Executive Functioning and Observed Versus Self-Reported Measures of Functional Ability
Abstract
This study investigated the relationship between measures of executive functioning and both observed and self-reported functional ability. It was hypothesized that performance on a direct assessment of functional ability would have a stronger correlation with performance on measures of executive functioning than a self-report measure of functional ability. Results supported the hypothesis, indicating that self-report measures may not be sensitive to early decline in functional ability. Results also provide evidence to support the use of measures of executive functioning to detect early decline in functional ability that otherwise may not be detected by the typical self-report measures used in clinical settings. While lack of insight into functional deficits has been demonstrated in the literature in older adults with dementia, this study demonstrated lack of insight in a non-demented, community dwelling sample of older adults.
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These findings also agree with the study by Mitchell and Miller (2008) that found that EF tests were only modestly related to both ratings and observations of daily functional activities.
“These findings also agree with the study by Mitchell and Miller (2008) that found that EF tests were only modestly related to both ratings and observations of daily functional activities.”
From Impairment in Occupational Functioning and Adult ADHD: The Predictive Utility of Executive Function (EF) Ratings Versus EF Tests (2010) · cites this paper as Mitchell and Miller, 2008
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- Authors
- Mitchell, M., & Miller, L. S.
- Affiliations
- University of Georgia (US)
- Corresponding author
- Mitchell, Meghan
- ORCID
- Miller, L. Stephen
- Venue
- The Clinical Neuropsychologist
- Publisher
- Informa UK Limited
- Published
- 2008-05-09
- Volume
- 22
- Issue
- 3
- Pages
- 471-479
- ISSN
- 0920-1637 (ISSN-L)
- 1385-4046
- 1744-4144
- OpenAlex
- W2061134590
- Cited by
- 45
- References
- 20
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 3 · 2020: 4 · 2019: 2 · 2018: 2 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 2
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Clinical Neuropsychologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Georgia
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- executive function, functional capacity, self-report measures, lack of insight, older adults, community-dwelling older adults, dementia
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Female, Humans, Interview, Psychological, Male, Middle Aged, Neuropsychological Tests, Problem Solving, Surveys and Questionnaires, Self-Assessment, Geriatric Assessment, Observation
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