Factors associated with self-awareness impairment in an inpatient brain injury rehabilitation cohort.
Brain Inj
; 38(9): 699-707, 2024 Jul 28.
Article
em En
| MEDLINE
| ID: mdl-38634476
ABSTRACT
BACKGROUND:
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.OBJECTIVES:
To identify factors associated with self-awareness and determine predictors of self-awareness impairment for adults with traumatic brain injury (TBI) and stroke. DESIGN ANDMETHODS:
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.RESULTS:
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.CONCLUSION:
Different factors were associated with impaired self-awareness for individuals with TBI and stroke during inpatient rehabilitation.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Conscientização
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Lesões Encefálicas
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Pacientes Internados
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article