Evaluation of prefrontal dysfunctions through self-report and classic neuropsychological assessment
DOI:
https://doi.org/10.56294/saludcyt20251344Keywords:
Stroke, Cognition, NeuropsychologyAbstract
Executive functions (EF) are essential for adaptation to new situations and self-regulation of behavior, and their impairment can seriously affect quality of life. In people with neurological conditions, such as cerebrovascular accidents, these functions are often compromised. This case study analyzes a 58-year-old man with a hemorrhagic stroke, evaluated using two tools: the Ineco Frontal Screening (IFS) and the Inventory of Prefrontal Symptoms (ISP). The IFS results indicated dysfunction in executive functions, specifically in areas related to the ability to abstract. On the other hand, the ISP, which is based on self-report, suggested that the patient did not perceive significant difficulties in his executive functions. The discrepancy between both methods highlights the common tendency to underestimate cognitive difficulties through self-report, influenced by subjective perception of health and neuroanatomical factors. This case highlights the importance of using objective and complementary tools for an accurate assessment of executive functions in stroke patients.
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Copyright (c) 2025 Manuel Matías Ambiado-Lillo, Treacy Chacón-Sáez (Author)
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