Inter-rater reliability of the Dysexecutive Questionnaire (DEX): Comparative data from non-clinician respondents—all raters are not equal

Barker, Lynne Ann; Morton, Nicholas; Morrison, Todd G.; McGuire, Brian E.

doi:10.3109/02699052.2011.597046

Cited by 22 publications

(23 citation statements)

References 33 publications

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“…Affective instability indicated by inappropriate anger, impulsivity and risk-taking behavior are core features of BPD, and are also seen, to a lesser or greater degree, in neuropathological groups with executive dysfunction (Barker et al, 2010, 2011). Diminished inhibitory capacity increases the likelihood that individuals act on dominant and potentially maladaptive tendencies; in the case of individuals with BPD this may be self-harm.…”

Section: Introductionmentioning

confidence: 99%

Investigating the role of executive attentional control to self-harm in a non-clinical cohort with borderline personality features

Drabble

Bowles

Barker

2014

Front. Behav. Neurosci.

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Self-injurious behavior (or self-harm) is a frequently reported maladaptive behavior in the general population and a key feature of borderline personality disorder (BPD). Poor affect regulation is strongly linked to a propensity to self-harm, is a core component of BPD, and is linked with reduced attentional control abilities. The idea that attentional control difficulties may provide a link between BPD, negative affect and self-harm has yet to be established, however. The present study explored the putative relationship between levels of BPD features, three aspects of attentional/executive control, affect, and self-harm history in a sample of 340 non-clinical participants recruited online from self-harm forums and social networking sites. Analyses showed that self-reported levels of BPD features and attentional focusing predicted self-harm incidence, and high attentional focusing increased the likelihood of a prior self-harm history in those with high BPD features. Ability to shift attention was associated with a reduced likelihood of self-harm, suggesting that good attentional switching ability may provide a protective buffer against self-harm behavior for some individuals. These attentional control differences mediated the association between negative affect and self-harm, but the relationship between BPD and self-harm appears independent.

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Section: Introductionmentioning

confidence: 99%

Investigating the role of executive attentional control to self-harm in a non-clinical cohort with borderline personality features

Drabble

Bowles

Barker

2014

Front. Behav. Neurosci.

Self Cite

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“…The only difference between the two versions is that DEX-S is written in the first person (i.e. 'I have difficulty thinking ahead and planning for the future') and DEX-I is written in the third person (i.e 'Has difficulty thinking ahead and planning for the future') Both versions are commonly used as part of the Behavioural Assessment of the Dysexecutive Syndrome (BADS) which is considered an ecologically valid multidimensional measure of executive functioning (Barker et al, 2011). DEX-I ratings are considered a more reliable index due to the tendency for patients to rate themselves with fewer or less problems (McBrinn et al, 2008).…”

Section: Methodsmentioning

confidence: 99%

“…The DEX-I has also been found to accurately identify 'real world' executive deficits and these measures corresponded with subsequent performance on BADS executive subtests (Wilson, 1996;. cited in Barker et al, 2011).…”

Section: Methodsmentioning

confidence: 99%

The utility of the Montreal Cognitive Assessment as a mental capacity assessment tool for patients with a learning disability

Edge¹,

Oyefeso²,

Evans³

et al. 2015

Brit J Learn Disabil

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Accessible summary Accurate assessment of a patient's mental capacity is important, yet out of the clinical assessments currently available, there does not appear to be sufficient accessible tools suitable for people with a learning disability. Incorrect assumptions are often made regarding the capacity of patients who have learning disabilities to make decisions about important aspects of their life. This preliminary study investigated whether or not it was possible to adapt a well‐known assessment of cognitive impairment (The Montreal Cognitive Assessment) and use this as a tool to determine capacity in patients with a learning disability. Abstract Objective: To determine the psychometric properties of the Montreal Cognitive Assessment (MoCA) in patients with a learning disability and examine it's utility for conducting mental capacity assessment.Method: This study was a cross‐sectional, instrument validation study in an inpatient hospital setting, located in the East of England. The sample consisted of two groups: (i) 31 consecutively admitted hospital patients and (ii) 10 multidisciplinary team members who served as a comparison group. The MoCA, a 12‐item screen for mild cognitive impairment and the Dysexecutive Questionnaire (DEX), were used in this study. Item analysis was conducted by comparing item endorsement for all participants that had a learning disability utilising Difficulty and Discrimination Indices for each item on the MoCA. We examined the internal consistency of a revised scale derived from item analysis and used a one‐way ANOVA to determine concurrent validity by comparing scores between two patient subgroups and the comparison group.Results: A 7‐item scale, ‘MoCA‐LD’ (alpha coefficient = 0.82) emerged from item analysis. A statistically significant negative correlation was observed between MoCA‐LD and DEX (Pearson correlation = −0.66, P < 0.01). As expected, participants in the borderline category scored higher on MoCA‐LD than those with mild learning disability, as did those with no learning disability (P < 0.001).Conclusion: The MoCA‐LD has the potential to be a useful tool for mental capacity assessment in patients with a learning disability.

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“…Other commonly used expert-rating scales assessing other constructs, such as the Hamilton Depression Rating Scale (Morriss, Leese, Chatwin, Baldwin, & Group, 2008) or the clinician-rated version of the Yale-Brown Obsessive Compulsive Scale (Goodman et al, 1989), have shown ICC of about .90. As for common EF self-and partner rating scales, the interrater reliability has generally been shown to be much weaker, for instance, .47 for the Dysexecutive Questionnaire (Barker, Morton, Morrison, & McGuire, 2011), between .62 and .72 for the Adult Executive Functioning Inventory (ADEXI; Holst & Thorell, 2018), and between .66 and .79 for the Barkley Deficits in Executive Functioning Scale (BDEFS; Barkley, 2011). However, EF interview measures, such as the Executive Interview, have been shown to have excellent (r ¼ .90) inter-rater reliability (Royall, Mahurin, & Gray, 1992).…”

Section: Reliability Of the Ec-10mentioning

confidence: 99%

The Executive Checklist (EC-10) – a new rating instrument for clinicians assessing dysexecutive behavior

Viklund

Ausén

Hagman

et al. 2019

Applied Neuropsychology: Adult

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Assessment of executive functions (EF) is often criticized for its lack of ecological validity. As a consequence, several self-and partner rating scales for EF have been developed, while rating scales designed for clinicians are lacking. We therefore developed the Executive Checklist (EC-10), a new rating scale for clinicians assessing dysexecutive behavior during neuropsychological assessment and examined its psychometric properties. Consecutive referrals from a memory clinic with subjective cognitive impairment (SCI; n ¼ 27), mild cognitive impairment (MCI; n ¼ 29), dementia (DEM; n ¼ 16), as well as 11 healthy controls were assessed with the EC-10 while performing common neuropsychological tests. Results showed that the EC-10 had excellent inter-rater reliability, good internal consistency and modest relations to cognitive laboratory measures. The EC-10 increased the classification rate above and beyond the influence of neuropsychological tests when comparing patients with SCI and MCI or between cognitively impaired and non-impaired patients. Conclusively, the present study demonstrates that clinical observations can be quantified using the EC-10 and that this rating provides valuable information. As executive deficits are common in many neurological and neuropsychiatric disorders, validating the EC-10 in broader patient groups should be an important avenue for future research. KEYWORDSAlzheimer's disease; ecological validity; executive function deficits; mild cognitive impairment; rating instrument APPLIED NEUROPSYCHOLOGY: ADULT https://doi.

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Inter-rater reliability of the Dysexecutive Questionnaire (DEX): Comparative data from non-clinician respondents—all raters are not equal

Cited by 22 publications

References 33 publications

Investigating the role of executive attentional control to self-harm in a non-clinical cohort with borderline personality features

Investigating the role of executive attentional control to self-harm in a non-clinical cohort with borderline personality features

The utility of the Montreal Cognitive Assessment as a mental capacity assessment tool for patients with a learning disability

The Executive Checklist (EC-10) – a new rating instrument for clinicians assessing dysexecutive behavior

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