Impaired awareness of deficits in individuals with neuropsychiatric symptoms after acquired brain injury: Associations with treatment motivation and depressive symptoms.

Smeets, Sanne; Ponds, Rudolf; Gregório, Gisela Wolters; Pouwels, Climmy G J G; Visscher, Ada J M; Winkens, Ieke; Heugten, Caroline van

doi:10.1037/neu0000068

Cited by 16 publications

(17 citation statements)

References 35 publications

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“…However, we showed in one of our previous studies using the same patient population that in general, the level of awareness was average. This outcome suggests that overall, patients as a group had accurate awareness of their deficits (Smeets et al ., ). Furthermore, we also found a high correlation between the self‐report measures of executive functioning from patients and their SOs in the present study.…”

Section: Discussionmentioning

confidence: 99%

Associations between executive functioning, coping, and psychosocial functioning after acquired brain injury

Gregório

Ponds

Smeets

et al. 2015

British J Clinic Psychol

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Coping influences the association between executive functioning and quality of life. Individuals who report difficulties with executive functioning after ABI may be inclined to use passive coping styles, which are maladaptive. Problem-focused coping strategies may be more useful for individuals who have strong executive abilities. This study was a cross-sectional study; thus, a cause-and-effect relationship could not be established between executive functioning, coping, and psychosocial functioning. As this research was part of standard clinical care, non-traditional tests for executive functioning were not administered.

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Section: Discussionmentioning

confidence: 99%

Associations between executive functioning, coping, and psychosocial functioning after acquired brain injury

Gregório

Ponds

Smeets

et al. 2015

British J Clinic Psychol

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“…Awareness of functional deficits was assessed with the Patient Competency Rating Scale (PCRS). This instrument was originally developed to assess awareness of deficits after traumatic brain injury, but it has also been used in stroke, Alzheimer's disease, and other neurodegenerative diseases . The PCRS has good validity, reliability, and feasibility in people with traumatic brain injury …”

Section: Methodsmentioning

confidence: 99%

Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Gerridzen

Joling

Depla

et al. 2019

Int J Geriat Psychiatry

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Objectives Impaired awareness of functional deficits is often observed in people with Korsakoff syndrome (KS) and may result in refusal of care, although this area has been understudied. This study aimed to investigate levels of impaired awareness and their relationships with neuropsychiatric symptoms (NPS) in people with KS residing in specialized nursing homes. Methods A cross‐sectional, observational study was conducted among 215 residents with KS or other alcohol‐related cognitive disorders. Awareness was measured with the Patient Competency Rating Scale (PCRS). NPS and subsyndromes were measured with the Neuropsychiatric Inventory–Questionnaire (NPI‐Q). Adjusted multilevel regression analyses were performed to examine the relationships between the level of awareness and NPS. Results The mean level of impaired awareness was 39.3 (SD = 19.9) indicating moderate impairment. Twenty‐nine percent of the residents had no or mildly impaired awareness; 37% were moderately impaired, and 34% were severely impaired. Residents with moderately impaired awareness showed more severe apathy than residents with no or mildly impaired awareness (difference 1.23; 95% CI 1.02‐1.48; p = 0.03). No associations were found between the level of awareness and other NPI outcomes. Cognitive functioning seems to have the strongest impact on the association between level of awareness and NPS in KS residents. Conclusions Impaired awareness of functional deficits is highly common in KS residents; however, apart from apathy, is not significantly related with NPS. Additional research should further examine, which interventions are effective in dealing with impaired awareness in these people, particularly when apathy is present.

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“…Test-retest reliability coefficients are high and range between 0.92-0.97 (5,14). Internal consistency coefficients (Cronbach's alpha) are good (>.90) (15). Overall, the PCRS has good reliability, validity and responsiveness, but reliability information of the different PCRS forms (e.g.…”

Section: Introductionmentioning

confidence: 97%

Psychometric properties of the awareness questionnaire, patient competency rating scale and Dysexecutive Questionnaire in patients with acquired brain injury

et al. 2017

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Overall, the total scale scores of patient forms of all questionnaires demonstrated sufficient psychometric properties. Psychometric properties of subscales are questionable. We could not replicate the factor structures of AQ, PCRS and DEX: the items within subscales differed with previous findings. Additional research into the test-retest, inter-rater reliability and responsiveness of relative and clinician forms is required.

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Impaired awareness of deficits in individuals with neuropsychiatric symptoms after acquired brain injury: Associations with treatment motivation and depressive symptoms.

Abstract: This study demonstrated that when considering awareness groups, more nuanced results arise than when only considering discrepancy scores. From a clinical and scientific standpoint, it is important to distinguish awareness groups in addition to considering mean discrepancy scores.

Cited by 16 publications

References 35 publications

Associations between executive functioning, coping, and psychosocial functioning after acquired brain injury

Associations between executive functioning, coping, and psychosocial functioning after acquired brain injury

Awareness and its relationships with neuropsychiatric symptoms in people with Korsakoff syndrome or other alcohol‐related cognitive disorders living in specialized nursing homes

Psychometric properties of the awareness questionnaire, patient competency rating scale and Dysexecutive Questionnaire in patients with acquired brain injury

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