Impaired awareness and employment outcome after traumatic brain injury.
Inaccurate self-awareness is a common finding after traumatic brain injury. Such impaired awareness has been hypothesized to limit patients' eventual functional outcomes by decreasing motivation for treatment and resulting in selection of inappropriate long-term goals. Previous investigations of the association between impaired awareness and employment outcome have produced inconsistent results. The present article reviews these studies and presents the results of our new investigation of this issue. In addition, we studied the comparability of two methods of measuring impaired awareness. Results provided strong support for a positive relationship between accurate self-awareness and favorable employment outcome at follow-up.
Sherer
M
M
Mississippi Methodist Rehabilitation Center, Jackson, Mississippi 39216, USA.
Bergloff
P
P
Levin
E
E
High
W M
WM
Oden
K E
KE
Nick
T G
TG
D000293:Adolescent; D000328:Adult; D000368:Aged; D001364:Awareness / Q000502:physiology; D001930:Brain Injuries / Q000150:complications* / Q000534:rehabilitation; D003072:Cognition Disorders / Q000209:etiology* / Q000534:rehabilitation*; D016001:Confidence Intervals; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015601:Injury Severity Score; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D011237:Predictive Value of Tests; D012050:Rehabilitation, Vocational; D011795:Surveys and Questionnaires