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Analysis of patient and proxy ratings on the dysexecutive questionnaire: An application of Rasch analysis
  1. Raymond CK Chan (rckchan{at}
  1. Institute of Psychology, Chinese Academy of Sciences, China
    1. Rita K Bode (r-bode{at}
    1. Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, United States


      Background: The present study provides an alternate method of analyzing self- and proxy-report data on subjective complaints of dysexecutive symptoms among a group of patients with traumatic brain injury. Objective: The purpose of this study was to examine differences in the ratings of patients and proxies on a measure of the dysexecutive syndrome and further explore the insight impairment problem in patients with traumatic brain injury. Methods: Rasch analysis was conducted on the ratings of the Dysexecutive Questionnaire (DEX) by a sample of patients and their proxies. Results: While the average scores based on patient and proxy ratings were approximately the same (patient raw score mean=30.12 and proxy raw score mean =31.32), differential item functioning was found in five DEX items. As a result, the relationship between measures obtained from patient and proxy ratings was only in the moderate range (ICC = 0.46). Conclusions: The identification of differential item functioning in five of the 20 DEX items reflected the different perspectives of patients and their proxies in reporting frequency of dysexecutive behaviour and suggests that these ratings are not interchangeable.

      • awareness of deficits
      • executive functions
      • postconcussion
      • rasch analysis

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