RT Journal Article T1 The Self-Awareness Multilevel Assessment Scale, a New Tool for the Assessment of Self-Awareness After Severe Acquired Brain Injury: Preliminary Findings A1 Bivona, Umberto A1 Ciurli, Paola A1 Ferri, Giulia A1 Fontanelli, Tiziana A1 Lucatello, Susanna A1 Donvito, Teresa A1 Villalobos Tornero, María Dolores A1 Cellupica, Laura A1 Mungiello, Fabiana A1 Lo Sterzo, Paola A1 Ferraro, Amalia A1 Giandotti, Eleonora A1 Lombardi, Giorgio A1 Azicnuda, Eva A1 Caltagirone, Carlo A1 Formisano, Rita A1 Costa, Alberto AB Self-awareness (SA) is frequently impaired after severe acquired brain injury (sABI) and may lead to reduced subject’s compliance to treatment, worse functional outcome, and high caregiver distress. Considering the multifaceted nature of SA, a specific and effective assessment is crucial to address treatment of impairment of SA (ISA). Many tools can currently assess ISA; however, they have some important limits. In the present study, we proposed the Self-Awareness Multilevel Assessment Scale (SAMAS), a new scale for assessment of SA at different levels (i.e., declarative, emergent, and anticipatory) across all domains of functioning. The SAMAS has been designed to be administered by the cognitive/behavioral therapist with the involvement of a patient’s relative. Findings showed that the SAMAS allowed specifically assessing SA at a declarative level and on all possible functional domains. More interestingly, it seems also able to assess both emergent and anticipatory SA, thus overcoming some important limits of other current assessment methods. Our findings are consistent with a holistic perspective of the patient with sABI because thanks to the combined use of assessing tools, the SAMAS can provide an accurate diagnosis of ISA, thus better addressing the neurorehabilitation treatment and, accordingly, reducing the possible occurrence of its primary and secondary implications. PB Frontiers SN 1664-1078 YR 2020 FD 2020-07-24 LK https://hdl.handle.net/20.500.14352/95180 UL https://hdl.handle.net/20.500.14352/95180 LA eng DS Docta Complutense RD 12 abr 2025