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Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury

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....

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Autores principales: Fecteau, Shirley, Levasseur-Moreau, Jean, García-Molina, Alberto, Kumru, Hatiche, Vergara, Raúl Pelayo, Bernabeu, Monste, Roig, Teresa, Pascual-Leone, Alvaro, Tormos, José Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873371/
https://www.ncbi.nlm.nih.gov/pubmed/24386232
http://dx.doi.org/10.1371/journal.pone.0083598
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author Fecteau, Shirley
Levasseur-Moreau, Jean
García-Molina, Alberto
Kumru, Hatiche
Vergara, Raúl Pelayo
Bernabeu, Monste
Roig, Teresa
Pascual-Leone, Alvaro
Tormos, José Maria
author_facet Fecteau, Shirley
Levasseur-Moreau, Jean
García-Molina, Alberto
Kumru, Hatiche
Vergara, Raúl Pelayo
Bernabeu, Monste
Roig, Teresa
Pascual-Leone, Alvaro
Tormos, José Maria
author_sort Fecteau, Shirley
collection PubMed
description 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.
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spelling pubmed-38733712014-01-02 Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury Fecteau, Shirley Levasseur-Moreau, Jean García-Molina, Alberto Kumru, Hatiche Vergara, Raúl Pelayo Bernabeu, Monste Roig, Teresa Pascual-Leone, Alvaro Tormos, José Maria PLoS One Research Article 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. Public Library of Science 2013-12-26 /pmc/articles/PMC3873371/ /pubmed/24386232 http://dx.doi.org/10.1371/journal.pone.0083598 Text en © 2013 Fecteau et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Fecteau, Shirley
Levasseur-Moreau, Jean
García-Molina, Alberto
Kumru, Hatiche
Vergara, Raúl Pelayo
Bernabeu, Monste
Roig, Teresa
Pascual-Leone, Alvaro
Tormos, José Maria
Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title_full Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title_fullStr Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title_full_unstemmed Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title_short Risk Taking in Hospitalized Patients with Acute and Severe Traumatic Brain Injury
title_sort risk taking in hospitalized patients with acute and severe traumatic brain injury
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873371/
https://www.ncbi.nlm.nih.gov/pubmed/24386232
http://dx.doi.org/10.1371/journal.pone.0083598
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