@article{ref1,
title="Factors influencing self-awareness following traumatic brain injury",
journal="Journal of head trauma rehabilitation",
year="2014",
author="Richardson, Cally and McKay, Adam and Ponsford, Jennie L.",
volume="30",
number="2",
pages="E43-54",
abstract="OBJECTIVE:: To examine self-awareness and injury-related, emotional and demographic factors across acute/subacute (3-12 months), medium-term (24-60 months), and long-term (120-240 months) time periods after traumatic brain injury (TBI), because unawareness of injury-related changes can affect engagement in rehabilitation and functional outcomes. PARTICIPANTS:: A total of 168 individuals with mild to severe TBI and 105 of their close others. MAIN OUTCOMES MEASURES:: Awareness Questionnaire (AQ) and Hospital Anxiety and Depression Scale. <br><br>DESIGN:: Cross-sectional study. <br><br>RESULTS:: There were no significant differences in awareness as a function of time postinjury, except for the AQ motor/sensory domain wherein individuals with TBI at longer time periods displayed increased awareness of deficits than those at earlier time periods. Greater patient-other AQ discrepancy scores (interpreted as lower patient awareness) were associated with longer posttraumatic amnesia duration in the individual with TBI and also with increased self-reported depressive symptoms in the close others. Conversely, smaller AQ discrepancy scores (interpreted as better awareness) were associated with increased self-reported depressive symptoms by the individuals with TBI. <br><br>CONCLUSION:: This study highlights the limitations of using discrepancy scores to measure awareness, as ratings of injury-related changes are influenced by the mood of the individual with TBI and the close other, as well as by injury severity.<p /> <p>Language: en</p>",
language="en",
issn="0885-9701",
doi="10.1097/HTR.0000000000000048",
url="http://dx.doi.org/10.1097/HTR.0000000000000048"
}