Psychology Service, Mary Free Bed Rehabilitation Hospital, Grand Rapids, Michigan 49503, USA.
Rehabil Psychol. 2011 May;56(2):100-6. doi: 10.1037/a0023446.
To examine the level of agreement between adolescents with traumatic brain injury (TBI) and their parents in standardized ratings of executive functioning, and to determine correlates of discrepancies between those ratings.
Ninety-eight 11- to 16-year-old adolescents with TBI and their parents, and 97 neuropsychologically healthy controls.
Five-year consecutive series of rehabilitation referrals for TBI.
Behavior Rating Inventory of Executive Function-Self Report (BRIEF-SR) and Behavior Rating Inventory of Executive Function (BRIEF) parent report versions.
Self and parent ratings were moderately positively correlated in both the TBI group and the control group, but parents generally identified more executive dysfunction than did the adolescents. Parent-adolescent discrepancies were statistically significantly greater in the TBI group than in the control group on the Metacognitive index but not the Behavioral Regulation index. The degree of the former discrepancy was predicted by duration of coma in the TBI group.
Adolescents with more severe TBI may underestimate their own degree of executive dysfunction in daily life, particularly aspects of metacognitive abilities, possibly, in part, because of an organic-based lack of deficit awareness.
考察外伤性脑损伤（TBI）青少年及其父母在执行功能的标准化评定中一致性的程度，并确定这些评定差异的相关因素。
98 名 11 至 16 岁的外伤性脑损伤青少年及其父母，以及 97 名神经心理正常的对照者。
TBI 康复转诊的连续 5 年系列。
执行功能行为评定量表自我报告（BRIEF-SR）和执行功能行为评定量表（BRIEF）家长报告版本。
TBI 组和对照组的自我和家长评定都呈中度正相关，但父母通常比青少年更多地发现执行功能障碍。在元认知指数上，TBI 组的父母-青少年差异显著大于对照组，但在行为调节指数上则没有差异。TBI 组的前者差异程度与昏迷持续时间相关。
患有更严重 TBI 的青少年可能会低估自己在日常生活中的执行功能障碍程度，特别是在元认知能力方面，这可能部分是由于有机缺陷导致的缺乏缺陷意识。
