Acquired brain injury (ABI) is accompanied by impairments in social, emotional, cognitive and behavioural skills and highly prevalent in the population. Social and emotional skills are crucial for moral cognition, but the extent to which moral cognition contributes to social competence deficits in people with ABI is largely unclear.

To provide more insight on this topic, we conducted a scoping review according to the PRISMA guidelines. After screening 1269 articles that we obtained via PubMed and Scopus, we found 27 articles on moral cognition in ABI.

We encountered four important topics across these studies which include traumatic brain injury (TBI) versus non-TBI, the influence of the different approaches used to measure moral cognition in ABI, the role of age of onset and the role of location of the injury. Overall, evidence suggests that the earlier the brain damage occurred, the more this leads to impairments in moral cognitive functioning. The location of the injury furthermore seems to differentially affect the way impairments are manifested. Finally, we found that the use of different measurement approaches can heavily influence the interpretation of the impairment.

We conclude that impairments in moral cognition in people with ABI are derived from a complex interplay between the age of onset, the location and the approach used to index moral cognition.

获得性脑损伤 (ABI) 伴随着社会、情感、认知和行为技能的损害，并且在人群中非常普遍。社交和情感技能对道德认知至关重要，但道德认知对 ABI 患者社交能力缺陷的影响程度尚不清楚。

为了提供有关此主题的更多见解，我们根据 PRISMA 指南进行了范围审查。通过 PubMed 和 Scopus 对我们获得的 1269 篇文章进行筛选后，我们在 ABI 中找到了 27 篇关于道德认知的文章。

我们在这些研究中遇到了四个重要主题，包括创伤性脑损伤 (TBI) 与非 TBI、用于测量 ABI 中道德认知的不同方法的影响、发病年龄的作用和损伤位置的作用。总体而言，有证据表明，脑损伤发生得越早，导致道德认知功能受损的程度就越大。此外，损伤的位置似乎对损伤的表现方式有不同的影响。最后，我们发现使用不同的测量方法会严重影响对损伤的解释。

我们得出结论，ABI 患者的道德认知障碍源于发病年龄、位置和用于指示道德认知的方法之间的复杂相互作用。