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行为评定量表的执行功能是否与损害或执行功能的测量指标更密切相关?

Is the behavior rating inventory of executive function more strongly associated with measures of impairment or executive function?

机构信息

Department of Psychiatry Research, The Hospital for Sick Children, Toronto, Ontario, Canada M5G 1X8.

出版信息

J Int Neuropsychol Soc. 2010 May;16(3):495-505. doi: 10.1017/S1355617710000093. Epub 2010 Mar 1.

DOI:10.1017/S1355617710000093
PMID:20188014
Abstract

The Behavior Rating Inventory of Executive Function (BRIEF) is commonly used in the assessment of children and adolescents presenting with a wide range of concerns. It is unclear, however, whether the questionnaire is more closely related to general measures of behavioral disruption and impairment or to specific measures of executive function. In the present study, associations between the Behavioral Regulation Index and Metacognition Index of the BRIEF and cognitive, behavioral, and academic measures were examined in a sample of clinic-referred youth (n = 60) and healthy youth (n = 37) 6-15 years of age. Measures included ratings of inattentive and hyperactive-impulsive symptoms in youth, ratings of how well youth functioned in their everyday environments, youth's scores on measures of reading and math, and youth's scores on measures of inhibition, performance monitoring, and working memory. Although both BRIEF indices were strongly related to parent and teacher ratings of behavioral disruption and impairment, neither was associated with youth's scores on the performance-based tasks of executive function. These findings support the use of the BRIEF as a clinical tool for assessing a broad range of concerns, but raise questions about the relation of the BRIEF to performance-based tasks that are commonly used to assess executive function.

摘要

行为评定量表执行功能(BRIEF)常用于评估表现出广泛关注的儿童和青少年。然而,尚不清楚该问卷与一般行为破坏和障碍测量更密切相关,还是与特定的执行功能测量更密切相关。在本研究中,对来自临床推荐的青少年(n=60)和健康青少年(n=37)样本中 BRIEF 的行为调节指数和元认知指数与认知、行为和学术测量之间的相关性进行了检查。这些措施包括对青少年注意力不集中和多动冲动症状的评定、对青少年在日常环境中功能的评定、青少年阅读和数学测试成绩以及青少年抑制、表现监测和工作记忆测试成绩。尽管 BRIEF 的两个指数都与父母和教师对行为破坏和障碍的评定密切相关,但都与青少年执行功能的基于表现任务的得分无关。这些发现支持将 BRIEF 作为评估广泛关注的临床工具,但对 BRIEF 与常用于评估执行功能的基于表现的任务之间的关系提出了质疑。

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