TY - JOUR
T1 - Executive functioning, awareness, and participation in daily life after mild traumatic brain injury
T2 - A preliminary study
AU - Erez, Asnat Bar Haim
AU - Rothschild, Ettie
AU - Katz, Noomi
AU - Tuchner, Maya
AU - Hartman-Maeir, Adina
PY - 2009
Y1 - 2009
N2 - OBJECTIVE. We investigated the relationship of executive functioning and self-awareness to participation in daily life of people after mild traumatic brain injury (mTBI) referred to occupational therapy in the postacute phase. METHOD. Thirteen participants who sustained mTBI (average time since injury = 4.7 months, mean age = 43.4 years) were evaluated with the Behavioral Assessment of the Dysexecutive Syndrome, the Dysexecutive Questionnaire, the Self-Awareness of Deficits Interview, and the Participation Index (PI) of the Mayo-Portland Adaptability Inventory. RESULTS. Analysis revealed high frequencies of deficits in executive functions such as planning and shifting. However, self-awareness of the executive deficits was intact. A significant percentage (62%-85%) of participants experienced restrictions in everyday life activities, and PI scores were significantly correlated with measures of executive functioning. CONCLUSIONS. After mTBI, people may be at significant risk for persistent executive deficits and restrictions in participation that warrant occupational therapy intervention.
AB - OBJECTIVE. We investigated the relationship of executive functioning and self-awareness to participation in daily life of people after mild traumatic brain injury (mTBI) referred to occupational therapy in the postacute phase. METHOD. Thirteen participants who sustained mTBI (average time since injury = 4.7 months, mean age = 43.4 years) were evaluated with the Behavioral Assessment of the Dysexecutive Syndrome, the Dysexecutive Questionnaire, the Self-Awareness of Deficits Interview, and the Participation Index (PI) of the Mayo-Portland Adaptability Inventory. RESULTS. Analysis revealed high frequencies of deficits in executive functions such as planning and shifting. However, self-awareness of the executive deficits was intact. A significant percentage (62%-85%) of participants experienced restrictions in everyday life activities, and PI scores were significantly correlated with measures of executive functioning. CONCLUSIONS. After mTBI, people may be at significant risk for persistent executive deficits and restrictions in participation that warrant occupational therapy intervention.
KW - Awareness
KW - Brain injuries
KW - Cognition
KW - Self-concept
UR - http://www.scopus.com/inward/record.url?scp=70350304872&partnerID=8YFLogxK
U2 - 10.5014/ajot.63.5.634
DO - 10.5014/ajot.63.5.634
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C2 - 19785263
AN - SCOPUS:70350304872
SN - 0272-9490
VL - 63
SP - 634
EP - 640
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 5
ER -