Journal of Neurology

, Volume 252, Issue 2, pp 168–175

Self-awareness after acquired brain injury

Predictors and rehabilitation
  • E. Noé
  • J. Ferri
  • M. C. Caballero
  • R. Villodre
  • A. Sanchez
  • J. Chirivella
ORIGINAL COMMUNICATION

DOI: 10.1007/s00415-005-0625-2

Cite this article as:
Noé, E., Ferri, J., Caballero, M.C. et al. J Neurol (2005) 252: 168. doi:10.1007/s00415-005-0625-2

Abstract

Objective

To investigate the factors contributing to deficit in self-awareness following acquired brain injury and to study change in self-awareness during a group support program.

Methods

Sixty-two patients (mean age: 35.4±15.3 years) attending our Service (295±525 days after injury) were included in the study (41 of them had sustained a head injury). Thirty-six patients were admitted to a multidisciplinary rehabilitation program including a group support program designed to improve self-awareness deficits. All patients were assessed with the Patient Competency Rating Scale as a measure of self-awareness and with a broad range of neuropsychological tests, checklists of psychopathological symptoms, and several functional scales.

Results

Thirty patients showed high levels of self-awareness while 32 showed impaired self-awareness. Patients with appropriate perception of their deficits showed less psychopathological symptoms, better neuropsychological function and higher functional independence than those with impaired SA (Student’s t test, p<0.05). Both groups improved, but with different patterns, after rehabilitation (MANOVA, p<0.05). Multiple regression analysis revealed that cognitive status was predictive of level of self-awareness.

Conclusion

The level of self-awareness after acquired brain injury is a useful prognostic index of the neuropsychological, psychopathological and functional status of the patient. We recommend the evaluation of this symptom after acquired brain injury due to its clinical relevance.

Key words

self-awarenessacquired brain injuryrehabilitation

Copyright information

© Steinkopff Verlag 2005

Authors and Affiliations

  • E. Noé
    • 1
  • J. Ferri
    • 1
  • M. C. Caballero
    • 1
  • R. Villodre
    • 1
  • A. Sanchez
    • 1
  • J. Chirivella
    • 1
  1. 1.Servicio de DañoCerebral Hospital Valencia al Mar, C/Río Tajo no1ValenciaSpain