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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first="Philippe" last="Robert">Philippe Robert</name><affiliation><mods:affiliation>Academic Memory Clinic, University Hospital of Nice, Nice, France</mods:affiliation></affiliation></author><author><name sortKey="Roussel, Martine" sort="Roussel, Martine" uniqKey="Roussel M" first="Martine" last="Roussel">Martine Roussel</name><affiliation><mods:affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</mods:affiliation></affiliation></author><author><name sortKey="Legall, Didier" sort="Legall, Didier" uniqKey="Legall D" first="Didier" last="Legall">Didier Legall</name><affiliation><mods:affiliation>Departments of Neurology and Psychology, University of Angers, Angers, France</mods:affiliation></affiliation></author><author><name sortKey="Meulemans, Thierry" sort="Meulemans, Thierry" uniqKey="Meulemans T" first="Thierry" last="Meulemans">Thierry Meulemans</name><affiliation><mods:affiliation>Department of Psychology, University of Liège, Liège, Belgium</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:607C9339059AC7926AD686495A55063DF0D10598</idno><date when="2010" year="2010">2010</date><idno type="doi">10.1002/ana.22117</idno><idno type="url">https://api.istex.fr/document/607C9339059AC7926AD686495A55063DF0D10598/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000E96</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000E96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Dysexecutive syndrome: Diagnostic criteria and validation study</title><author><name sortKey="Godefroy, Olivier" sort="Godefroy, Olivier" uniqKey="Godefroy O" first="Olivier" last="Godefroy">Olivier Godefroy</name><affiliation><mods:affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</mods:affiliation></affiliation><affiliation><mods:affiliation>Service de Neurologie, CHU Nord 80054, Amiens cedex France</mods:affiliation></affiliation></author><author><name sortKey="Azouvi, Philippe" sort="Azouvi, Philippe" uniqKey="Azouvi P" first="Philippe" last="Azouvi">Philippe Azouvi</name><affiliation><mods:affiliation>Department of Rehabilitation, University Hospital of Garches, Garches, France</mods:affiliation></affiliation></author><author><name sortKey="Robert, Philippe" sort="Robert, Philippe" uniqKey="Robert P" first="Philippe" last="Robert">Philippe Robert</name><affiliation><mods:affiliation>Academic Memory Clinic, University Hospital of Nice, Nice, France</mods:affiliation></affiliation></author><author><name sortKey="Roussel, Martine" sort="Roussel, Martine" uniqKey="Roussel M" first="Martine" last="Roussel">Martine Roussel</name><affiliation><mods:affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</mods:affiliation></affiliation></author><author><name sortKey="Legall, Didier" sort="Legall, Didier" uniqKey="Legall D" first="Didier" last="Legall">Didier Legall</name><affiliation><mods:affiliation>Departments of Neurology and Psychology, University of Angers, Angers, France</mods:affiliation></affiliation></author><author><name sortKey="Meulemans, Thierry" sort="Meulemans, Thierry" uniqKey="Meulemans T" first="Thierry" last="Meulemans">Thierry Meulemans</name><affiliation><mods:affiliation>Department of Psychology, University of Liège, Liège, Belgium</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Annals of Neurology</title><title level="j" type="abbrev">Ann Neurol.</title><idno type="ISSN">0364-5134</idno><idno type="eISSN">1531-8249</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-12">2010-12</date><biblScope unit="volume">68</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="855">855</biblScope><biblScope unit="page" to="864">864</biblScope></imprint><idno type="ISSN">0364-5134</idno></series><idno type="istex">607C9339059AC7926AD686495A55063DF0D10598</idno><idno type="DOI">10.1002/ana.22117</idno><idno type="ArticleID">ANA22117</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0364-5134</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><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></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Olivier Godefroy MD, PhD</name><affiliations><json:string>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</json:string><json:string>Service de Neurologie, CHU Nord 80054, Amiens cedex France</json:string></affiliations></json:item><json:item><name>Philippe Azouvi MD, PhD</name><affiliations><json:string>Department of Rehabilitation, University Hospital of Garches, Garches, France</json:string></affiliations></json:item><json:item><name>Philippe Robert MD, PhD</name><affiliations><json:string>Academic Memory Clinic, University Hospital of Nice, Nice, France</json:string></affiliations></json:item><json:item><name>Martine Roussel PhD</name><affiliations><json:string>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</json:string></affiliations></json:item><json:item><name>Didier LeGall PhD</name><affiliations><json:string>Departments of Neurology and Psychology, University of Angers, Angers, France</json:string></affiliations></json:item><json:item><name>Thierry Meulemans PhD</name><affiliations><json:string>Department of Psychology, University of Liège, Liège, Belgium</json:string></affiliations></json:item></author><articleId><json:string>ANA22117</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><qualityIndicators><score>6.032</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 801 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractCharCount>618</abstractCharCount><pdfWordCount>5618</pdfWordCount><pdfCharCount>38681</pdfCharCount><pdfPageCount>10</pdfPageCount><abstractWordCount>86</abstractWordCount></qualityIndicators><title>Dysexecutive syndrome: Diagnostic criteria and validation study</title><corporate><json:item><name>Behalf of the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives Study Group</name></json:item></corporate><refBibs><json:item><author></author><host><author></author><title>Godefroy et Groupe de Réflexion pour l'évaluation des Fonctions EXécutives</title></host><title>Fonctions exécutives et pathologies neurologiques et psychiatriques: évaluation en pratique clinique</title></json:item><json:item><host><author></author><title>Luria AR.Higher cortical functions in man.New York, NY:Basic Books,1966.</title></host></json:item><json:item><author><json:item><name>MD. 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Alexander</name></json:item></author><host><volume>362</volume><pages><last>915</last><first>901</first></pages><author></author><title>Philos Trans R Soc Lond B Biol Sci</title></host><title>Is there a dysexecutive syndrome?</title></json:item></refBibs><genre><json:string>article</json:string></genre><host><volume>68</volume><publisherId><json:string>ANA</json:string></publisherId><pages><total>10</total><last>864</last><first>855</first></pages><issn><json:string>0364-5134</json:string></issn><issue>6</issue><subject><json:item><value>Original Article</value></json:item></subject><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1531-8249</json:string></eissn><title>Annals of Neurology</title><doi><json:string>10.1002/(ISSN)1531-8249</json:string></doi></host><categories><wos><json:string>science</json:string><json:string>neurosciences</json:string><json:string>clinical 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type="main" xml:lang="en">Dysexecutive syndrome: Diagnostic criteria and validation study</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Copyright © 2010 American Neurological Association</p></availability><date>2010</date></publicationStmt><notesStmt><note>Centre National pour la Recherche Scientifique</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Dysexecutive syndrome: Diagnostic criteria and validation study</title><author><orgName>Behalf of the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives Study Group</orgName></author><author xml:id="author-1"><persName><forename type="first">Olivier</forename><surname>Godefroy</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</affiliation><affiliation>Service de Neurologie, CHU Nord 80054, Amiens cedex France</affiliation></author><author xml:id="author-2"><persName><forename type="first">Philippe</forename><surname>Azouvi</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Department of Rehabilitation, University Hospital of Garches, Garches, France</affiliation></author><author xml:id="author-3"><persName><forename type="first">Philippe</forename><surname>Robert</surname></persName><roleName type="degree">MD, PhD</roleName><affiliation>Academic Memory Clinic, University Hospital of Nice, Nice, France</affiliation></author><author xml:id="author-4"><persName><forename type="first">Martine</forename><surname>Roussel</surname></persName><roleName type="degree">PhD</roleName><affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</affiliation></author><author xml:id="author-5"><persName><forename type="first">Didier</forename><surname>LeGall</surname></persName><roleName type="degree">PhD</roleName><affiliation>Departments of Neurology and Psychology, University of Angers, Angers, France</affiliation></author><author xml:id="author-6"><persName><forename type="first">Thierry</forename><surname>Meulemans</surname></persName><roleName type="degree">PhD</roleName><affiliation>Department of Psychology, University of Liège, Liège, Belgium</affiliation></author></analytic><monogr><title level="j">Annals of Neurology</title><title level="j" type="abbrev">Ann Neurol.</title><idno type="pISSN">0364-5134</idno><idno type="eISSN">1531-8249</idno><idno type="DOI">10.1002/(ISSN)1531-8249</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-12"></date><biblScope unit="volume">68</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="855">855</biblScope><biblScope unit="page" to="864">864</biblScope></imprint></monogr><idno type="istex">607C9339059AC7926AD686495A55063DF0D10598</idno><idno type="DOI">10.1002/ana.22117</idno><idno type="ArticleID">ANA22117</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2010</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>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.</p></abstract><abstract><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></abstract><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></abstract><abstract><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></abstract><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Original Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2010-02-03">Received</change><change when="2010-06-04">Registration</change><change when="2010-12">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/607C9339059AC7926AD686495A55063DF0D10598/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley 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normalForm="godefroy.olivier@chu-amiens.fr">godefroy.olivier@chu‐amiens.fr</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Philippe</givenNames><familyName>Azouvi</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Philippe</givenNames><familyName>Robert</familyName><degrees>MD, PhD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Martine</givenNames><familyName>Roussel</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Didier</givenNames><familyName>LeGall</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Thierry</givenNames><familyName>Meulemans</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au7" creatorRole="author"><groupName>Behalf of the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives Study Group</groupName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="FR" type="organization"><unparsedAffiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="FR" type="organization"><unparsedAffiliation>Department of Rehabilitation, University Hospital of Garches, Garches, France</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="FR" type="organization"><unparsedAffiliation>Academic Memory Clinic, University Hospital of Nice, Nice, France</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="FR" type="organization"><unparsedAffiliation>Departments of Neurology and Psychology, University of Angers, Angers, France</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="BE" type="organization"><unparsedAffiliation>Department of Psychology, University of Liège, Liège, Belgium</unparsedAffiliation></affiliation></affiliationGroup><fundingInfo><fundingAgency>Centre National pour la Recherche Scientifique</fundingAgency></fundingInfo><supportingInformation><p> Additional Supporting Information can be found in the online version of this article. </p><supportingInfoItem><mediaResource alt="supporting information" href="urn-x:wiley:03645134:media:ana22117:ANA_22117_sm_SuppMaterials"></mediaResource><caption>Supporting Information Materials.</caption></supportingInfoItem></supportingInformation><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><section xml:id="abs1-1"><title type="main">Objective</title><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></section><section xml:id="abs1-2"><title type="main">Methods</title><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></section><section xml:id="abs1-3"><title type="main">Results</title><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> = 0.001) dysexecutive syndromes and Mini Mental State Examination score (OR, 0.79; 95% CI, 0.68–0.91; <i>p</i> = 0.002) were independent predictors of loss of autonomy.</p></section><section xml:id="abs1-4"><title type="main">Interpretation</title><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></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Dysexecutive syndrome: Diagnostic criteria and validation study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Dysexecutive Syndrome</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Dysexecutive syndrome: Diagnostic criteria and validation study</title></titleInfo><name type="personal"><namePart type="given">Olivier</namePart><namePart type="family">Godefroy</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</affiliation><affiliation>Service de Neurologie, CHU Nord 80054, Amiens cedex France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Azouvi</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Department of Rehabilitation, University Hospital of Garches, Garches, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Philippe</namePart><namePart type="family">Robert</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>Academic Memory Clinic, University Hospital of Nice, Nice, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Martine</namePart><namePart type="family">Roussel</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Didier</namePart><namePart type="family">LeGall</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Departments of Neurology and Psychology, University of Angers, Angers, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Thierry</namePart><namePart type="family">Meulemans</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Psychology, University of Liège, Liège, Belgium</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="corporate"><namePart>Behalf of the Groupe de Réflexion sur l'Evaluation des Fonctions Exécutives Study Group</namePart><description>Department of Neurology, Laboratory of Functional Neurosciences, University Hospital of Amiens, Amiens, FranceDepartment of Rehabilitation, University Hospital of Garches, Garches, FranceAcademic Memory Clinic, University Hospital of Nice, Nice, FranceDepartments of Neurology and Psychology, University of Angers, Angers, FranceDepartment of Psychology, University of Liège, Liège, Belgium</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2010-12</dateIssued><dateCaptured encoding="w3cdtf">2010-02-03</dateCaptured><dateValid encoding="w3cdtf">2010-06-04</dateValid><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">3</extent><extent unit="references">43</extent><extent unit="words">6044</extent></physicalDescription><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></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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