COGNITIVE FUNCTION, SELF-AWARENESS, AND NEUROIMAGING FINDINGS IN OBSESSIVE-COMPULSIVE PRESENTATIONS AFTER TRAUMATIC BRAIN INJURY
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| Format: | Artículo científico |
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Centro de Estudios Académicos en Neuropsicología
2019
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| author | Rudi Coetzer |
| author_facet | Rudi Coetzer |
| contents | COGNITIVE FUNCTION, SELF-AWARENESS, AND NEUROIMAGING FINDINGS IN OBSESSIVE-COMPULSIVE PRESENTATIONS AFTER TRAUMATIC BRAIN INJURY Rudi Coetzer Michelle Rydon-Grange Craig Roberts James A. Grange Psicología Self Obsessive awareness compulsive disorder Cognitive impairment This prospective study examined associations between cognitive functions, self-awareness, neuroimaging data, and obsessive-compulsive disorder symptomatology in a sample of 31 patients with moderate-severe Traumatic Brain Injury (TBI). Methods. Participants completed neuropsychological tests examining specific aspects of executive functioning, as well as new learning and retention. Questionnaires assessing obsessive-compulsive disorder (OCD) symptoms and obsessive-compulsive personality disorder (OCPD) traits were completed. Patients and their treating clinicians independently completed the same questionnaire to determine level of self-awareness (SA). Discrepancy scores were used as a measure of SA. Results. Standard frequentist statistics were calculated, supplemented with Bayesian analysis. Bayes factors showed strong support for the presence of a correlation between Rey Complex Figure (RCFT) strategy and the Florida Obsessive-Compulsive Inventory (FOCI) symptom scores, and moderate support for the presence of a correlation between RCFT strategy and FOCI severity scores. Conclusion. Overall, results indicate self-report of new onset obsessions and compulsions after TBI were associated with specific executive functions rather than memory and retention. This study suggests that OCD phenomena after TBI may in part be explained by the presence of specific cognitive deficits. Accurate differential diagnosis of OCD, versus cognitive impairment masquerading as OCD after TBI, has implications for the treatment and rehabilitation of patients. 2019 artículo científico 0718-4123 https://www.redalyc.org/articulo.oa?id=439667351003 https://www.redalyc.org/journal/4396/439667351003/ https://www.redalyc.org/journal/4396/439667351003/html/ https://www.redalyc.org/journal/4396/439667351003/439667351003.epub https://www.redalyc.org/journal/4396/439667351003/movil en http://www.redalyc.org/revista.oa?id=4396 Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology application/pdf Centro de Estudios Académicos en Neuropsicología Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology (Chile) Num.2 Vol.13 |
| format | Artículo científico |
| id | redalyc_439667351003 |
| institution | Redalyc |
| language | en |
| publishDate | 2019 |
| publisher | Centro de Estudios Académicos en Neuropsicología |
| spellingShingle | COGNITIVE FUNCTION, SELF-AWARENESS, AND NEUROIMAGING FINDINGS IN OBSESSIVE-COMPULSIVE PRESENTATIONS AFTER TRAUMATIC BRAIN INJURY Rudi Coetzer Psicología Self Obsessive awareness compulsive disorder Cognitive impairment COGNITIVE FUNCTION, SELF-AWARENESS, AND NEUROIMAGING FINDINGS IN OBSESSIVE-COMPULSIVE PRESENTATIONS AFTER TRAUMATIC BRAIN INJURY Rudi Coetzer Michelle Rydon-Grange Craig Roberts James A. Grange Psicología Self Obsessive awareness compulsive disorder Cognitive impairment This prospective study examined associations between cognitive functions, self-awareness, neuroimaging data, and obsessive-compulsive disorder symptomatology in a sample of 31 patients with moderate-severe Traumatic Brain Injury (TBI). Methods. Participants completed neuropsychological tests examining specific aspects of executive functioning, as well as new learning and retention. Questionnaires assessing obsessive-compulsive disorder (OCD) symptoms and obsessive-compulsive personality disorder (OCPD) traits were completed. Patients and their treating clinicians independently completed the same questionnaire to determine level of self-awareness (SA). Discrepancy scores were used as a measure of SA. Results. Standard frequentist statistics were calculated, supplemented with Bayesian analysis. Bayes factors showed strong support for the presence of a correlation between Rey Complex Figure (RCFT) strategy and the Florida Obsessive-Compulsive Inventory (FOCI) symptom scores, and moderate support for the presence of a correlation between RCFT strategy and FOCI severity scores. Conclusion. Overall, results indicate self-report of new onset obsessions and compulsions after TBI were associated with specific executive functions rather than memory and retention. This study suggests that OCD phenomena after TBI may in part be explained by the presence of specific cognitive deficits. Accurate differential diagnosis of OCD, versus cognitive impairment masquerading as OCD after TBI, has implications for the treatment and rehabilitation of patients. 2019 artículo científico 0718-4123 https://www.redalyc.org/articulo.oa?id=439667351003 https://www.redalyc.org/journal/4396/439667351003/ https://www.redalyc.org/journal/4396/439667351003/html/ https://www.redalyc.org/journal/4396/439667351003/439667351003.epub https://www.redalyc.org/journal/4396/439667351003/movil en http://www.redalyc.org/revista.oa?id=4396 Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology application/pdf Centro de Estudios Académicos en Neuropsicología Cuadernos de Neuropsicología / Panamerican Journal of Neuropsychology (Chile) Num.2 Vol.13 |
| title | COGNITIVE FUNCTION, SELF-AWARENESS, AND NEUROIMAGING FINDINGS IN OBSESSIVE-COMPULSIVE PRESENTATIONS AFTER TRAUMATIC BRAIN INJURY |
| topic | Psicología Self Obsessive awareness compulsive disorder Cognitive impairment |
| url | https://www.redalyc.org/articulo.oa?id=439667351003 https://www.redalyc.org/journal/4396/439667351003/ https://www.redalyc.org/journal/4396/439667351003/html/ https://www.redalyc.org/journal/4396/439667351003/439667351003.epub https://www.redalyc.org/journal/4396/439667351003/movil |