A psychological assessment of adolescent and young adult inpatients after traumatic brain injury.
The purpose of this study was to evaluate the cognitive, behavioural, depressive and self-awareness disorders, and their relationships, after severe traumatic brain injury (TBI) in adolescent and young adult inpatients. Two groups of patients with (n = 83) and without (n = 103) TBI, aged 14-25 years, hospitalized after severe traumatic pathology, were compared using the clinician's report and self-report. A higher frequency of depressive tendencies in TBI patients than in controls was shown in the clinician's therapeutic attitude (i.e. prescription of antidepressant drugs), the clinician's report and the self-report. The same difference between the two groups was observed for behavioural and schooling problems in the clinician's report, but not in the self-report. Discrepancies between self- and clinician's evaluation were in favour of a lack of self-awareness of behavioural and cognitive disorders among TBI patients. Correlations of depressive mood with anxiety and cognitive complaints were stronger in TBI than in non-TBI patients. Depression in TBI patients seems compatible with some degree of lack of self-awareness of cognitive and behavioural difficulties.
INSERM U.472, Villejuif, France. dellatolas@vjf.inserm.fr
D
D
Viguier
G
G
Dellatolas
I
I
Gasquet
C
C
Martin
M
M
Choquet
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D001364:Awareness; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation; D020208:Brain Injury, Chronic / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation; D009483:Neuropsychological Tests; D010343:Patient Admission; D010552:Personality Assessment; D012647:Self-Assessment; D012917:Social Adjustment