Share This Article:

Neuropsychological Rehabilitation of Executive Functions: Challenges and Perspectives

Abstract Full-Text HTML Download Download as PDF (Size:110KB) PP. 27-32
DOI: 10.4236/jbbs.2014.41004    4,825 Downloads   8,067 Views   Citations

ABSTRACT


Introduction: Executive Dysfunction (ED) is associated with difficulties in daily life and poor treatment adherence in individuals with neurological and psychiatric disorders. The aim of this paper is to present an update of Executive Function (EF) Rehabilitation Techniques. Methods: We performed a comprehensive literature review using the following keywords: executive function, mental disorders and rehabilitation in the PubMed, specific journals and books. Results: There is evidence of improvement of EF using some rehabilitation techniques, such as goal planning, goal management training, problem solving training, verbalization, drill and practice approach, metacognitive strategy instruction, computer-assisted training and neurofeedback. However, impact of rehabilitation on daily life remains poorly understood. Conclusion: Executive Dysfunction (ED) may be remediated and/or compensated at a certain degree by neuropsychological rehabilitation, but there is still a great challenge in this area based on how to measure effectiveness of EF interventions on daily life. There is a need for the development of new and/or combined techniques (i.e., pharmacological treatment, deep-brain stimulation) for a broader impact on quality of life for patients.



Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

P. Gonçalves, M. Ometto, G. Sendoya, C. Lacet, L. Monteiro and P. Cunha, "Neuropsychological Rehabilitation of Executive Functions: Challenges and Perspectives," Journal of Behavioral and Brain Science, Vol. 4 No. 1, 2014, pp. 27-32. doi: 10.4236/jbbs.2014.41004.

References

[1] World Health Organization, “Prevention of Mental Disorders: Effective Interventions and Policy Options: A Summary Report,” 2004.
[2] M. Lezak, D. Howieson, D. Loring, H. Hannay and J. Fischer, “Neuropsychological Assessment,” Oxford University Press, New York, 2004.
[3] J. M. Mazaux, F. Masson, H. S. Levin, P. Alaoui, P. Maurette and M. Barat, “Long-Term Neuropsychological Outcome and Loss of Social Autonomy after Traumatic Brain Injury,” Archives of Physical Medicine and Rehabilitation, Vol. 78, No. 12, 1997, pp. 1316-1320.
http://dx.doi.org/10.1016/S0003-9993(97)90303-8
[4] J. Fish, J. J. Evans, M. Nimmo, E. Martin, D. Kersel, A. Bateman, B. A. Wilson and T. Manly, “Rehabilitation of Executive Dysfunction Following Brain Injury: ‘ContentFree’ Cueing Improves Everyday Prospective Memory Performance,” Neuropsychologia, Vol. 45, No. 6, 2007, 1318-1330.
http://dx.doi.org/10.1016/j.neuropsychologia.2006.09.015
[5] N. Josman, A. E. Schenirderman, E. Klinger and E. Shevil, “Using Virtual Reality to Evaluate Executive Functioning among Persons with Schizophrenia: A Validity Study,” Schizophrenia Research, Vol. 115, No. 2-3, 2009, pp. 270-277.
http://dx.doi.org/10.1016/j.schres.2009.09.015
[6] E. Aharonovich, P. C. Amrhein, A. Bisaga, E. V. Nunes and D. S. Hasin, “Cognition, Commitment Language, and Behavioral Change among Cocaine-Dependent Patients,” Psychology of Addictive Behaviors, Vol. 22, No. 4, 2008, pp. 557-562. http://dx.doi.org/10.1037/a0012971
[7] N. D. Woodward, S. E. Purdon, H. Y. Meltzer and D. H. Zald, “A Meta-Analysis of Neuropsychological Change to Clozapine, Olanzapine, Quetiapine, and Risperidone in Schizophrenia,” The International Journal of Neuropsychopharmacology, Vol. 8, No. 3, 2005, pp. 457-472.
http://dx.doi.org/10.1017/S146114570500516X
[8] S. K. Hill, J. R. Bishop, D. Palumbo and J. A. Sweeney, “Effect of Second-Generation Antipsychotics on Cognition: Current Issues and Future Challenges,” Expert Review of Neurotherapeutics, Vol. 10, No. 1, 2010, pp. 43-57. http://dx.doi.org/10.1586/ern.09.143
[9] B Wilson, F Gracey, J Evans and A. Bateman, “Neuropsychological Rehabilitation: Theories, Models, Therapy and Outcome,” Cambridge University Press, Cambridge, 2009. http://dx.doi.org/10.1017/CBO9780511581083
[10] A. Milioni, P. Rodrigues and P. Cunha, “Cognitive Functioning and Prefrontal Cortex Demage in Children and Adolescents: Consequences, Rehabilitation and Neural Plasticity,” In: O. Collins and J. Adams, Eds., Prefrontal Cortex: Developmental Differences, Executive and Cognitive Functions and Role in Neurological Disorders, Nova Biomedical, Waltham, 2013.
[11] J. Duncan, H. Emslie, P. Williams, R. Johnson and C. Freer, “Intelligence and the Frontal Lobe: The Organization of Goal-Directed Behavior,” Cognitive Psychology, Vol. 30, No. 3, 1996, pp. 257-303.
http://dx.doi.org/10.1006/cogp.1996.0008
[12] D. T. Wade, “Evidence Relating to Goal Planning in Rehabilitation,” Clinical Rehabilitation, Vol. 12, No. 4, 1998, pp. 273-275.
http://dx.doi.org/10.1191/026921598678166365
[13] T. J. Bovend’Eerdt, R. E. Botell and D. T. Wade, “Writing SMART Rehabilitation Goals and Achieving Goal Attainment Scaling: A Practical Guide,” Clinical Rehabilitation, Vol. 23, No. 4, 2009, pp. 352-361.
http://dx.doi.org/10.1177/0269215508101741
[14] B. Levine, I. H. Robertson, L. Clare, G. Carter, J. Hong, B. A. Wilson, J. Duncan and D. T. Stuss, “Rehabilitation of Executive Functioning: An Experimental-Clinical Validation of Goal Management Training,” Journal of the International Neuropsychological Society, Vol. 6, No. 3, 2000, pp. 299-312.
http://dx.doi.org/10.1017/S1355617700633052
[15] D. Y. Von Cramon, G. Matthes-von Cramona and N. Mai, “Problem-Solving Deficits in Brain-Injured Patients: A Therapeutic Approach,” Neuropsychol Rehabil, Vol. 1, No. 1, 1991, pp. 45-64.
http://dx.doi.org/10.1080/09602019108401379
[16] T. Manly, K. Hawkins, J. Evans, K. Woldt and I. H. Robertson, “Rehabilitation of Executive Function: Facilitation of Effective Goal Management on Complex Tasks Using Periodic Auditory Alerts,” Neuropsychologia, Vol. 40, No. 3, 2002, pp. 271-281.
http://dx.doi.org/10.1016/S0028-3932(01)00094-X
[17] E. C. Miotto, J. J. Evans, M. C. de Lucia and M. Scaff, “Rehabilitation of Executive Dysfunction: A Controlled Trial of an Attention and Problem Solving Treatment Group,” Neuropsychological Rehabilitation, Vol. 19, No. 4, 2009, pp. 517-540.
http://dx.doi.org/10.1080/09602010802332108
[18] C. Rupp, G. Kemmler, M. Kurz, H. Hinterhuber and W. Fleischhacker, “Cognitive Remediation during Treatment for Alcohol Dependence,” 2012.
[19] S. Rabipour and A. Raz, “Training the Brain: Fact and Fad in Cognitive and Behavioral Remediation,” Brain and Cognition, Vol. 79, No. 2, 2012, pp. 159-179.
http://dx.doi.org/10.1016/j.bandc.2012.02.006
[20] K. E. Harvey, C. A. Galletly, C. Field and M. Proeve, “The Effects of Verbalisation on Cognitive Performance in Schizophrenia: A Pilot Study Using Tasks from the Delis Kaplan Executive Function System,” Neuropsychological Rehabilitation, Vol. 19, No. 5, 2009, pp. 733-741.
http://dx.doi.org/10.1080/09602010902732892
[21] M. R. Kennedy, C. Coelho, L. Turkstra, M. Ylvisaker, M. Moore Sohlberg, K. Yorkston, H. H. Chiou and P. F. Kan, “Intervention for Executive Functions after Traumatic Brain Injury: A Systematic Review, Meta-Analysis and Clinical Recommendations,” Neuropsychological Rehabilitation, Vol. 18, No. 3, 2008, pp. 257-299.
http://dx.doi.org/10.1080/09602010701748644
[22] M. M. Sohlberg, L. Ehlhardt and M. Kennedy, “Instructional Techniques in Cognitive Rehabilitation: A Preliminary Report,” Semin Speech Lang, Vol. 26, No. 4, 2005, pp. 268-279. http://dx.doi.org/10.1055/s-2005-922105
[23] J. Couillet, S. Soury, G. Lebornec, S. Asloun, P. A. Joseph, J. M. Mazaux and P. Azouvi, “Rehabilitation of Divided Attention after Severe Traumatic Brain Injury: A Randomised Trial,” Neuropsychological Rehabilitation, Vol. 20, No. 3, 2010, pp. 321-339.
http://dx.doi.org/10.1080/09602010903467746
[24] J. M. Spikman, D. H. Boelen, K. F. Lamberts, W. H. Brouwer and L. Fasotti, “Effects of a Multifaceted Treatment Program for Executive Dysfunction after Acquired Brain Injury on Indications of Executive Functioning in Daily Life,” Journal of the International Neuropsychological Society, Vol. 16, No. 1, 2010, pp. 118-129.
http://dx.doi.org/10.1136/jnnp.47.5.505
[25] G. P. Prigatano, D. J. Fordyce, H. K. Zeiner, J. R. Roueche, M. Pepping and B. C. Wood, “Neuropsychological Rehabilitation after Closed Head Injury in Young Adults,” Journal of Neurology, Neurosurgery & Psychiatry, Vol. 47, No. 5, 1984, pp. 505-513.
http://dx.doi.org/10.1136/jnnp.47.5.505
[26] M. Atherton, J. Zhuang, W. M. Bart, X. Hu and S. He, “A Functional MRI Study of High-Level Cognition. I. The Game of Chess,” Cognitive Brain Research, Vol. 16, No. 1, 2003, pp. 26-31.
http://dx.doi.org/10.1016/S0926-6410(02)00207-0
[27] P. Nichelli, J. Grafman, P. Pietrini, D. Alway, J. C. Carton and R. Miletich, “Brain Activity in Chess Playing,” Nature, Vol. 369, No. 6477, 1994, p. 191.
http://dx.doi.org/10.1038/369191a0
[28] V. Oliveira, “Jogos de Regras e Resolucoes e Problemas,” Vozes, Petrópolis, 2004.
[29] C. Demily and N. Franck, “Cognitive Remediation: A Promising Tool for the Treatment of Schizophrenia,” Expert Review of Neurotherapeutics, Vol. 8, No. 7, 2008, pp. 1029-1036. http://dx.doi.org/10.1586/14737175.8.7.1029
[30] C. Demily, C. Cavezian, M. Desmurget, M. BerquandMerle, V. Chambon and N. Franck, “The Game of Chess Enhances Cognitive Abilities in Schizophrenia,” Schizophrenia Research, Vol. 107, No. 1, 2009, pp. 112-113.
http://dx.doi.org/10.1016/j.schres.2008.09.024
[31] P. D. Goncalves, M. Ometto, A. Bechara, A. Malbergier, R. Amaral, S. Nicastri, P. Martins, L. Beraldo, B. Santos, D. Fuentes, A. G. Andrade, G. Busatto and P. J. Cunha, “Motivational Interviewing Combined with Chess Accelerates Improvement in Executive Functions in Cocaine Dependent Patients: A One-Month Prospective Study,” in Preparation.
[32] J. Kuhn, T. Gründler, R. Bauer, W. Huff, A. Fischer, D. Lenartz, M. Maarouf, C. Bührle, J. Klosterkotter, M. Ullsperger and V. Sturm, “Successful Deep Brain Stimulation of the Nucleus Accumbens in Severe Alcohol Dependence is Associated with Changed Performance Monitoring,” Addiction Biology, Vol. 16, No. 4, 2011, pp. 620-623. http://dx.doi.org/10.1111/j.1369-1600.2011.00337.x

  
comments powered by Disqus

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.