Apathy in a high prevalence population of moderate to severe traumatic brain injury: An investigation in Vietnam
| Autor: | Nha-Truc Lam-Nguyen, Skye McDonald, Phuong Huynh-Le, Halle Quang, Fiona Kumfor, Ngoc-Anh Le, Tuong-Vu Nguyen |
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| Rok vydání: | 2022 |
| Předmět: |
Moderate to severe
education.field_of_study Traumatic brain injury Vietnamese Apathy Emotions Population PsycINFO Southeast asian medicine.disease language.human_language Neuropsychology and Physiological Psychology Vietnam Brain Injuries Traumatic Prevalence medicine language Humans medicine.symptom education Psychology Psychosocial Clinical psychology |
| Zdroj: | Neuropsychology. 36:94-102 |
| ISSN: | 1931-1559 0894-4105 |
| DOI: | 10.1037/neu0000781 |
| Popis: | OBJECTIVE The reduction of goal-directed behavior, termed apathy, is a pervasive and debilitating syndrome after traumatic brain injury (TBI). However, understanding of apathy as a multifaceted construct is limited, especially in Southeast Asian nations. This study aimed to investigate the severity, insight, and psychosocial influences of apathy in executive, emotional, and initiation dimensions in Vietnam-a country with high prevalence of TBI. METHOD One hundred and eleven Vietnamese participants (61 individuals with moderate to severe TBI and 50 healthy controls) and their informants completed the self-rated and informant-rated Dimensional Apathy Scale (DAS) for the assessment of executive, emotional, and initiation apathy severity. Insight of apathy was calculated by subtracting DAS self-ratings from informant ratings. Additionally, carers completed measures assessing psychosocial factors of overall family health and overprotective behavior, while participants rated their own self-efficacy. RESULTS Our results showed greater informant-rated apathy for all three dimensions in individuals with TBI relative to controls. However, while people with TBI had greater self-rated initiation apathy, they regarded their executive apathy as lower and their emotional apathy as similar compared with controls. Reduced insight in patients was seen for executive and initiation apathy. Across participants, executive apathy was predicted by family functioning and overprotectiveness, emotional apathy was predicted by family functioning, and initiation apathy was predicted by self-efficacy. CONCLUSIONS These findings support the multidimensional characterizations and socio-cultural considerations of apathy after TBI, which will potentially develop both individual-specific and symptom-specific approaches in clinical practice. (PsycInfo Database Record (c) 2021 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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