Assessment of strategic self-regulation in traumatic brain injury: its relationship to injury severity and psychosocial outcome

Neuropsychology. 2000 Oct;14(4):491-500. doi: 10.1037//0894-4105.14.4.491.


Standard neuropsychological tests administered in a constrained and artificial laboratory environment are often insensitive to the real-life deficits faced by patients with traumatic brain injury (TBI). The Revised Strategy Application Test (R-SAT) creates an unstructured environment in the laboratory in which environmental cues and internal habits oppose the most efficient strategy, thus mimicking the real-life situations that are problematic for patients with TBI. In this study, R-SAT performance was related both to severity of TBI (i.e., depth of coma) sustained 2-3 years earlier and to quality of life outcome as assessed by the Sickness Impact Profile. This relationship held after accounting for variance attributable to TBI-related slowing and inattention. These findings support the validity of the R-SAT and suggest that behavioral correlates of quality of life outcome in TBI can be assessed in the laboratory with unstructured tasks.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adult
  • Brain Injuries / complications*
  • Brain Injuries / diagnosis*
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology
  • Cues
  • Environment
  • Female
  • Glasgow Coma Scale
  • Homeostasis / physiology*
  • Humans
  • Male
  • Neuropsychological Tests
  • Quality of Life*
  • Reproducibility of Results
  • Social Adjustment*
  • Tomography, X-Ray Computed