Skip to main content

The Assessment of Executive Functioning Using the Barkley Deficits in Executive Functioning Scales

  • Chapter
  • First Online:
Handbook of Executive Functioning

Abstract

The assessment of executive functioning (EF) has been plagued by several problems, not the least of which is the lack of any consensus definition for the term itself (Castellanos, Sonuga-Barke, Milham, & Tannock, 2006). Despite frequent use of the term in various research papers and books over the past 40 years since the term was first coined by Pribram in 1973, more than 30 definitions exist for the term (Barkley, 2012a) and at least as many different constructs have been placed under it, making it more akin to an “umbrella” term or meta-construct (Eslinger, 1996). Typically, reviews of the scientific findings on EF often sidestep the problem of definition and simply list those constructs thought to be included in the term, such as inhibition, working memory, planning, and problem-solving (Frazier, Demareem, & Youngstrom, 2004; Hervey, Epstein, & Curry, 2004; Willcutt, Doyle, Nigg, Faraone, & Pennington, 2005). The reviews then discuss findings with regard to measures of these constructs without further consideration for the rather glaring problem of specifying just what makes these constructs representative of EF while other neuropsychological functions are not so classified. What specific, operational criterion can be used to determine what mental functions are or are not EF? To my knowledge, none have previously existed. Declaring that EF is what the prefrontal cortex (PFC) does is unhelpful as this simply refers to a different level of analysis at the neurological level rather than defining the term properly at the neuropsychological one, thus conflating two distinct levels of scientific analysis (Denckla, 1996). It is also prone to circularity of argument, in that EF is stated to be what the PFC does and then declaring that what the PFC does is EF.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 449.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Alderman, N., Burgess, P. W., Knight, C., & Henman, C. (2003). Ecological validity of a simplified version of the multiple errands shopping test. Journal of the International Neuropsychological Society, 9, 31–44.

    Article  PubMed  Google Scholar 

  • Anderson, P. (2002). Assessment and development of executive function (EF) during childhood. Child Neuropsychology, 8, 71–82.

    Article  PubMed  Google Scholar 

  • Anderson, V. A., Anderson, P., Northam, E., Jacobs, R., & Mikiewicz, O. (2002). Relationships between cognitive and behavioral measures of executive function in children with brain disease. Child Neuropsychology, 8, 231–240.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (1997a). Inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65–94.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (1997b). ADHD and the nature of self-control. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2001). Executive functions and self-regulation: An evolutionary neuropsychological perspective. Neuropsychology Review, 11, 1–29.

    Article  PubMed  Google Scholar 

  • Barkley, R. A. (2011a). Barkley deficits in executive functioning scale. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2011b). Barkley Functional Impairment Scale. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2012a). Executive functions: What they are, how they work, and why they evolved. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2012b). Barkley Deficits in Executive Functioning Scale—Children and Adolescents. New York: Guilford.

    Google Scholar 

  • Barkley, R. A. (2012c). Barkley Functional Impairment Scale—Children and Adolescents. New York: Guilford.

    Google Scholar 

  • Barkley, R. A., & Fischer, M. (2011). Predicting impairment in occupational functioning in hyperactive children as adults: Self-reported executive function (EF) deficits vs. EF tests. Developmental Neuropsychology, 36(2), 137–161.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (2010). Impairment in major life activities and adult ADHD: The predictive utility of executive function (EF) ratings vs. EF tests. Archives of Clinical Neuropsychology, 25, 157–173.

    Article  PubMed  Google Scholar 

  • 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 EF tests. Journal of Psychopathology and Behavioral Assessment, 33, 137–158.

    Article  Google Scholar 

  • Barkley, R. A., Murphy, K. R., & Fischer, M. (2008). ADHD in adults: What the science says. New York: Guilford.

    Google Scholar 

  • Best, J. R., Miller, P. H., & Jones, L. J. (2009). Executive functions after age 5: Changes and correlates. Developmental Review, 29, 180–200.

    Article  PubMed  Google Scholar 

  • Biederman, J., Petty, C. R., Fried, R., Black, S., Faneuil, A., Doyle, A. E., et al. (2008). Discordance between psychometric testing and questionnaire-based definitions of executive function deficits in individuals with ADHD. Journal of Attention Disorders, 12, 92–102.

    Article  PubMed  Google Scholar 

  • Bogod, N. M., Mateer, C. A., & MacDonald, S. W. S. (2003). Self-awareness after traumatic brain injury: A comparison of measures and their relationship to executive functions. Journal of the International Neuropsychological Society, 9, 450–458.

    Article  PubMed  Google Scholar 

  • Boonstra, A. M., Oosterlaan, J., Sergeant, J. A., & Buitelaar, J. K. (2005). Executive functioning in adult ADHD: A meta-analytic review. Psychological Medicine, 35, 1097–1108.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Bush, G., Valera, E. M., & Seidman, L. J. (2005). Functional neuroimaging of attention-deficit/hyperactivity disorder: A review and suggested future directions. Biological Psychiatry, 57, 1273–1296.

    Article  PubMed  Google Scholar 

  • Castellanos, X., Sonuga-Barke, E., Milham, M., & Tannock, R. (2006). Characterizing cognition in ADHD: Beyond executive dysfunction. Trends in Cognitive Science, 10, 117–123.

    Article  Google Scholar 

  • Chaytor, N., Schmitter-Edgecombe, M., & Burr, R. (2006). Improving the ecological validity of executive functioning assessment. Archives of Clinical Neuropsychology, 21, 217–227.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159.

    Article  PubMed  Google Scholar 

  • Dawkins, R. (1982). The extended phenotype. New York: Oxford University Press.

    Google Scholar 

  • Denckla, M. B. (1996). A theory and model of executive function: A neuropsychological perspective. In G. R. Lyon & N. A. Krasnegor (Eds.), Attention, memory, and executive function (pp. 263–278). Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Dimond, S. J. (1980). Neuropsychology: A textbook of systems and psychological functions of the human brain. London: Butterworths.

    Google Scholar 

  • Dodrill, C. B. (1997). Myths of neuropsychology. The Clinical Neuropsychologist, 11, 1–17.

    Article  Google Scholar 

  • Eslinger, P. J. (1996). Conceptualizing, describing, and measuring components of executive function: A summary. In G. R. Lyon & N. A. Krasnegor (Eds.), Attention, memory, and executive function (pp. 367–395). Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Frazier, T. W., Demareem, H. A., & Youngstrom, E. A. (2004). Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder. Neuropsychology, 18, 543–555.

    Article  PubMed  Google Scholar 

  • Fuster, J. M. (1997). The prefrontal cortex. New York: Raven.

    Google Scholar 

  • 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.

    Google Scholar 

  • Gioia, G. A., Isquith, P. K., Kenworthy, L., & Barton, R. M. (2002). Profiles of everyday executive function in acquired and developmental disorders. Child Neuropsychology, 8, 121–137.

    Article  PubMed  Google Scholar 

  • Gropper, R. J., & Tannock, R. (2009). A pilot study of working memory and academic achievement in college students with ADHD. Journal of Attention Disorders, 12, 574–581.

    Article  PubMed  Google Scholar 

  • Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299.

    Article  Google Scholar 

  • Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–24). New York: Guilford.

    Google Scholar 

  • Hervey, A. S., Epstein, J. N., & Curry, J. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta-analytic review. Neuropsychology, 18, 495–503.

    Article  Google Scholar 

  • Hutchinson, A. D., Mathias, J. L., & Banich, M. T. (2008). Corpus callosum morphology in children and adolescents with attention deficit hyperactivity disorder: A meta-analytic review. Neuropsychology, 22, 341–349.

    Article  PubMed  Google Scholar 

  • Jacobson, N. S., Roberts, L. J., Berns, S. B., & McGlinchey, J. B. (1999). Methods for defining ad determining the clinical significance of treatment effects: Description, application, and alternatives. Journal of Consult and Clinical Psychology, 67, 300–307.

    Article  Google Scholar 

  • Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.

    Article  PubMed  Google Scholar 

  • Jonsdottir, S., Bouma, A., Sergeant, J. A., & Scherder, E. J. A. (2006). Relationship between neuropsychological measures of executive function and behavioral measures of ADHD symptoms and comorbid behavior. Archives of Clinical Neuropsychology, 21, 383–394.

    Article  PubMed  Google Scholar 

  • Kertesz, A., Nadkarni, N., Davidson, W., & Thomas, A. W. (2000). The Frontal Lobe Inventory in the differential diagnosis of frontotemporal dementia. Journal of the International Neuropsychological Society, 6, 460–468.

    Article  PubMed  Google Scholar 

  • Lezak, M. D. (1995). Neuropsychological assessment (3rd ed.). New York: Oxford University Press.

    Google Scholar 

  • Lezak, M. D. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.

    Google Scholar 

  • Luria, A. R. (1966). Higher cortical functions in man. New York: Basic Books.

    Google Scholar 

  • Lyon, G. R., & Krasnegor, N. A. (Eds.). (1996). Attention, memory, and executive function. Baltimore, MD: Paul H. Brookes.

    Google Scholar 

  • Mackie, S., Shaw, P., Lenroot, R., Greenstein, D. K., Nugent, T. F., III, Sharp, W. S., et al. (2007). Cerebellar development and clinical outcome in attention deficit hyperactivity disorder. The American Journal of Psychiatry, 76, 647–655.

    Article  Google Scholar 

  • Mahone, E. M., Hagelthora, K. M., Cutting, L. E., Schuerholz, L. J., Pelletier, S. F., Rawlins, C., et al. (2002). Effects of IQ on executive function measures in children with ADHD. Child Neuropsychology, 8, 52–65.

    Article  PubMed  Google Scholar 

  • Mangeot, S., Armstrong, K., Colvin, A. N., Yeates, K. O., & Taylor, H. G. (2002). Long-term executive function deficits in children with traumatic brain injuries: Assessment using the Behavior Rating Inventory of Executive Function (BRIEF). Child Neuropsychology, 8, 271–284.

    Article  PubMed  Google Scholar 

  • Marchetta, N. D. J., Hurks, P. P. M., Krabbendam, L., & Jolles, J. (2008). Interference control, working memory, concept shifting, and verbal fluency in adults with attention-deficit/hyperactivity disorder (ADHD). Neuropsychology, 22, 74–84.

    Article  PubMed  Google Scholar 

  • Mitchell, M., & Miller, S. (2008). Executive functioning and observed versus self-reported measures of functional ability. The Clinical Neuropsychologist, 22, 471–479.

    Article  PubMed  Google Scholar 

  • Nigg, J. T., & Casey, B. J. (2005). An integrative theory of attention-deficit/hyperactivity disorder based on the cognitive and affective neurosciences. Development and Psychopathology, 17, 765–806.

    Google Scholar 

  • Nigg, J. T., Willcutt, E. G., Doyle, A. E., & Sonuga-Barke, J. S. (2005). Causal heterogeneity in attention-deficit/hyperactivity disorder: Do we need neuropsychologically impaired subtypes? Biological Psychiatry, 57, 1224–1230.

    Article  PubMed  Google Scholar 

  • O’Shea, R., Poz, R., Michael, A., Berrios, G. E., Evans, J. J., & Rubinstein, J. S. (2010). Ecologically valid cognitive tests and everyday functioning in euthymic bipolar disorder patients. Journal of Affective Disorders, 125, 336–340.

    Article  PubMed  Google Scholar 

  • Paloyelis, Y., Mehta, M. A., Kuntsi, J., & Asherson, P. (2007). Functional MRI in ADHD: A systematic literature review. Expert Reviews in Neurotherapeutics, 7, 1337–1356.

    Article  Google Scholar 

  • Pontius, A. A. (1973). Dysfunction patterns analogous to frontal lobe system and caudate nucleus syndromes in some groups of minimal brain dysfunction. Journal of the American Medical Women’s Association, 26, 285–292.

    PubMed  Google Scholar 

  • Pribram, K. H. (1973). The primate frontal cortex—Executive of the brain. In K. H. Pribram & A. R. Luria (Eds.), Psychophysiology of the frontal lobes (pp. 293–314). New York: Academic.

    Chapter  Google Scholar 

  • Rabbitt, P. (1997). Introduction: Methodologies and models in the study of executive function. In P. Rabbitt (Ed.), Methodology of frontal and executive function (pp. 1–38). Hove: Psychology Press.

    Google Scholar 

  • Ready, R. E., Stierman, L., & Paulsen, J. S. (2001). Ecological validity of neuropsychological and personality measures of executive functions. The Clinical Neuropsychologist, 15, 314–323.

    Article  PubMed  Google Scholar 

  • Riccio, C. A., Hall, J., Morgan, A., Hynd, G. W., & Gonzalez, J. J. (1994). Executive function and the Wisconsin Card Sort Test: Relationship with behavioral ratings and cognitive ability. Developmental Neuropsychology, 10, 215–229.

    Article  Google Scholar 

  • Roth, R. M., Isquith, P. K., & Gioia, G. A. (2005). Behavior Rating Inventory of Executive Function—Adult version. Odessa, FL: Psychological Assessment Resources.

    Google Scholar 

  • Sagvolden, T., Johansen, E. B., Aase, H., & Russell, V. A. (2005). A dynamic developmental theory of attention-deficit/hyperactivity disorder (ADHD) predominantly hyperactive/impulsive and combined subtypes. The Behavioral and Brain Sciences, 25, 397–468.

    Google Scholar 

  • Shallice, T., & Burgess, P. W. (1991). Deficits in strategy application following frontal lobe damage in man. Brain, 114, 727–741.

    Article  PubMed  Google Scholar 

  • Stavro, G. M., Ettenhofer, M. L., & Nigg, J. T. (2007). Executive functions and adaptive functioning in young adults with attention-deficit/hyperactivity disorder. Journal of the International Neuropsychological Society, 13, 324–334.

    Article  PubMed  Google Scholar 

  • Stuss, D. T., & Benson, D. F. (1986). The frontal lobes. New York: Raven.

    Google Scholar 

  • Thorell, L. B. (2007). Do delay aversion and executive function deficits make distinct contributions to the functional impact of ADHD symptoms? A study of early academic skill deficits. Journal of Child Psychology and Psychiatry, 48, 1061–1070.

    Article  PubMed  Google Scholar 

  • Valera, E. M., Faraone, S. V., Murray, K. E., & Seidman, L. J. (2007). Meta-analysis of structural imaging findings in attention-deficit/hyperactivity disorder. Biological Psychiatry, 61, 1361–1369.

    Article  PubMed  Google Scholar 

  • Vriezen, E. R., & Pigott, S. E. (2002). The relationship between parental report on the BRIEF and performance-based measures of executive function in children with moderate to severe traumatic brain injury. Child Neuropsychology, 8, 296–303.

    Article  PubMed  Google Scholar 

  • Wilens, T. E., Martelon, M., Fried, R., Petty, C., Bateman, C., & Biederman, J. (2011). Do executive function deficits predict later substance use disorders among adolescents and young adults? Journal of the American Academy of Child and Adolescent Psychiatry, 50, 141–149.

    Article  PubMed  Google Scholar 

  • 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 meta-analytic review. Biological Psychiatry, 57, 1336–1346.

    Article  PubMed  Google Scholar 

  • Wood, R. L. I., & Liossi, C. (2006). The ecological validity of executive function tests in a severely brain injured sample. Archives of Clinical Neuropsychology, 21, 429–437.

    Article  PubMed  Google Scholar 

  • Zandt, F., Prior, M., & Kyrios, M. (2009). Similarities and differences between children and adolescents with autism spectrum disorder and those with obsessive compulsive disorder: Executive functioning and repetitive behavior. Autism, 13, 43–57.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Russell A. Barkley .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Barkley, R.A. (2014). The Assessment of Executive Functioning Using the Barkley Deficits in Executive Functioning Scales. In: Goldstein, S., Naglieri, J. (eds) Handbook of Executive Functioning. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8106-5_15

Download citation

Publish with us

Policies and ethics