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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Assessment of patients with DES can be difficult because traditional tests generally focus on one specific problem for a short period of time.

Dysexecutive syndrome

They can also have difficulty understanding others’ points of view, which can lead to anger and frustration. If you ask them to then name colours, they may still give you animals. The patients are then taught to monitor their executive functions and begin to evaluate them. Because individuals with this syndrome have trouble integrating information into their actions it is often suggested that they have dysesecutive reminders delivered to a cell phone or pager.

Several studies have shown evidence of executive function impairment associated with substance abuse. Cognition primarily refers to memory, the ability to learn new information, speech, and reading comprehension.

It is important to note that frontal lobe damage is not the only cause of the syndrome. New problems dysrxecutive situations may be especially poorly handled because of the inability to transfer previous knowledge to the new event. The main objective of this work is to study the psychometric properties of the Spanish version of the Dysexecutive Questionnaire DEX-Sp.


Execution xysexecutive regulation are put into quesyionnaire with reminders of how to proceed if something goes wrong in the behavioural script. This suggests the potential usefulness of a baseline assessment measure to screen for dysexecutive impairments in individuals beginning treatment.

Perseveration is also often seen in patients with DES. 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. Training for DES patients asks them to think of a specific time when they did an activity previously. 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.

The newly developed subscales were well targeted to the range of dysexecutive problems reported by the current sample and each displayed a good level of internal validity. DES often occurs with other disorders, dysexecitive is known as comorbidity. Patients with DES seem to not be able to use this autobiographical memory as well as a normal person.

DES can affect a number of functions in the brain and vary from person to person. Symptoms of DES fall into three broad categories: Some researchers have suggested that DES is mislabelled as a syndrome because it dysexevutive possible for the symptoms to exist on their own.

The dysfunction can range from mild and subtle to severe and obvious. Series B, Biological Sciences,— The central executive helps control impulses; therefore when impaired, patients have poor impulse control.

This page was last edited on 11 Septemberat People with DES can do fairly well on these tests because their problems are related to integrating individual skills into everyday dyysexecutive.


Autobiographical memories can be used to help direct future behaviour. One of the main difficulties for an individual with DES is planning and reasoning. By using this site, you agree to the Terms of Use and Privacy Policy. Retrieved from ” https: They are then instructed to think about how they accomplished questinnaire activity. Exploratory and confirmatory factor analysis offers four- and five-factor solutions.

The first step can cue the patient to go to the next step in their plan. It has been shown that damage, such as lesions, in other areas of the brain may dysexecutkve affect executive functions and lead to similar symptoms.

To accomplish this, therapists teach patients a three-step model called the General Planning Approach. Not all patients with frontal lobe damage have DES and some patients with no damage at all to the frontal lobe exhibit the necessary pattern of symptoms.

Reformulation and compensation in cognitive analytic therapy CAT.

Because of this variance, it is suggested that the most successful therapy would include multiple methods. Impaired planning and reasoning affect the individual’s ability to realistically assess and manage the problems of every day living.

Dysexecutive syndrome – Wikipedia

An example includes “how would you plan a holiday”. This can affect their autobiographical memory. Perseveration is the repetition of thoughts, behaviours, or actions after they have already been completed.