Executive dysfunction

In psychology and neuroscience, executive dysfunction, or executive function deficit, is a disruption to the efficacy of the executive functions, which is a group of cognitive processes that regulate, control, and manage other cognitive processes. Executive dysfunction can refer to both neurocognitive deficits and behavioural symptoms. It is implicated in numerous neurological and mental disorders, as well as short-term and long-term changes in non-clinical executive control. It can encompass other cognitive difficulties like planning, organizing, initiating tasks, and regulating emotions. It is a core characteristic of attention deficit hyperactivity disorder (ADHD) and can elucidate numerous other recognized symptoms. Extreme executive dysfunction is the cardinal feature of dysexecutive syndrome.

Overview

Executive functioning is a theoretical construct representing a domain of cognitive processes that regulate, control, and manage other cognitive processes. Executive functioning is not a unitary concept; it is a broad description of the set of processes involved in certain areas of cognitive and behavioural control. Executive processes are integral to higher brain function, particularly in the areas of goal formation, planning, goal-directed action, self-monitoring, attention, response inhibition, and coordination of complex cognition and motor control for effective performance. Deficits of the executive functions are observed in all populations to varying degrees, but severe executive dysfunction can have devastating effects on cognition and behaviour in both individual and social contexts on a day-to-day basis.

Overview

Executive dysfunction does occur to a minor degree in all individuals on both short-term and long-term scales. In non-clinical populations, the activation of executive processes appears to inhibit further activation of the same processes, suggesting a mechanism for normal fluctuations in executive control. Decline in executive functioning is also associated with both normal and clinical aging. The decline of memory processes as people age appears to affect executive functions, which also points to the general role of memory in executive functioning.

Executive dysfunction