open access
메뉴E-ISSN : 2733-4538
The Korean version of the Barkley Deficits in Executive Functioning Scale (K-BDEFS) was developed for assessment of daily executive functioning in adults with attention-deficit/hyperactivity disorder (ADHD). The original BDEFS has demonstrated good psychometric properties. The purpose of the current study is to examine the psychometric properties of K-BDEFS in Korean samples. The study sample consisted of 1,016 community-dwelling general adults from 4 regional areas (i.e., Seoul, Gyeonggi, Cheongju, and Jinju) across South Korea. We examined the factor structure, internal consistency, and convergent validity, and divergent validity of the K-BDEFS in the sample and construct validity of the K-BDEFS was examined by the confirmatory factor analysis. The Cronbach’s alpha value for K-BDEFS was 0.98 and all subscales and indices demonstrated good internal consistency, and K-BDEFS demonstrated good test-retest reliability. The convergent and divergent validity of the K-BDFES were confirmed. A confirmatory factor analysis supported the five factor model of the K-BDEFS as presented in the original version of the BDEFS. K-BDEFS demonstrated satisfactory reliability and validity. Its utility in clinical and research settings appeared to be feasible in Korea. Further studies are required to examine the psychometric properties among clinical populations and the ecological validity of this scale.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Pub.
Banich, M. T. (2009). Executive function: The search for an integrated account. Current Directions in Psychological Science, 18, 89-94.
Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive functions:Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.
Barkley, R. A. (2011a). Executive functioning and self-regulation: Integration, extended phenotype, and clinical implications. New York: Guilford Press.
Barkley, R. A. (2011b). Barkley deficits in executive functioning scale (BDEFS). New York: Guilford Press.
Barkley, R. A., & Murphy, K. R. (2010). Impairment in occupational functioning and adult ADHD: The predictive utility of executive function (EF) ratings versus EF tests. Archives of Clinical Neuropsychology, 25, 157-173.
Barkley, R. A., & Murphy, K. R. (2011). The nature of executive function (EF) deficits in daily life activities in adults with ADHD and their relationship to performance on EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137-158.
Barkley, R. A., Murphy, K. R., & Fischer, M.(2008). ADHD in adults: What the science says. New York: Guilford Press.
Bentler, P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238-246.
Biederman, J., Petty, C. R., Fried, R., Black, S., Faneuil, A., Doyle, A. E., & Faraone, S. V.(2008). Discordance between psychometric testing and questionnaire-based definitions of executive function deficits in individuals with ADHD. Journal of Attention Disorders, 12, 92-102.
Biederman, J., Petty, C., Fried, R., Fontanella, J., Doyle, A. E., Seidman, L. J., & Faraone, S.V. (2006). Impact of psychometrically defined deficits of executive functioning in adults with attention deficit hyperactivity disorder. The American Journal of Psychiatry, 163, 1730-1738.
Brown, T. E. (2008). ADD/ADHD and impaired executive function in clinical practice. Current psychiatry reports, 10, 407-411
Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21, 230-258.
Browne, M. W., Cudeck, R., & Bollen, K. A.(1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing Structural Equation Model (pp. 136-162). Beverly Hills, CA: Sage Focus Editions.
Burgess, P. W., Alderman, N., Evans, J., Emslie,H., & Wilson, B. A. (1998). The ecological validity of tests of executive function. Journal of the International Neuropsychological Society, 4, 547-558.
Clark, L., Manes, F., Antoun, N., Sahakian, B. J.,& Robbins, T. W. (2003). The contributions of lesion laterality and lesion volume to decision-making impairment following frontal lobe damage. Neuropsychologia, 41, 1474-1483.
Conners, C. K., Erhardt, D., & Sparrow, E.(1999). Conner's Adult ADHD Rating Scales;Technical manual. New York: Multi Health System.
Frazier, T. W., Demaree, H. A., & Youngstrom,E. A. (2004). Meta-analysis of intellectual and neuropsychological test performance in attention -deficit/hyperactivity disorder. Neuropsychology, 18, 543-555.
Fuster, J. M. (1997). The Prefrontal cortex: Anatomy, Physiology, and Neuropsychology of the Frontal Lobe (3rd ed.). PA: Lippincott-Raven.
Gioia, G. A., Isquith, P. K., Guy, S. C., &Kenworthy, L. (2000). BRIEF: Behavior Rating Inventory of Executive Function - Professional Manual. Odessa, FL: Psychological Assessment Resources.
Gioia, G. A., Isquith, P. K., & Kenealy, L. E.(2008). Assessment of behavioral aspects of executive function. In Anderson, V. Jacobs, R., & Anderson, P. J. (Eds.), Executive functions and the frontal lobes (pp. 179-202). New York:Psychology Press.
Goldstein, S., Naglieri, J. A., Princiotta, D., &Otero, T. M. (2014). Introduction: A History of Executive Functioning as a Theoretical and Clinical Construct. In S. Goldstein & J. A. Naglieri (Eds.), Handbook of Executive Functioning (pp. 3-12). New York: Springer.
Hahn, D., Lee, C., Chon, K. (1996). Korean Adaptation of Spielberger's STAI (K-STAI). Korean Journal of Health Psychology, 1, 1-14.
Heaton, R. K., Chelune, G. J., Talley, J. L., Kay,G. G., & Curtis, G. (1993). Wisconsin Card Sorting Test (WCST) manual, revised and expanded. Odessa, FL: Psychological Assessment Resources.
Hummer, T. A., Kronenberger, W. G., Wang, Y., Dunn, D. W., Mosier, K. M., Kalmin, A. J.,& Mathews, V. P. (2010). Executive functioning characteristics associated with ADHD comorbidity in adolescents with Disruptive Behavior Disorders. Journal of Abnormal Child Psychology, 39, 11-19.
Isquith, P. K., Roth, R. M., & Gioia, G. (2013). Contribution of rating scales to the assessment of executive functions. Applied Neuropsychology:Child, 2, 125-132.
Jensen, A. R., & Rohwer, W. D. Jr. (1966). The Stroop color-word test: A review. Acta Psychologica, 25, 36-93.
Jurado, M. B. & Rosselli, M. (2007). The elusive nature of executive functions: A review of our current understanding. Neuropsychology review, 17, 213-233.
Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R.,Secnik, K., & Spencer, T. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35, 245-256.
Kessler, R. C., Adler, L., Barkley, R., Biederman, J., Conners, C. K., Demler, O., Faraone, S. V., Greenhill, L. L., Howes, M. J., & Secnik,K. (2006). The prevalence and correlates of adult ADHD in the United States: Results from the National Comorbidity Survey Replication. The American Journal of Psychiatry, 163, 716-723.
Kim, E. (2003). The Validation of Korean Adult ADHD Scale (K-AADHDS). The Korean Journal of Clinical Psychology, 22, 897-911.
Kim, H. (2001). Kims Frontal - Executive Neuropsychological Test: Manual. Daegu:Neuropsychology.
Kim, J. H., Lee, E. H., & Joung, Y. S. (2013). The WHO adult ADHD self-report scale:Reliability and validity of the Korean version. Psychiatry Investigation, 10, 41-46.
Knouse, L. E., Barkley, R. A., & Murphy, K. R.(2013). Does executive functioning (EF)predict depression in clinic-referred adults?:EF tests vs. rating scales. Journal of Affective Disorders, 145, 270-275.
Lawrence, N. S., Wooderson, S., Mataix-Cols, D., David, R., Speckens, A., & Phillips, M. L.(2006). Decision making and set shifting impairments are associated with distinct symptom dimensions in obsessive-compulsive disorder. Neuropsychology, 20, 409-419.
Lee, D., & Riccio, C. A. (2009). Validity of an Executive Function Model of ADHD Symptoms, Reading Difficulty and Substance Abuse in Adults. The Korean Journal of Clinical Psychology, 28, 783-809.
Lee, J. Y. (1996). Adult characteristics of attention deficit disorder (Masters Dissertation). Yonsei University, Seoul, Korea.
Lezak, M. D. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.
Luria, A. R. (1966). Higher Cortical Functions in Man. New York: Basic Books.
MacLeod, C.M. (1991). Half a century of research on the Stroop Effect: An integrative review. Psychological Bulletin, 109, 163-203.
Mahone, E. M., Hagelthorn, K. M., Cutting, L. E., Schuerholz, L. J., Pelletier, S. F., Rawlins,C., Singer, H. S., & Denckla, M. B. (2002). Effects of IQ on executive function measures in children with ADHD. Child Neuropsychology, 8, 52-65.
McClintock, S. M., Husain, M. M., Greer, T. L.,& Cullum, C. M. (2010). Association between depression severity and neurocognitive function in major depressive disorder: A review and synthesis. Neuropsychology, 24, 9-34.
Miller, E. K. & Cohen, J. D. (2001). An integrative theory of prefrontal cortex function. Annual review of neuroscience, 24(1), 167-202.
Miyake, A., & Friedman, N. P. (2012). The nature and organization of individual differences in executive functions four general conclusions. Current Directions in Psychological Science, 21(1), 8-14.
Naglieri, J., & Goldstein, S. (2013). Comprehensive executive functioning inventory technical manual. Toronto, Canada: Multi-Health Systems.
Nakamura, M., Nestor, P. G., Levitt, J. J., Cohen, A. S., Kawashima, T., Shenton, M. E., &McCarley, R. W. (2008). Orbitofrontal volume deficit in schizophrenia and thought disorder. Brain, 131, 180-195.
Nigg, J. T. (2006). What causes ADHD? Understanding what goes wrong and why. New York: Guilford Press.
Nigg, J. T., Stavro, G., Ettenhofer, M., Hambrick,D. Z., Miller, T., & Henderson, J. M. (2005). Executive functions and ADHD in adults:Evidence for selective effects on ADHD symptom domains. Journal of Abnormal Psychology, 114, 706-717.
Park, S. J., Choi, H. R., Choi, J. H. Kim, K. W., & Hong, J. P. (2010). Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety and Mood Disorder, 6, 119-124.
Pennington, B. F. (1997). Dimensions of executive functions in normal and abnormal development. In N. A. Krasnegor, G. R. Lyon, & P. S. Goldman-Rakic (Eds.), Development of the Prefrontal Cortex: Evolution, Neurobiology, and Behavior (pp. 265-281). Baltimore, MD: Paul H Brookes Publishing.
Pennington, B. F. & Ozonoff, S. (1993). Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry, 37(1), 51-87.
Reynolds, C. R., & Horton, A. M. (2006). Test of verbal conceptualization and fluency. Austin, TX:Pro-Ed.
Roth, R. M., Lance, C. E., Isquith, P. K., Fischer,A. S., & Giancola, P. R. (2013). Confirmatory factor analysis of the behavior rating inventory of executive function-adult version in healthy adults and application to attention-deficit/hyperactivity disorder. Archives of Clinical Neuropsychology, 28, 425-434.
Salthouse, T. A., Atkinson, T. M., & Berish, D.E. (2003). Executive functioning as a potential mediator of age-related cognitive decline in normal adults. Journal of Experimental Psychology:General, 132, 566-594.
Scheres, A., Oosterlaan, J., Geurts, H., Morein-Zamir, S., Meiran, N., Schut, H., &Sergeant, J. A. (2004). Executive functioning in boys with ADHD: Primarily an inhibition deficit? Archives of Clinical Neuropsychology, 19, 569-594.
Sergeant, J. A., Geurts, H., & Oosterlaan, J.(2002). How specific is a deficit of executive functioning for attention-deficit/ hyperactivity disorder? Behavioural Brain Research, 130, 3-28.
Stavro, G. M., Ettenhofer, M. L., & Nigg, J. T.(2007). Executive functions and adaptive functioning in young adult attention-deficit/hyperactivity disorder. Journal of the International Neuropsychological Society, 13, 324-334.
Strauss, E., Sherman, E. M. X., & Spreen, O.(2006). A compendium of neuropsychological tests (3rd ed.). New York: Oxford University Press.
Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643-662.
Stuss, D. T., & Benson, D. F. (1986). The Frontal Lobes. New York: Raven Press.
Toplak, E., West, F., & Stanovich, E. (2013). Practitioner Review: Do performance‐based measures and ratings of executive function assess the same construct? Journal of Child Psychology and Psychiatry, 54, 131-143.
Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1-10.
Vélez-Pastrana, M. C., González, R. A., Rodríguez Cardona, J., Purcell Baerga, P., Alicea Rodríguez, Á., & Levin, F. R. (2015). Psychometric properties of the barkley deficits in executive functioning scale: A Spanishlanguage version in a community sample of Puerto Rican adults. Psychological Assessment, 28, 483-498.
Welsh, M. C., & Pennington, B. F. (1998). Assessing frontal lobe functioning in children:Views from developmental psychology. Developmental Neuropsychology, 4, 199-230.
Willcutt, E. G., Doyle, A. E., Nigg, J. T., Faraone, S. V., & Pennington, B. F. (2005). Validity of the executive function theory of attention-deficit/hyperactivity disorder: A metaanalytic review. Biological Psychiatry, 57, 1336-1346.