Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
Fecteau, Shirley (Harvard Medical School)
Levasseur-Moreau, Jean (Laval University, Quebec city, Canada)
García-Molina, Alberto (Institut Germans Trias i Pujol. Institut Guttmann)
Kumru, Hatice (Institut Germans Trias i Pujol. Institut Guttmann)
Vergara, Raúl Pelayo (Institut Germans Trias i Pujol. Institut Guttmann)
Bernabeu Guitart, Montserrat (Institut Germans Trias i Pujol. Institut Guttmann)
Roig, Teresa (Institut Germans Trias i Pujol. Institut Guttmann)
Pascual Leone, Álvaro (Institut Germans Trias i Pujol. Institut Guttmann)
Tormos, José Maria (Institut Germans Trias i Pujol. Institut Guttmann)

Fecha:	2013
Resumen:	Rehabilitation can improve cognitive deficits observed in patients with traumatic brain injury (TBI). However, despite rehabilitation, the ability of making a choice often remains impaired. Risk taking is a daily activity involving numerous cognitive processes subserved by a complex neural network. In this work we investigated risk taking using the Balloon Analogue Risk Task (BART) in patients with acute TBI and healthy controls. We hypothesized that individuals with TBI will take less risk at the BART as compared to healthy individuals. We also predicted that within the TBI group factors such as the number of days since the injury, severity of the injury, and sites of the lesion will play a role in risk taking as assessed with the BART. Main findings revealed that participants with TBI displayed abnormally cautious risk taking at the BART as compared to healthy subjects. Moreover, healthy individuals showed increased risk taking throughout the task which is in line with previous work. However, individuals with TBI did not show this increased risk taking during the task. We also investigated the influence of three patients' characteristics on their performance at the BART: Number of days post injury, Severity of the head injury, and Status of the frontal lobe. Results indicate that performance at the BART was influenced by the number of days post injury and the status of the frontal lobe, but not by the severity of the head injury. Reported findings are encouraging for risk taking seems to naturally improve with time postinjury. They support the need of conducting longitudinal prospective studies to ultimately identify impaired and intact cognitive skills that should be trained postinjury.
Nota:	Altres ajuts: Fundació La Marató de TV3 (071931)
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	PloS one, Vol. 8 (december 2013) , ISSN 1932-6203

DOI: 10.1371/journal.pone.0083598
PMID: 24386232

7 p, 319.4 KB

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Documentos de investigación > Documentos de los grupos de investigación de la UAB > Centros y grupos de investigación (producción científica) > Ciencias de la salud y biociencias > Institut de Neurociències (INc)
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