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Sex-Based Differences in Perceived Pragmatic Communication Ability of Adults With Traumatic Brain Injury

Published:February 05, 2015DOI:https://doi.org/10.1016/j.apmr.2014.06.023

      Abstract

      Objective

      To identify sex-based differences in self-reported and close other–reported perceptions of communication behaviors in adults with traumatic brain injury (TBI).

      Design

      Between-groups comparison of questionnaire data from men and women with TBI and their close others.

      Setting

      University academic department.

      Participants

      Adults with medically documented TBI (n=160) and adults without TBI (n=81; control group) (N=241).

      Interventions

      Not applicable.

      Main Outcome Measure

      La Trobe Communication Questionnaire, a standardized measure of communication problems in everyday life.

      Results

      Participants with TBI endorsed more communication problems than controls (P<.001). There were no significant differences in self-ratings (P=.20) or in the ratings of close others (P=.09) in communication behaviors of men with TBI compared with women with TBI. There was no difference between the self-ratings of women with TBI and their close others (P=.59). However, men with TBI significantly underreported communication problems compared with reports of close others (P<.001).

      Conclusions

      Women with TBI might be more accurate than men with TBI in recognizing their own pragmatic communication problems.

      Keywords

      List of abbreviations:

      GCS (Glasgow Coma Scale), LCQ (La Trobe Communication Questionnaire), PTA (posttraumatic amnesia)
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