Spanish version of the Dysexecutive Questionnaire (DEX-Sp): psychometric properties in addicts and non-clinical sample
DOI:
https://doi.org/10.20882/adicciones.243Keywords:
Executive functions, dysexecutive syndrome, frontal lobe, addictive behaviour, questionnaires, psychometrics, factor analysis, treatmentAbstract
Objective: Several studies have shown evidence of executive function impairment associated with substance abuse. This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment. The Dysexecutive Questionnaire (DEX) is a test widely used to estimate executive dysfunction. The main objective of this work is to study the psychometric properties of the Spanish version of the Dysexecutive Questionnaire (DEX-Sp). A complementary goal is to study its potential utility for initial screening in addicted individuals seeking treatment. Method: A sample of 131 non-clinical and 127 clinical individuals meeting the DSM-IV-TR substance abuse or dependence criteria were recruited. Results: Internal consistency of the questionnaire was assessed (Cronbach’s _ =0.91), as well as other reliability indicators. Exploratory and confirmatory factor analysis offers four- and five-factor solutions. Also tested were the dimensionality and structural model and its convergent and discriminant validity with other instruments. Differences between clinical and non-clinical individuals and total scores were also analyzed. Conclusions: The data suggest that the Spanish version of the DEX is a useful measure for assessing general symptoms of dysexecutive syndrome, and a valid, reliable and adequate screening test for estimating cognitive impairment associated with substance abuse.References
Aharonovich, E., Hasin, D. S., Brooks, A. C., Liu, X., Bisaga, A. y Nunes,
E. V. (2006). Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug and Alcohol Dependence, 81, 313-322.
Aharonovich, E., Nunes, E. y Hasin, D. (2003). Cognitive impairment,
retention and abstinence among cocaine abusers in cognitivebehavioral
treatment. Drug and Alcohol Dependence, 71, 207-211.
Alderman, N., Dawson, K., Rutterford, N. A. y Reynolds P. J. (2001). A comparison of the validity of self-report measures amongst people with acquired brain injury: A preliminary study of the usefulness of EuroQol-5D. Neuropsychological Rehabilitation, 11, 529-537.
Alexander, G. E., DeLong, M. R y Strick, P. L. (1986). Parallel organization
of functionally segregated circuits linking basal ganglia and cortex. Annual Review of Neuroscience, 9, 357–381.
Amieva, H., Phillips, L. y Della Sala, S. (2003). Behavioral dysexecutive
symptoms in normal aging. Brain and Cognition, 53, 129-132.
Barrash, J., Tranel, D. y Anderson, S. W. (2000). Acquired personality disturbances associated with bilateral damage to the ventromedial prefrontal region. Developmental Neuropsychology, 18, 355-381.
Bentler, P. M. (1990). Comparative fit indexes in structural models.
Psychological Bulletin, 107, 238-246.
Bentler, P. M. y Bonett, D. G. (1980). Significant tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.
Berg, E. A. (1948). A simple objective technique for measuring flexibility in thinking. Journal of General Psychology, 39, 15-22.
Bollen, K. A. (1989). Structural equations with latent variables. Nueva
York: Wiley & Sons.
Brislin, R. W. (1986). The wording and translation of research instruments. En W. Lonner y J. Berry (Eds.), Field methods in cross-cultural research (pp. 137-164). Beverly Hills, CA: Sage.
Browne, M. W. y Cudeck, R. (1993). Alternative ways of assessing model fit. En K.A. Bollen and J.S. Long (Eds). Testing structural equation models (pp 136-162). Newbury Park: Sage.
Burgess, P. W., Alderman, N., Evans, J., Emslie, H. y Wilson, B. (1998).
The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547-558.
Carmines, E. y McIver, J. (1981) Analyzing models with unobserved variables: analysis of covariance structures. En G. Bohrnstedt y E. Borgatta. (Eds), Social Measurement: Current Issues. Beverly Hills CA: Sage.
Carmines, E. G. y Zeller, R. A. (1979). Reliability and validity assessment. Londres: Sage.
Cattell, R. B. (1978). The scientific use of factor analysis in behavioural
and life sciences. Nueva York: Plenum Press.
Chamberlain, E. (2003). Behavioural Assessment of the Dysexecutive
Syndrome (BADS). Journal of Occupational Psychology, Employment and Disability, 5, 33-37.
Chan, R. C. K. (2001). Dysexecutive symptoms among a non-clinical
sample: A study with the use of the Dysexecutive Questionnaire. British Journal of Psychology, 92, 551-565.
Chan, R. C. K., Hoosain, R. y Lee, T. M. C. (2002). Reliability and validity
of the Cantonese version of the test of everyday attention among normal Hong Kong Chinese: a preliminary report. Clinical Rehabilitation, 16, 900-909.
Chaytor, N., Schmitter-Edgecombe, M. y Burr, R. (2006). Improving
the ecological validity of executive functioning assessment. Archives of Clinical Neuropsychology, 21, 217-227.
Chaytor, N. y Schmitter-Edgecombe, M. (2007). Fractionation of the
dysexecutive syndrome in a heterogeneous neurological sample: Comparing the Dysexecutive Questionnaire and the Brock Adaptive Functioning Questionnaire. Brain Injury, 21, 615-621.
Chico, E., Tous, J. M., Lorenzo, U. y Vigil, A. (2003). Spanish adaptation
of Dickman’s Impulsivity Inventory: its relationship to Eysenck’s personality questionnaire. Personality and Individual Differences, 35, 1883-1892.
Cullen, B., Coen, R. F., Lynch, C. A, Cunningham, C. J., Coakley, D.,
Robertson, I. H et al. (2005). Repetitive behaviour in Alzheimer’s
disease: description, correlates and functions. International
Journal of Geriatric Psychiatry, 20, 686 – 693.
Cummings, J. L. (1993). Frontal subcortical circuits and human behavior. Archives of Neurology, 50, 873-880.
Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi,
D. A. y Gornbein, J. (1994). The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308-2314.
Dickman, S. J. (1990). Functional and dysfunctional impulsivity: Personality and cognitive correlates. Journal of Personality and Social Psychology, 58, 95-102.
Eslinger, P. J. y Damasio, A. R. (1985). Severe disturbance of higher
cognition after bilateral frontal lobe ablation: patient EVR. Neurology, 35, 1731-1741.
Fishbein, D. H., Krupitsky, E., Flannery, B. A., Langevin, D. J., Bobashev,
G., Verbitskaya, E. et al. (2007). Neurocognitive characterizations of Russian heroin addicts without a significant history of other drug use. Drug and Alcohol Dependence, 90, 25-38.
Forcada, R., Pardo, N. y Bondía, B. (2006). Impulsividad en dependientes de cocaína que abandonan el consumo. Adicciones, 18, 111-118.
Giancola, P. R. y Mezzich, A. C. (2003). Executive functioning, temperament, and drug use involvement in adolescent females with a substance use disorder. Journal of Child Psychology & Psychiatry & Allied Disciplines, 44, 857-866.
Gioia, G. A., Isquith, P. K., Guy, S. C. y Kenworthy, L. (2000). Behavior
rating inventory of executive function. Neuropsychology, Development and Cognition, 6, 235-238.
Goldstein, R. Z., Leskovjan, A. C., Hoff, A. L., Hitzemann, R, Bashan, F.,
Khalsa, S. S., Wang, G. J., Fowler, J. S. y Volkow, N. D. (2004). Severity of neuropsychological impairment in cocaine and alcohol addiction: association with metabolism in the prefrontal cortex. Neuropsychologia, 42, 1447-1458.
Goodman, L. (1961). Snowball sampling. Annals of Mathematical Statistics, 32, 148.
Gorsuch, R. L. (1983). Factor analysis. Hillsdale, NJ: Lawrence Erlbaum.
Grace, J. y Malloy, P. F. (2001). Frontal Systems Behavior Scale (FrSBe):
professional manual. Lutz, FL: Psychological Assessment Resources.
Grace, J., Stout, J. C. y Malloy, P. F. (1999). Assessing frontal behavior
syndromes with the Frontal Lobe Personality Scale. Assessment, 6, 269-284.
Hair, J. F., Anderson, R. E., Tatham, R. L. y Black, W. C. (1998). Multivariate Data Analysis (5th Ed.). Upper Saddle River: Prentice-Hall.
Hart, T., Whyte, J., Kim, J. y Vaccaro, M. (2005). Executive function and
self-awareness of real-world behavior and attention deficits following traumatic brain injury. Journal of Head Trauma Rehabilitation, 20, 333-347.
Hattie, J. (1984). Methodology review: Assessing unidimensionality of
tests and items. Applied Psychological Measurement, 20, 1-14.
Hattie, J. (1985). An empirical study of the various indices for determining unidimensionality. Multivariate Behavioral Research, 19, 49-78.
Heffernan, T., Ling, J. y Bartholomew, J. (2004). Self-rated prospective
memory and central executive deficits in excessive alcohol users. Irish Journal of Psychological Medicine, 21, 122-124.
Hester, R. y Garavan, H. (2004). Executive dysfunction in cocaine addiction: evidence for discordant frontal, cingulate, and cerebellar activity. Journal of Neuroscience, 24, 11017-11022.
Hinson, J. M., Jameson, T. L. y Whitney, P. (2003). Impulsive decision
making and working memory. Journal of Experimental Psychology, 29, 298-306.
Hu, L. y Bentler, P. (1995). Evaluating model fit. En R. Hoyle (ed.), Structural equation modelling: concepts, issues and applications (pp. 76-99). Thousand Oaks, CA: Sage Publications.
James, L. R., Muliak, S. A. y Brett, J. (1982). Causal analysis: Models,
assumptions and data. Beverly Hills, CA: Sage.
Kertesz, A., Davidson, W. y Fox, H. (1997). Frontal behavioral inventory:
diagnostic criteria for frontal lobe dementia. Canadian Journal of Neurological Sciences, 24, 29-36.
Kline, P. (1994). An easy guide to factor analysis. Londres: Routledge.
Landa, N., Fernández-Montalvo, J. y Tirapu, J. (2004). Alteraciones
neuropsicológicas en el alcoholismo: una revisión sobre la afectación de la memoria y las funciones. Adicciones, 16, 41-52.
Landa, N., Fernández-Montalvo, J., Tirapu, J. López-Goñi, J., Castillo, A.
y Lorea, I. (2006). Alteraciones neuropsicológicas en alcohólicos: un estudio exploratorio. Adicciones, 18, 49-60.
Larson, M. J., Perlstein, W. M., Demery, J. A. y Stigge-Kaufman, D. A.
(2006). Cognitive control impairments in traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 28, 968-986.
Malloy, P. y Grace, J. A. (2005). Review of rating scales for measuring
behavior change due to frontal systems damage. Cognitive and Behavioral Neurology, 18, 18-27.
Mathias, J. L. (2003). Neurobehavioral functioning of persons with Parkinson’s disease. Applied Neuropsychology, 10, 57-68.
Mega, M. S. y Cummings, J. L. (1994). Frontal subcortical circuits and
neuropsychiatric disorders. Journal of Neuropsychiatry and Clinical Neurosciences, 6, 358-370.
Mooney, B., Walmsley, C. y McFarland, K. (2006). Factor analysis of
the Self-Report Dysexecutive (DEX-S) Questionnaire. Applied Neuropsychology, 13, 12-18.
Nunnally, J. C. (1978). Psychometric theory (2nd ed.). Nueva York:
McGraw-Hill.
Pedhazur, E. J. (1997). Multiple regression in behavioral research: explanation and prediction. Fort Worth, TX: Harcourt Brace College Publishers.
Pedrero, E. J., Ruiz Sánchez de León, J. M., Llanero, M., Rojo, G., Olivar,
Á. y Puerta, C. (en prensa). Sintomatología frontal en adictos a sustancias en tratamiento mediante la versión española de la Escala de Comportamiento Frontal. Revista de Neurología, en prensa.
Prosser, J., Cohen, L. J., Steinfeld, M., Eisenberg, D., London, E. D. y Galynker, I. I. (2006). Neuropsychological functioning in opiate-dependent subjects receiving and following methadone maintenance treatment. Drug and Alcohol Dependence, 84, 240-247.
Reay, J. L., Hamilton, C., Kennedy, D. O. y Scholey, A. B. (2006). MDMA polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes. Journal of Psychopharmacology, 20, 385-388.
Reitan, R. M. (1958). Validity of the Trail Making Test as an indicator of
organic brain damage. Perceptual and Motor Skills, 8, 271-286.
Schilt, T., de Win, M. M. L., Koeter, M., Jager, G., Korf, D. J., van den
Brink, W. et al. (2007). Cognition in novice ecstasy users with minimal exposure to other drugs: a prospective cohort study. Archives of General Psychiatry, 64, 728-736.
Selby, M. J. y Azrin, R. L. (1998). Neuropsychological functioning in drug abusers. Drug and Alcohol Dependence, 50, 39-45.
Shallice, T. y Burgess, P. W. (1991) Higher-order cognitive impairments
and frontal lobe lesions in man. In: H.S. Levin, H.M. Eisenberg y A.L. Benton (Eds.), Frontal Lobe Function and Dysfunction (pp. 125-138). Nueva York: Oxford University Press.
Stroop, J. R. (1935). Studies of interference in serial verbal reactions.
Journal of Experimental Psychology, 18, 643-662
Stuss, K. H. y Benson, D. F. (1984). Neuropsychological studies of the
frontal lobes. Psychological Bulletin, 95, 3-28.
Teichner, G., Horner, M. D., Roitzsch, J. C., Herron, J. y Thevos, A. (2002).
Substance abuse treatment outcomes for cognitively impaired and intact outpatients. Addictive Behaviors, 27, 751-763.
Verdejo, A., Lawrence, A. J. y Clark, L. (2008). Impulsivity as a vulnerability marker for substance use disorders: Review of findings from high-risk research, problem gamblers and genetic association studies. Neuroscience & Biobehavioral Reviews, 32, 777-810.
Verdejo, A., López-Torrecillas, F., Orozco, C. y Pérez, M. (2002). Impacto
de los deterioros neuropsicológicos asociados al consumo de sustancias sobre la práctica clínica con drogodependientes. Adicciones, 14, 345-370.
Verdejo, A. y Pérez-García, M. (2007). Ecological assessment of executive functions in substance dependent individuals. Drug and Alcohol Dependence, 90, 48-55.
Walley, R. M. y Donaldson, M. D. (2005). An investigation of executive
function abilities in adults with Prader-Willi syndrome. Journal of Intellectual Disability Research, 49, 613-625.
Wang, Y., Chan, R. C. K. y Deng, Y. Y. (2006). Examination of postconcussion-like symptoms in healthy college students: relationships to subjective and objective neuropsychological function performance. Archives of Clinical Neuropsychology, 21, 339-347.
Wheaton, B., Muthén, B., Alwin, D. F. y Summers, G. F. (1977). Assessing reliability and stability in panel models. EnHeise, D.R. (Ed.) Sociological methodology 1977. San Francisco: Jossey-Bass, 84-136.
Whitney, P., Hinson, J. M. y Jameson, T. L. (2006). From executive control to self-control: predicting problem drinking among college students. Applied Cognitive Psychology, 20, 823-835.
Wilson, B. A., Alderman, N., Burgess, P. W., Emslie, H. y Evans, J. J. (1996). Behavioural assessment of the Dysexecutive Syndrome. Bury St. Edmunds, UK : Thames Valley Test Company.
Wood, R. Ll. y Liossi, C. (2006). The ecological validity of executive tests in a severely brain injured sample. Archives of Clinical Neuropsychology, 21, 429-437.
