Multidimensional Assessment of Social Cognition in Severe Traumatic Brain Injury: A Pilot Study Using a Non-Immersive Virtual Reality Serious Game.

IF 2.1

Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists Pub Date : 2025-08-21 DOI:10.1093/arclin/acaf075

Eva-Flore Msika, Victoire Roger, Nathalie Ehrlé, Alexandre Gaston-Bellegarde, Eric Orriols, Pascale Piolino, Pauline Narme

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Abstract

Introduction: Social cognition is frequently impaired in traumatic brain injury (TBI). The lack of naturalistic and integrated assessments of social cognition has been highlighted. We investigated REALSoCog's feasibility, a new non-immersive virtual reality serious game, in severe TBI. Additionally, we explored the impact of post-traumatic stress disorder (PTSD).

Methods: Ten severe TBI patients completed the REALSoCog task and the PTSD Checklist for DSM-5. They were compared with 27 matched healthy controls.

Results: Reduced emotional empathy and difficulties in affective theory of mind were found in patients. PTSD was suspected in 60% of our sample. Individual analyses suggested that deficits in social-cognitive scores were more frequent in patients with PTSD.

Conclusions: This study underscored the relevance of REALSoCog for social cognition assessment. It also suggests the possibility to objectively identify social-behavioral disturbances in patients with severe TBI. Finally, the impact of individual factors (PTSD) on such difficulties should be further explored.

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严重创伤性脑损伤患者社会认知的多维评估：一项使用非沉浸式虚拟现实严肃游戏的试点研究。

引言：社会认知功能在创伤性脑损伤（TBI）中经常受损。社会认知的自然主义和综合评估的缺乏已被强调。我们研究了REALSoCog这款新的非沉浸式虚拟现实严肃游戏在严重脑外伤中的可行性。此外，我们还探讨了创伤后应激障碍（PTSD）的影响。方法：10例重型颅脑损伤患者完成REALSoCog任务和DSM-5 PTSD检查表。他们与27名匹配的健康对照进行了比较。结果：患者情绪共情能力下降，情感心理理论出现困难。60%的样本被怀疑患有创伤后应激障碍。个体分析表明，社会认知得分的缺陷在PTSD患者中更为常见。结论：本研究强调了REALSoCog与社会认知评估的相关性。这也提示了客观识别重度脑外伤患者社会行为障碍的可能性。最后，个体因素（PTSD）对这些困难的影响有待进一步探讨。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists

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