The Development of an Ecologically Valid Test for Assessing Patients with a Dysexecutive Syndrome

Wilson, Barbara A.; Evans, Jonathan J.; Emslie, Hazel; Alderman, Nick; Burgess, Paul W.

doi:10.1080/713755570

Cited by 262 publications

(227 citation statements)

References 9 publications

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“…Não foram encontrados estudos de adaptação e validade de conteúdo da BADS para outras línguas, no entanto diversas pesquisas têm demonstrado boa validade concorrente do instrumento na avaliação de diversas populações neurológicas e psiquiátricas (Bennet, Ong, & Ponsford, 2005;Evans, Chua, Mckenna, & Wilson, 1997;Katz et al, 2007;Norris & Tate, 2000;Wilson et al, 1998). Outros estudos têm demonstrado que a BADS possui maior poder discriminativo em predizer alterações executivas na vida diária (Burgess et al, 2000;Chaytor & Schmitter-Edgecombe, 2003;Chamberlain, 2003).…”

Section: Discussionunclassified

Behavioural Assessment of the Dysexecutive Syndrome (BADS): Adaptação e Evidências de Validade

et al. 2016

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ResumoAs funções executivas são habilidades que permitem um indivíduo direcionar seu funcionamento cognitivo, comportamental e emocional a metas. Para avaliá-las existem poucos instrumentos ecologicamente válidos. Para superar essa limitação, foi desenvolvida a Behavioural Assessment of the Dysexecutive Syndrome (BADS). O objetivo deste estudo foi adaptar e investigar evidências de validade de conteúdo da BADS para o contexto brasileiro. Foram realizadas três traduções do instrumento, sintetizadas em uma única versão e encaminhada a três juízes. Posteriormente, a BADS foi submetida a um grupo focal (5 adultos saudáveis) e estudo-piloto (amostra clínica com 40 pacientes neurológicos, portadores de Parkinson). O cálculo do coeficiente de validade de conteúdo total foi considerado aceitável (> 0,80); e a média do coeficiente kappa para os subtestes foi de 0,55, e para o questionário foi de 0,75, moderado e sólido, respectivamente. Os dados sugerem que a BADS está apta a ser utilizada em novos estudos para a investigação de outras propriedades psicométricas, como validade de construto, fidedignidade e normatização. Palavras-chave: funções executivas, síndrome disexecutiva, validade Behavioral Assessment of the Dysexecutive Syndrome (BADS): Adaptation and Validity Evidence AbstractExecutive functions are skills that allow an individual to direct their cognitive, behavioral and emotional functioning to goal achievement. In order to evaluate them, there are few ecologically valid instruments. Behavioral Assessment of the Dysexecutive Syndrome (BADS) was developed to overcome this limitation. The objective of this study was to adapt and investigate BADS content validity for the Brazilian context. Three translations of the instrument from English into Portuguese were done, and were later synthesized into a single version to be sent to three judges. Subsequently, BADS was applied to a focus group (5 healthy adults) and a pilot study (40 clinical neurological patients, with Parkinson's Disease). The calculation of the total content validity coefficient was considered acceptable (> 0.80); and the average coefficient kappa subtests was 0.55 and the survey was 0.75, moderate and solid, respectively. The data suggest that BADS can be used in further studies to investigate other psychometric properties as construct validity, reliability and standardization. Keywords: executive functions, dysexecutive syndrome, validity Behavioural Assessment of the Dysexecutive Syndrome (BADS): Adaptación y Evidencias de ValidezResumen Las funciones ejecutivas son habilidades que permiten a los individuos direccionar su funcionamiento cognitivo, conductual y emocional, hacia sus metas. Para evaluarlas existen pocos instrumentos ecológicamente válidos. Para superar esta limitación, fue desarrollada la Behavioural Assessment of the Dysexecutive Syndrome (BADS). El objetivo de este estudio fue adaptar e investigar evidencias de validez del contenido de la BADS para el contexto brasileño. Se realizaron tres traducciones del instrumento, sintetizada...

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Section: Discussionunclassified

Behavioural Assessment of the Dysexecutive Syndrome (BADS): Adaptação e Evidências de Validade

et al. 2016

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“…A estabilidade temporal do BADS foi estudada por Wilson et al 31 , que administraram o instrumento em 29 participantes saudáveis e com intervalo entre teste-reteste de 6 a 12 meses. A correlação teste-reteste variou entre 0,08 (Rule Shift Cards) e 0,71 (Key Search), evidenciando baixa à moderada correlação 19 .…”

Section: Discussionunclassified

“…Embora outros estudos prévios de fidedignidade de testes que examinam as FE também apresentam uma variação grande entre teste e reteste 31 , salienta-se que uma possível limitação do presente estudo seja a amplitude de intervalo do tempo entre teste e reteste, de um a seis meses. Além disso, a variação da faixa etária da amostra, 19 e 75 anos, também pode ser considerada outra limitação da pesquisa.…”

Section: Discussionunclassified

Estudo de fidedignidade do instrumento neuropsicológico Iowa Gambling Task

Cardoso

Carvalho²,

Cotrena

et al. 2010

J. bras. psiquiatr.

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“…For example, it is not clear if damage to the medial orbital and lower medial prefrontal sectors (the region that we have termed the ventromedial prefrontal cortices, or VMPC; see Tranel, Damasio, Denburg, & Bechara, 2005, for a precise description) is typical of patients who fail the SET and MET. In most previous studies, neuroanatomical issues were not addressed at all (e.g., Alderman et al, 2003;Burgess et al, 1998;Duncan et al, 1997;Jelicic et al, 2001;Kafer & Hunter, 1997;Kliegel et al, 2000;Knight et al, 2002;Wilson et al, 1998). Shallice and Burgess (1991) provided brief descriptions of the lesions in their original three cases, but other than mentioning frontal lobe damage, no specific details are provided, and it is not clear whether or not the VMPC was affected by the lesions (for two of these patients, a single computed tomography, CT, cut is provided in the recent review paper of Burgess et al (2006), but this does not clarify whether there is VMPC involvement).…”

Section: Introductionmentioning

confidence: 99%

“…Since then, these tasks (and various modifications) have been utilized by a number of researchers to investigate executive functioning in normals and various patient populations (e.g., Alderman, Burgess, Knight, & Henman, 2003;Channon & Crawford, 1999;Duncan, Johnson, Swales, & Freer, 1997;Goel & Grafman, 2000;Goldstein, Bernard, Fenwick, Burgess, & McNeil, 1993;Jelicic, Henquet, Derix, & Jolles, 2001;Kafer & Hunter, 1997;Kliegel, McDaniel, & Einstein, 2000;Knight, Alderman, & Burgess, 2002;Levine, Dawson, Boutet, Schwartz, & Stuss, 2000a;Levine et al, in press Levine et al, 1998;Wilson et al, 1998), especially with an eye to rehabilitation planning (e.g., Levine et al, 2000b;Manly, Hawkins, Evans, Woldt, & Robertson, 2002). By now, there are consistent findings supporting the conclusion that these tasks are useful to characterize and quantify executive functioning deficits, and Burgess and his colleagues have made a convincing argument that "strategy application" types of task may be superior to traditional clinical neuropsychological tests (e.g., Wisconsin Card Sorting Test, WCST; Tower of London) at probing "real-world" deficits in executive functioning (Burgess et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Impaired behavior on real-world tasks following damage to the ventromedial prefrontal cortex

Tranel

Hathaway-Nepple

Anderson

2007

Journal of Clinical and Experimental Neuropsychology

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Patients with damage to the ventromedial prefrontal cortices (VMPC) commonly manifest blatant behavioral navigation defects in the real world, but it has been difficult to measure these impairments in the clinic or laboratory. Using a set of "strategy application" tasks, which were designed by Shallice and Burgess (1991) to be ecologically valid for detecting executive dysfunction, we investigated the hypothesis that VMPC damage would be associated with defective performance on such tasks, whereas damage outside the VMPC region would not. A group of 9 patients with bilateral VMPC damage was contrasted with comparison groups of participants with (a) prefrontal brain damage outside the VMPC region (n=8); (b) nonprefrontal brain damage (n=17); and (c) no brain damage (n=20). We found support for the hypothesis: VMPC patients had more impaired performances on the strategy application tasks, especially on a Multiple Errands Test that required patients to execute a series of unstructured tasks in a real-world setting (shopping mall). The results are consistent with the notion that efficacious behavioral navigation is dependent on the VMPC region. However, the strategy application tasks were relatively time consuming and effortful, and their diagnostic yield over and above conventional executive functioning tests may not be sufficient to warrant their inclusion in standard clinical assessment.

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The Development of an Ecologically Valid Test for Assessing Patients with a Dysexecutive Syndrome

Cited by 262 publications

References 9 publications

Behavioural Assessment of the Dysexecutive Syndrome (BADS): Adaptação e Evidências de Validade

Behavioural Assessment of the Dysexecutive Syndrome (BADS): Adaptação e Evidências de Validade

Estudo de fidedignidade do instrumento neuropsicológico Iowa Gambling Task

Impaired behavior on real-world tasks following damage to the ventromedial prefrontal cortex

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