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Multidimensional Assessment of Social Cognition in Severe Traumatic Brain Injury: A Pilot Study Using a Non-Immersive
Eva-Flore Msika1, Victoire Roger1, Nathalie Ehrlé1,2
1Université Paris Cité, Laboratoire Mémoire Cerveau et Cognition (UR 7536), Boulogne-Billancourt, Paris, France.
Summary
This study shows virtual reality can assess social cognition in severe traumatic brain injury (TBI) patients. Post-traumatic stress disorder (PTSD) may worsen social-cognitive deficits, highlighting the need for further research.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychology
Background:
- Social cognition deficits are common after traumatic brain injury (TBI).
- Existing assessments lack naturalistic and integrated approaches.
- Virtual reality offers a novel avenue for evaluating social cognition.
Purpose of the Study:
- To assess the feasibility of REALSoCog, a virtual reality serious game, for evaluating social cognition in severe TBI.
- To explore the influence of post-traumatic stress disorder (PTSD) on social cognition in TBI patients.
Main Methods:
- Ten severe TBI patients completed the REALSoCog task and PTSD Checklist for DSM-5.
- A comparison group of 27 healthy controls was utilized.
- Individual patient data were analyzed to explore the impact of PTSD.
Main Results:
- TBI patients exhibited reduced emotional empathy and impaired affective theory of mind.
- Post-traumatic stress disorder (PTSD) was identified in 60% of the TBI sample.
- Social-cognitive deficits were more pronounced in TBI patients with suspected PTSD.
Conclusions:
- REALSoCog is a relevant tool for assessing social cognition in severe TBI.
- Objective identification of social-behavioral disturbances in TBI is possible with this method.
- Further research is needed to understand the impact of individual factors like PTSD on social cognition.

