The Self-Awareness Multilevel Assessment Scale, a New Tool for the Assessment of Self-Awareness After Severe Acquired Brain Injury: Preliminary Findings

Umberto Bivona, Paola Ciurli, Giulia Ferri, Tiziana Fontanelli, Susanna Lucatello, Teresa Donvito, Dolores Villalobos, Laura Cellupica, Fabiana Mungiello, Paola Lo Sterzo, Amalia Ferraro, Eleonora Giandotti, Giorgio Lombardi, Eva Azicnuda, Carlo Caltagirone, Rita Formisano, Alberto Costa

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number1732
JournalFrontiers in Psychology
Volume11
DOIs
Publication statusPublished - Jul 24 2020

Keywords

  • anosognosia
  • functional deficit
  • neurorehabilitation
  • self-awareness multilevel assessment
  • severe acquired brain injury

ASJC Scopus subject areas

  • Psychology(all)

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