Awareness of behavioral, cognitive, and physical deficits in acute traumatic brain injury

Archives of Physical Medicine and Rehabilitation
Tessa HartThomas A Novack

Abstract

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. Inception cohort. Three inpatient rehabilitation programs. People with acute TBI (N=161), tested as soon as feasible after posttraumatic amnesia. Not applicable. Awareness Questionnaire (AQ) completed by the person with TBI and the treating neuropsychologist; and self- and clinician-rating scores calculated in the 3 domains. 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. Patterns of discrepant awareness of deficit in different functional areas seen in post...Continue Reading

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