Impaired self-awareness and denial of disability in a community sample of people with traumatic brain injury.
Anneke TerneusenIeke WinkensSanne SmeetsGeorge PrigatanoJohn PorcerelliRay KamooCaroline M Van HeugtenRudolf W H M PondsPublished in: Disability and rehabilitation (2021)
Low levels of ISA and DD occurred in this sample of TBI patients. The CRS-ISA-DD is a reliable and feasible instrument. We recommend using it as a diagnostic tool to differentiate between ISA and DD once self-awareness problems have been identified.IMPLICATIONS FOR REHABILITATIONUnawareness of deficits can persist into the chronic stage when rehabilitation treatment has ended.The two main factors of unawareness, impaired self-awareness and denial of disability, are related to different neurological and psychological mechanisms.The Clinician's Rating Scale for evaluating Impaired Self-Awareness and Denial of Disability after brain injury (CRS-ISA-DD) can be used to distinguish the two main factors of unawareness.
Keyphrases
- traumatic brain injury
- brain injury
- multiple sclerosis
- subarachnoid hemorrhage
- mental health
- end stage renal disease
- ejection fraction
- newly diagnosed
- cerebral ischemia
- chronic kidney disease
- healthcare
- patient reported outcomes
- prognostic factors
- depressive symptoms
- severe traumatic brain injury
- smoking cessation
- drug induced
- replacement therapy
- combination therapy