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Assessment and Rehabilitation of Social Cognition in People With Traumatic Brain Injury

Not Applicable
Conditions
Head Injury Trauma
Cognition Disorder
Interventions
Other: sociale cognition
Registration Number
NCT04562844
Lead Sponsor
Centre d'Investigation Clinique et Technologique 805
Brief Summary

Patients who have suffered moderate to severe traumatic brain injury (TBI) frequently develop behavioural changes, which can have deleterious consequences on interpersonal relationships, social, family and professional reintegration. They are a source of difficulties (burden) for family and friends. Social cognition covers four functions: recognition of social cues; empathy; attribution of intentions to a third party, or theory of mind; and adjustment of social behaviour according to context. This study has two parts: 1/ Evaluation, using a cognitive approach, of the different components of social cognition after moderate to severe traumatic brain injury, and of its repercussions in daily life and on family and friends.

2/ Creation of a specific re-education method for the different modules of social cognition and study of its effectiveness.

Detailed Description

First objective: to study in a systematic way in the same group of TBI patients the different domains of social cognition and the relationships between these different sub-domains in these patients, as well as the relationships between these deficits and the more global cognitive functioning (executive functions), and to evaluate their repercussions in daily life (activity limitations and participation restrictions).

Second objective: to develop and evaluate the effectiveness of a specific rehabilitation protocol for social cognition, adjusted to each profile, according to the disorders of the components of social cognition found in each patient. We make the hypothesis that not all patients will present homogeneous deficits and we also wish to bring elements of knowledge on the sub-domains of social cognition that can be "mobilized" by therapeutic means based on cognitive training adapted to each patient. The methodology envisaged is based on an experimental methodology in single repeated case studies, allowing a fine analysis of the architecture of the altered cognitive processes in a given patient and to adapt the rehabilitation protocol in an individualized way.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Male or female of legal age,
  • Having suffered a moderate to severe traumatic brain injury (Glasgow Coma Scale score of 3 to 12) at least 6 months after the trauma,
  • Returned home at least 3 months ago,
  • Having given their informed consent,
  • Affiliated to the social security system
Exclusion Criteria
  • Psychiatric history,
  • Persistent post-traumatic amnesia,
  • Instrumental disorders that interfere with taking tests (aphasia, agnosia, neurovisual disorders),
  • Mood disorders not stabilized under treatment,
  • Patient refuses to participate in the study,
  • Participation in another cognitive rehabiltation protocol,
  • Pregnant or breastfeeding woman.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Social cognitionsociale cognition-
Primary Outcome Measures
NameTimeMethod
social cognition evaluation4 hours

emotional and sociocognitive measurement by questionnaire

humor and global cognition4 hours

attention measurement and mood evolution by questionnaire

social activity measurement1 hour

activity measurement and social cognition evaluation by questionnaire

Secondary Outcome Measures
NameTimeMethod
quality of life questionnaire1 hour

questionnaire

environnemental measurement20 min

questionnaire

mood measurement30 min

questionnaire

Trial Locations

Locations (4)

Ueros Ugecam

🇫🇷

Garches, France

FAM la vie devant soi

🇫🇷

Lomme, France

SAMSAH-UEROS Arceau Anjou

🇫🇷

Angers, France

Raymond Poincaré Hospital

🇫🇷

Garches, France

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