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Development of the "insight interview": a new tool for assessing longitudinal change in awareness deficits following traumatic brain injury

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posted on 2022-03-28, 20:42 authored by Tania Mary Malouf
"Awareness deficits are frequently observed in patients following a traumatic brain injury (TBI) and have been identified as one of the main factors in determining patients' functional and vocational outcomes. However, there is still relatively little known about the nature of awareness deficits in the early stages (< three months post-injury) following TBI, and even less is understood about the temporal profile of recovering awareness in people following TBI. This thesis investigates the longitudinal progression of awareness deficits and the neuropsychological factors which associate with the disorder and potentially predicts its persistence. Chapter 1 provides a general introduction by reviewing the current theoretical models with respect to causes as well as the nature and structure of different awareness deficits, and briefly discusses treatment approaches. Chapter 2 furthers the literature review with respect to measurement of awareness deficits and describes the development of a new tool, "The Insight Interview", designed to measure deficits across different domains of awareness (i.e., awareness of change, severity of impairments, current functional consequences and future functional consequences) over time and using both discrepancy "difference score" methods and interviewer-based ratings. Patients were found to demonstrate awareness deficits across all domains assessed, with the exception of the domain of awareness of current functional consequences. Chapter 3 examines the validity and reliability of the Insight Interview, both of which were found to be acceptable. Chapter 4 reports a study of the neuropsychological variables that may be predictive of awareness deficits in both the early stages (< three months post-injury) and 12 months later. The neuropsychological variables of memory, executive functioning and emotion recognition were all found to be associated with awareness deficits, however, patterns differed depending on both the domain of awareness being assessed and the time at which awareness was measured". -- Abstract.


Alternative Title

A new tool for assessing longitudinal change in awareness deficits following traumatic brain injury

Table of Contents

Chapter 1. General introduction: Awareness deficits following traumatic brain injury -- Chapter 2. The insight interview: introducing a new tool for measuring deficits in awareness after traumatic brain injury -- Chapter 3. Relaibility and validity of the "insight interview" -- Chapter 4. Neuropsychological correlates of awareness deficits following traumatic brain injury -- Chapter 5. A longitudinal study of awareness deficits -- Chapter 6. Summary and conclusions.


"October 2012 Includes bibliographical references A thesis submitted for fulfilment of the requirements for the degree of Combined Doctor of Philosophy / Masters in Clinical Neuropsychology, Department of Cognitive Science, Faculty of Human Sciences, Macquarie University"

Awarding Institution

Macquarie University

Degree Type

Thesis PhD


PhD | MClinPsych, Macquarie University, Faculty of Human Sciences, Department of Cognitive Science | Macquarie University, Faculty of Human Sciences, Department of Cognitive Science

Department, Centre or School

Department of Cognitive Science

Year of Award


Principal Supervisor

Robyn Langdon

Additional Supervisor 1

Alan Taylor


Copyright disclaimer: Copyright Tania Malouf 2013. Complete version suppressed due to copyright restrictions. However, on receipt of a Document Supply Request, placed with Macquarie University Library by another library, we will consider supplying a copy of this thesis. For more information on Macquarie University’s Document Supply, please contact




1 online resource (vii, 293 pages) illustrations (some coloured)

Former Identifiers

mq:28218 2066068