TY  - JOUR
PY  - 2012//
TI  - Self and near relative ratings of functional level one year after traumatic brain injury
JO  - Disability and rehabilitation
A1  - Sandhaug, Maria
A1  - Andelic, Nada
A1  - Berntsen, Svein A.
A1  - Seiler, Stephen
A1  - Mygland, Aase
SP  - 904
EP  - 909
VL  - 34
IS  - 11
N2  - Purpose: To quantify traumatic brain injury (TBI) patients' perceptions of own function by the Patient Competency Rating Scale (PCRS) 12 months after injury, and to examine self-awareness of functional deficits by comparing PCRS ratings from patients (PCRS-P) and PCRS ratings from near relatives (PCRS-R), and to identify predictors of awareness deficits. Method: A cohort of 50 severe (n = 33) and moderate (n = 17) TBI patients. Awareness of deficits was investigated by subtracting PCRS relative ratings from PCRS patient ratings. Predictors of PCRS ratings and differences were assessed by stepwise multiple regression analyses.Results: The average patient PCRS sum score was 122/150 (95% CI = 115; 129) as compared to a sum score of 117/150 (95% CI = 110; 125), p = 0.93) given by their relatives (p = 0.93). The patients scored themselves slightly higher than their relatives in the domains of activities of daily living (ADL) and cognitive function (p < 0.001, p < 0.001). Regression analyses showed that Glasgow Coma Scale (GCS) at admission to rehab was the strongest predictor of patient PCRS (B = 3.314, p = 0.008). The strongest predictor of differences between patient and relative PCRS was GCS acute (B= -3.530, p = 0.001).Conclusions: TBI patients demonstrated a slight "awareness gap" in ADL and cognitive function (p < 0.001, p < 0.001). Low GCS in the acute phase and high age were the strongest predictors of self- awareness deficits. [Box: see text].<p /> <p>Language: en</p>
LA  - en
SN  - 0963-8288
UR  - http://dx.doi.org/10.3109/09638288.2011.626484
ID  - ref1
ER  -