TY - JOUR
T1 - The Self-Awareness Multilevel Assessment Scale, a New Tool for the Assessment of Self-Awareness After Severe Acquired Brain Injury
T2 - Preliminary Findings
AU - Bivona, Umberto
AU - Ciurli, Paola
AU - Ferri, Giulia
AU - Fontanelli, Tiziana
AU - Lucatello, Susanna
AU - Donvito, Teresa
AU - Villalobos, Dolores
AU - Cellupica, Laura
AU - Mungiello, Fabiana
AU - Lo Sterzo, Paola
AU - Ferraro, Amalia
AU - Giandotti, Eleonora
AU - Lombardi, Giorgio
AU - Azicnuda, Eva
AU - Caltagirone, Carlo
AU - Formisano, Rita
AU - Costa, Alberto
N1 - Funding Information:
We are very grateful to Francesca Amadori for some important cues at an early stage of the study.
Publisher Copyright:
© Copyright © 2020 Bivona, Ciurli, Ferri, Fontanelli, Lucatello, Donvito, Villalobos, Cellupica, Mungiello, Lo Sterzo, Ferraro, Giandotti, Lombardi, Azicnuda, Caltagirone, Formisano and Costa.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/7/24
Y1 - 2020/7/24
N2 - Self-awareness (SA) is frequently impaired after severe acquired brain injury (sABI) and may lead to reduced subject’s compliance to treatment, worse functional outcome, and high caregiver distress. Considering the multifaceted nature of SA, a specific and effective assessment is crucial to address treatment of impairment of SA (ISA). Many tools can currently assess ISA; however, they have some important limits. In the present study, we proposed the Self-Awareness Multilevel Assessment Scale (SAMAS), a new scale for assessment of SA at different levels (i.e., declarative, emergent, and anticipatory) across all domains of functioning. The SAMAS has been designed to be administered by the cognitive/behavioral therapist with the involvement of a patient’s relative. Findings showed that the SAMAS allowed specifically assessing SA at a declarative level and on all possible functional domains. More interestingly, it seems also able to assess both emergent and anticipatory SA, thus overcoming some important limits of other current assessment methods. Our findings are consistent with a holistic perspective of the patient with sABI because thanks to the combined use of assessing tools, the SAMAS can provide an accurate diagnosis of ISA, thus better addressing the neurorehabilitation treatment and, accordingly, reducing the possible occurrence of its primary and secondary implications.
AB - Self-awareness (SA) is frequently impaired after severe acquired brain injury (sABI) and may lead to reduced subject’s compliance to treatment, worse functional outcome, and high caregiver distress. Considering the multifaceted nature of SA, a specific and effective assessment is crucial to address treatment of impairment of SA (ISA). Many tools can currently assess ISA; however, they have some important limits. In the present study, we proposed the Self-Awareness Multilevel Assessment Scale (SAMAS), a new scale for assessment of SA at different levels (i.e., declarative, emergent, and anticipatory) across all domains of functioning. The SAMAS has been designed to be administered by the cognitive/behavioral therapist with the involvement of a patient’s relative. Findings showed that the SAMAS allowed specifically assessing SA at a declarative level and on all possible functional domains. More interestingly, it seems also able to assess both emergent and anticipatory SA, thus overcoming some important limits of other current assessment methods. Our findings are consistent with a holistic perspective of the patient with sABI because thanks to the combined use of assessing tools, the SAMAS can provide an accurate diagnosis of ISA, thus better addressing the neurorehabilitation treatment and, accordingly, reducing the possible occurrence of its primary and secondary implications.
KW - anosognosia
KW - functional deficit
KW - neurorehabilitation
KW - self-awareness multilevel assessment
KW - severe acquired brain injury
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UR - http://www.scopus.com/inward/citedby.url?scp=85089209904&partnerID=8YFLogxK
U2 - 10.3389/fpsyg.2020.01732
DO - 10.3389/fpsyg.2020.01732
M3 - Article
AN - SCOPUS:85089209904
VL - 11
JO - Frontiers in Psychology
JF - Frontiers in Psychology
SN - 1664-1078
M1 - 1732
ER -