Abstract

Agreement between parent and adolescent ratings of executive function (EF) is not known in adolescents with solid organ transplant (SOT), even though pressing concerns about EF deficits are being raised in this population. The current study investigated EF in adolescents with SOT using parent and self report. Twenty-five adolescents (M = 15.51 years) with SOT and their parent completed a behavior rating scale assessing EF within everyday context using the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2). Parents and their adolescents demonstrated moderate to excellent agreement across the BRIEF2 clinical and index scores, higher than previous research with a typical sample. Adolescent males had higher agreement with their parents than female adolescents. Both parents and adolescents reported significantly higher mean T scores on various BRIEF2 indices and domains, in addition to higher rates of clinically elevated executive dysfunction than their peers. Assessment of EF and targeting specific EF domains for intervention may be useful in this population.

摘要

在实体器官移植 (SOT) 的青少年中，父母和青少年执行功能 (EF) 评级之间的一致性尚不清楚，尽管在这一人群中对 EF 缺陷提出了紧迫的担忧。目前的研究使用父母和自我报告调查了患有 SOT 的青少年的 EF。二十五名青少年（男 = 15.51 岁）与 SOT 及其父母使用执行功能行为评定量表第二版 (BRIEF2) 在日常环境中完成了评估 EF 的行为评定量表。父母和他们的青少年在 BRIEF2 临床和指数得分方面表现出中等到极好的一致性，高于之前对典型样本的研究。与青少年女性相比，青少年男性与父母的一致性更高。父母和青少年都报告了在各种 Brief2 指数和领域的平均T得分显着高于同龄人，此外，临床上执行功能障碍升高的比率也更高。评估 EF 并针对特定的 EF 域进行干预可能对这一人群有用。