Massey University, Wellington, New Zealand.
Neuropsychol Rehabil. 2011 Apr;21(2):145-63. doi: 10.1080/09602011.2010.543867. Epub 2011 Jan 10.
Executive functioning influences a host of other cognitive processes and people who attend neuropsychological services are more likely to display executive dysfunction than any other cognitive deficit (Stuss & Levine, 2002). Impairment in executive functioning disrupts a person's ability to effectively employ their intact areas of functioning, and undermines effective self-management of other areas of dysfunction, hampering attempts to employ compensatory strategies. Therefore, assessment of a person's executive functioning is a high priority as part of a comprehensive neurorehabilitation plan. Guided by the International Classification of Functioning, Disability, and Health model (ICF model; Peterson, 2005), we suggest that an important development in the field is moving to formal assessment of executive performance in functional contexts, in addition to more traditional assessment of executive impairment. We outline a number of existing studies in this area, review current measures that can provide clinicians with useful information on these issues, and discuss how this research could be further advanced.
执行功能影响许多其他认知过程，而接受神经心理服务的人比其他任何认知缺陷更有可能表现出执行功能障碍（Stuss & Levine，2002）。执行功能的损害会破坏一个人有效运用其完整功能区域的能力，并破坏对其他功能障碍区域的有效自我管理，阻碍采用补偿策略的尝试。因此，评估一个人的执行功能是全面神经康复计划的一个高度优先事项。在《国际功能、残疾和健康分类》（ICF 模型；Peterson，2005）的指导下，我们建议该领域的一个重要发展是除了对执行损伤进行更传统的评估外，还要在功能背景下对执行表现进行正式评估。我们概述了该领域的一些现有研究，回顾了目前可以为临床医生提供有关这些问题的有用信息的现有措施，并讨论了如何进一步推进这项研究。
