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Investigation of the Clinical Utility of the BRIEF2 in Youth With and Without Intellectual Disability

Published online by Cambridge University Press:  09 July 2020

Y. Shishido Open the ORCID record for Y. Shishido [Opens in a new window] ,
E.M. Mahone Open the ORCID record for E.M. Mahone [Opens in a new window]  and
L.A. Jacobson
Y. Shishido*
Affiliation:
Kennedy Krieger Institute, Baltimore, MD, USA Johns Hopkins University School of Medicine, Baltimore, MD, USA
E.M. Mahone
Affiliation:
Kennedy Krieger Institute, Baltimore, MD, USA Johns Hopkins University School of Medicine, Baltimore, MD, USA
L.A. Jacobson
Affiliation:
Kennedy Krieger Institute, Baltimore, MD, USA Johns Hopkins University School of Medicine, Baltimore, MD, USA
*
*Correspondence and reprint requests to: Yuri Shishido, Kennedy Krieger Institute, 1750 E. Fairmount Avenue, Baltimore, MD, USA. E-mail: [email protected]
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Abstract

Objective:

Executive function (EF) difficulties are commonly found in youth with intellectual disability (ID). Given mixed results from studies using performance-based EF measures, the EF profile has not been well characterized for this population. No published work has examined the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) in distinguishing EF in ID. We hypothesized that the BRIEF2 would show greater elevations in youth with ID compared to the Average IQ comparison group.

Methods:

Participants included a large sample of 504 youth (157 in ID group; aged 8–18 years) referred for (neuro)psychological evaluation (2015–2019) and identified as meeting criteria for either ID or Average IQ comparison group.

Results:

Significant elevations were found across BRIEF2 indices and scales. Only mild elevations were noted in selective cognitive regulation scales within the Average IQ group. Groups differed significantly across all EF dimensions, with greater differences observed in behavioral regulation (Self-Monitoring, Inhibition), Shift, and Working Memory. An elevated but less variable pattern of index scores was noted in ID, while the overall pattern of scaled scores appeared similar between groups.

Conclusions:

The less variable and consistently elevated profile may suggest fewer EF dimensions in individuals with ID than the model proposed in the test manual. Similar profiles between groups may reflect differences in severity, rather than differences in constructs measured by the EF factors, per se. Additional examination is needed to confirm potential structural differences in EF for youth with ID as measured by BRIEF2, with a clinical implication for greater efficiency of EF assessment in this population.

Keywords

Executive functionBehavior rating scaleIntellectual disabilityWorking memoryInhibition
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 26 , Issue 10 , November 2020 , pp. 1036 - 1044
Copyright
Copyright © INS. Published by Cambridge University Press, 2020

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References

REFERENCES

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: Author.Google Scholar
Carlson, S.M. (2011). Introduction to the special issue: executive function. Journal of Experimental Child Psychology, 108(3), 411–413. doi: 10.1016/j.jecp.2011.01.004 CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. (n.d.). Intellectual disability fact sheet. Retrieved August 9, 2012, from http://cdc.gov/ncbddd/actearly/pdf/parents-pdfs/IntellectualDisability Google Scholar
Costanzo, F., Varuzza, C., Menghini, D., Addona, F., Gianesini, T., & Vicari, S. (2013). Executive functions in intellectual disabilities: a comparison between Williams syndrome and down syndrome. Research in Developmental Disabilities, 34(5), 1770–1780. doi: 10.1016/j.ridd.2013.01.024 CrossRefGoogle ScholarPubMed
Danielsson, H., Henry, L., Messer, D., & Rönnberg, J. (2012). Strengths and weaknesses in executive functioning in children with intellectual disability. Research in Developmental Disabilities, 33(2), 600–607. doi: 10.1016/j.ridd.2011.11.004 CrossRefGoogle ScholarPubMed
Daunhauer, L.A. & Fidler, D.J. (2011). The down syndrome behavioral phenotype: implications for practice and research in occupational therapy. Occupational Therapy in Health Care, 25(1), 7–25. doi: 10.3109/07380577.2010.535601 CrossRefGoogle ScholarPubMed
Daunhauer, L.A., Fidler, D.J., Hahn, L., Will, E., Lee, N.R., & Hepburn, S. (2014). Profiles of everyday executive functioning in young children with down syndrome. American Journal on Intellectual and Developmental Disabilities, 119(4), 303–318. doi: 10.1352/1944-7558-119.4.303 CrossRefGoogle ScholarPubMed
Daunhauer, L.A., Gerlach-McDonald, B., Will, E., & Fidler, D.J. (2017). Performance and ratings based measures of executive function in school-aged children with down syndrome. Developmental Neuropsychology, 42(6), 351–368. doi: 10.1080/87565641.2017.1360303 CrossRefGoogle ScholarPubMed
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64(1), 135–168. doi: 10.1146/annurev-psych-113011-143750 CrossRefGoogle ScholarPubMed
Fidler, D.J. (2005). The emerging down syndrome behavioral phenotype in early childhood: implications for practice. Infants & Young Children, 18(2), 86–103. doi: 10.1097/00001163-200504000-00003 CrossRefGoogle Scholar
Gioia, G.A., Espy, K.A., & Isquith, P.K. (2003). Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P). Lutz, FL: Psychological Assessment Resources, Inc.Google Scholar
Gioia, G.A., Isquith, P.K., Guy, S.C., & Kenworthy, L. (2000). Behavior Rating Inventory of Executive Function (BRIEF). Lutz, FL: Psychological Assessment Resources, Inc.Google Scholar
Gioia, G.A., Isquith, P.K., Guy, S.C., & Kenworthy, L. (2015). Behavior Rating Inventory of Executive Function–Second Edition (BRIEF2). Lutz, FL: Psychological Assessment Resources, Inc.Google Scholar
Gioia, G.A., Kenworthy, L., & Isquith, P.K. (2010). Executive function in the real world: BRIEF lessons from mark Ylvisaker. The Journal of Head Trauma Rehabilitation, 25(6), 433–439. doi: 10.1097/HTR.0b013e3181fbc272 CrossRefGoogle ScholarPubMed
Granader, Y., Wallace, G.L., Hardy, K.K., Yerys, B.E., Lawson, R.A., Rosenthal, M., … Kenworthy, L. (2014). Characterizing the factor structure of parent reported executive function in autism spectrum disorders: the impact of cognitive inflexibility. Journal of Autism and Developmental Disorders, 44(12), 3056–3062. doi: 10.1007/s10803-014-2169-8 CrossRefGoogle ScholarPubMed
Isquith, P.K., Roth, R.M., Kenworthy, L., & Gioia, G. (2014). Contribution of rating scales to intervention for executive dysfunction. Applied Neuropsychology: Child, 3(3), 197–204. doi: 10.1080/21622965.2013.870014 CrossRefGoogle ScholarPubMed
Jacobson, L.A. & Gerner, G.J. (in press). Acquired brain injury: a developmental perspective. In. Glidden, L.M. (Ed.), APA handbook of intellectual and developmental disabilities. Washington, DC: American Psychological Association Press.Google Scholar
Jacobson, L.A., Pritchard, A.E., Koriakin, T.A., Jones, K.E., & Mahone, E.M. (2016). Initial examination of the BRIEF2 in clinically referred children with and without ADHD symptoms. Journal of Attention Disorders, 1–10. doi: 10.1177/1087054716663632 Google ScholarPubMed
Krivitzky, L.S., Walsh, K.S., Fisher, E.L., & Berl, M.M. (2016). Executive functioning profiles from the BRIEF across pediatric medical disorders: age and diagnosis factors. Child Neuropsychology, 22(7), 870–888. doi: 10.1080/09297049.2015.1054272 CrossRefGoogle ScholarPubMed
Lanfranchi, S., Jerman, O., Dal Pont, E., Alberti, A., & Vianello, R. (2010). Executive function in adolescents with down syndrome: executive function in down syndrome. Journal of Intellectual Disability Research, 54(4), 308–319. doi: 10.1111/j.1365-2788.2010.01262.x CrossRefGoogle ScholarPubMed
Lee, N.R., Fidler, D.J., Blakeley-Smith, A., Daunhauer, L., Robinson, C., & Hepburn, S.L. (2011). Caregiver report of executive functioning in a population-based sample of young children with down syndrome. American Journal on Intellectual and Developmental Disabilities, 116(4), 290–304. doi: 10.1352/1944-7558-116.4.290 CrossRefGoogle Scholar
Loveall, S.J., Conners, F.A., Tungate, A.S., Hahn, L.J., & Osso, T.D. (2017). A cross-sectional analysis of executive function in Down syndrome from 2 to 35 years: a cross-sectional analysis of executive function in Down syndrome. Journal of Intellectual Disability Research, 61(9), 877–887. doi: 10.1111/jir.12396 CrossRefGoogle ScholarPubMed
Mahone, E.M., Slomine, B.S., & Zabel, T.A. (2018). Genetic and neurodevelopmentaldisorders. In. Morgan, J.E. & Ricker, J.H. (Eds.), Textbook of clinical neuropsychology, 2nd ed., (pp. 127–140). New York: Routledge.Google Scholar
Mcauley, T., Chen, S., Goos, L., Schachar, R., & Crosbie, J. (2010). Is the behavior rating inventory of executive function more strongly associated with measures of impairment or executive function? Journal of the International Neuropsychological Society, 16(3), 495–505. doi: 10.1017/S1355617710000093 CrossRefGoogle ScholarPubMed
Memisevic, H., & Sinanovic, O. (2014). Executive function in children with intellectual disability – the effects of sex, level and aetiology of intellectual disability: EF in children with intellectual disability. Journal of Intellectual Disability Research, 58(9), 830–837. doi: 10.1111/jir.12098 CrossRefGoogle Scholar
Miyake, A., & Friedman, N.P. (2012). The nature and organization of individual differences in executive functions: four general conclusions. Current Directions in Psychological Science, 21(1), 8–14. doi: 10.1177/0963721411429458 CrossRefGoogle ScholarPubMed
Miyake, A., Friedman, N.P., Emerson, M.J., Witzki, A.H., Howerter, A., & Wager, T.D. (2000). The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks: a latent variable analysis. Cognitive Psychology, 41(1), 49–100. doi: 10.1006/cogp.1999.0734 CrossRefGoogle ScholarPubMed
Papazoglou, A., Jacobson, L.A., & Zabel, T.A. (2013). More than intelligence: distinct cognitive/behavioral clusters linked to adaptive dysfunction in children. Journal of the International Neuropsychological Society, 19(2), 189–197. doi: 10.1017/S1355617712001191 CrossRefGoogle ScholarPubMed
Sansone, S.M., Schneider, A., Bickel, E., Berry-Kravis, E., Prescott, C., & Hessl, D. (2014). Improving IQ measurement in intellectual disabilities using true deviation from population norms. Journal of Neurodevelopmental Disorders, 6(1), 16. doi: 10.1186/1866-1955-6-16 CrossRefGoogle ScholarPubMed
Schmitt, L., Shaffer, R., Hessl, D., & Erickson, C. (2019). Executive function in fragile X syndrome: a systematic review. Brain Sciences, 9(1), 15. doi: 10.3390/brainsci9010015 CrossRefGoogle ScholarPubMed
Snyder, H.R., Miyake, A., & Hankin, B.L. (2015). Advancing understanding of executive function impairments and psychopathology: bridging the gap between clinical and cognitive approaches. Frontiers in Psychology, 6. doi: 10.3389/fpsyg.2015.00328 CrossRefGoogle ScholarPubMed
Toplak, M.E., West, R.F., & Stanovich, K.E. (2013). Practitioner review: do performance-based measures and ratings of executive function assess the same construct? Performance-based and rating measures of EF. Journal of Child Psychology and Psychiatry, 54(2), 131–143. doi: 10.1111/jcpp.12001 CrossRefGoogle Scholar