TY - JOUR
T1 - Theory of mind impairment after severe traumatic brain injury and its relationship with caregivers' quality of life
AU - Bivona, Umberto
AU - Formisano, Rita
AU - De Laurentiis, Sara
AU - Accetta, Natascia
AU - Rita Di Cosimo, Maria
AU - Massicci, Roberta
AU - Ciurli, Paola
AU - Azicnuda, Eva
AU - Silvestro, Daniela
AU - Sabatini, Umberto
AU - Falletta Caravasso, Chiara
AU - Augusto Carlesimo, Giovanni
AU - Caltagirone, Carlo
AU - Costa, Alberto
PY - 2015/6/17
Y1 - 2015/6/17
N2 - Purpose: Theory of mind (ToM) deficits are common consequences of severe Traumatic Brain Injury (sTBI), but little is known about their impact on patients' and their caregivers' quality of life. This study aimed (i) to examine the presence of ToMdifficulties in individuals with sTBI and adequate levels of self-awareness (SA); (ii) to investigate their relationship with perceived Health Related Quality of Life (HRQoL) in patients and their caregivers. Methods: Twenty individuals with sTBI and adequate levels of SA, and 20 healthy controls (HCs) were recruited. ToM was examined by the Faux-pas Recognition paradigm. The QOLIBRI questionnaire was administered to patients and their caregivers to assess their HRQoL. Cognitive functioning and psychopathology were evaluated. Results: Individuals with sTBI were less accurate than HCs on the Faux-pas Recognition paradigm. Patients' satisfaction of HRQoLwas related to their performance on the Wisconsin Card Sorting Test. Caregivers' satisfactionwas significantly predicted by patients' score on the Faux-pas paradigm. Conclusions: ToMis impaired in individuals with sTBI and adequate levels of SA. Moreover, their ToMperformance predicted HRQoL in the caregivers. From a clinical perspective, these results provide understanding of the potential impact of ToM impairment in subjects with sTBI and their social system.
AB - Purpose: Theory of mind (ToM) deficits are common consequences of severe Traumatic Brain Injury (sTBI), but little is known about their impact on patients' and their caregivers' quality of life. This study aimed (i) to examine the presence of ToMdifficulties in individuals with sTBI and adequate levels of self-awareness (SA); (ii) to investigate their relationship with perceived Health Related Quality of Life (HRQoL) in patients and their caregivers. Methods: Twenty individuals with sTBI and adequate levels of SA, and 20 healthy controls (HCs) were recruited. ToM was examined by the Faux-pas Recognition paradigm. The QOLIBRI questionnaire was administered to patients and their caregivers to assess their HRQoL. Cognitive functioning and psychopathology were evaluated. Results: Individuals with sTBI were less accurate than HCs on the Faux-pas Recognition paradigm. Patients' satisfaction of HRQoLwas related to their performance on the Wisconsin Card Sorting Test. Caregivers' satisfactionwas significantly predicted by patients' score on the Faux-pas paradigm. Conclusions: ToMis impaired in individuals with sTBI and adequate levels of SA. Moreover, their ToMperformance predicted HRQoL in the caregivers. From a clinical perspective, these results provide understanding of the potential impact of ToM impairment in subjects with sTBI and their social system.
KW - neuropsychotherapeutic approach
KW - psychological support
KW - quality of life
KW - self-awareness
KW - theory of mind
KW - Traumatic brain injury
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U2 - 10.3233/RNN-140484
DO - 10.3233/RNN-140484
M3 - Article
C2 - 25720542
AN - SCOPUS:84937398211
SN - 0922-6028
VL - 33
SP - 335
EP - 345
JO - Restorative Neurology and Neuroscience
JF - Restorative Neurology and Neuroscience
IS - 3
ER -