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Understanding and Serving Adolescent Females with Emotional Disabilities and Executive Dysfunction in a Residential Treatment Setting

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Abstract

Executive functioning has become an important part of helping to understand and serve students with academic and emotional disabilities (EDs). This study sought to understand the profile of female student with ED in a residential treatment center. First, the study investigated the validity of the Behavior Rating Inventory of Executive Function, Parent Rating Scale (BRIEF). The BRIEF is an 86-item checklist that covered eight different aspects of EF. Each item was a statement in which the case manager of each of the 93 students responded never, sometimes, or often. These scales included (1) inhibit, (2) shift, (3) emotional control, (4) initiate, (5) working memory, (6) plan/organize, (7) organization of materials, and (8) monitor. The majority of the 93 participants demonstrated executive dysfunction. Next, divergent validity of the BRIEF was investigated using a principal components analysis. The Basic Academic Skills Inventory (BASI) was used to evaluate the reading and math abilities of participants. The relationship between the BRIEF and the BASI was investigated using a correlation analysis. One factor best explained the structure of the BRIEF and correlated moderately with measures of academics. It is clear that executive functioning is a critical area that we must consider as part of our usual psychological evaluation/intervention tools. Many students with emotional and academic difficulties will benefit from executive functioning interventions such as directing student attention, help in planning, and homework organization management skills. How these findings should relate to the role of school and clinical psychologists will be addressed.

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References

  • Bardos, A. (2004). Manual for the BASI Basic achievement skills inventory comprehensive test. San Antonio, TX.: Pearson.

  • Comrey, A. L., & Lee, H. B. (1992). A first course in factor analysis (2nd ed.). Hillsdale: Lawrence Erlbaum.

    Google Scholar 

  • Condro, A., Anderson, V., & Saling, M. (1995). Do reading disabled children have planning problems? Developmental Neuropsychology, 11(4), 485–502.

    Article  Google Scholar 

  • Connor, D. F., Doerfler, L. A., Toscano, P. F., & Volungis, R. J. (2004). Characteristics of children and adolescents admitted to a residential treatment center. Journal of Child and Family Studies, 13(4), 497–510.

    Article  Google Scholar 

  • Coolidge, F. L., Segal, D. L., Stewart, S. E., & Ellett, J. A. (1999). Neuropsychological dysfunction in children with borderline features. Archives of Clinical Neuropsychology, 14, 680.

    Article  Google Scholar 

  • Coolidge, F. L., Thede, L. L., & Young, S. E. (2000). Heritability and the comorbidity of attention deficit hyperactivity disorder with behavioral disorders and executive function deficits: a preliminary investigation. Developmental Neuropsychology, 17(3), 273–287.

    Article  PubMed  Google Scholar 

  • D’Amato, R. C., & Hartlage, L. C. (Eds.). (2008). Essentials of neuropsychological assessment: Rehabilitation planning for intervention (2nd ed.). New York: NY: Springer.

    Google Scholar 

  • D’Amato, R. C. & Wang, Y. Y. (2015). Using a brain-based approach to collaborative teaching and learning with Asians. In G. J. van Schalkwyk and R. C. D’Amatos Special Issue, Facilitative collaborative knowledge co-construction. New Directions in Teaching & Learning, 143, 41–60. doi: https://doi.org/10.1002/tl.20132.

  • D’Amato, R. C., Fletcher-Janzen, E., & Reynolds, C. R. (Eds.). (2005). Handbook of school neuropsychology. New York: Wiley.

    Google Scholar 

  • D’Amico, A. D., & Guarnera, M. (2005). Exploring working memory in children with low arithmetical achievement. Learning and Individual Differences, 15, 189–202.

    Article  Google Scholar 

  • Damasio, A. R., & Anderson, S. W. (2003). The frontal lobes. In K. M. Heilman & E. Valenstein (Eds.), Clinical neuropsychology (4th ed., pp. 404–446). Oxford: Oxford University Press.

    Google Scholar 

  • Dickstein, D. P., Treland, J. E., Snow, J., McClure, E. B., Mehta, M. S., Towbin, K. E., et al. (2004). Neuropsychological performance in pediatric bipolar disorder. Biological Psychiatry, 55, 32–39.

    Article  PubMed  Google Scholar 

  • Frensch, K. M., & Cameron, G. (2002). Treatment of choice or a last resort? A review of residential mental health placements for children and youth. Child and Youth Care Forum, 33(5), 307–339.

    Article  Google Scholar 

  • Giancola, P. R., Mezzich, A. C., & Tarter, R. E. (1998). Executive cognitive functioning, temperament, and antisocial behavior in conduct-disordered adolescent females. Journal of Abnormal Psychology, 107(4), 629–641.

    Article  PubMed  Google Scholar 

  • Gioia, G. A., & Isquith, P. K. (2002). Two faces of monitor: thy self and thy task. Journal of the International Neuropsychological Society, 8, 229.

    Google Scholar 

  • Gioia, G. A., Isquith, P K.., Guy, S. C., & Kenworthy, L. (2000). Behavior rating inventory of executive function. Lutz, FL: Psychological Assessment Resources.

  • Gioia, G. A., Isquith, P. K., Kenworthy, L., & Barton, R. M. (2002a). Profiles of everyday executive function in acquired and developmental disorders. Child Neuropsychology, 8(2), 121–137.

    Article  PubMed  Google Scholar 

  • Gioia, G. A., Isquith, P. K., Retzlaff, P. D., & Espy, K. A. (2002b). Confirmatory factor analysis of the behavior rating inventory of executive function (BRIEF) in a clinical sample. Child Neuropsychology, 8(4), 249–257.

    Article  PubMed  Google Scholar 

  • Hale, J. B., Fiorello, C. A., Bertin, M., & Sherman, R. (2003). Journal of Psychoeducational Assessment, 21(4), 358–380.

    Article  Google Scholar 

  • Hartlage, L. C., & D'Amato, R. C. (2008). Understanding the etiology of neurological and psychiatric disorders. In A. MacNeil Horton Jr., D. Wedding (Eds.), The neuropsychology handbook (3rd ed; pp. 87–108). New York: Springer.

    Google Scholar 

  • Hussey, D. L., & Guo, S. (2002). Profile characteristics and behavioral change trajectories of young residential children. Journal of Child and Family Studies, 11(4), 401–410.

    Article  Google Scholar 

  • Jarrat, K. P., Riccio, C. A., & Siekierski, B. M. (2005). Assessment of attention deficit disorder (ADHD) using the BASC and BRIEF. Applied Neuropsychology, 12(2), 83–93.

    Article  Google Scholar 

  • Kaiser, H. F. (1970). A second-generation little jiffy. Psychometrika, 35, 401–415.

    Article  Google Scholar 

  • Lam, A. L., Cole, C. L., Shapiro, E. S., & Bambara, L. M. (1994). Relative effects of self monitoring on task-behavior, academic accuracy, and disruptive behavior in students with behavior disorders. School Psychology Review, 23(1), 44–58.

    Google Scholar 

  • Mangeot, S., Armstrong, K., Colving, A., Yeates, K. O., & Taylor, H. G. (2002). Long-term executive function deficits in children with traumatic brain injuries: Assessment using the behavior rating inventory of executive function (BRIEF). Child Neuropsychology, 8, 271–284.

    Article  PubMed  Google Scholar 

  • Mietchen, J., Gale, S. D., & Jensen, C. D. (2016). Parent-reported deficits in executive function and sleep-disordered breathing in adolescent behavioral weight loss program participants. Journal of Pediatric Neuropsychology, 2, 119–128. https://doi.org/10.1007/s40817-016-0017-9.

    Article  Google Scholar 

  • Minassian, A., Perry, W., Carlson, M., Pelham, M., & DeFilippis, N. (2003). The category test perseveration, loss of set, and memory scales: three new scales and their relationships to executive functioning measures. Assessment, 10, 213–221.

    Article  PubMed  Google Scholar 

  • Pennington, B. F., & Ozonoff, S. (1996). Executive functions and developmental psychopathology. Journal of Child Psychology & Psychiatry & Allied Disciplines, 37, 51–87.

    Article  Google Scholar 

  • Power, E., & D’Amato, R. C. (2018). Should our future include the integration of evidence-based neuropsychological services into school settings? In D. P. Flanagan (Ed.), Contemporary intellectual assessment: theories, tests, and issues (4th ed.). New York: Guilford.

    Google Scholar 

  • Reiter, A., Tucha, O., & Lange, K. W. (2004). Executive functions in children with dyslexia. Dyslexia, 11, 116–131.

    Article  Google Scholar 

  • Schenkel, L. S., Spaulding, W. D., Dilillo, D., & Silverstein, S. M. (2005). Histories of childhood maltreatment in schizophrenia: relationships with premorbid functioning, symptomatology, and cognitive deficits. Schizophrenia Research, 76, 273–286.

    Article  PubMed  Google Scholar 

  • Semrud-Clikeman, M., Portman, E., & Gerrard-Morris, A. (2005). Neuropsychology of nosology, pediatric neuropsychiatry, and developmental disorders. In R. C. D’Amato, C. R. Reynolds, & E. Fletcher-Janzen (Eds.), The handbook of school neuropsychology. New York: Wiley.

    Google Scholar 

  • Sikora, D. M., Haley, P., Edwards, J., & Butler, R. W. (2002). Tower of London test performance in children with poor arithmetic skills. Developmental Neuropsychology, 21(3), 243–254.

    Article  PubMed  Google Scholar 

  • Silverman, F. H. (1993). Research design and evaluation in speech, language pathology, and audiology. Needham Heights: Allyn & Bacon.

    Google Scholar 

  • Slick, D. J., Lautzenhiser, A., Sherman, E. M., & Eyrl, K. (2006). Frequency of scale elevations and factor structure of the behavior rating inventory of executive function (BRIEF) in children and adolescents with intractable epilepsy. Clinical Neuropsychology, 12, 181–189.

    Google Scholar 

  • Trauber, M., & D’Amato, R. C. (2005). Integrating evidence-based neuropsychological services into school settings: issues and challenges for the future. In R. C. D’Amato, C. R. Reynolds, & E. Fletcher-Janzen (Eds.), The handbook of school neuropsychology (pp. 827–857). New York: Wiley.

    Google Scholar 

  • van der Sluis, S., de Jong, P. F., & van der Leij, A. (2004). Inhibition and shifting in children with learning deficits in arithmetic and reading. Journal of Experimental Child Psychology, 87, 239–266.

    Article  PubMed  Google Scholar 

  • Walker, J. M., & D’Amato, R. C. (2006). Review of behavior rating inventory of executive function—self-report version. Journal of Psychoeducational Assessment, 24(4), 394–398.

    Article  Google Scholar 

  • Witsken, D., Stoeckel, A., & D’Amato, R. C. (2008). Promoting educational change: using a neuropsychological approach to develop a response-to-intervention program. Psychology in the Schools, 45(9), 781–798.

    Article  Google Scholar 

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Correspondence to Rik Carl D’Amato.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments and comparable ethical standards. Informed consent was obtained from the participants involved in the study. In addition, the University institutional review board approved this study.

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The authors declare that they have no conflict of interest and have not submitted the paper to any other journals.

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Hulac, D.M., D’Amato, R.C. Understanding and Serving Adolescent Females with Emotional Disabilities and Executive Dysfunction in a Residential Treatment Setting. J Pediatr Neuropsychol 5, 3–8 (2019). https://doi.org/10.1007/s40817-017-0048-x

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  • DOI: https://doi.org/10.1007/s40817-017-0048-x

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