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Factors associated with self-awareness impairment in an inpatient brain injury rehabilitation cohort.
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- Author(s): Sansonetti, Danielle; Fleming, Jennifer; Patterson, Freyr; De Lacy, Laura; Lannin, Natasha A.
- Source:
Brain Injury. 2024, Vol. 38 Issue 9, p699-707. 9p. - Source:
- Additional Information
- Subject Terms: INJURY complications; REHABILITATION for brain injury patients; RESEARCH funding; INTERVIEWING; RETROSPECTIVE studies; DESCRIPTIVE statistics; MANN Whitney U Test; FUNCTIONAL status; OCCUPATIONAL therapy; LONGITUDINAL method; STROKE rehabilitation; RESEARCH methodology; COMMUNICATION; SELF-consciousness (Awareness); STROKE; DATA analysis software; CONFIDENCE intervals; AMNESIA; REGRESSION analysis; COGNITION; ANOSOGNOSIA; DISEASE complications; ADULTS
- Abstract: Self-awareness impairment is common following acquired brain injury and can impact rehabilitation outcomes. Knowledge of factors associated with impaired self-awareness may assist with rehabilitation planning. To identify factors associated with self-awareness and determine predictors of self-awareness impairment for adults with traumatic brain injury (TBI) and stroke. A retrospective cohort study of rehabilitation inpatients was conducted by medical record audit. Self-awareness was measured using the Self-awareness of Deficits Interview (SADI). Relationships between SADI scores and demographic and clinical variables were identified with non-parametric statistics. Predictors of SADI scores were identified using ordinal regression analyses for TBI and stroke groups. Participants were 149 adults (18–70 years) with TBI (n = 110) and stroke (n = 39). For TBI, longer post-traumatic amnesia (PTA), lower functional cognition/communication, and behaviors of concern (BoC) were significantly associated with higher SADI scores (i.e. impaired self-awareness). For stroke, lower functional cognition/communication and motor scores were associated with higher SADI scores. Impaired self-awareness was predicted by PTA duration, acute length of stay and presence of BoC for the TBI group, and by functional cognition/communication for the stroke group. Different factors were associated with impaired self-awareness for individuals with TBI and stroke during inpatient rehabilitation. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Brain Injury is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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