Self-awareness, depression and neurocognitive functions in patients with moderate and severe traumatic brain injury
Autoconciencia, depresión y funciones neurocognitivas en pacientes con traumatismo encefálico-cráneo moderado y severo
dc.creator | Vales, Lisandro | |
dc.creator | Silveira-Brussain, Alicia | |
dc.creator | Roman, Fabian | |
dc.date | 2023-05-12T21:54:54Z | |
dc.date | 2023-05-12T21:54:54Z | |
dc.date | 2020-12-20 | |
dc.date.accessioned | 2023-10-03T19:37:44Z | |
dc.date.available | 2023-10-03T19:37:44Z | |
dc.identifier | Vales, L.-H., Silveira-Brussain, A., & Roman, F. (2020). Self-awareness, depression and neurocognitive functions in patients with moderate and severe traumatic brain injury: Autoconciencia, depresión y funciones neurocognitivas en pacientes con traumatismo craneoencefálico moderado y grave. Journal of Applied Cognitive Neuroscience, 1(1), 69–80. https://doi.org/10.17981/JACN.1.1.2020.12 | |
dc.identifier | https://hdl.handle.net/11323/10119 | |
dc.identifier | 10.17981/JACN.1.1.2020.12 | |
dc.identifier | 2745-0031 | |
dc.identifier | Corporación Universidad de la Costa | |
dc.identifier | REDICUC - Repositorio CUC | |
dc.identifier | https://repositorio.cuc.edu.co/ | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/9170822 | |
dc.description | Introducción: Los Traumatismos Craneanos-Encéfalicos (TCE) constituyen la causa más común de discapacidad en pacientes jóvenes. En los déficits de autoconciencia, los pacientes experimentan dificultades para comprender sus discapacidades. Este es un problema clínico que afecta los procesos de rehabilitación. Materiales y Métodos: Se observó la autoconciencia, funciones neurocognitivas y sintomatología depresiva en 31 pacientes con diagnóstico de TCE moderado o severo, con edades 16 y 45 años. Instrumentos: Índice de Competencia del Paciente, evaluación neurocognitiva y Escala de Depresión Hamilton. Resultados: Se encontraron correlaciones entre autoconciencia y sus dimensiones con habilidades visuoespaciales, funciones ejecutivas (doble tarea e inhibición cognitiva), memoria episódica (aprendizaje audioverbal y cuento corto Montevideo ) y sintomatología depresiva. Conclusiones: Los pacientes que han sufrido un TCE moderado o grave pueden tener alteración de la autoconciencia. La autoconciencia es la capacidad de percibirse objetivamente (percibir nuestro propio self), manteniendo al mismo tiempo un sentido de subjetividad, es una función compleja que necesita servirse de funciones ejecutivas y de memoria episódica. La relación entre la autoconciencia interpersonal y sintomatología depresiva, no parece ser concluyente, dicha asociación es más compleja, e involucra otras variables no contempladas en este estudio | |
dc.description | Introduction: Traumatic Brain Injury (TBI) is the most common cause of disability in young patients. In the self-awareness deficits that can arise after TBI, patients experience difficulties in understanding the disabilities resulting from their injury. This is an important problem that affects the rehabilitation processes. Materials and methods: Self-awareness, neurocognitive functions and depressive symptoms were observed in 31 outpatients with a diagnosis of moderate or severe TBI, aged between 16 and 45 years. Instruments: Patient Competency Rating Scale (PCRS), Neurocognitive Assessment and Hamilton Depression Rating Scale (HDRS). Results: Correlations were found between self-awareness and its dimensions with visuospatial skills, executive functions (double task and cognitive inhibition), episodic memory (Rey Auditory-Verbal Learning Test and Montevideo short story) and depressive symptoms. Conclusions: Patients who have suffered a moderate or severe TBI may have impaired self-awareness. Self-awareness is the ability to objectively perceive (perceive our own self), while maintaining a sense of subjectivity, It is a complex function that needs to use executive functions and episodic memory. The relationship found between interpersonal self-awareness and depressive symptoms does not seem to be conclusive, since this association is probably more complex, and involves other variables not considered in this study. | |
dc.format | 12 páginas | |
dc.format | application/pdf | |
dc.format | application/pdf | |
dc.language | eng | |
dc.publisher | Corporación Universidad de la Costa | |
dc.publisher | Colombia | |
dc.relation | Journal of Applied Cognitive Neuroscience | |
dc.relation | Azouvi, P., Arnould, A., Dromer, E. & Vallat-Azouvi, C. (2017). Neuropsychology of traumatic brain injury: An expert overview. Revue Neurologique, 173(7-8), 1–12. https://doi.org/10.1016/j.neurol.2017.07.006 | |
dc.relation | Bach, L. J. & David, A. S. (2006). Selfawareness after acquired and traumatic brain injury. Neuropsychological Rehabilitation, 16(4), 397–414. https://doi.org/10.1080/09602010500412830 | |
dc.relation | Bivona, U., Costa, A., Contrada, M., Silvestro, D., Azicnuda, E., Aloisi, M., Catania, G., Ciurli, P., Guariglia, C., Caltagirone, C., Formisano, R. & Prigatano, G. (2019). Depression, apathy and impaired self-awareness following severe traumatic brain injury: a preliminary investigation. Brain Injury, 33(9), 1245–1256. https://doi.org/10.1080/02699052.2019.1641225 | |
dc.relation | Bivona, U., Formisano, R., De Laurentiis, S., Accetta, N., Di Cosimo, M. R., Massicci, R., Ciurli, P., Azicnuda, E., Silvestro, D., Sabatini, U., Falletta Caravasso, C., Carlesimo, G. A., Caltagirone, C. & Costa, A. (2015). Theory of mind impairment after severe traumatic brain injury and its relationship with caregivers’ quality of life. Restorative Neurology and Neuroscience, 33(3), 335–345. https://doi.org/10.3233/RNN-140484 | |
dc.relation | Bivona, U., Riccio, A., Ciurli, P., Carlesimo, G.-A., Donne, V.-D., Pizzonia, E., Caltagirone, C., Formisano, R. & Costa, A. (2014). Low Self-Awareness of Individuals With Severe Traumatic Brain Injury Can Lead to Reduced Ability to Take Another Person ’ s Perspective. Journal of Head Trauma Rehabilitation, 29(2), 157–171. https://doi.org/10.1097/HTR.0b013e3182864f0b | |
dc.relation | Carroll, E. & Coetzer, R. (2011). Identity, grief and self-awareness after traumatic brain injury. Neuropsychological Rehabilitation, 21(3), 289–305. https://doi.org/10.1080/09602011.2011.555972 | |
dc.relation | Chesnel, C., Jourdan, C., Bayen, E., Ghout, I., Darnoux, E., Azerad, S., Charanton, J., Aegerter, P., Pradat-Diehl, P., Ruet, A., Azouvi, P. & Vallat-Azouvi, C. (2018). Self-awareness four years after severe traumatic brain injury: discordance between the patient’s and relative’s complaints. Results from the PariS-TBI study. Clinical Rehabilitation, 32(5), 692–704. https://doi.org/10.1177/0269215517734294 | |
dc.relation | Dalmás, J. F., Fontán, L. y Bocos, L. (1989). Evaluación neuropsicológica de la función mnésica: protocolo de Montevideo. Documento presentado al Primer Congreso Latinoamericano de Neuropsicología. Sociedad latinoamericana de neuropsicología, Buenos Aires, Argentina. Damasio, A. (2010). Y el cerebro creó al hombre. Barcelona: Destino. | |
dc.relation | De Guise, E., Gosselin, N., Leblanc, J., Champoux, M.-C., Couturier, C., Lamoureux, J., Dagher, J., Marcoux, J., Maleki, M. & Feyz, M. (2011). Clock drawing and mini-mental state examination in patients with traumatic brain injury. Applied Neuropsychology, 18(3), 179–190. https://doi.org/10.1080/09084282.2011.595444 | |
dc.relation | De Guise, E., LeBlanc, J., Gosselin, N., Marcoux, J., Champoux, M.-C., Couturier, C., Lamoureux, J., Dagher, J. H., Maleki, M. & Feyz, M. (2010). Neuroanatomical correlates of the clock drawing test in patients with traumatic brain injury. Brain Injury, 24(13– 14), 1568–1574. https://doi.org/10.3109/02699052.2010.523052 | |
dc.relation | Denny, B. T., Kober, H., Wager, T. D. & Ochsner, K. N. (2012). A meta-analysis of functional neuroimaging studies of self- and other judgments reveals a spatial gradient for mentalizing in medial prefrontal cortex. Journal of Cognitive Neuroscience, 24(8), 1742–1752. https://doi.org/10.1162/jocn_a_00233 | |
dc.relation | Diarce, X., Dansilio, S. y Vales, L. (octubre, 2016). Evaluación de los cambios conductuales post-tec mediante el Patient Competency Raiting Scale. Estudio Piloto. Poster presentado al XII Congreso Argentino de Neuropsicología, SONEPSA. Universidad de Buenos Aires, Buenos Aires, Argentina. Disponible en https://sifp.psico.edu.uy/evaluaci%C3%B3n-de-los-cambiosconductuales-post-tec-mediante-la-patient-competency-rating-scale-estudio | |
dc.relation | Fleming, J. M., Strong, J. & Ashton, R. (1996). Self-awareness of deficits in adults with traumatic brain injury: how best to measure? Brain Injury, 10(1), 1–15. https://doi.org/10.1080/026990596124674 | |
dc.relation | Geytenbeek, M., Fleming, J., Doig, E. & Ownsworth, T. (2017). The occurrence of early impaired self-awareness after traumatic brain injury and its relationship with emotional distress and psychosocial functioning. Brain Injury, 31(13–14), 1791–1798. https://doi.org/10 .1080/02699052.2017.1346297 | |
dc.relation | Ham, T. E., Bonnelle, V., Hellyer, P., Jilka, S., Robertson, I. H., Leech, R. & Sharp, D. J. (2014). The neural basis of impaired self-awareness after traumatic brain injury. Brain, 137(2), 586–597. https://doi.org/10.1093/brain/awt350 | |
dc.relation | Hamilton, M. (1960). A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 23(1), 56. https://doi.org/10.1136/jnnp.23.1.56 | |
dc.relation | Lamberts, K. F., Fasotti, L., Boelen, D. H. E. & Spikman, J. M. (2017). SelfAwareness after Brain Injury: Relation with Emotion Recognition and Effects of Treatment. Brain Impairment, 18(1), 130–137. https://doi.org/10.1017/BrImp.2016.28 | |
dc.relation | Lezak, M. D., Howieson, D. B., Bigler, E. D. & Daniel, T. (2012). Neuropsychological assessment. New York: Oxford university press. | |
dc.relation | Malec, J.-F., Testa, J.-A., Rush, B.-K., Brown, A.-W. & Moessner, A.-M. (2007). Selfassessment of impairment, impaired self-awareness, and depression after traumatic brain injury. The Journal of Head Trauma Rehabilitation, 22(3), 156–166. https://doi.org/10.1097/01.HTR.0000271116.12028.af | |
dc.relation | Marino, J. C. y Alderete, A. M. (2010). Valores Normativos de Pruebas de Fluidez Verbal Categoriales, Fonológicas, Gramaticales y Combinadas y Análisis Comparativo de la Capacidad de Iniciación. Revista Neuropsicología, Neuropsiquiatría y Neurociencias, 10(1), 79–93. Recuperado de http://nebula.wsimg.com/784156971be8bc86021717e54949fe35?AccessKeyId=F7A1C842D9C24A6CB962 &disposition=0&alloworigin=1 | |
dc.relation | Mauri, M. C., Paletta, S., Colasanti, A., Miserocchi, G. & Altamura, A. C. (2014). Clinical and neuropsychological correlates of major depression following post-traumatic brain injury, a prospective study. Asian Journal of Psychiatry, 12(1), 118–124. https://doi.org/10.1016/j.ajp.2014.07.003 | |
dc.relation | Noé, E., Ferri, J., Caballero, M. C., Villodre, R., Sanchez, A. & Chirivella, J. (2005). Self-awareness after acquired brain injury: Predictors and rehabilitation. Journal of Neurology, 252(2), 168–175. https://doi.org/10.1007/s00415-005-0625-2 | |
dc.relation | Northoff, G., Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H. & Panksepp, J. (2006). Self-referential processing in our brain--a meta-analysis of imaging studies on the self. NeuroImage, 31(1), 440–457. https://doi.org/10.1016/j.neuroimage.2005.12.002 | |
dc.relation | Prigatano, G. (2005). Disturbances of Selfawareness and Rehabilitation of Patients with Traumatic Brain Injury: a 20-year perspective. Journal of Head Trauma Rehabilitation, 20(1), 19–29. https://doi.org/10.1097/00001199-200501000-00004 | |
dc.relation | Prigatano, G. & Fordyce, D. J. (1986). Cognitive dysfunction and psychosocial adjustment after brain injury. In: G. P. Prigatano, D.J. Fordyce, H. K. Zeiner, J. R. Roueche, M. Pepping & B. Wood (Eds.), Neuropsychological Rehabilitation after Brain Injury, (pp. 1–17). Baltimore: The Johns Hopkins University Press. | |
dc.relation | Prigatano, G. & Schacter, D. L. (1991). Awareness of deficit after brain injury: Clinical and theoretical issues. New York: Oxford University Press. | |
dc.relation | Prigatano, G. & Sherer, M. (2020). Impaired Self-Awareness and Denial During the Postacute Phases After Moderate to Severe Traumatic Brain Injury. Frontiers in Psychology, 11, 1–12. https://doi.org/10.3389/fpsyg.2020.01569 | |
dc.relation | Ramírez, M. y Ostrosky, F. (2008). Datos Normativos de la Escala PCRS para la Autoconsciencia en México y la Influencia de la Cultura. Revista Neuropsicología, Neuropsiquiatría y Neurociencias, 8, 21–33. Recuperado de http://nebula.wsimg.com/3e48cf32a271a139946142ae5c1c4568?AccessKeyId=F7A1C842D9C24A6CB962&disposition=0&alloworigin=1 | |
dc.relation | Ramos-Brieva, J. A. & Cordero-Villafafila, A. (1988). A new validation of the Hamilton Rating Scale for Depression. Journal of Psychiatric Research, 22(1), 21–28. https://doi.org/10.1016/0022-3956(88)90024-6 | |
dc.relation | Rey, A. (1964). L’examen clinique en psychologie [The clinical psychological examination]. París: Presses Universitaires de France. | |
dc.relation | Roozenbeek, B., Maas, A. I. R. & Menon, D. K. (2013). Changing patterns in the epidemiology of traumatic brain injury. Nature Reviews Neurology, 9(4), 231–236. https://doi.org/10.1038/nrneurol.2013.22 | |
dc.relation | Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18(6), 643–662. https://doi. org/10.1037/h0054651 | |
dc.relation | Tirapu-Ustárroz, J. & Goñi-Sáez, F. (2016). El problema cerebro-mente (II): sobre la conciencia. Revista de Neurología, 63(4), 176–185. https://doi.org/10.33588/rn.6304.2016231 | |
dc.relation | Tombaugh, T. N. (2004). Trail Making Test A and B: Normative data stratified by age and education. Archives of Clinical Neuropsychology, 19(2), 203–214. https://doi.org/10.1016/S0887-6177(03)00039-8 | |
dc.relation | Vales, L. (2020). Neuropsicoanálisis: el “nuevo paso”, diálogo fructífero entre el psicoanálisis y las neurociencias. Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology/Panamerican Journal of Neuropsychology, 14(1), 112–128. Disponible en http://www.cnps.cl/index.php/cnps/article/view/405 | |
dc.relation | Wechsler, D. (2002). Test de Inteligencia para Adultos. WAIS-III. Buenos Aires: Paidós. Ylvisaker, M. & Feeney, T. (2000). Reconstruction of identity after brain injury. Brain Impairment, 1(1), 12–28. https://doi.org/10.1375/brim.1.1.12 | |
dc.relation | Zimmermann, N., Mograbi, D. C., HermesPereira, A., Fonseca, R. P. & Prigatano, G. P. (2017). Memory and executive functions correlates of self-awareness in traumatic brain injury. Cognitive Neuropsychiatry, 22(4), 346–360. https://doi.org/10.1080/13546805.2017. 1330191 | |
dc.relation | 80 | |
dc.relation | 69 | |
dc.relation | 1 | |
dc.relation | 1 | |
dc.rights | Copyright (c) 2020 Journal of Applied Cognitive Neuroscience | |
dc.rights | Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0) | |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.rights | http://purl.org/coar/access_right/c_abf2 | |
dc.source | https://revistascientificas.cuc.edu.co/JACN/article/view/3326 | |
dc.subject | Depression | |
dc.subject | Neurocognitive functions | |
dc.subject | Self-awareness | |
dc.subject | Traumatic brain injury | |
dc.subject | Autoconciencia | |
dc.subject | Depresión | |
dc.subject | Funciones neurocognitivas | |
dc.subject | Traumatismo craneoencefálico | |
dc.title | Self-awareness, depression and neurocognitive functions in patients with moderate and severe traumatic brain injury | |
dc.title | Autoconciencia, depresión y funciones neurocognitivas en pacientes con traumatismo encefálico-cráneo moderado y severo | |
dc.type | Artículo de revista | |
dc.type | http://purl.org/coar/resource_type/c_6501 | |
dc.type | http://purl.org/coar/resource_type/c_2df8fbb1 | |
dc.type | Text | |
dc.type | info:eu-repo/semantics/article | |
dc.type | http://purl.org/redcol/resource_type/ART | |
dc.type | info:eu-repo/semantics/publishedVersion | |
dc.type | http://purl.org/coar/version/c_970fb48d4fbd8a85 |