Factores relacionados con la falta de conciencia de los déficit en el daño cerebral

  1. González Rodríguez, Begoña
  2. Paúl Lapedriza, Nuria
  3. Blázquez Alisente, Juan Luis
  4. Ríos Lago, Marcos
Journal:
Acción psicológica

ISSN: 1578-908X

Year of publication: 2007

Issue Title: Neuropsicología : el trabajo con otros profesionales

Volume: 4

Issue: 3

Pages: 87-99

Type: Article

DOI: 10.5944/AP.4.1.476 DIALNET GOOGLE SCHOLAR lock_opene-spacio editor

More publications in: Acción psicológica

Abstract

Our purpose was to investigate the influence of several factors in the manifestation of impaired awareness following brain injury. We focused on the following factors, at one side the brain injury hemispheric side (right or left) and its neuroanatomical location, and on the other hand, the relation between initial severity and time post-injury. Participants were 86 patients with brain injury and their relatives recruited from the Brain Damage Unity, Beata M.a Ana de Jesús Hospital. All of them were administered the questionnaire «patient competency rating scale». Assessment data showed that 66% of the patients perceived their behavioural abilities as more effective than their families� valuation. Lack of awareness did not correlate with injury location, but so with injury initial severity, sustaining after the following year.

Bibliographic References

  • Anderson S. W. y Tranel D. (1989). Awareness of disease states following cerebral infarction, dementia, and head trauma: Standardized assessment. Clinical Neuropsychologist, 3, 327-339.
  • Berti A., Ladavas E. y Della Corte M. (1996). Anosognosia for hemiplegia, neglect dyslexia, and drawing neglect: Clinical findings and theoretical considerations. Journal of the International Neuropsychological Society, 2, 426-40.
  • Bisiach E. y Geminini G. Anosognosia related to hemiplegia and hemianopia. (1991). En: G. P. Prigatano y D. L. Schacter, (Eds.). Awareness of deficit after brain injury (17-39). New York: Oxford University Press.
  • Borgaro S. R. y Prigatano G. P. (2003). Modification of the Patient Competency Rating Scale for use on an acute neurorehabilitation unit: The PCRSNR. Brain Injury, 17(10), 847-53.
  • Brickner´s, R. M.(1936). The intellectual Functions of the frontal lobes. New York: Macmillan.
  • Chittum W. R., Johnson K., Chittum J. M., Guercio J. M. y McMorrow M. J. (1996). Road to awareness: An individualized training package for increasing knowledge and comprehension of personal deficits in persons with acquired brain injury. Brain Injury, 10, 763-76.
  • Deaton A. V. (1986). Denial in the aftermath of traumatic head injury: Its manifestations, measurement and treatment. Rehabilitation Psychology, 31, 231-40.
  • Ellis S. y Small M. (1993). Denial of illness in stroke. Stroke, 24, 757-759.
  • Fernández V. L. y Perea Bartolomé M. V. (2001). Evaluación neuropsicológica en el síndrome amnésico postraumático. Revista de Neurología, 16, 32 (7), 660-664.
  • Fleming F. y Strong J. (1995). Self-Awareness of defi- cits following acquired brain injury: Considerations for rehabilitation. British Journal of Occupational Therapy, 58, 55-60.
  • Fleming J. M., Strong J. y Ashton R. (1996). Self-awareness of deficits in adults with traumatic brain injury: How best to measure?. Brain Injury, 10(1), 1-15.
  • Fleming J. M., Strong J. y Ashton R. (1998). Cluster analysis of self-awareness levels in adults with traumatic brain injury and relationship to outcome. Journal of Head Trauma Rehabilitation.13(5):39-51.
  • García M., Sánchez I., Urrutikoetxea I., Muñoz Céspedes J. M. y Quemada J. I. (2003). Evaluación de la conciencia de déficit después de un daño cere- bral: Una perspectiva neuropsicológica. Conferencia virtual presentada en el II International Congress of Neuropsychology in the Internet. Recuperado el 12 de Mayo de 2003, de http://www.serviciodc.com/congreso/congress/pass /conferences/Garcia-Valcarce.html
  • García M., Urrutikoetxea I., Muñoz Céspedes J. M. y Quemada J. I. (1999). Evaluación y rehabilita- ción neuropsicológica de la conciencia de secue- las en pacientes con daño cerebral adquirido. Conferencia virtual presentada en el First Congress on Neuropsychology in Internet. Recuperado el 20 de Febrero de2002, de http://www.serviciodc.com/congreso/congress/pass/conferences/ Garcia-Valcarce.html
  • German, W. J. y Fox´s J. C. (1932). Observations following unilateral lobectomies. Res. Publ. Assoc. Res. Nerv. Ment. Dis, 13,378- 434.
  • Giacino J.T. y Cicerone K. D. (1998). Varieties of deficit unawareness after brain injury. Journal of Head Trauma Rehabilitation, 13, 1-15.
  • Goldberg E. y Barr W. B. (1991). Three possible mechanisms of unawareness of deficit. En G. P. Prigatano y D. Schacter (Eds.). Awareness of deficit after brain injury. (152-76). New York: Oxford University Press.
  • Hall K. M., Bushnik T., Lakisic Kazazic B., Wright J. y Cantagallo A. (2001). Assessing traumatic brain injury outcome measures for long-term followup of community based individuals. Archives of Physical Medicine Rehabilitation, 82 (3), 367-74.
  • Hartman Maeir A., Soroker N., Oman S. D. y Katz N. (2001). Anosognosia for hemiplegia in stroke rehabilitation. Neurorehabilitation and neural Repair, 15, 213- 222.
  • Hartman Maeir A., Soroker N., Oman S. D. y Katz N. (2003). Awareness of disabilities in stroke rehabilitation a clinical trial. Disability and Rehabilitation,7, 25 (1), 35-44.
  • Hartman Maeir A., Soroker N., Ring H y Katz N. J (2002). Awareness of deficits in stroke rehabilitation. Rehabilitation Medicine, 34 (4), 158-64.
  • Heilbronner, R. L., Millsaps C., Azrin, R. y Mittenberg, W. (1993). Psychometric properties of the Patient Competency Rating Scale (PCRS) [ Resumen ]. Journal of Clinical and Experimental Neuropsychology, 15, 67- 68.
  • Heilman K. M, Barrett A. M. y Adair J. C. (1998). Possible mechanisms of anosognosia: A defect in self-awareness. Philosophical Transactions of the Royal Society of London B Biological Sciences 353, 1903-1909.
  • Jehkonen M, Ahonen JP, Dastidar P, Laippala P y Vilkki J. (2000). Unawareness of deficits after right hemisphere stroke: double-dissociations of anosognosias. Acta Neurológica Scandinávica,102 (6), 378-84.
  • Jehkonen M., Ahonen J. P., Dastidar P., Koivisto A..M., Laippala P., Vilkki J., y Molnár G. (2001). Predictors of discharge to home during the first year after right hemisphere stroke. Acta Neurologica Scandinavica, 104, 136-141.
  • Johnson M. K. (1991). Reality monitoring: evidence from confabulation in organic brain disease patients. En: G. P. Prigatano y D.L. Schacter (Eds.) Awareness of deficit after brain injury. Clinical and theoretical issues (176- 97). Nueva York: Oxford University Press.
  • Kinsella G., Moran C., Ford B. y Ponsford J. (1988). Emotional disorder and its assessment within the severe head injured population. Psychological Medicine, 18, 57- 63.
  • Leathem J.M., Murphy L.J. y Flett R. A.(1998). Self- and informant-ratings on the patient competency rating scale in patients with traumatic brain injury. Journal of Clinical Experimental Neuropsychology, 20(5), 694-705.
  • Luria A. R. y Homskaya E. D. (1964). Disturbance in the regulative role of speech with frontal lobe lesions. En J. M Warren. y A. Akert (Eds.). The frontal Granular Cortex and behavior (353- 371). New York: Mc GrawHill,
  • Luria, A. R. (1969). Frontal lobe síndromes. En P. J. Vinken y G.W. Bruyn (Eds.). Handbook of clinical Neurology (725- 757). Vol 2. Amsterdam: North Holland,
  • McGlynn S. y Schacter D. (1989). Unawareness of deficits in neuropsychological syndromes. Journal of Clinical Experimental Neuropsychology, 11, 143- 205.
  • Mesulam M. M (1985). Principles of behavioral neurology. Philadelphia: FA Davis.
  • Muñoz Céspedes J. M. (1999). Déficit Cognitivos después de un traumatismo craneoencefálico. En: Minusval. Una aproximación al tema de la discapacidad (470- 472). Madrid: Ministerio de trabajo y asuntos sociales.
  • Muñoz Céspedes J. M.(1998). Déficit cognitivos, conciencia de las limitaciones y empleo después de un daño cerebral traumático. En Libro de resúmenes del II Congreso Iberoamericano de Psicología, (33). Madrid. España.
  • Muñoz Céspedes J. M., Calvo B., Ríos M., García M., Sánchez A.(2002, Junio). Estructura factorial de la escala «Índice de Competencia del Paciente». Poster presentado en el II Congreso de la sociedad española de Neurorehabilitación, Barcelona, España.
  • Muñoz Céspedes J. M., Paúl N., Pelegrín C. y Tirapu J. (2001). Factores de pronostico en los traumatismos craneoencefálicos. Revista de neurología, 32 (4), 351- 364.
  • Muñoz Céspedes J. M., Quemada Ubis J. I., García Peña M., Álvarez Domínguez N. (2001, Mayo). Charasteristics of Impaired Awareness using the patient Competency Rating Scale (PCRS). Poster presentado en el 4th World Congress on Brain Injury. Turín. Italia.
  • Muñoz Céspedes J. M., Ríos M., Ruano A. y Moreno F. (1998). Déficit cognitivo e integración laboral de las personas con daño cerebral traumático. Polibea, 48, 38-43
  • Muñoz Céspedes J. M., Ríos M., Ruano A., Moreno F. (1999). Las alteraciones emocionales y la integración laboral de las personas con daño cerebral traumático. Polibea, 50, 10-16.
  • Noé E., Ferri J., Simó M. y Chirivella J. (2003). Conciencia de enfermedad tras un daño cerebral adquirido: Factores Pronósticos y eficacia de un programa de rehabilitación. Conferencia virtual presentada en el II International Congress of Neuropsychology in the Internet. Recuperado el 20 de Mayo de 2003, de http://www.serviciodc.com/congreso/congress/pass/conferences/Noe.html
  • Oddy M., Coughlan T., Tyerman A., Jenkins D. (1985). Social adjustment after head injury: A further fo- llowup seven years after injury. Journal of neurology, neurosurgery and psychiatry, 48, 564 568.
  • Prigatano G. P. (1991). Disturbance of self-awareness of deficit after traumatic brain injury. En: G. P. Prigatano y D. L. Schacter (Eds.) Awareness of deficit after brain injury (111-126). New York: Oxford University Press.
  • Prigatano G. P. (1996). Behavioural limations TBI patients tend to underestimate: A replication and extension to patients with lateralized cerebral dysfuncion. Clinical Neuropsychologist, 10, 191- 201.
  • Prigatano G. P. y Schacter D. L. (1991). Awareness of deficits after brain injury: clinical and theoretical issues. Nueva York: Oxford University Press.
  • Prigatano G. P. y Altman I. M.(1990). Impaired awareness of behavioral limitations after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 71(13), 1058-64.
  • Prigatano G. P., Bruna O., Mataró M., Muñoz Céspedes J. M., Fernández S. y Junqué C. (1998). Initial disturbances of consciousness and resultant im- paired awareness in spanish patients with traumatic brain injury. Journal of Head Trauma Rehabilitation, 13(5), 1-15.
  • Prigatano G. P., Fordyce D. J., Zeiner H. K., et al (1986). Neuropsychological rehabilitation after brain injury. Baltimore, MD: The John Hopkins University.
  • Prigatano, G. P. (1997). Relación entre lesión del ló- bulo frontal y disminución de la conciencia de déficit: Estudios en rehabilitación. En: C. Pelegrín, J. M. Muñoz Céspedes y J. I. Quemada (Eds.). Neuropsiquiatría del daño cerebral traumático. Barcelona: Prous Science.
  • Prigatano, G. P., Altaman I.M. y O´Brien, K. P. (1991). Behavioural limitations traumatic brain injury patients tend to underestimate. BNI Quarterly, 7, 27- 33.
  • RuizVargas J. M. (2000). Sobre las relaciones entre memoria y conciencia: Un enfoque neuropsicológico. Archivos de Psiquiatría, 63, 351-68.
  • Sachs, E. (1927). Symptomatology of a group of frontal lobe lesions. Brain, 50, 474- 479.
  • Schacter D. L. (1990). Toward a cognitive neuropsychology of awareness: Implicit knowledge and anosognosia. Journal of Clinical and Experimental Neuropsychology, 12, 155-78.
  • Sherer M., Hart T. y Nick T. G. (2003). Measurement of impaired self-awareness after traumatic brain injury: A comparison of the patient competency rating scale and the awareness questionnaire. Brain Injury, 17(1), 25-37.
  • Starkstein S., Fedoroff P., Price T., Leiguarda R. y Robinson R. (1993). Neuropsychological deficits in patients with anosognosia. Neuropsychiatry Neuropsychology and Behavioral Neurology, 6, 43- 48.
  • Stuss D. T. (1991).Disturbance of self-awareness after frontal system damage. En G. P. Prigatano y D. L. Schacter (Eds.). Awareness of deficit after brain injury. Clinical and theoretical issues (63-83). Nueva York: Oxford University Press.
  • Stuss D. T., Benson D. F. (1986). The frontal lobes. New York: Raven Press.
  • Teasdale G. y Jennett B. (1974). Assessment of coma and impaired consciousness. Lancet, 2, 81- 84.
  • Tirapu Ustárroz J., Muñoz Céspedes J. M. y Pelegrín Valero C. (2003). Hacia una taxonomía de la conciencia. Revista de neurología, 36 (11), 1083- 1093.
  • Toglia J. y Kirk U. (2000). Understanding awareness of deficits following brain injury. NeuroRehabilitation; 15: 57-70.
  • Visser Keizer A. C., Meyboom de Jong B., Deelman B. G., Berg I. J. y Gerritsen M.J.J. (2002). Subjetive changes in emotion, cognition and behaviour af- ter stroke: actors affecting the perception of patients and partners. Journal of clinical and experimental neuropsichology, 24(8), 1032- 1045.
  • Wagner M. T., Spangenberg K. B., Bachman D. L. y O’Connell P. (1997). Unawareness of cognitive deficit in Alzheimer’s disease and related dementias. Alzheimer Dis Assoc Disord, 11, 125-131.
  • Wallace C. A., Bogner J. (2000). Awareness of deficits: emotional implications for persons with brain injury and their significant others. Brain Injury, 14(6), 549-62.
  • Watanabe Y., Shiel A., Asami T., Taki K. y Tabuchi K. (2000). An evaluation of neurobehavioural problems as perceived by family members and levels of family stress 1-3 years following traumatic brain injury in Japan. Clinical Rehabilitation, 14(2), 172-7.
Data source: Dialnet