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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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Published in: | PloS one 2013-12, Vol.8 (12), p.e83598-e83598 |
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creator | Fecteau, Shirley Levasseur-Moreau, Jean García-Molina, Alberto Kumru, Hatiche Vergara, Raúl Pelayo Bernabeu, Monste Roig, Teresa Pascual-Leone, Alvaro Tormos, José Maria |
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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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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0083598</identifier><identifier>PMID: 24386232</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis of Variance ; Behavior ; Brain ; Brain Injuries - rehabilitation ; Case-Control Studies ; Choice Behavior ; Cognition & reasoning ; Cognitive ability ; Decision making ; Female ; Frontal lobe ; Frontal Lobe - physiopathology ; Head injuries ; Hospitalization ; Humans ; Male ; Medical schools ; Memory ; Middle Aged ; Neural networks ; Neuropsychological Tests ; Patients ; Rehabilitation ; Risk taking ; Severity of Illness Index ; Studies ; Time Factors ; Traumatic brain injury ; Young Adult</subject><ispartof>PloS one, 2013-12, Vol.8 (12), p.e83598-e83598</ispartof><rights>2013 Fecteau et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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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.</description><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Behavior</subject><subject>Brain</subject><subject>Brain Injuries - rehabilitation</subject><subject>Case-Control Studies</subject><subject>Choice Behavior</subject><subject>Cognition & reasoning</subject><subject>Cognitive ability</subject><subject>Decision making</subject><subject>Female</subject><subject>Frontal lobe</subject><subject>Frontal Lobe - physiopathology</subject><subject>Head injuries</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Medical schools</subject><subject>Memory</subject><subject>Middle Aged</subject><subject>Neural networks</subject><subject>Neuropsychological Tests</subject><subject>Patients</subject><subject>Rehabilitation</subject><subject>Risk taking</subject><subject>Severity of Illness Index</subject><subject>Studies</subject><subject>Time Factors</subject><subject>Traumatic brain injury</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUsFu1DAQjRCIlsIfILDEhcsutsdx7AtSVbVQqVJVBGdrEju73mbjYCdF7dfXy6ZVizh5ZL_35s34FcV7RpcMKvZlE6bYY7ccQu-WlCootXpRHDINfCE5hZdP6oPiTUobSktQUr4uDrjIBQd-WFz98OmajHjt-xXxPVmHNPgRO3_nLBlw9K4fE_njxzXBZhodwd6S5G5cdGSMOG0zpCF1xMz1_WaKt2-LVy12yb2bz6Pi19npz5Pvi4vLb-cnxxeLpuRyXChRCae41ZWqmbBMgi6hlEArhRR51ba15LYWrC2ZBWgoUGWVonVtgXLB4Kj4uNcdupDMvI1kmKioppVkPCPO9wgbcGOG6LcYb01Ab_5ehLgyGLP9zhlHZau41C0TWjSu1GgtaOSq1sqKFrLW17nbVG-dbfJaInbPRJ-_9H5tVuHGgKogf1cW-DwLxPB7cmk0W58a13XYuzDtfGfXjFd01-vTP9D_Tyf2qCaGlKJrH80wanYJeWCZXULMnJBM-_B0kEfSQyTgHnoOuSE</recordid><startdate>20131226</startdate><enddate>20131226</enddate><creator>Fecteau, Shirley</creator><creator>Levasseur-Moreau, Jean</creator><creator>García-Molina, Alberto</creator><creator>Kumru, Hatiche</creator><creator>Vergara, Raúl Pelayo</creator><creator>Bernabeu, Monste</creator><creator>Roig, Teresa</creator><creator>Pascual-Leone, Alvaro</creator><creator>Tormos, José Maria</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20131226</creationdate><title>Risk taking in hospitalized patients with acute and severe traumatic brain injury</title><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></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-8474e82d978b14d163953563078a0a27ffb62db41f51d33c0308d880bbd302413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Behavior</topic><topic>Brain</topic><topic>Brain Injuries - rehabilitation</topic><topic>Case-Control Studies</topic><topic>Choice Behavior</topic><topic>Cognition & reasoning</topic><topic>Cognitive ability</topic><topic>Decision making</topic><topic>Female</topic><topic>Frontal lobe</topic><topic>Frontal Lobe - physiopathology</topic><topic>Head injuries</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Medical schools</topic><topic>Memory</topic><topic>Middle Aged</topic><topic>Neural networks</topic><topic>Neuropsychological Tests</topic><topic>Patients</topic><topic>Rehabilitation</topic><topic>Risk taking</topic><topic>Severity of Illness Index</topic><topic>Studies</topic><topic>Time Factors</topic><topic>Traumatic brain injury</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fecteau, Shirley</creatorcontrib><creatorcontrib>Levasseur-Moreau, Jean</creatorcontrib><creatorcontrib>García-Molina, Alberto</creatorcontrib><creatorcontrib>Kumru, Hatiche</creatorcontrib><creatorcontrib>Vergara, Raúl Pelayo</creatorcontrib><creatorcontrib>Bernabeu, Monste</creatorcontrib><creatorcontrib>Roig, Teresa</creatorcontrib><creatorcontrib>Pascual-Leone, Alvaro</creatorcontrib><creatorcontrib>Tormos, José Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fecteau, Shirley</au><au>Levasseur-Moreau, Jean</au><au>García-Molina, Alberto</au><au>Kumru, Hatiche</au><au>Vergara, Raúl Pelayo</au><au>Bernabeu, Monste</au><au>Roig, Teresa</au><au>Pascual-Leone, Alvaro</au><au>Tormos, José Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk taking in hospitalized patients with acute and severe traumatic brain injury</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-12-26</date><risdate>2013</risdate><volume>8</volume><issue>12</issue><spage>e83598</spage><epage>e83598</epage><pages>e83598-e83598</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><notes>Competing Interests: The authors have declared that no competing interests exist.</notes><notes>Conceived and designed the experiments: SF APL JMT. Performed the experiments: SF AGM HK RPV. Analyzed the data: SF JLM AGM HK. Wrote the paper: SF JLM AGM HK RPV MB TR APL JMT.</notes><abstract>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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24386232</pmid><doi>10.1371/journal.pone.0083598</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adult Analysis of Variance Behavior Brain Brain Injuries - rehabilitation Case-Control Studies Choice Behavior Cognition & reasoning Cognitive ability Decision making Female Frontal lobe Frontal Lobe - physiopathology Head injuries Hospitalization Humans Male Medical schools Memory Middle Aged Neural networks Neuropsychological Tests Patients Rehabilitation Risk taking Severity of Illness Index Studies Time Factors Traumatic brain injury Young Adult |
title | Risk taking in hospitalized patients with acute and severe traumatic brain injury |
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