Psychometric Properties of the Revised Dysexecutive Questionnaire in a Non-clinical Population

Translation and validation of the abbreviated Prefrontal Symptoms Inventory (PSI-20): A tool for assessing prefrontal symptoms in English-speaking populations

This study introduces the translation and validation of the Prefrontal Symptoms Inventory (PSI) into English, aiming to provide an ecologically valid tool for assessing prefrontal symptoms in English-speaking populations in the United States. The prefrontal cortex (PFC) plays a crucial role in executive functions and other higher-order cognitive processes, with dysfunctions in this area associated with various cognitive, emotional and behavioural changes. Despite the existence of established tools like the Dysexecutive Questionnaire (DEX), the PSI addresses limitations found in the literature, presenting a novel ecologically valid tool for assessing prefrontal symptoms. The current study, involving 226 English-speaking participants, lays a foundational step for validating the PSI for use in a new population. Semi-confirmatory factorial analysis revealed a unidimensional structure, mirroring the Spanish version with robust fit indicators. Additionally, in assessing convergent validity, the abbreviated version (PSI-20) exhibited high correlations with DEX scores and moderate correlations with Psychological Stress Scale and General Health Questionnaire-12 scores. These findings align with previous reports, supporting the PSI-20's measurement of similar constructs related to prefrontal cortex activity and mental health components. The results of this study overall highlight the PSI's potential contribution to advancing prefrontal symptom evaluation in clinical and non-clinical settings.

Reduced awareness of cognitive deficits in idiopathic normal pressure hydrocephalus and its change following lumbar puncture

OBJECTIVE

Awareness of cognitive deficits is related to executive functions and may, therefore, be sensitive to the effects of lumbar puncture (LP) in idiopathic normal pressure hydrocephalus (iNPH). Although a reduction in awareness of cognitive deficits (RACD) has been previously described in iNPH, there is a lack of systematic, psychometrically validated reports. In this study, we investigated RACD and its LP-related changes in iNPH patients and compared them with those in clinical and healthy control groups.

METHODS

RACD was assessed before and after lumbar puncture (LP) in 24 patients (14 iNPH, 10 other age-associated cognitive syndromes; AACS) and compared with 23 healthy controls (HC), employing two RACD measures alongside cognitive examination. Local metacognition was measured using a visual percentile-based rating system and operationalized as the t-scaled distance between the participants' task-specific performance estimations and their objective test performance (ΔTSPE). Global metacognition, targeting broader estimates of cognitive functioning (ECF), was quantified by subtracting self- from informant-obtained sum scores on a questionnaire evaluating participants' dysexecutive problems (DEX-DS). Within-group and between-group differences in ΔTSPE and DEX-DS scores were compared non-parametrically, focusing on post-LP changes.

RESULTS

Averaged ΔTSPE was higher in the patient groups and mirrored the groups' lower objective test performance, while averaged DEX-DS showed no group difference. Following LP, group comparisons revealed iNPH-specific decrease in both RACD measures.

CONCLUSION

Our study revealed LP-related RACD changes in iNPH patients compared to those in AACS and HC participants. The results suggest a mitigation of impaired metacognitive abilities in iNPH, possibly resulting from LP-induced improvements in (local) metacognitive performance, facilitating ECF adjustment alongside a metacognitively stimulating testing procedure.

Impulsivity and self-regulation: A dual-process model of risky driving in young drivers in Iran

The dual-process model of risky driving (Lazuras, Rowe, Poulter, Powell, & Ypsilanti, 2019) suggested that regulatory processes mediate the effect of impulsivity on risky driving. The current study aimed to examine the cross-cultural generalisability of this model to Iranian drivers, who are from a country with a markedly higher rate of traffic collisions. We sampled 458 Iranian drivers aged 18 to 25 using an online survey measuring impulsive processes including impulsivity, normlessness and sensation-seeking, and regulatory processes comprising emotion-regulation, trait self-regulation, driving self-regulation, executive functions, reflective functioning and attitudes toward driving. In addition, we used the Driver Behaviour Questionnaire to measure driving violations and errors. Executive functions and driving self-regulation mediated the effect of attention impulsivity on driving errors. Executive functions, reflective functioning, and driving self-regulation mediated the relationship between motor impulsivity and driving errors. Finally, attitudes toward driving safety significantly mediated the relationship of both normlessness and sensation-seeking with driving violations. These results support the mediatory role of cognitive and self-regulatory capacities in the connection between impulsive processes and driving errors and violations. Overall, the present study confirmed the validity of the dual-process model of risky driving in a sample of young drivers in Iran. Implications for educating drivers and implementing policies and interventions based on this model are discussed.