Assessment of anosognosia in persons with frontal lobe damage: clinical utility of the Mayo-Portland Adaptability Inventory (MPAI).

Full Abstract

OBJECTIVES: To determine if the Mayo-Portland Adaptability Inventory (MPAI) demonstrates clinical utility in differentiating between persons with severe TBI and frontal lobe damage/anosognosia and persons with mild TBI and no frontal lobe damage. PARTICIPANTS: Forty-three persons with TBI and documented frontal lobe damage (mean age = 34; mean time since injury = 5.2 years) and 69 persons with mild TBI and no frontal lobe damage (mean age = 34.3; mean time since injury = 4.8 4.8 years). MEASURE: MPAI. RESULTS: Total inventory and select sub-category difference scores were significantly greater in the frontal lobe group than in the non-frontal lobe group. However, as expected, there was no significant difference between the two groups on the mobility sub-category difference scores. CONCLUSIONS: The MPAI appears to be potentially clinically useful in assessing for frontal lobe damage and associated anosognosia in patients with TBI.

Author information

Author/s: Murrey, G J (GJ); Hale, F M (FM); Williams, J D (JD);

Affiliation: Minnesota Neurorehabilitation Hospital, Brainerd, MN 56401-1000, USA. gmurrey(-atsign-)fielding-edu

Journal and publication information

Publication Type: Evaluation Studies; Journal Article

Journal: Brain injury : [BI] (Brain Inj), published in England. (Language: eng)

Reference: 2005-Aug; vol 19 (issue 8) : pp 599-603

Dates: Created 2005/09/22; Completed 2005/12/20;

PMID: 16175813, status: MEDLINE (last retrieved date: 2/18/2009)

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