CC BY-NC-ND 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0040-1717214
Original Article

Traumatic Brain Injury: Effect of Litigation Status on Executive Functioning—A Pilot Study

Simi Prakash K.
1  Department of Clinical Psychology, National Institute of Mental Health & Neurosciences, Bengaluru, Karnataka, India
,
2  Department of Clinical Psychology, National Institute of Mental Health & Neurosciences (NIMHANS), Hosur Road, Bengaluru, Karnataka, India
,
3  Department of Clinical Psychology, National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, Karnataka, India
,
Jamuna Rajeswaran
3  Department of Clinical Psychology, National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, Karnataka, India
,
Dhaval P. Shukla
4  Neurosurgery, National Institute of Mental Health & Neurosciences (NIMHANS), Bengaluru, Karnataka, India
› Author Affiliations

Abstract

Traumatic brain injury (TBI) is associated with a wide range of physiological, behavioral, emotional, and cognitive sequelae. Litigation status is one of the many factors that has an impact on recovery. The aim of this study was to compare executive functions, postconcussion, and depressive symptoms in TBI patients with and without litigation. A sample of 30 patients with TBI, 15 patients with litigation (medicolegal case [MLC]), and 15 without litigation (non-MLC) was assessed. The tools used were sociodemographic and clinical proforma, executive function tests, Rivermead Post-Concussion Symptom Questionnaire, and Beck Depression Inventory. Assessment revealed that more than 50% of patients showed deficits in category fluency, set shifting, and concept formation. The MLC group showed significant impairment on verbal working memory in comparison to the non-MLC group. The performance of both groups was comparable on tests of semantic fluency, visuospatial working memory, concept formation, set shifting, planning, and response inhibition. The MLC group showed more verbal working memory deficits in the absence of significant postconcussion and depressive symptoms on self-report measures.



Publication History

Publication Date:
05 October 2020 (online)

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