Subjective executive dysfunction in patients with primary brain tumors and their informants: relationships with neurocognitive, psychological, and daily functioning. (6th December 2021)

• Record Type: Journal Article
• Authors: Braun, Sarah Ellen; Lanoye, Autumn; Aslanzadeh, Farah J; Loughan, Ashlee R
• Is Part Of: Brain injury. Volume 35:Number 14(2021)
• Page Start: 1665
• Page End: 1673
• Publication Date: 2021-12-06
• Subjects: BRIEF-adult -- BRIEF-informant -- primary brain tumor -- neuro-oncology -- executive functioning -- instrumental activities of daily living; Brain damage -- Periodicals; Brain -- Wounds and injuries -- Periodicals; Brain Injuries -- Periodicals; 617.481
• DOI: 10.1080/02699052.2021.2008492
• Languages: English
• ISSNs: 0269-9052

Abstract

ABSTRACT: Objective: We assessed agreement between patient- and informant-report on the Behavior Rating Inventory of Executive Function – Adult (BRIEF-A) in patients with primary brain tumors (PBT) and differences on BRIEF-A in neurocognitive (intact v. impaired), psychological (asymptomatic v. distressed), and functional (independent v. dependent) categories using both patient- and informant-report. Method: PBT patients (n = 102) completed neuropsychological evaluations including the BRIEF-A, clinical interview, neurocognitive tests, and mood questionnaires. Correlations between the BRIEF-A and Informant (n = 39) were conducted. Differences in patient and informant BRIEF-A indices were investigated across five classifications: neurocognitive functioning, psychological functioning, medication management, appointment management, and finance management. Results: Patient and informant BRIEF were correlated. There was no difference on BRIEF-A or Informant indices for intact v. impaired neurocognitive status. Higher BRIEF-A and Informant indices were observed among psychologically distressed v. asymptomatic patients. Results showed higher BRIEF indices among those requiring assistance with medication, appointments, and finances. Conclusions: Patients and informants agreed in their reports of executive function (EF). These reports, while not different in neurocognitive classification, were different in psychological functioning and in those needing assistance with instrumental activities of daily living (IADL). Patient- and informant-reported EF may provide important data regarding psychological and IADL functioning in this population.