4: Executive (Dys)Function Flashcards
What 3 aspects of ED are missing?
A biomarker, a clear neural mechanism, and efficient treatment.
What 3 processes are supported by executive function?
Inhibition of inappropriate behaviour, control of emotions, and planning and problem solving.
Which 2 aspects of problem solving are supported by executive function?
Visual imagery and verbal working memory.
What impairments in major life activities suggest executive function is separate from intelligence?
When IQ is regressed out, people with ADHD are still more likely to get suspended from school or fired, and less likely to graduate high school.
What impairments in social life suggest executive function is separate from intelligence?
When IQ is regressed out, people with ADHD have much higher rats of teen pregnancy and more social problems reported by parents.
In what disorders is ED a core symptom?
ADHD and frotnal lobe lesion.
In disorders is ED an additional symptom?
Schizophrenia, depression, dementia, basal ganglia lesion and Parkinson’s disease.
Give 4 examples of when ED can occur in healthy people.
When they are sleep deprived, stressed out, not physically fit, or exerting self-control.
In a clinical view, what is mismatched in ED?
Preserved intelligence and disability at real life tasks.
In a clinical view, what are the 4 key aspects of ED?
Disinhibited/inappropriate behaviour, inability to maintain goals and plan, emotional dysregulation, and lack of flexibility.
In a cognitive view, what are the 3 key aspects of executive function?
Inhibition, working memory, and flexibility.
In a cognitive view, when is executive function necessary?
For concentration, and for inhibiting an automatic response, which would be bad in some way.
Suggest 3 neuropsychological tests for executive function.
Stroop task, Wisconson card sorting task, and fluency test.
How is the WCST administered?
Participants are given a card and must decide which of 4 piles it belongs in, based on a rule they have to guess. Once they know the rule, it can be changed. Errors are counted.
How is a fluency test administered?
Participants are asked to generate as many words as they can beginning with one letter in 2 minutes. This is compared to the norm of 21.2 +/- 7.