Self-awareness following traumatic brain injury and implications for rehabilitation

Self-awareness following traumatic brain injury and implications for rehabilitation

Primary objective : Many studies investigating self-awareness following traumatic brain injury (TBI) have been conducted more than 2 years post-injury, thereby providing limited information regarding the implications of insight for rehabilitation. The present study aimed to investigate awareness of...

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Bibliographic Details
Published in:Brain injury Vol. 16; no. 4; pp. 277 - 289
Main Authors: Port, Amanda, Willmott, Catherine, Charlton, Judith
Format: Journal Article
Language:English
Published: London Informa UK Ltd 2002
Taylor & Francis
Subjects:
Adolescent
Adult
Biological and medical sciences
Brain Injuries - psychology
Brain Injuries - rehabilitation
Female
Follow-Up Studies
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Psychometrics
Self Concept
Severity of Illness Index
Surveys and Questionnaires
Traumas. Diseases due to physical agents
Tropical medicine
Performance evaluation
Human
Memory disorder
Nervous system diseases
Cognitive disorder
Self evaluation
Craniocerebral
Awareness
Diseases of the osteoarticular system
Patient
Psychometrics
Trauma
Cerebral disorder
Central nervous system disease
Skull disease
Evolution
Rehabilitation
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Summary:Primary objective : Many studies investigating self-awareness following traumatic brain injury (TBI) have been conducted more than 2 years post-injury, thereby providing limited information regarding the implications of insight for rehabilitation. The present study aimed to investigate awareness of deficits in a group of patients who were less than 2 years post-injury and still involved in rehabilitation. Research design : Thirty patients with a history of moderate or severe TBI and their significant other (SO) were studied in a cross-sectional analysis. A sub-group also participated in an interdisciplinary Memory Group at the Bethesda Rehabilitation Centre. Methods and procedures : Level of insight was measured by the degree of agreement between self and significant other (SO) report on the Awareness of Deficit questionnaire (ADQ), assessing various domains of daily functioning. Results : There was substantial agreement between patients and their SO, although the patients with TBI were less likely to acknowledge executive problems. Interestingly, both groups reported only low-to-moderate levels of difficulty. Conclusions : The data indicate that SO's awareness may also be limited in the early recovery stages. A sub-group of the patients obtained benefit from participation in the Memory Group in a rehabilitation setting.
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ISSN:0269-9052
1362-301X
DOI:10.1080/02699050110103274