The utility of the IFS (Ineco Frontal Screening) for the executive dysfunction detection in adults with bipolar disorder and ADHD.
Autores | Báez S, Ibanez A, Perez A, Roca M, Gleichgerrcht E, Manes F, Torralva T. |
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Año | 2014 |
Journal | Báez S, Ibanez A, Perez A, Roca M, Gleichgerrcht E, Manes F, Torralva T. |
Volumen | 216:269-76 |
Abstract | Bipolar disorder (BD) and attention deficit hyperactivity disorder (ADHD) in adults share clinical symptoms. Both disorders present with executive functioning impairment. The detection of executive dysfunction usually requires the administration of an extensive neuropsychological battery. The Institute of Cognitive Neurology (INECO) Frontal Screening (IFS) is an efficient tool, which has been demonstrated to be useful for the detection of executive deficits in other diseases involving the prefrontal cortex. This study assessed the usefulness of the IFS in detecting the executive dysfunction of BD and ADHD adults, by means of a receiver-operating characteristic curve analysis and a multigroup discriminant function analysis. Twenty-four BD, 25 ADHD patients and 25 controls were assessed with a battery that included the IFS and other measures of executive functioning. Our results showed that both patient groups performed significantly lower than controls on the IFS total score. Using a 27.5 point cut-off score, the IFS showed good sensitivity and acceptable specificity to detect executive impairments in BD and ADHD patients. The IFS discriminated between controls and each patient group more reliably than other executive functions measures. Our results suggest that this tool could be a useful instrument to assess executive functions in BD and ADHD patients. |
Otra información | El objetivo de este estudio del LPEN y del LNPS de INECO fue evaluar la utilidad clínica del IFS (INECO Frontal Screening) para detectar disfunción ejecutiva en a) pacientes con trastorno bipolar (TB) vs. controles y b) pacientes con ADHD vs. controles. Se evaluaron 24 adultos con ADHD, 25 adultos con TBy 25 controles sanos con una batería que incluyó el IFS y otras medidas de funciones ejecutivas. Los resultados mostraron que el IFS fue la herramienta que mejor discriminó entre los grupos de pacientes y los controles, lo cual sugiere que es un instrumento útil para evaluar las funciones ejecutivas en adultos con ADHD y TB. |