Versión española del Cuestionario Disejecutivo (DEX-Sp)propiedades psicométricas en adictos y población no clínica

  1. Pedrero Pérez, Eduardo José
  2. Ruiz Sánchez de León, José María
  3. Rojo Mota, Gloria
  4. Llanero Luque, Marcos
  5. Olivar Arroyo, Alvaro
  6. Bouso, José Carlos
  7. Puerta García, Carmen
Revista:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Año de publicación: 2009

Volumen: 21

Número: 2

Páginas: 155-166

Tipo: Artículo

DOI: 10.20882/ADICCIONES.243 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Adicciones: Revista de socidrogalcohol

Resumen

Diversos estudios han evidenciado el deterioro de las funciones ejecutivas asociado al abuso de sustancias. Este hecho sugiere la conveniencia de contar con algún instrumento de cribado que sirva para establecer una línea base sobre los déficits que presentan los sujetos que inician tratamiento. El Cuestionario Disejecutivo (DEX) es un test ampliamente utilizado para estimar disfunción ejecutiva. El principal objetivo del presente trabajo se centra en estudiar las propiedades de la versión española del Cuestionario Disejecutivo (DEX-Sp). Complementariamente se pretende estudiar su potencial utilidad como instrumento de cribado en adictos en tratamiento. Método: 131 sujetos de población no clínica y 127 adictos (con criterios DSM-IVTR para abuso o dependencia). Resultados: Se estudia la consistencia interna ( de Cronbach = 0,91) entre otros indicadores de fiabilidad. El análisis factorial exploratorio y confirmatorio ofrece soluciones de 4 y 5 factores. Se estudió la dimensionalidad y el modelo estructural de base, así como la validez convergente y discriminante. Se estudiaron las diferencias apreciadas entre adictos y población no clínica. Conclusiones: Los datos sugieren que la versión española del DEX es un instrumento útil para evaluar síntomas disejecutivos generales, con la suficiente fiabilidad y validez para explorar deterioro cognitivo asociado al abuso de sustancias.

Referencias bibliográficas

  • Aharonovich, E., Hasin, D. S., Brooks, A. C., Liu, X., Bisaga, A. y Nunes, E. V. (2006). Cognitive deficits predict low treatment retention in cocaine dependent patients. Drug and Alcohol Dependence, 81, 313-322.
  • Aharonovich, E., Nunes, E. y Hasin, D. (2003). Cognitive impairment, retention and abstinence among cocaine abusers in cognitivebehavioral treatment. Drug and Alcohol Dependence, 71, 207-211.
  • Alderman, N., Dawson, K., Rutterford, N. A. y Reynolds P. J. (2001). A comparison of the validity of self-report measures amongst people with acquired brain injury: A preliminary study of the usefulness of EuroQol-5D. Neuropsychological Rehabilitation, 11, 529-537.
  • Alexander, G. E., DeLong, M. R y Strick, P. L. (1986). Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annual Review of Neuroscience, 9, 357–381.
  • Amieva, H., Phillips, L. y Della Sala, S. (2003). Behavioral dysexecutive symptoms in normal aging. Brain and Cognition, 53, 129-132.
  • Barrash, J., Tranel, D. y Anderson, S. W. (2000). Acquired personality disturbances associated with bilateral damage to the ventromedial prefrontal region. Developmental Neuropsychology, 18, 355-381.
  • Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.
  • Bentler, P. M. y Bonett, D. G. (1980). Significant tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588-606.
  • Berg, E. A. (1948). A simple objective technique for measuring flexibility in thinking. Journal of General Psychology, 39, 15-22.
  • Bollen, K. A. (1989). Structural equations with latent variables. Nueva York: Wiley & Sons.
  • Brislin, R. W. (1986). The wording and translation of research instruments. En W. Lonner y J. Berry (Eds.), Field methods in cross-cultural research (pp. 137-164). Beverly Hills, CA: Sage.
  • Browne, M. W. y Cudeck, R. (1993). Alternative ways of assessing model fit. En K.A. Bollen and J.S. Long (Eds). Testing structural equation models (pp 136-162). Newbury Park: Sage.
  • Burgess, P. W., Alderman, N., Evans, J., Emslie, H. y Wilson, B. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547-558.
  • Carmines, E. y McIver, J. (1981) Analyzing models with unobserved variables: analysis of covariance structures. En G. Bohrnstedt y E. Borgatta. (Eds), Social Measurement: Current Issues. Beverly Hills CA: Sage.
  • Carmines, E. G. y Zeller, R. A. (1979). Reliability and validity assessment. Londres: Sage.
  • Cattell, R. B. (1978). The scientific use of factor analysis in behavioural and life sciences. Nueva York: Plenum Press.
  • Chamberlain, E. (2003). Behavioural Assessment of the Dysexecutive Syndrome (BADS). Journal of Occupational Psychology, Employment and Disability, 5, 33-37.
  • Chan, R. C. K. (2001). Dysexecutive symptoms among a non-clinical sample: A study with the use of the Dysexecutive Questionnaire. British Journal of Psychology, 92, 551-565.
  • Chan, R. C. K., Hoosain, R. y Lee, T. M. C. (2002). Reliability and validity of the Cantonese version of the test of everyday attention among normal Hong Kong Chinese: a preliminary report. Clinical Rehabilitation, 16, 900-909.
  • Chaytor, N., Schmitter-Edgecombe, M. y Burr, R. (2006). Improving the ecological validity of executive functioning assessment. Archives of Clinical Neuropsychology, 21, 217-227.
  • Chaytor, N. y Schmitter-Edgecombe, M. (2007). Fractionation of the dysexecutive syndrome in a heterogeneous neurological sample: Comparing the Dysexecutive Questionnaire and the Brock Adaptive Functioning Questionnaire. Brain Injury, 21, 615-621.
  • Chico, E., Tous, J. M., Lorenzo, U. y Vigil, A. (2003). Spanish adaptation of Dickman’s Impulsivity Inventory: its relationship to Eysenck’s personality questionnaire. Personality and Individual Differences, 35, 1883-1892.
  • Cullen, B., Coen, R. F., Lynch, C. A, Cunningham, C. J., Coakley, D., Robertson, I. H et al. (2005). Repetitive behaviour in Alzheimer’s disease: description, correlates and functions. International Journal of Geriatric Psychiatry, 20, 686 – 693.
  • Cummings, J. L. (1993). Frontal subcortical circuits and human behavior. Archives of Neurology, 50, 873-880.
  • Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A. y Gornbein, J. (1994). The Neuropsychiatric Inventory: comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308-2314.
  • Dickman, S. J. (1990). Functional and dysfunctional impulsivity: Personality and cognitive correlates. Journal of Personality and Social Psychology, 58, 95-102.
  • Eslinger, P. J. y Damasio, A. R. (1985). Severe disturbance of higher cognition after bilateral frontal lobe ablation: patient EVR. Neurology, 35, 1731-1741.
  • Fishbein, D. H., Krupitsky, E., Flannery, B. A., Langevin, D. J., Bobashev, G., Verbitskaya, E. et al. (2007). Neurocognitive characterizations of Russian heroin addicts without a significant history of other drug use. Drug and Alcohol Dependence, 90, 25-38.
  • Forcada, R., Pardo, N. y Bondía, B. (2006). Impulsividad en dependientes de cocaína que abandonan el consumo. Adicciones, 18, 111-118.
  • Giancola, P. R. y Mezzich, A. C. (2003). Executive functioning, temperament, and drug use involvement in adolescent females with a substance use disorder. Journal of Child Psychology & Psychiatry & Allied Disciplines, 44, 857-866.
  • Gioia, G. A., Isquith, P. K., Guy, S. C. y Kenworthy, L. (2000). Behavior rating inventory of executive function. Neuropsychology, Development and Cognition, 6, 235-238.
  • Goldstein, R. Z., Leskovjan, A. C., Hoff, A. L., Hitzemann, R, Bashan, F., Khalsa, S. S., Wang, G. J., Fowler, J. S. y Volkow, N. D. (2004). Severity of neuropsychological impairment in cocaine and alcohol addiction: association with metabolism in the prefrontal cortex. Neuropsychologia, 42, 1447-1458.
  • Goodman, L. (1961). Snowball sampling. Annals of Mathematical Statistics, 32, 148.
  • Gorsuch, R. L. (1983). Factor analysis. Hillsdale, NJ: Lawrence Erlbaum.
  • Grace, J. y Malloy, P. F. (2001). Frontal Systems Behavior Scale (FrSBe): professional manual. Lutz, FL: Psychological Assessment Resources.
  • Grace, J., Stout, J. C. y Malloy, P. F. (1999). Assessing frontal behavior syndromes with the Frontal Lobe Personality Scale. Assessment, 6, 269-284.
  • Hair, J. F., Anderson, R. E., Tatham, R. L. y Black, W. C. (1998). Multivariate Data Analysis (5th Ed.). Upper Saddle River: Prentice-Hall.
  • Hart, T., Whyte, J., Kim, J. y Vaccaro, M. (2005). Executive function and self-awareness of real-world behavior and attention deficits following traumatic brain injury. Journal of Head Trauma Rehabilitation, 20, 333-347.
  • Hattie, J. (1984). Methodology review: Assessing unidimensionality of tests and items. Applied Psychological Measurement, 20, 1-14.
  • Hattie, J. (1985). An empirical study of the various indices for determining unidimensionality. Multivariate Behavioral Research, 19, 49-78.
  • Heffernan, T., Ling, J. y Bartholomew, J. (2004). Self-rated prospective memory and central executive deficits in excessive alcohol users. Irish Journal of Psychological Medicine, 21, 122-124.
  • Hester, R. y Garavan, H. (2004). Executive dysfunction in cocaine addiction: evidence for discordant frontal, cingulate, and cerebellar activity. Journal of Neuroscience, 24, 11017-11022.
  • Hinson, J. M., Jameson, T. L. y Whitney, P. (2003). Impulsive decision making and working memory. Journal of Experimental Psychology, 29, 298-306.
  • Hu, L. y Bentler, P. (1995). Evaluating model fit. En R. Hoyle (ed.), Structural equation modelling: concepts, issues and applications (pp. 76-99). Thousand Oaks, CA: Sage Publications.
  • James, L. R., Muliak, S. A. y Brett, J. (1982). Causal analysis: Models, assumptions and data. Beverly Hills, CA: Sage.
  • Kertesz, A., Davidson, W. y Fox, H. (1997). Frontal behavioral inventory: diagnostic criteria for frontal lobe dementia. Canadian Journal of Neurological Sciences, 24, 29-36.
  • Kline, P. (1994). An easy guide to factor analysis. Londres: Routledge.
  • Landa, N., Fernández-Montalvo, J. y Tirapu, J. (2004). Alteraciones neuropsicológicas en el alcoholismo: una revisión sobre la afectación de la memoria y las funciones. Adicciones, 16, 41-52.
  • Landa, N., Fernández-Montalvo, J., Tirapu, J. López-Goñi, J., Castillo, A. y Lorea, I. (2006). Alteraciones neuropsicológicas en alcohólicos: un estudio exploratorio. Adicciones, 18, 49-60.
  • Larson, M. J., Perlstein, W. M., Demery, J. A. y Stigge-Kaufman, D. A. (2006). Cognitive control impairments in traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 28, 968-986.
  • Malloy, P. y Grace, J. A. (2005). Review of rating scales for measuring behavior change due to frontal systems damage. Cognitive and Behavioral Neurology, 18, 18-27.
  • Mathias, J. L. (2003). Neurobehavioral functioning of persons with Parkinson’s disease. Applied Neuropsychology, 10, 57-68.
  • Mega, M. S. y Cummings, J. L. (1994). Frontal subcortical circuits and neuropsychiatric disorders. Journal of Neuropsychiatry and Clinical Neurosciences, 6, 358-370.
  • Mooney, B., Walmsley, C. y McFarland, K. (2006). Factor analysis of the Self-Report Dysexecutive (DEX-S) Questionnaire. Applied Neuropsychology, 13, 12-18.
  • Nunnally, J. C. (1978). Psychometric theory (2nd ed.). Nueva York: McGraw-Hill.
  • Pedhazur, E. J. (1997). Multiple regression in behavioral research: explanation and prediction. Fort Worth, TX: Harcourt Brace College Publishers.
  • Pedrero, E. J., Ruiz Sánchez de León, J. M., Llanero, M., Rojo, G., Olivar, Á. y Puerta, C. (en prensa). Sintomatología frontal en adictos a sustancias en tratamiento mediante la versión española de la Escala de Comportamiento Frontal. Revista de Neurología, en prensa.
  • Prosser, J., Cohen, L. J., Steinfeld, M., Eisenberg, D., London, E. D. y Galynker, I. I. (2006). Neuropsychological functioning in opiate-dependent subjects receiving and following methadone maintenance treatment. Drug and Alcohol Dependence, 84, 240-247.
  • Reay, J. L., Hamilton, C., Kennedy, D. O. y Scholey, A. B. (2006). MDMA polydrug users show process-specific central executive impairments coupled with impaired social and emotional judgement processes. Journal of Psychopharmacology, 20, 385-388.
  • Reitan, R. M. (1958). Validity of the Trail Making Test as an indicator of organic brain damage. Perceptual and Motor Skills, 8, 271-286.
  • Schilt, T., de Win, M. M. L., Koeter, M., Jager, G., Korf, D. J., van den Brink, W. et al. (2007). Cognition in novice ecstasy users with minimal exposure to other drugs: a prospective cohort study. Archives of General Psychiatry, 64, 728-736.
  • Selby, M. J. y Azrin, R. L. (1998). Neuropsychological functioning in drug abusers. Drug and Alcohol Dependence, 50, 39-45.
  • Shallice, T. y Burgess, P. W. (1991) Higher-order cognitive impairments and frontal lobe lesions in man. In: H.S. Levin, H.M. Eisenberg y A.L. Benton (Eds.), Frontal Lobe Function and Dysfunction (pp. 125-138). Nueva York: Oxford University Press.
  • Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643-662
  • Stuss, K. H. y Benson, D. F. (1984). Neuropsychological studies of the frontal lobes. Psychological Bulletin, 95, 3-28.
  • Teichner, G., Horner, M. D., Roitzsch, J. C., Herron, J. y Thevos, A. (2002). Substance abuse treatment outcomes for cognitively impaired and intact outpatients. Addictive Behaviors, 27, 751-763.
  • Verdejo, A., Lawrence, A. J. y Clark, L. (2008). Impulsivity as a vulnerability marker for substance use disorders: Review of findings from high-risk research, problem gamblers and genetic association studies. Neuroscience & Biobehavioral Reviews, 32, 777-810.
  • Verdejo, A., López-Torrecillas, F., Orozco, C. y Pérez, M. (2002). Impacto de los deterioros neuropsicológicos asociados al consumo de sustancias sobre la práctica clínica con drogodependientes. Adicciones, 14, 345-370.
  • Verdejo, A. y Pérez-García, M. (2007). Ecological assessment of executive functions in substance dependent individuals. Drug and Alcohol Dependence, 90, 48-55.
  • Walley, R. M. y Donaldson, M. D. (2005). An investigation of executive function abilities in adults with Prader-Willi syndrome. Journal of Intellectual Disability Research, 49, 613-625.
  • Wang, Y., Chan, R. C. K. y Deng, Y. Y. (2006). Examination of postconcussion-like symptoms in healthy college students: relationships to subjective and objective neuropsychological function performance. Archives of Clinical Neuropsychology, 21, 339-347.
  • Wheaton, B., Muthén, B., Alwin, D. F. y Summers, G. F. (1977). Assessing reliability and stability in panel models. EnHeise, D.R. (Ed.) Sociological methodology 1977. San Francisco: Jossey-Bass, 84-136.
  • Whitney, P., Hinson, J. M. y Jameson, T. L. (2006). From executive control to self-control: predicting problem drinking among college students. Applied Cognitive Psychology, 20, 823-835.
  • Wilson, B. A., Alderman, N., Burgess, P. W., Emslie, H. y Evans, J. J. (1996). Behavioural assessment of the Dysexecutive Syndrome. Bury St. Edmunds, UK : Thames Valley Test Company.
  • Wood, R. Ll. y Liossi, C. (2006). The ecological validity of executive tests in a severely brain injured sample. Archives of Clinical Neuropsychology, 21, 429-437.