Neuroscience
Hart T, Sherer M, Whyte J, Polansky M, Novack TA. Awareness of behavioral, cognitive, and physical deficits in acute traumatic brain injury. Arch Phys Med Rehabil 2004; 85:1450-6.
OBJECTIVE: To compare awareness of deficit in 3 domains of function (physical, cognitive, behavioral/emotional) in acute traumatic brain injury (TBI), controlling for severity of impairment in the different domains. DESIGN: Inception cohort. SETTING: Three inpatient rehabilitation programs. PARTICIPANTS: People with acute TBI (N=161), tested as soon as feasible after posttraumatic amnesia. INTERVENTIONS: Not applicable. Main outcome measures Awareness Questionnaire (AQ) completed by the person with TBI and the treating neuropsychologist; and self- and clinician-rating scores calculated in the 3 domains. RESULTS: For participants who were rated by clinicians as more impaired in at least 1 domain (ie, scored lower on the AQ), self-ratings differed significantly from one another in all 3 domains, with behavioral self-ratings highest, physical self-ratings lowest, and cognitive self-ratings intermediate. In subgroups of participants rated at the same level by clinicians in all 3 domains, physical self-ratings were also lowest, that is, more consonant with clinician ratings. Participants tended to rate themselves as relatively unchanged in cognitive and behavioral domains regardless of the level of clinician ratings on these factors. CONCLUSIONS: Patterns of discrepant awareness of deficit in different functional areas seen in postacute TBI also appear to be present acutely and are not entirely related to differential severity of deficit. We discuss several possible reasons for discrepant awareness of deficit, including differences in internal and external feedback, cultural and psychologic factors, and different levels of ambiguity inherent in causal explanations for different types of problems.
PMID: 15375815 [PubMed - as supplied by publisher]
- Traumatic Brain Injury (tbi)
The current issue of the journal "Journal of Head Trauma Rehabilitation" has a six-article collection providing the so-called "INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury"Specific topics include: post-traumatic amnesia...
- Neuropsychology Abstract Of The Day: Traumatic Brain Injury (tbi)
Bayley MT, Tate R, Douglas JM, Turkstra LS, Ponsford J, Stergiou-Kita M, Kua A, & Bragge P. (2014). INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods and Overview. Journal of Head Trauma Rehabilitation, 29(4), 290-306....
- Neuropsychology Abstract Of The Day: Assessment In Alzheimer's Disease
The SIST-M: Predictive Validity of a Brief Structured Clinical Dementia Rating Interview Alzheimer Disease and Associated Disorders. 2011 Oct 6; Okereke OI, Pantoja-Galicia N, Copeland M, Hyman BT, Wanggaard T, Albert MS, Betensky RA, Blacker D Abstract...
- Neuropsychology Abstract Of The Day: Tbi Clinical Trials
Today's recommended reading addresses proposed efficacy measures for use in clinical trials related to traumatic brain injury (TBI): Bagiella E, Novack TA, Ansel B, Diaz-Arrastia R, Dikmen S, Hart T, & Temkin N. Measuring Outcome in Traumatic Brain...
- Unconsciousness
From tomorrow's Times, a feature article about the different states of unconsciousness and the different etiologies that may cause them to occur: Inside the Injured Brain, Many Kinds of Awareness The New York Times By BENEDICT CAREY Published: April...
Neuroscience
Abstract of the Day: Deficit Awareness in Traumatic Brain Injury
Hart T, Sherer M, Whyte J, Polansky M, Novack TA. Awareness of behavioral, cognitive, and physical deficits in acute traumatic brain injury. Arch Phys Med Rehabil 2004; 85:1450-6.
OBJECTIVE: To compare awareness of deficit in 3 domains of function (physical, cognitive, behavioral/emotional) in acute traumatic brain injury (TBI), controlling for severity of impairment in the different domains. DESIGN: Inception cohort. SETTING: Three inpatient rehabilitation programs. PARTICIPANTS: People with acute TBI (N=161), tested as soon as feasible after posttraumatic amnesia. INTERVENTIONS: Not applicable. Main outcome measures Awareness Questionnaire (AQ) completed by the person with TBI and the treating neuropsychologist; and self- and clinician-rating scores calculated in the 3 domains. RESULTS: For participants who were rated by clinicians as more impaired in at least 1 domain (ie, scored lower on the AQ), self-ratings differed significantly from one another in all 3 domains, with behavioral self-ratings highest, physical self-ratings lowest, and cognitive self-ratings intermediate. In subgroups of participants rated at the same level by clinicians in all 3 domains, physical self-ratings were also lowest, that is, more consonant with clinician ratings. Participants tended to rate themselves as relatively unchanged in cognitive and behavioral domains regardless of the level of clinician ratings on these factors. CONCLUSIONS: Patterns of discrepant awareness of deficit in different functional areas seen in postacute TBI also appear to be present acutely and are not entirely related to differential severity of deficit. We discuss several possible reasons for discrepant awareness of deficit, including differences in internal and external feedback, cultural and psychologic factors, and different levels of ambiguity inherent in causal explanations for different types of problems.
PMID: 15375815 [PubMed - as supplied by publisher]
- Traumatic Brain Injury (tbi)
The current issue of the journal "Journal of Head Trauma Rehabilitation" has a six-article collection providing the so-called "INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury"Specific topics include: post-traumatic amnesia...
- Neuropsychology Abstract Of The Day: Traumatic Brain Injury (tbi)
Bayley MT, Tate R, Douglas JM, Turkstra LS, Ponsford J, Stergiou-Kita M, Kua A, & Bragge P. (2014). INCOG Guidelines for Cognitive Rehabilitation Following Traumatic Brain Injury: Methods and Overview. Journal of Head Trauma Rehabilitation, 29(4), 290-306....
- Neuropsychology Abstract Of The Day: Assessment In Alzheimer's Disease
The SIST-M: Predictive Validity of a Brief Structured Clinical Dementia Rating Interview Alzheimer Disease and Associated Disorders. 2011 Oct 6; Okereke OI, Pantoja-Galicia N, Copeland M, Hyman BT, Wanggaard T, Albert MS, Betensky RA, Blacker D Abstract...
- Neuropsychology Abstract Of The Day: Tbi Clinical Trials
Today's recommended reading addresses proposed efficacy measures for use in clinical trials related to traumatic brain injury (TBI): Bagiella E, Novack TA, Ansel B, Diaz-Arrastia R, Dikmen S, Hart T, & Temkin N. Measuring Outcome in Traumatic Brain...
- Unconsciousness
From tomorrow's Times, a feature article about the different states of unconsciousness and the different etiologies that may cause them to occur: Inside the Injured Brain, Many Kinds of Awareness The New York Times By BENEDICT CAREY Published: April...