Article

OBJECTIVE: To investigate the relations among self-awareness (SA), impaired SA,
and health-related quality of life (HRQOL) after traumatic brain injury (TBI).
PARTICIPANTS: One hundred forty-one adults hospitalized with TBI and their
significant others from a cross-sectional multicenter study. Using Glasgow Coma
Scale classification, 32 participants had severe injuries, 29 moderate, 44 mild,
and 25 complicated mild TBI. MEASURES: Patient Competency Rating Scale for
Neurorehabilitation; Short Form-36 Health Survey; Cognitive Quality of Life;
Quality Of Life after Brain Injury; Hospital Anxiety and Depression Scale;
Profile of Mood States; Glasgow Outcome Scale Extended. METHOD: Patient
Competency Rating Scale for Neurorehabilitation ratings made by participants and
their significant others were used to assess SA and discrepancies between the 2
ratings were used to define impaired SA. RESULTS: Significant associations were
identified between SA and HRQOL, anxiety, depression, and severity of injury.
Participants with and without impaired SA differed in cognitive HRQOL and leisure
activities. Using multiple regression, no direct predictors of SA were
identified, although interaction effects were observed. CONCLUSION: After TBI,
lower SA is associated with higher estimates of HRQOL, particularly in the
cognitive domain. Although the associations are modest, the assessment of SA
should play a role in the interpretation of reported HRQOL after TBI.

Langue : ANGLAIS