PMID- 38247236
OWN - NLM
STAT- MEDLINE
DCOM- 20240227
LR  - 20240311
IS  - 1362-301X (Electronic)
IS  - 0269-9052 (Linking)
VI  - 38
IP  - 2
DP  - 2024 Jan 28
TI  - Assessment of impaired self-awareness after moderate-to-severe traumatic brain 
      injury: a comparison of assessment tools.
PG  - 76-83
LID - 10.1080/02699052.2024.2304875 [doi]
AB  - OBJECTIVE: To compare different assessment methods of impaired self-awareness 
      (ISA). METHODS: We included 37 patients with moderate-to-severe traumatic brain 
      injury (TBI) at a subacute/chronic stage, and 33 healthy controls. ISA was 
      assessed with three methods: discrepancy scores (comparison between patient and 
      proxy ratings) on three scales (Patient Competency Rating Scale (PCRS), Awareness 
      Questionnaire (AQ) and Dysexecutive Questionnaire (DEX)); clinician rating with 
      the Self-Awareness of Deficits Interview (SADI); and the difference between 
      prediction or estimation of performance and actual performance on two cognitive 
      tasks. RESULTS: Clinician-patient discrepancy scores appeared more sensitive than 
      relative-patient discrepancy. The AQ was the most sensitive. The discrepancy 
      scores were strongly correlated one with each other. Correlations with the SADI 
      were weaker. Patients did not overestimate their performance on cognitive tasks, 
      and the prediction did not significantly correlate with other measures of ISA. 
      DISCUSSION/CONCLUSION: Results support the multidimensional nature of ISA: 
      discrepancy scores assess meta-cognitive knowledge (understanding that a 
      function/skill is affected), while the SADI takes into account anticipatory 
      awareness (ability to set realistic goals) and estimation of performance assesses 
      anticipatory and situational awareness. Assessment of these different domains may 
      provide a comprehensive overview of an individual's self-awareness.
FAU - Dromer, Emilie
AU  - Dromer E
AD  - service de Medecine Physique et de Readaptation, AP-HP, GH Paris Saclay, Hopital 
      Raymond Poincare.
AD  - Equipe INSERM DevPsy, CESP, Universite Paris-Saclay, UVSQ, Montigny le 
      Bretonneux, France.
FAU - Arnould, Annabelle
AU  - Arnould A
AD  - service de Medecine Physique et de Readaptation, AP-HP, GH Paris Saclay, Hopital 
      Raymond Poincare.
AD  - Equipe INSERM DevPsy, CESP, Universite Paris-Saclay, UVSQ, Montigny le 
      Bretonneux, France.
FAU - Barbot, Frederic
AU  - Barbot F
AD  - Centre d'Investigation Clinique, Inserm CIC 1429, AP-HP Hopital Raymond Poincare, 
      Garches, France.
FAU - Azouvi, Philippe
AU  - Azouvi P
AD  - service de Medecine Physique et de Readaptation, AP-HP, GH Paris Saclay, Hopital 
      Raymond Poincare.
AD  - Equipe INSERM DevPsy, CESP, Universite Paris-Saclay, UVSQ, Montigny le 
      Bretonneux, France.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20240121
PL  - England
TA  - Brain Inj
JT  - Brain injury
JID - 8710358
SB  - IM
MH  - Humans
MH  - Awareness
MH  - *Brain Injuries, Traumatic/psychology
MH  - Neuropsychological Tests
MH  - Perception
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Neuropsychological Assessment
OT  - Traumatic brain injury
OT  - anosognosia
OT  - cognition
OT  - self-awareness
EDAT- 2024/01/22 06:42
MHDA- 2024/02/27 06:44
CRDT- 2024/01/22 02:13
PHST- 2024/02/27 06:44 [medline]
PHST- 2024/01/22 06:42 [pubmed]
PHST- 2024/01/22 02:13 [entrez]
AID - 10.1080/02699052.2024.2304875 [doi]
PST - ppublish
SO  - Brain Inj. 2024 Jan 28;38(2):76-83. doi: 10.1080/02699052.2024.2304875. Epub 2024 
      Jan 21.