Traditional neuropsychological measures of executive dysfunction (ED)
are widely believed to lack adequate sensitivity and selectivity. This may
indicate that existing measures are poorly designed and constructed,
although an alternative explanation is that executive cognition is
multifactorial, such that its assessment necessarily requires
administration of multiple measures. This possibility led to the
development of a test battery, the Behavioural Assessment of the
Dysexecutive Syndrome (BADS). To investigate the sensitivity of the BADS
to ED, it and various other measures of ED were administered to 64 persons
who had sustained traumatic brain injury. The treating clinical
neuropsychologist and occupational therapist for each participant also
completed a behavioural rating scale, the Dysexecutive Questionnaire
(DEX). Four factors were found to underlie scores on the
neuropsychological measures, but few tests were sufficiently powerful to
make a significant unique contribution to predicting scores on the DEX.
This confirms that multiple tests, drawn from both the BADS and other
sources, may be necessary to detect ED in a clinical population.
(JINS, 2005, 11, 606–613.)