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Title: Factors influencing self-awaremess following traumatic brain injury
Epworth Authors: Richardson, Cally
McKay, Adam
Ponsford, Jennie
Keywords: Traumatic Brain Injury
Functional Outcomes
Hospital Anxiety and Depression Scale
Awareness Questionnaire
Cross Sectional Study
Self Awareness
Monash-Epworth Rehabilitation Research Centre, Richmond, Victoria, Australia.
Issue Date: Apr-2014
Citation: J Head Trauma Rehabil. 2014 Apr 9. [Epub ahead of print]
Abstract: OBJECTIVE:: To examine self-awareness and injury-related, emotional and demographic factors across acute/subacute (3-12 months), medium-term (24-60 months), and long-term (120-240 months) time periods after traumatic brain injury (TBI), because unawareness of injury-related changes can affect engagement in rehabilitation and functional outcomes. PARTICIPANTS:: A total of 168 individuals with mild to severe TBI and 105 of their close others. MAIN OUTCOMES MEASURES:: Awareness Questionnaire (AQ) and Hospital Anxiety and Depression Scale. DESIGN:: Cross-sectional study. RESULTS:: There were no significant differences in awareness as a function of time postinjury, except for the AQ motor/sensory domain wherein individuals with TBI at longer time periods displayed increased awareness of deficits than those at earlier time periods. Greater patient-other AQ discrepancy scores (interpreted as lower patient awareness) were associated with longer posttraumatic amnesia duration in the individual with TBI and also with increased self-reported depressive symptoms in the close others. Conversely, smaller AQ discrepancy scores (interpreted as better awareness) were associated with increased self-reported depressive symptoms by the individuals with TBI. CONCLUSION:: This study highlights the limitations of using discrepancy scores to measure awareness, as ratings of injury-related changes are influenced by the mood of the individual with TBI and the close other, as well as by injury severity.
DOI: 10.1097/HTR.0000000000000048
ISSN: 0885-9701
Journal Title: Journal of Head Trauma Rehabilitation
Type: Journal Article
Appears in Collections:Neurosciences

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