Changes in impaired self-awareness after acquired brain injury in patients following intensive neuropsychological rehabilitation

Smeets, Sanne; Vink, Martie; Ponds, Rudolf; Winkens, Ieke; Heugten, Caroline van

doi:10.1080/09602011.2015.1077144

Cited by 19 publications

(23 citation statements)

References 22 publications

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“…At the same time, proposals for differentiated rehabilitation for different types of aphasia are not very common. Normally, articles on the topic of rehabilitation are directed to aphasia in general (Moreno & Blanco, 2000;Marini et al, 2007;Boo & Rose, 2011;Kiran et al, 2015), or even in a more general way to patients with brain injury (López, 2001;Pulvermüller & Berthier, 2008;Cherney et al, 2008;Rasquin, Welter, & Van Heugten, 2013;Harris & Olson, 2014;Smeets et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of semantic aphasia in spanish speaking patient

Solovieva¹,

Quintanar²

2018

Psych. Rus.

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Background. Aphasia is defined as a language disorder resulting from brain damage. The establishment of the relationship between the assessment and the procedures for rehabilitation is one of fundamental aspects of clinical neuropsychology.Objective. The objective of this study is to describe the case of a Spanish-speaking patient with semantic aphasia, along with the strategies used in her neuropsychological assessment, and the procedures and results of her rehabilitation.Design. The study method consisted of a clinical "Case Study" through qualitative neuropsychological syndrome analysis during pre-and post-assessment. The program for rehabilitation was designed especially for this case, and applied in individual therapeutic sessions with the patient. The inclusion of different kinds of material, perceptual, and verbal tasks permitted the patient to follow the levels of formation of actions with spatial orientation, starting from the most concrete level, and passing on to a more general, abstract level. The process of rehabilitation was carried out as a joint activity, taking into account the patient's motivation and personality.Results. Important positive changes were obtained by the time of the final assessment. The patient became able to understand complex grammatical structures in sentences and texts, in order to fulfill construction tasks and to express herself correctly both orally and in writing.Conclusion. The authors conclude that an effective assessment leads directly to the effectiveness of the whole process of elaborating and realizing rehabilitation. Semantic aphasia can be studied in Spanish-speaking patients by using the qualitative methodology of neuropsychological assessment proposed in the works of A.R. Luria.

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Section: Introductionmentioning

confidence: 99%

Rehabilitation of semantic aphasia in spanish speaking patient

Solovieva¹,

Quintanar²

2018

Psych. Rus.

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“…One identified barrier to participation in client-centred goal setting is impaired self-awareness (Bouwens et al, 2009;Doig et al, 2009;Hale, 2010). Additionally, the need to examine another sub-group of clients with changes in self-awareness has been identified, namely those clients who are "hyperaware" or overestimate their impairments (Smeets et al, 2014;Smeets et al, 2017). Clients with hyper-awareness appear to have lower mood levels compared to clients with impaired self-awareness and accurate awareness, which may result in reduced engagement in rehabilitation (Smeets et al, 2014;Smeets et al, 2017).…”

Section: Summary Of Findings In Relation To Thesis Aimsmentioning

confidence: 99%

“…Additionally, the need to examine another sub-group of clients with changes in self-awareness has been identified, namely those clients who are "hyperaware" or overestimate their impairments (Smeets et al, 2014;Smeets et al, 2017). Clients with hyper-awareness appear to have lower mood levels compared to clients with impaired self-awareness and accurate awareness, which may result in reduced engagement in rehabilitation (Smeets et al, 2014;Smeets et al, 2017). Therefore, Chapter 6 presented a study of the effect of changes in self-awareness on goal engagement and goal outcome.…”

Section: Summary Of Findings In Relation To Thesis Aimsmentioning

confidence: 99%

“…Individuals with ABI often over-estimate their cognitive, social and emotional abilities as a result of impaired self-awareness (Garmoe, Newman, & O'Connell, 2005). Another sub-group of clients with ABI, are those who underestimate their abilities (Smeets, Vink, Ponds, Winkens, & Van Heugten, 2017) or are "hyper-aware" of their impairments. To date there has been limited investigation of clients who underestimate their abilities after ABI, but these clients may need to have different approaches to engage them in rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

“…Clients with impaired self-awareness therefore may benefit from self-awareness interventions to improve performance in everyday tasks (Goverover, Johnson, Toglia, & Deluca, 2007). Conversely, clients who underestimate their abilities are more likely to experience mood problems which may also impact on rehabilitation engagement (Smeets et al, 2017). Understanding how level of self-awareness affects rehabilitation engagement and outcomes may assist in the development of interventions that can be tailored to meet the needs of clients with ABI.…”

Section: Introductionmentioning

confidence: 99%

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Client-centred goal setting in the rehabilitation of community dwelling clients with acquired brain injury

Prescott¹

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A literature review of outcome and treatment options after acquired brain injury: Suggestions for adult offenders using knowledge from the general population

de Geus,

Milders,

van Horn

et al. 2024

Criminal Behav Ment Health

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BackgroundAcquired brain injury (ABI) is a major health problem, often with negative effects on behaviour and mental health as well as cognition. Prevalence of ABI is exceptionally high among offenders and increases their re‐offending risk. Information on risk factors for ABI and its outcomes among offenders that could guide effective treatment for them is, nevertheless, scarce and dispersed. However, there is a more substantial literature about the general population that could inform work with brain‐injured offenders, especially when selecting for samples or subgroups with similar relevant characteristics, such as lower socio‐economic status (SES), pre‐injury lower tested intelligence score (<85) and pre‐injury mental health problems.AimsTo explore brain injury data from non‐offender samples of otherwise similar socio‐economic and mental health and ability characteristics to offenders then, first, to describe their untreated outcomes and, secondly, outcomes after frequently used interventions in these circumstances, noting factors associated with their effectiveness.MethodThree databases were systematically searched for the years 2010–2022; first, using terms for brain injury or damage and cognitive (dys)function, mental health or quality of life. Second, in a separate search, we used these terms and terms for interventions and rehabilitation. In the second review, studies were selected for clear, distinguishable data on age, sex, SES and lifestyle factors to facilitate inferences for offenders. A narrative analytical approach was adopted for both reviews.ResultsSamples with characteristics that are typical in offender groups, including lower SES, lower pre‐injury intelligence quotient (<85), prior cognitive impairments and prior mental health problems, had poorer cognitive and behavioural outcomes following ABI than those without such additional problems, together with lower treatment adherence. With respect to treatment, adequate motivation and self‐awareness were associated with better cognitive and behavioural outcomes than when these were low or absent, regardless of the outcome measured.ConclusionsMore complex pre‐injury mental health problems and social disadvantages typical of offenders are associated with poorer post‐brain injury recovery. This paper adds to practical knowledge by bringing together work that follows specific outcome trajectories. Overall, succesful ABI‐interventions in the general population that aim at pre‐injury difficulties comparable to those seen among offenders, show that personalising injury‐specific treatments and taking account of these difficulties, maximised positive outcomes.

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Changes in impaired self-awareness after acquired brain injury in patients following intensive neuropsychological rehabilitation

Cited by 19 publications

References 22 publications

Rehabilitation of semantic aphasia in spanish speaking patient

Rehabilitation of semantic aphasia in spanish speaking patient

Client-centred goal setting in the rehabilitation of community dwelling clients with acquired brain injury

A literature review of outcome and treatment options after acquired brain injury: Suggestions for adult offenders using knowledge from the general population

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