Outcome Measure Dysexecutive Questionnaire (DEX). Sensitivity to. Change. Yes. Population. Adult. Domain. Behavioural Function. Type of Measure. Clinician. Dysexecutive syndrome (DES) consists of a group of symptoms, usually resulting from brain . The Dysexecutive Questionnaire (DEX) is a item questionnaire designed to sample emotional, motivational, behavioural and cognitive changes . ABSTRACT. The Dysexecutive Questionnaire (DEX) is a tool for measuring everyday problems experienced with the dysexecutive syndrome.

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Rasch analysis techniques were employed to explore the psychometric properties queshionnaire four newly developed, theoretically distinct subscales based on Stuss model of frontal lobe function and to evaluate the comparative validity and reliability of self and informant ratings of these four subscales.

There are three types of perseveration: The first step can cue the patient to go to the next step in their plan. The Dysexecutive Questionnaire DEX is a item questionnaire designed to sample emotional, motivational, behavioural and cognitive changes in a subject with DES.

Perseveration may explain why some patients appear to have obsessive-compulsive disorder.

If questionnaier ask them to then name colours, they may still give you animals. Training for DES patients asks them to think of a specific time when they did an activity previously. It is thought to be Baddeley’s quesionnaire working memory system and the central executive that are the hypothetical systems impaired in DES. They are then instructed to think about how they accomplished this activity. Many of the symptoms can be seen as a direct result of impairment to the central executive component of working memory, which is responsible for attentional control and inhibition.


The results show that some dysexecutive behaviours are part of everyday life, and the symptoms exist to varying degrees in everyone. Execution and regulation are put into action with reminders of how to proceed if something goes wrong in the behavioural script. Due to multiple impairments of cognitive dysexecutivs, there can be much more frustration when expressing certain feelings and understanding how to interpret every day situations. Handbook of clinical neuropsychology.

For example, patients may decide they will have lunch with a friend their goal. The diagram helps organize their thoughts and shows the patient how they can change their behaviour in everyday situations.

Dysexecutive syndrome – Wikipedia

Another method of reminding is to have patients write a letter to themselves. This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment. The second stage, Goal Setting and Planning, consists of patients making specific goals, as well as devising a plan to accomplish them.

A complementary goal is to study its potential utility for initial screening in addicted individuals seeking treatment.

An example includes “how would you plan a holiday”. Utilization behaviour is thought to occur because an action is dysexecutlve when an object is seen, but patients with DES lack the central executive control to inhibit acting it out at inappropriate times.

They are taught to write down which friend it may be, where they are going for lunch, what time they are going, how they will get there, etc.

For example, when you want to take a bus, you know from past experience that you have to walk to the bus stop, have the exact amount of change, put the change in the slot, and then you can go find a seat. This dysexecuive of perseveration refers to when a patient cannot get out of a specific frame of mind, such as when asked to name animals they can only name one. To help patients remember how to behave, they may also create a diagram. They are also taught to make sure the dyexecutive go in the correct order.


Each item is scored on a 5-point scale according to its frequency from never 0 point to very often 4 points.

Retrieved from ” https: Neurobiological brain disorder Syndromes affecting the nervous system Frontal lobe. By using this site, you agree to the Terms of Use and Privacy Policy.

Series B, Biological Sciences,— Given such stimuli, subjects no longer performed below their age group dysxeecutive IQ. The accumulated effects of the symptoms have a large impact on daily life.

The emotional symptoms that individuals with DES experience may be quite extreme and can cause extensive problems. Cognitive symptoms refer to a person’s questionnaire to process thoughts.

Dysexecutive syndrome

Also tested were the dimensionality and structural model and its convergent and discriminant validity with other instruments. People with DES can do fairly well on these tests because their problems are related to integrating individual skills into everyday tasks. Both self- and independent-ratings were found to be performing reliably as outcome measures for at least a quetsionnaire.

Individuals with dementiadelirium or other severe psychiatric illnesses combined with DES often have disturbed sleep patterns. Exploratory qusstionnaire confirmatory factor analysis offers four- and five-factor solutions.

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