Traumatic brain injury in the subacute and chronic phase of recovery, with deficits in social cognition Nervous System Diseases Traumatic brain injury in the subacute and chronic phase of recovery, with deficits in social cognition
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Moderate to severe traumatic brain injury 2. Sub-acute or chronic stage of recovery 3. Referred on clinical grounds, that is, being identified as having changes in social functioning, with at least 1 deficit in social cognition tests and/or proxy ratings on the BAFQ-social monitoring and/or empathy scale>10 4. Orbitofrontal/medioprefrontal brain damage demonstrated with MRI 5. Presence of a proxy to fill in questionnaires
Exclusion criteria
Exclusion criteria: 1. Neurodegenerative or psychiatric illness 2. Severe cognitive impairment that would preclude treatment (i.e. amnestic syndrome, global aphasia, neglect) 3. Very severe behavioral regulation deficits for which continuous external control was needed and/or physical aggressiveness 4. Severe depression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of social cognition (pre- to postmeasurement) on the Awareness of Social Inferences Test (TASIT-short) at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Facial affect recognition is measured using the Facial Expression of Emotional Stimuli Test (FEEST) at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 2. Theory of Mind is measured using the Cartoon Test and Faux Pas test, at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 3. Behavioural functioning is measured (participant and significant other ratings) using subscales of the Brock Adaptive Functioning Questionnaire (BAFQ) and the Dysexecutive Questionnaire (DEX) at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 4. Treatment goal attainment is measured using the Treatment Goal Attainment (TGA) scale at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 5. Participation is measured using the Role Resumption List at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 6. Quality of Life is measured using the QOLIBRI at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 7. Quality of the relationship is measured using the Relation-Score at baseline, within 2 weeks of the last treatment session and at 3-5 monts follow up 8. Treatment satisfaction is measured using the Treatment Satisfaction Scale (TSS), within 2 weeks of the last treatment session and at 3-5 monts follow up | — |
Countries
Netherlands