Comparisons of the BRIEF parental report and neuropsychological clinical tests of executive function in Fetal Alcohol Spectrum Disorders: data from the UK national specialist clinic
- PMID: 30251596
- DOI: 10.1080/09297049.2018.1516202
Comparisons of the BRIEF parental report and neuropsychological clinical tests of executive function in Fetal Alcohol Spectrum Disorders: data from the UK national specialist clinic
Abstract
Extant literature is sparse with regards to the relationship between caregiver reports and neuropsychological tests of executive functioning in Fetal Alcohol Spectrum Disorders (FASD). The goal of this paper was determining the clinical utilities of executive functioning measures used in the United Kingdom national FASD clinic. We examined relationships between outcomes on the Behavior Rating Inventory of Executive Function (BRIEF) and the Delis-Kaplan Executive Function System (D-KEFS), as part of an ongoing service evaluation. Profiles of executive functioning measures were reported in order to contribute to delineating a profile of executive dysfunction in FASD. Caregivers of 49 people with FASD completed the Parent BRIEF, and 61 people with FASD were administered the D-KEFS. Pearson's Correlations between all 11 BRIEF scales and the 18 selected D-KEFS subscales showed little relationship. The BRIEF showed a profile of clinically significant elevations in all three Index scores and seven out of the eight Scale scores. Several D-KEFS tests showed below average executive functioning. Both executive function measures have separate clinical utility in demonstrating executive function deficits in FASD. The sample population used in this study also show a similar pattern to FASD populations internationally, suggesting a similar neuropsychological profile is seen in the United Kingdom. However, caregiver reports display little relationship to neuropsychological tests. These measures likely monitor different aspects of executive functioning in different settings. Future research should focus on identifying tests that better relate findings from clinical settings to behavior in daily life.
Keywords: Behavior Rating Inventory of Executive Function (BRIEF); Delis-Kaplan Executive Function System (D-KEFS); Fetal Alcohol Spectrum Disorders (FASD); executive function; neuropsychology.
Similar articles
-
[Formula: see text]Parent rating of executive function in fetal alcohol spectrum disorder: A review of the literature and new data on Aboriginal Canadian children.Child Neuropsychol. 2017 Aug;23(6):713-732. doi: 10.1080/09297049.2016.1191628. Epub 2016 Jun 10. Child Neuropsychol. 2017. PMID: 27282764 Review.
-
Objective measures of executive functioning are highly discrepant with parent-report in fetal alcohol spectrum disorders.Child Neuropsychol. 2015;21(4):531-8. doi: 10.1080/09297049.2014.911271. Epub 2014 May 1. Child Neuropsychol. 2015. PMID: 24784486
-
Factors predictive of a fetal alcohol spectrum disorder diagnosis: Parent and teacher ratings.Child Neuropsychol. 2019 May;25(4):507-527. doi: 10.1080/09297049.2018.1495187. Epub 2018 Jul 12. Child Neuropsychol. 2019. PMID: 29996711
-
Research Review: Executive function deficits in fetal alcohol spectrum disorders and attention-deficit/hyperactivity disorder - a meta-analysis.J Child Psychol Psychiatry. 2016 Feb;57(2):116-31. doi: 10.1111/jcpp.12451. Epub 2015 Aug 6. J Child Psychol Psychiatry. 2016. PMID: 26251262 Free PMC article. Review.
-
Validity and Reliability of Executive Function Measures in Children With Heavy Prenatal Alcohol Exposure: Correspondence Between Multiple Raters and Laboratory Measures.Alcohol Clin Exp Res. 2021 Mar;45(3):596-607. doi: 10.1111/acer.14547. Epub 2021 Feb 15. Alcohol Clin Exp Res. 2021. PMID: 33433001 Free PMC article.
Cited by
-
Interventions for improving executive functions in children with foetal alcohol spectrum disorder (FASD): A systematic review.Campbell Syst Rev. 2022 Nov 3;18(4):e1258. doi: 10.1002/cl2.1258. eCollection 2022 Dec. Campbell Syst Rev. 2022. PMID: 36908848 Free PMC article. Review.
-
Evaluating the Difference in Neuropsychological Profiles of Individuals with FASD Based on the Number of Sentinel Facial Features: A Service Evaluation of the FASD UK National Clinic Database.Children (Basel). 2023 Jan 31;10(2):266. doi: 10.3390/children10020266. Children (Basel). 2023. PMID: 36832394 Free PMC article.
-
Profiles of language and communication abilities in adolescents with fetal alcohol spectrum disorders.J Int Neuropsychol Soc. 2023 Oct;29(8):724-733. doi: 10.1017/S1355617722000789. Epub 2022 Nov 3. J Int Neuropsychol Soc. 2023. PMID: 36325639 Free PMC article.
-
[Formula: see text]Parental interaction style, child engagement, and emerging executive function in fetal alcohol spectrum disorders (FASD).Child Neuropsychol. 2022 Oct;28(7):853-877. doi: 10.1080/09297049.2021.2023122. Epub 2022 Jan 3. Child Neuropsychol. 2022. PMID: 34978272 Free PMC article.
-
School-aged children diagnosed with an FASD exhibit visuo-cortical network disturbance: A magnetoencephalography (MEG) study.Alcohol. 2022 Mar;99:59-69. doi: 10.1016/j.alcohol.2021.12.001. Epub 2021 Dec 13. Alcohol. 2022. PMID: 34915151 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical