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Behavior Rating Inventory of Executive Function Adult Version in Patients with Neurological and Neuropsychiatric Conditions: Symptom Levels and Relationship to Emotional Distress

  • M. Løvstad (a1) (a2), S. Sigurdardottir (a1) (a3), S. Andersson (a2) (a4), V.A. Grane (a2) (a5), T. Moberget (a6) (a7), J. Stubberud (a1) and A.K. Solbakk (a2) (a5) (a8)...


Objectives: The present study explored the level of self-and informant reported executive functioning in daily living using the Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A) in a large sample comprising healthy adults and patient cohorts with neurological and neuropsychiatric disorders. The relationship to neuropsychological test performance and self-reported emotional distress was explored, as well as the applicability of U.S. normative data. Methods: Scores on the self- and informant reported BRIEF-A are presented, along with scores on standardized cognitive tests, and on rating scales of self-reported emotional distress in a Norwegian healthy comparison group (n=115), patients with severe traumatic brain injury (n=125), focal frontal lobe damage (n=29), focal cerebellar lesion (n=24), Parkinson’s disease (n=42), attention deficit hyperactivity disorder (n=34), type II bipolar disorder (n=21), and borderline personality disorder (n=18). Results: Strong associations were observed between the BRIEF-A and emotional distress in both the healthy group and in neurological groups, while no or weak relationships with IQ and performance-based tests of executive function were seen. The relationship between BRIEF-A and emotional distress was weaker in the neuropsychiatric patient groups, despite high symptom load in both domains. Healthy participants tended to have BRIEF-A scores 1/2–3/4 SD below the U.S. normative mean of T score=50. Conclusions: The study demonstrates the need to interpret BRIEF-A results within a broad differential diagnostic context, where measures of psychological distress are included in addition to neuropsychological tests. Uncertainty about the appropriateness of U.S. normative data in non-U.S. countries adds to the need for interpretive caution. (JINS, 2016, 22, 682–694)


Corresponding author

Correspondence and reprint requests to: Marianne Løvstad, Sunnaas Rehabilitation Hospital, Bjørnemyrvn. 11, 1450 Nesoddtangen, Norway. E-mail:


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Behavior Rating Inventory of Executive Function Adult Version in Patients with Neurological and Neuropsychiatric Conditions: Symptom Levels and Relationship to Emotional Distress

  • M. Løvstad (a1) (a2), S. Sigurdardottir (a1) (a3), S. Andersson (a2) (a4), V.A. Grane (a2) (a5), T. Moberget (a6) (a7), J. Stubberud (a1) and A.K. Solbakk (a2) (a5) (a8)...


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