Nonverbal communication of trauma patients in a state of minimal consciousness

Anna Rasmus , Jolanta Góral-Półrola , Edyta Orłowska , Monika Wiłkość-Dębczyńska , Celestyna Grzywniak


Introduction: In spite of the rapid development in various communication-support technologies for those waking up from a coma, studies describing the sole process of econstructing communication in this group of patients are scarce. Objective: The aim of this study was to analyze communication reactions in a minimal state of consciousness and describe the nonverbal behaviours characteristic for each stages significant for the therapy of communication. Material and methods: 18 severely brain-injured patients in a minimal state of consciousness participated in the half-year observation study, which included people experiencing at least 4 weeks of consciousness disorder/coma. Age of patients 25±5 years. Psychological assessment included: observation of various attempts of communications undertaken by patients, caregivers and family interview, the Glasgow Coma Scale (GCS) and Individual Communication Sheet. Results: Data analysis showed a significant increase in preverbal communication, both in primal and sensory areas when compared between Stage II (GCS=6–8 points) and Stage III (GCS=9–12 points). After a time, primary communication reached a high level. Patients produced communication attempts from the behaviour organization level, and an increase in the nonverbal communication level was noted. Based on observations, nonverbal communication profiles for each stage of waking up from a coma were introduced. Conclusions: It was found that in the process of waking up from a coma the patients communicate with the use of the preverbal level of primal communication, the sensory and behaviour organization activities. The characteristics of the communication reactions show that in Stage III there is a significant increase in two preverbal communication areas: primal and sensory acts, when compared with Stage II.
Autor Anna Rasmus
Anna Rasmus
, Jolanta Góral-Półrola
Jolanta Góral-Półrola
, Edyta Orłowska (WNS / IPsych / ZPO)
Edyta Orłowska
- Zakład Psychologii Ogólnej
, Monika Wiłkość-Dębczyńska
Monika Wiłkość-Dębczyńska
, Celestyna Grzywniak
Celestyna Grzywniak
Tytuł czasopisma/seriiAnnals of Agricultural and Environmental Medicine, ISSN 1232-1966, (N/A 70 pkt)
Rok wydania2019
Objętość publikacji w arkuszach wydawniczych0.5
Słowa kluczowe w języku angielskimtraumatic brain injury, awareness, coma, microgenetic theory, body language
Klasyfikacja ASJC2739 Public Health, Environmental and Occupational Health; 2311 Waste Management and Disposal; 1105 Ecology, Evolution, Behavior and Systematics
Językpl polski
LicencjaCzasopismo (tylko dla artykułów); licence.documentVersion.FINAL_PUBLISHED; Inna otwarta licencja; w dniu opublikowania
Punktacja (całkowita)70
PunktacjaPunktacja MNiSW = 70.0, 30-09-2019, ArticleFromJournal
Wskaźniki publikacji Scopus SNIP (Source Normalised Impact per Paper): 2017 = 0.736; Impact Factor WoS: 2017 = 1.116 (2) - 2017=1.323 (5)
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