PMID- 31116085 OWN - NLM STAT- MEDLINE DCOM- 20210809 LR - 20210809 IS - 1464-0694 (Electronic) IS - 0960-2011 (Linking) VI - 30 IP - 10 DP - 2020 Dec TI - Long-term cognitive disability after traumatic brain injury: Contribution of the DEX relative questionnaires. PG - 1905-1924 LID - 10.1080/09602011.2019.1618345 [doi] AB - Executive functions are high-level cognitive processes commonly impaired after severe traumatic brain injury (sTBI), which may be associated with persistent anosognosia. The dysexecutive questionnaire (DEX) was designed to assess different domains of executive functioning in daily life. Two versions of the DEX exist (DEX-S completed by the patient, DEX-O completed by a relative) to compare cognitive complaints and patient's awareness. This work was aimed at studying the relevance of DEX-O for assessing daily-life limitations, the persistence of anosognosia and its association with global disability (GOSE) and magnetic resonance imaging (MRI) markers of brain alterations. Sixty-three patients (and relatives) were included within 63.4 months (+/-20.7) after sTBI. DEX-S and DEX-O scores were significantly positively correlated. We obtained significant correlations between DEX-S and episodic memory and phasic alert but not with executive assessment, GOSE and diffusion MRI markers. DEX-O was significantly correlated with executive function, episodic memory, attention (phasic alert sustained and divided attention), with the GOSE and the volume of the body of the corpus callosum (MRI marker). Anosognosia score (DEX-O minus DEX-S) correlated with mean diffusivity measure. These results highlight the clinical interest of DEX-O in assessing long-term disability. FAU - Lesimple, Blandine AU - Lesimple B AD - AP-HP, Service de Neuroreanimation chirurgicale, Hopital Pitie-Salpetriere, Paris, France. AD - SAMSAH La Note Bleue, Fondation Partage et Vie, Paris, France. FAU - Caron, Elsa AU - Caron E AD - AP-HP, Service de Medecine Physique et Readaptation, Hopital Pitie-Salpetriere, Paris, France. AD - dSAMSAH -SAVS, Association Guyanaise contre les Maladies Neuromusculaires, Cayenne, France. FAU - Lefort, Muriel AU - Lefort M AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. FAU - Debarle, Clara AU - Debarle C AD - GRC-Sorbonne Universite n degrees 18 HanCRe, Sorbonne Universite, Paris, France. FAU - Pelegrini-Issac, Melanie AU - Pelegrini-Issac M AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. FAU - Cassereau, Didier AU - Cassereau D AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. AD - ESPCI ParisTech, PSL Research University, Paris, France. FAU - Delphine, Sebastien AU - Delphine S AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. AD - Institut des Neurosciences Translationnelles de Paris, IHU-A-ICM, Institut du Cerveau et de la Moelle epiniere, Paris, France. FAU - Torkomian, Gregory AU - Torkomian G AD - AP-HP, Service de Neuroreanimation chirurgicale, Hopital Pitie-Salpetriere, Paris, France. FAU - Battisti, Valentine AU - Battisti V AD - AP-HP, Service de Neuroreanimation chirurgicale, Hopital Pitie-Salpetriere, Paris, France. FAU - Bossale, Pierrette AU - Bossale P AD - AP-HP, Service de Neuroreanimation chirurgicale, Hopital Pitie-Salpetriere, Paris, France. FAU - Galanaud, Damien AU - Galanaud D AUID- ORCID: 0000-0002-9285-8121 AD - AP-HP, Service de Neuroradiologie, Hopital Pitie-Salpetriere, Paris, France. FAU - Puybasset, Louis AU - Puybasset L AD - AP-HP, Service de Neuroreanimation chirurgicale, Hopital Pitie-Salpetriere, Paris, France. AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. FAU - Pradat-Diehl, Pascale AU - Pradat-Diehl P AD - AP-HP, Service de Medecine Physique et Readaptation, Hopital Pitie-Salpetriere, Paris, France. AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. AD - GRC-Sorbonne Universite n degrees 18 HanCRe, Sorbonne Universite, Paris, France. FAU - Perlbarg, Vincent AU - Perlbarg V AD - Sorbonne Universite, CNRS, INSERM, Laboratoire d'Imagerie Biomedicale, LIB, Paris, France. AD - Bioinformatics and Biostatistics Core Facility, iCONICS, ICM, Institut du Cerveau et de la Moelle epiniere, Paris, France. LA - eng PT - Journal Article DEP - 20190522 PL - England TA - Neuropsychol Rehabil JT - Neuropsychological rehabilitation JID - 9112672 SB - IM MH - Adult MH - Agnosia/*diagnosis/etiology/pathology/physiopathology MH - Attention/physiology MH - Brain Injuries, Traumatic/complications/*diagnosis/pathology/physiopathology MH - Cognitive Dysfunction/*diagnosis/etiology/pathology/physiopathology MH - Corpus Callosum/diagnostic imaging/*pathology MH - *Executive Function/physiology MH - Female MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - Memory, Episodic MH - Middle Aged MH - *Neuropsychological Tests/standards MH - Psychometrics MH - Surveys and Questionnaires OTO - NOTNLM OT - Anosognosia OT - Dysexecutive questionnaire OT - Executive functions OT - Magnetic resonance imaging OT - Traumatic brain injury EDAT- 2019/05/23 06:00 MHDA- 2021/08/10 06:00 CRDT- 2019/05/23 06:00 PHST- 2019/05/23 06:00 [pubmed] PHST- 2021/08/10 06:00 [medline] PHST- 2019/05/23 06:00 [entrez] AID - 10.1080/09602011.2019.1618345 [doi] PST - ppublish SO - Neuropsychol Rehabil. 2020 Dec;30(10):1905-1924. doi: 10.1080/09602011.2019.1618345. Epub 2019 May 22.