Social communication assessment during post-traumatic amnesia and the post-acute period after traumatic brain injury

Steel, J; Ferguson, A; Spencer, E; Togher, L

Social communication assessment during post-traumatic amnesia and the post-acute period after traumatic brain injury

Steel, J

Ferguson, A Spencer, E Togher, L

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Publication Type:: Journal Article
Citation:: Brain Injury, 2017, 31 (10), pp. 1320 - 1330
Issue Date:: 2017-08-24

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Field	Value	Language
dc.contributor.author	Steel, J https://orcid.org/0000-0002-5478-5865	en_US
dc.contributor.author	Ferguson, A	en_US
dc.contributor.author	Spencer, E	en_US
dc.contributor.author	Togher, L	en_US
dc.date.issued	2017-08-24	en_US
dc.identifier.citation	Brain Injury, 2017, 31 (10), pp. 1320 - 1330	en_US
dc.identifier.issn	0269-9052	en_US
dc.identifier.uri	http://hdl.handle.net/10453/125552
dc.description.abstract	© 2017 Taylor & Francis Group, LLC. Background: Social communication impairment is a persisting and debilitating consequence of traumatic brain injury (TBI). However, there has been little empirical speech-language pathology (SLP) study focusing on the early stage of recovery after TBI, including during post-traumatic amnesia (PTA). This research reports on social communication presentation and recovery during late PTA and the post-acute period, assessed with standardized measures. Method: Using mixed-methods case study research, four participants with severe TBI were assessed with social communication assessment measures over the later stages of PTA and/or at PTA emergence, and at follow-up three months later. Assessment tools included the Measure of Cognitive Linguistic Abilities Family Questionnaire, the La Trobe Communication Questionnaire and The Profile of Pragmatic Impairment in Communication and included patient and friend/family perspectives. Results: It was possible to identify a profile of social communication disorder on SLP measures for participants during PTA that persisted at follow-up, but with decreased severity. Self and friend/family member ratings of social communication indicated an increased awareness of social difficulty at three months after PTA emergence. Conclusion: Findings provided information about presentation and course of recovery of social communication ability for participants in the early stage of rehabilitation after TBI. These findings have implications for timing and methods of SLP assessment during PTA.	en_US
dc.relation.ispartof	Brain Injury	en_US
dc.relation.isbasedon	10.1080/02699052.2017.1332385	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Communication Disorders	en_US
dc.subject.mesh	Amnesia	en_US
dc.subject.mesh	Communication	en_US
dc.subject.mesh	Social Behavior	en_US
dc.subject.mesh	Cognition	en_US
dc.subject.mesh	Speech-Language Pathology	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Brain Injuries, Traumatic	en_US
dc.title	Social communication assessment during post-traumatic amnesia and the post-acute period after traumatic brain injury	en_US
dc.type	Journal Article
utslib.citation.volume	10	en_US
utslib.citation.volume	31	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1701 Psychology	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.issue	10	en_US
pubs.publication-status	Published	en_US
pubs.volume	31	en_US

Abstract:

© 2017 Taylor & Francis Group, LLC. Background: Social communication impairment is a persisting and debilitating consequence of traumatic brain injury (TBI). However, there has been little empirical speech-language pathology (SLP) study focusing on the early stage of recovery after TBI, including during post-traumatic amnesia (PTA). This research reports on social communication presentation and recovery during late PTA and the post-acute period, assessed with standardized measures. Method: Using mixed-methods case study research, four participants with severe TBI were assessed with social communication assessment measures over the later stages of PTA and/or at PTA emergence, and at follow-up three months later. Assessment tools included the Measure of Cognitive Linguistic Abilities Family Questionnaire, the La Trobe Communication Questionnaire and The Profile of Pragmatic Impairment in Communication and included patient and friend/family perspectives. Results: It was possible to identify a profile of social communication disorder on SLP measures for participants during PTA that persisted at follow-up, but with decreased severity. Self and friend/family member ratings of social communication indicated an increased awareness of social difficulty at three months after PTA emergence. Conclusion: Findings provided information about presentation and course of recovery of social communication ability for participants in the early stage of rehabilitation after TBI. These findings have implications for timing and methods of SLP assessment during PTA.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/125552