Comparison of EXIT-25 and the Frontal Assessment Battery for evaluation of executive dysfunction in patients attending a memory clinic

Dement Geriatr Cogn Disord. 2009;27(5):424-8. doi: 10.1159/000212755. Epub 2009 Apr 16.

Abstract

Background/aims: The Frontal Assessment Battery (FAB) and the EXIT-25 have emerged as 2 widely used screening instruments for executive dysfunction, but their screening properties have not been evaluated in a head-to-head comparison.

Methods: Prospective cohort study of 92 individuals presenting for cognitive assessment at a community hospital.

Results: The EXIT-25 took longer than the FAB to complete (mean difference = 9.27 min, 95% CI: 9.86-8.68). EXIT-25 and FAB scores showed significant correlation (Spearman's r = -0.79, p < 0.001) with one another, and each showed acceptable convergent validity and divergent validity.

Conclusions: The 2 tests provide similar information about the presence of executive dysfunction. The FAB takes less time to complete, and appears to be less frustrating for patients, making it more feasible as a screening test for executive dysfunction in a memory clinic setting.

Publication types

  • Comparative Study
  • Validation Study

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cohort Studies
  • Female
  • Frontal Lobe / physiology*
  • Humans
  • Male
  • Memory Disorders / diagnosis
  • Memory Disorders / psychology*
  • Neuropsychological Tests*
  • Observer Variation
  • Prospective Studies
  • Psychomotor Performance / physiology*
  • Reproducibility of Results
  • Sample Size