Dysexecutive syndrome: Diagnostic criteria and validation study
Identifieur interne : 000E96 ( Istex/Corpus ); précédent : 000E95; suivant : 000E97Dysexecutive syndrome: Diagnostic criteria and validation study
Auteurs : Olivier Godefroy ; Philippe Azouvi ; Philippe Robert ; Martine Roussel ; Didier Legall ; Thierry MeulemansSource :
- Annals of Neurology [ 0364-5134 ] ; 2010-12.
Abstract
Disorders of executive functions are among the most frequent cognitive deficits, but they remain poorly defined and are subject to heterogeneous assessment. To address this major issue, the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives (GREFEX) group has proposed criteria for behavioral and cognitive dysexecutive syndromes and has designed a battery including a specific heteroquestionnaire and 7 cognitive tests. We investigated the frequency of behavioral and cognitive dysexecutive disorders in patients suffering from various diseases and the association of these disorders with loss of autonomy.
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DOI: 10.1002/ana.22117
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<front><div type="abstract">Disorders of executive functions are among the most frequent cognitive deficits, but they remain poorly defined and are subject to heterogeneous assessment. To address this major issue, the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives (GREFEX) group has proposed criteria for behavioral and cognitive dysexecutive syndromes and has designed a battery including a specific heteroquestionnaire and 7 cognitive tests. We investigated the frequency of behavioral and cognitive dysexecutive disorders in patients suffering from various diseases and the association of these disorders with loss of autonomy.</div>
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<abstract><p>A dysexecutive syndrome was observed in 60% of patients, concerning both behavioral and cognitive domains in 26% and dissociated in 34%. All behavioral and cognitive dysexecutive disorders discriminated (p = 0.001, all) patients from controls. The pattern of cognitive syndrome differed (p = 0.0001) according to the disease. Finally, behavioral (odds ratio [OR], 4.6; 95% confidence interval [CI], 2. 3–9.1; p = 0.0001) and cognitive (OR, 3.36; 95% CI, 1.7–6.6; p = 0.001) dysexecutive syndromes and Mini Mental State Examination score (OR, 0.79; 95% CI, 0.68–0.91; p = 0.002) were independent predictors of loss of autonomy.</p>
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<p>Disorders of executive functions are among the most frequent cognitive deficits, but they remain poorly defined and are subject to heterogeneous assessment<i>.</i>
To address this major issue, the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives (GREFEX) group has proposed criteria for behavioral and cognitive dysexecutive syndromes and has designed a battery including a specific heteroquestionnaire and 7 cognitive tests. We investigated the frequency of behavioral and cognitive dysexecutive disorders in patients suffering from various diseases and the association of these disorders with loss of autonomy.</p>
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<p>A total of 461 patients aged between 16 and 90 years with severe traumatic brain injury, stroke, mild cognitive impairment, Alzheimer disease, multiple sclerosis, and Parkinson disease were recruited into this prospective cohort study by 21 centers between September 2003 and June 2006. Behavioral and cognitive dysexecutive disorders were examined using the GREFEX battery.</p>
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<p>A dysexecutive syndrome was observed in 60% of patients, concerning both behavioral and cognitive domains in 26% and dissociated in 34%. All behavioral and cognitive dysexecutive disorders discriminated (<i>p</i>
= 0.001, all) patients from controls. The pattern of cognitive syndrome differed (<i>p</i>
= 0.0001) according to the disease. Finally, behavioral (odds ratio [OR], 4.6; 95% confidence interval [CI], 2. 3–9.1; <i>p</i>
= 0.0001) and cognitive (OR, 3.36; 95% CI, 1.7–6.6; <i>p</i>
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<p>This study provided criteria of dysexecutive syndrome and showed that both behavioral and cognitive syndromes contribute to loss of autonomy. Profiles vary across patients and diseases, and therefore systematic assessment of behavioral and cognitive disorders in reference to diagnostic criteria is needed. ANN NEUROL 2010</p>
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<abstract>Disorders of executive functions are among the most frequent cognitive deficits, but they remain poorly defined and are subject to heterogeneous assessment. To address this major issue, the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives (GREFEX) group has proposed criteria for behavioral and cognitive dysexecutive syndromes and has designed a battery including a specific heteroquestionnaire and 7 cognitive tests. We investigated the frequency of behavioral and cognitive dysexecutive disorders in patients suffering from various diseases and the association of these disorders with loss of autonomy.</abstract>
<abstract>A total of 461 patients aged between 16 and 90 years with severe traumatic brain injury, stroke, mild cognitive impairment, Alzheimer disease, multiple sclerosis, and Parkinson disease were recruited into this prospective cohort study by 21 centers between September 2003 and June 2006. Behavioral and cognitive dysexecutive disorders were examined using the GREFEX battery.</abstract>
<abstract>A dysexecutive syndrome was observed in 60% of patients, concerning both behavioral and cognitive domains in 26% and dissociated in 34%. All behavioral and cognitive dysexecutive disorders discriminated (p = 0.001, all) patients from controls. The pattern of cognitive syndrome differed (p = 0.0001) according to the disease. Finally, behavioral (odds ratio [OR], 4.6; 95% confidence interval [CI], 2. 3–9.1; p = 0.0001) and cognitive (OR, 3.36; 95% CI, 1.7–6.6; p = 0.001) dysexecutive syndromes and Mini Mental State Examination score (OR, 0.79; 95% CI, 0.68–0.91; p = 0.002) were independent predictors of loss of autonomy.</abstract>
<abstract>This study provided criteria of dysexecutive syndrome and showed that both behavioral and cognitive syndromes contribute to loss of autonomy. Profiles vary across patients and diseases, and therefore systematic assessment of behavioral and cognitive disorders in reference to diagnostic criteria is needed. ANN NEUROL 2010</abstract>
<note type="funding">Centre National pour la Recherche Scientifique</note>
<relatedItem type="host"><titleInfo><title>Annals of Neurology</title>
</titleInfo>
<titleInfo type="abbreviated"><title>Ann Neurol.</title>
</titleInfo>
<genre type="journal">journal</genre>
<note type="content"> Additional Supporting Information can be found in the online version of this article.Supporting Info Item: Supporting Information Materials. - </note>
<subject><genre>article-category</genre>
<topic>Original Article</topic>
</subject>
<identifier type="ISSN">0364-5134</identifier>
<identifier type="eISSN">1531-8249</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8249</identifier>
<identifier type="PublisherID">ANA</identifier>
<part><date>2010</date>
<detail type="volume"><caption>vol.</caption>
<number>68</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>6</number>
</detail>
<extent unit="pages"><start>855</start>
<end>864</end>
<total>10</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">607C9339059AC7926AD686495A55063DF0D10598</identifier>
<identifier type="DOI">10.1002/ana.22117</identifier>
<identifier type="ArticleID">ANA22117</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2010 American Neurological Association</accessCondition>
<recordInfo><recordContentSource>WILEY</recordContentSource>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
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