Depression, apathy and impaired self-awareness following severe traumatic brain injury: a preliminary investigation

Brain Injury ◽  
2019 ◽  
Vol 33 (9) ◽  
pp. 1245-1256 ◽  
Author(s):  
U. Bivona ◽  
A. Costa ◽  
M. Contrada ◽  
D. Silvestro ◽  
E. Azicnuda ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Preliminary Investigation ◽  
Self Awareness

Domain-specific deficits in self-awareness and relationship to psychosocial outcomes after severe traumatic brain injury

2018 ◽  
Vol 42 (5) ◽  
pp. 651-659 ◽  
Author(s):  
Felicity G. Hurst ◽  
Tamara Ownsworth ◽  
Elizabeth Beadle ◽  
David H. K. Shum ◽  
Jennifer Fleming
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Psychosocial Outcomes ◽  
Self Awareness ◽  
Domain Specific

Emotion Perception and Alexithymia in People With Severe Traumatic Brain Injury: One Disorder or Two? A Preliminary Investigation

2011 ◽  
Vol 12 (3) ◽  
pp. 165-178 ◽  
Author(s):  
Skye McDonald ◽  
Julia Rosenfeld ◽  
Julie D. Henry ◽  
Leanne Togher ◽  
Robyn Tate ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Brain Injuries ◽  
Preliminary Investigation ◽  
Emotion Perception ◽  
Poor Performance ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Cross Sectional

AbstractPrimary objective:Recent research studies attest to the presence of deficits in emotion perception following severe traumatic brain injury (TBI). Additionally, a growing number of studies report significant levels of alexithymia (disorder of emotional cognition) following TBI. This research aimed to examine the relation between the two, while assessing the influence of posttraumatic stress disorder (PTSD).Design:Cross-sectional study examining levels of alexithymia, emotion perception disorders and PTSD and their association, in 20 people with severe, chronic TBI and 20 adults without brain injuries.Methods:Participants were assessed on the Toronto Alexithymia — 20 Scale, the Posttraumatic Diagnostic Scale and on two emotion perception tasks: matching and labelling of photos depicting the 6 basic emotions.Results:The group with TBI were impaired relative to controls when matching facial expressions. Their performance on ‘fear’ was especially poor. Performance on labelling was similar in pattern, although failed to reach significance. There was no association between poor performance on fear, or other negative expressions, and either PTSD or alexithymia symptoms in the TBI group.Conclusions:Alexithymia, as assessed by the TAS-20, taps a constellation of difficulties that do not appear to include difficulties with emotion perception in people with traumatic brain injuries.

Metacognitive unawareness correlates with executive function impairment after severe traumatic brain injury

2010 ◽  
Vol 16 (2) ◽  
pp. 360-368 ◽  
Author(s):  
PAOLA CIURLI ◽  
UMBERTO BIVONA ◽  
CARMEN BARBA ◽  
GRAZIANO ONDER ◽  
DANIELA SILVESTRO ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Executive Functions ◽  
Severe Traumatic Brain Injury ◽  
Rating Scale ◽  
Wisconsin Card Sorting Test ◽  
Self Awareness ◽  
Card Sorting ◽  
Neuropsychological Battery ◽  
Neuroimaging Data

AbstractThe aim of this study was to evaluate clinical, neuropsychological, and functional differences between severe traumatic brain injury (TBI) outpatients with good and/or heightened metacognitive self-awareness (SA) and those with impaired metacognitive SA, assessed by the Patient Competency Rating Scale (PCRS). Fifty-two outpatients were recruited from a neurorehabilitation hospital based on the following inclusion criteria: 1) age ≥ 15 years; 2) diagnosis of severe TBI; 3) availability of neuroimaging data; 4) post-traumatic amnesia resolution; 5) provision of informed consent. Measures: A neuropsychological battery was used to evaluate attention, memory and executive functions. SA was assessed by the PCRS, which was administered to patients and close family members. Patients were divided into two groups representing those with and without SA. Patients with poor SA had more problems than those with good SA in some components of the executive system, as indicated by the high percentage ofperseverativeerrors and responses they made on the Wisconsin Card Sorting Test. Moreover, a decrease in metacognitive SA correlated significantly with time to follow commands (TFC). This study suggests the importance of integrating an overall assessment of cognitive functions with a specific evaluation of SA to treat self-awareness and executive functions together during the rehabilitation process. (JINS, 2010,16, 360–368.)

Low Self-Awareness of Individuals With Severe Traumatic Brain Injury Can Lead to Reduced Ability to Take Another Personʼs Perspective

2014 ◽  
Vol 29 (2) ◽  
pp. 157-171 ◽  
Author(s):  
Umberto Bivona ◽  
Angela Riccio ◽  
Paola Ciurli ◽  
Giovanni Augusto Carlesimo ◽  
Valentina Delle Donne ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Self Awareness

scholarly journals Executive function and metacognitive self-awareness after Severe Traumatic Brain Injury

2008 ◽  
Vol 14 (5) ◽  
pp. 862-868 ◽  
Author(s):  
UMBERTO BIVONA ◽  
PAOLA CIURLI ◽  
CARMEN BARBA ◽  
GRAZIANO ONDER ◽  
EVA AZICNUDA ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Executive Functions ◽  
Severe Traumatic Brain Injury ◽  
Psychometric Evaluation ◽  
Motor Deficits ◽  
Self Awareness ◽  
Cross Sectional ◽  
Sensory Motor ◽  
Executive System

The objective of this study is to identify the clinical, neuropsychological, neuropsychiatric, and functional variables that correlate with metacognitive self-awareness (SA) in severe traumatic brain injury (TBI) outpatients and to assess the influence of the same variables on the sensory-motor, cognitive, and behavioral-affective indicators of SA. This cross-sectional observational study evaluated 37 outpatients from May 2006 to June 2007 in a neurorehabilitation hospital on the basis of the following inclusion criteria: (1) age ≥ 15 years; (2) diagnosis of severe TBI (Glasgow Coma Scale, GCS ≤ 8); (3) posttraumatic amnesia (PTA) resolution; (4) capacity to undergo formal psychometric evaluation despite cognitive and sensory-motor deficits; (5) absence of aphasia; (6) availability of informed consent. A neuropsychological battery was used to evaluate attention, memory, and executive functions. SA was assessed by the awareness questionnaire (AQ), administered to both patients and relatives. Decreased metacognitive self-awareness is significantly correlated with increased problems in some components of executive system, even when the AQ subscales were considered separately. The significant correlation found between some components of executive system and metacognitive self-awareness confirmed the importance of addressing this issue to treat SA contextually in the rehabilitation of executive functions. (JINS, 2008,14, 862–868.)

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