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[Evidence based treatment of executive dysfunction].

S V Müller1, S Harth, H Hildebrandt

  • 1Institut für Psychologie II, Otto-von-Guericke Universität Magdeburg, FNW, Postfach 4120, 39016 Magdeburg. sandra.mueller@nat.uni-magdeburg.de

Fortschritte Der Neurologie-Psychiatrie
|January 24, 2006
PubMed
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Cognitive therapies show promise for improving executive functions and social reintegration. However, evidence-based programs are scarce, necessitating further research into effective interventions for dysexecutive syndromes.

Area of Science:

  • Neurorehabilitation
  • Cognitive Psychology
  • Evidence-Based Medicine

Background:

  • Executive functions are crucial for functional outcomes and social reintegration.
  • A significant gap exists in evidence-based, cognitively oriented therapy programs.
  • Current therapeutic approaches lack standardized evaluation, hindering progress.

Purpose of the Study:

  • To classify existing evaluation studies on executive function therapies.
  • To assess these studies based on evidence-based medicine (EbM) principles and content.
  • To identify effective interventions for specific dysexecutive syndromes.

Main Methods:

  • Systematic review and classification of evaluation studies.
  • Assessment of studies using EbM criteria, participant numbers, intervention types, etiology, and outcome parameter standardization.

Related Experiment Videos

  • Categorization of therapies into environmental modification, behavior management, and cognitive/practice-based interventions.

    • Main Results:

    • Therapeutic interventions for executive functions vary, including environmental modification, behavior management, and cognitive/practice-based approaches.
    • Cognitive therapy forms generally achieve higher evidence classes.
    • Behavior management studies, often single-case, yield lower evidence classes due to outcome parameter variability.

    Conclusions:

    • Cognitive and practice-based interventions demonstrate higher levels of evidence for treating executive dysfunction.
    • Behavior management approaches currently have limited evidence, often due to study design and outcome measurement.
    • Further research and conceptual development are needed to enhance the effectiveness and evidence base for executive function therapies.