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Volume 3, Number 1, 25-35, DOI: 10.1007/s12207-010-9068-x
Journal Article
Forensic Neuropsychology and Mild
Traumatic Brain Injury Ronald M. Ruff
Book Chapter
Neuropsychological Rehabilitation
Evaluation and Treatment
Approaches DEBORAH M. BENSON
Book Chapter
Neuropsychological Assessment Roy
P.C. Kessels
Journal Article
Modeling the Ecological Validity of
Neurocognitive Assessment in Adults
with Acquired Brain Injury Paul D.
Kieffaber
Neuropsychological Tests are Poor at Assessing the Frontal Lobes, Executive
Functions, and Neurobehavioral Symptoms of Traumatically Brain-Injured
Patients
Robert J. Sbordone
From the issue entitled "Special Issue on Traumatic Brain Injury; Guest Editors: Ronald Ruff and Paul M.
Richards"
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Abstract
The frontal lobes play a major role in the regulation of our emotions and behavior, planning, decision
making, social conduct, actions, and executive functions. They are quite vulnerable to damage when an
individual sustains a moderate or severe traumatic brain injury. Patients who sustain damage to their
frontal lobes may not complain of any cognitive or neurobehavioral symptoms. They often do not show
any abnormalities on standardized neuropsychological tests, particularly when the anterior and ventral
areas of their frontal lobes are damaged. When these patients are observed in unstructured, novel, or
complex real-world settings, they frequently exhibit cognitive difficulties, neurobehavioral symptoms,
and problems with their executive functions. Since standardized neuropsychological tests are generally
poor at assessing these problems and symptoms, neuropsychologists may not be aware of these
problems if they have never observed these patients function in real-world settings or have never
interviewed the significant others of these patients. As a consequence, neuropsychologists should not
rely solely on the quantitative test data of these patients since it may provide inaccurate and
misleading information.

Keywords Neuropsychological tests - Frontal lobes - Executive functions - Neurobehavioral

symptoms - Traumatically brain-injured patients

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