Impaired self awareness after traumatic brain injury: inter-rater reliability and factor structure of the dysexecutive questionnairre (DEX) in patients, significant others and clinicians
Autor: | Lynne Ann Barker, Nicholas Morton, Brian E. McGuire, Todd G. Morrison, Sheena B. Caldwell, Simone Carton, Mark Delargy, Colin F. Wilson, Judith McBrinn, John P McCann, Jane C. Walsh |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
Pediatrics
medicine.medical_specialty Traumatic brain injury Cognitive Neuroscience medicine.medical_treatment Poison control factor analysis lcsh:RC321-571 Behavioral Neuroscience Injury prevention medicine care giver Original Research Article Acquired brain injury lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Rehabilitation reliability business.industry medicine.disease Executive functions executive functions brain injury sample Confidence interval Inter-rater reliability Neuropsychology and Physiological Psychology deficits dysexecutive implicit business Clinical psychology Neuroscience |
Zdroj: | Frontiers in Behavioral Neuroscience Frontiers in Behavioral Neuroscience, Vol 8 (2014) |
ISSN: | 1662-5153 |
Popis: | Aims: This study sought to address two questions: (1) what is the inter-rater reliability\ud of the Dysexecutive Questionnaire (DEX) when completed by patients, their significant\ud others, and clinicians; and (2) does the factor structure of the DEX vary for these three\ud groups?\ud Methods: We obtained DEX ratings for 113 patients with an acquired brain injury from\ud two brain injury services in the UK and two services in Ireland. We gathered data from\ud two groups of raters—”significant others” (DEX-SO) such as partners and close family\ud members and “clinicians” (DEX-C), who were psychologists or rehabilitation physicians\ud working closely with the patient and who were able to provide an opinion about the\ud patient’s level of everyday executive functioning. Intra-class correlation coefficients and\ud their 95% confidence intervals were calculated between each of the three groups (self,\ud significant other, clinician). Principal axis factor (PAF) analyses were also conducted for\ud each of the three groups.\ud Results: The factor analysis revealed a consistent one-factor model for each of the\ud three groups of raters. However, the inter-rater reliability analyses showed a low level of\ud agreement between the self-ratings and the ratings of the two groups of independent\ud raters. We also found low agreement between the significant others and the clinicians.\ud Conclusion: Although there was a consistent finding of a single factor solution for each\ud of the three groups, the low level of agreement between significant others and clinicians\ud raises a question about the reliability of the DEX. |
Databáze: | OpenAIRE |
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