesized working memory system and the central executive that are the hypothetical systems impaired in DES.
The second stage, Goal Setting and Planning, consists of patients making specific goals, as well as devising a plan to dysexdcutive them.
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. If you ask them to then name colours, they may still give you animals. To help patients remember how to behave, they may also create a diagram. A complementary goal is to study its potential utility for initial screening in addicted individuals seeking treatment. The diagram helps organize their thoughts and shows the patient how they can change their behaviour in everyday situations.
They can then read the letter whenever they need to. The patients are then taught to monitor their executive functions and begin to evaluate them. This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment. DES can also cause patients to appear self-centered and stubborn . They are also taught to make sure the steps go in the correct order.
Assessment of patients with DES can be difficult because traditional tests generally focus on one specific problem for a short period dyeexecutive time. They may have difficulty inhibiting many types of emotions such as anger, excitement, sadness, or frustration.
The Dysexecutive Questionnaire DEX is a tool for measuring everyday problems experienced with the dysexecutive syndrome. The final stage, named Initiation, Execution, and Regulation, requires patients to implement their goals in their everyday lives.