title: Clinical utility of the Behavior Rating Inventory of Executive Function-Self-Report (BRIEF-SR) in adolescents with traumatic brain injury.
abstract: OBJECTIVE
  To evaluate the factor structure and correlates of the Behavior Rating Inventory of Executive Function-Self-Report (BRIEF-SR) in 118 adolescents with traumatic brain injury (TBI).
  
  
  METHODS
  Cross-sectional study. Maximum-likelihood exploratory, as well as confirmatory, factor analysis. External correlates of factor scores were evaluated.
  
  
  RESULTS
  Two latent constructs were identified, with notable variation in scale loading pattern compared with standardization sample findings of the BRIEF-SR. These factors covaried inversely with severity of TBI; more severe injuries were associated with lower self-ratings of executive dysfunction, indicating a possible lack of deficit awareness in those with relatively severe injuries. Premorbid ADHD affected both factors, resulting in higher self-ratings of executive dysfunction, suggesting preserved awareness of preexisting difficulties in those with uncomplicated mild injuries. In addition, males reported less executive dysfunction than females.
  
  
  CONCLUSIONS
  Findings suggest that the BRIEF-SR measures somewhat different latent constructs after TBI than in typically developing adolescents, and that BRIEF-SR scores need to be considered in concert with objective measures of injury severity and premorbid demographic and historical variables. (PsycINFO Database Record (c) 2013 APA, all rights reserved).
authors.affiliation: Psychology Service, Mary Free Bed Rehabilitation Hospital.
authors.forename: Amy K
authors.initials: AK
authors.lastname: Byerley
authors.affiliation: Psychology Service, Mary Free Bed Rehabilitation Hospital.
authors.forename: Jacobus
authors.initials: J
authors.lastname: Donders
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications / Q000503:physiopathology / Q000523:psychology; D001294:Attitude to Health; D001364:Awareness / Q000502:physiology; D001930:Brain Injuries / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D002648:Child; D003072:Cognition Disorders / Q000150:complications / Q000503:physiopathology / Q000523:psychology*; D003430:Cross-Sectional Studies; D056344:Executive Function; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D057566:Self Report / Q000592:standards*; D012720:Severity of Illness Index