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Evaluation of social problem solving after traumatic brain injury
R Heidi Robertson1, Robert G Knight
1Casuarina Lodge, Acquired Brain Injury Unit, Brisbane, Australia.
Neuropsychological Rehabilitation
|March 20, 2008
Summary
This study evaluated the Social Problem-Solving Test (SPST) for individuals with traumatic brain injury (TBI). TBI participants showed significant impairments in social skills and problem-solving evaluation compared to controls.
Area of Science:
- Neuroscience
- Psychology
- Rehabilitation Medicine
Background:
- Social problem-solving deficits are common after traumatic brain injury (TBI).
- Assessing these complex skills requires validated tools.
- The Social Problem-Solving Test (SPST) was developed to evaluate specific social functioning components.
Purpose of the Study:
- To trial the Social Problem-Solving Test (SPST) for assessing social problem-solving skills in individuals with TBI.
- To identify specific deficits in social functioning post-TBI.
- To evaluate the utility of the SPST in a post-acute rehabilitation setting.
Main Methods:
- A group of 48 individuals with TBI and 20 age-matched family controls participated.
- Participants observed videotaped social interaction scenarios.
- Performance was assessed through questioning, role-play, and comparison of skill components.
Main Results:
- TBI participants demonstrated significant impairments in socially skilled role-play and performance evaluation.
- Their approach to problem-solving was marked by increased anxiety and perceived difficulty.
- Specific deficits were identified across five domains of social functioning.
Conclusions:
- The Social Problem-Solving Test (SPST) is a useful tool for identifying social problem-solving deficits in individuals with TBI.
- Results support the SPST's application in post-acute TBI rehabilitation.
- Targeted interventions can be developed based on identified skill deficits.
