Assessment of anosognosia in persons with frontal lobe damage: clinical utility of the Mayo-Portland Adaptability Inventory (MPAI).
OBJECTIVE
To determine if the Mayo-Portland Adaptability Inventory (MPAI) demonstrates clinical utility in differentiating between persons with severe TBI and frontal lobe damage/anosognosia and persons with mild TBI and no frontal lobe damage.


METHODS
Forty-three persons with TBI and documented frontal lobe damage (mean age = 34; mean time since injury = 5.2 years) and 69 persons with mild TBI and no frontal lobe damage (mean age = 34.3; mean time since injury = 4.8 4.8 years).


METHODS
MPAI.


RESULTS
Total inventory and select sub-category difference scores were significantly greater in the frontal lobe group than in the non-frontal lobe group. However, as expected, there was no significant difference between the two groups on the mobility sub-category difference scores.


CONCLUSIONS
The MPAI appears to be potentially clinically useful in assessing for frontal lobe damage and associated anosognosia in patients with TBI.
Murrey
G J
GJ
Minnesota Neurorehabilitation Hospital, Brainerd, MN 56401-1000, USA. gmurrey@fielding-edu
Hale
F M
FM
Williams
J D
JD
D000328:Adult; D000377:Agnosia / Q000175:diagnosis*; D001364:Awareness; D001930:Brain Injuries / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D005625:Frontal Lobe / Q000293:injuries*; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests / Q000592:standards*; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales