Clinical Correlates of Aggressive Behavior After Traumatic Brain Injury

Tateno, Amane; Jorge, Ricardo E.; Robinson, Robert G.

doi:10.1176/jnp.15.2.155

Cited by 232 publications

(97 citation statements)

References 40 publications

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“…As some studies suggest that female offenders have often been abused physically and sexually (Brewer‐Smyth & Burgess, 2008; Brewer‐Smyth et al., 2004; Shiroma et al., 2010), they are at greater risk of sustaining a TBI. TBI itself may also be responsible for aggression and violent behaviors (Tateno, Jorge, & Robinson, 2003). In our sample, the leading cause of reported TBI was violence‐related mechanisms (7/21) and of those seven, five reported more than three TBIs.…”

Section: Discussionmentioning

confidence: 99%

Traumatic brain injury among female offenders in a prison population: results of the FleuryTBI study

et al. 2016

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AimThe study was designed to estimate the prevalence of traumatic brain injury (TBI) in a French prison population of female offenders, study the variables known to be associated with TBI, and compare our results with those obtained among male offenders as described in a previous paper.ParticipantsAll female offenders (adults and juveniles) consecutively admitted to Fleury‐Mérogis prison over a 3‐month period were included in the study.MethodDuring the admission procedure, female offenders were interviewed by healthcare staff using a self‐reported questionnaire.ResultsIn all, 100 female offenders were included. The rate of self‐reported TBI was high, with a prevalence of 21%. The first cause of TBI was violence related (35%) and a majority of female offenders with a history of TBI reported having sustained more than one TBI. When compared with those who did not report a TBI, epilepsy and use of alcohol were higher among female offenders with a history of TBI. Perceived health was significantly worse for women who reported a TBI.ConclusionsThis study findings provide additional evidence that TBI among offender populations is serious and that specific actions need to be developed and implemented in correctional settings such as screening for TBI upon arrival.

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Section: Discussionmentioning

confidence: 99%

Traumatic brain injury among female offenders in a prison population: results of the FleuryTBI study

et al. 2016

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“…Unfailingly, comorbid substance use diagnoses are pervasive [Swanson et al, 1990]. Additional factors are (1) a diagnosis of Paranoid Schizophrenia [Modestin and Ammann, 1996]; (2) symptoms [Link et al, 1998] although not as yet firmly established [see Appelbaum et al, 2000b;Stompe et al, 2004], threat control/over-ride; (3) young age [Hodgins et al, 1996]; (4) a history of exposure to childhood abuse [Monahan et al, 2000]; (5) sustaining traumatic brain injury [Tateno et al, 2003]; and (6) involuntary admission which could occur for many different reasons (e.g., suicide risk, poor self-care) one of which could be violent behavior [Foley et al, 2005]; we therefore decided to ascertain the lifetime number of voluntary and involuntary psychiatric hospitalizations to test as a potential contributing factor.…”

Section: Introductionmentioning

confidence: 99%

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Alia‐Klein

O’Rourke

Goldstein

et al. 2006

Aggressive Behavior

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Violence towards others by a minority of psychotic individuals is a significant public health concern. The severity of this otherdirected violence (ODV) in the community may be influenced by insight into illness and adherence to psychotropic medications; however, few studies have tested these associations. Sixty male psychotic inpatients, legally detained at a forensic unit in New York City, were assessed with semi-structured interviews, supplemented with information from hospital and official records, family members and the treating clinician. Results indicated that in this unique sample of detained persons with psychotic disorders; (1) increase in the severity of community violence is associated with medication non-adherence, all dimensions of poor insight into illness, and several previously reported covariates such as substance use comorbidity; (2) no relationship was found between insight and adherence in this particular sample; (3) multivariate analyses showed that select covariates, along with medication adherence, and select insight domains predicted a total of 73% of the magnitude of ODV behavior in this sample. Overall, medication nonadherence explained a large amount of how violently participants behaved toward others. Since non-adherence was independent of poor insight, it may be more worthwhile for clinicians to develop treatment strategies to target medication adherence without directly addressing an elusive target such as insight into illness. Treatment addressing medication adherence needs to concomitantly target substance use behaviors since the latter was responsible for a substantial increase in ODV. Aggr. Behav. 33:86-96, 2007. r

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“…One of the most common behavioral changes associated with TBI is an increased risk for violence and aggression, both acutely following injury and over the long-term (Filley et al, 2001;Dinn, Gansler, Moczynski, & Fulwiler, 2009). In a study comparing 89 patients with TBI (including all three severity levels, though primarily moderate and severe TBI) to 26 control patients, posttraumatic aggression was found significantly more often in the TBI group during the first six months following injury (Tateno, Jorge, & Robinson, 2003).…”

Section: Implications Of Traumatic Brain Injurymentioning

confidence: 99%

Traumatic Brain Injury and Executive Functioning in an Incarcerated Sample

Bernett¹,

Diamond²,

Melchert³

et al. 2013

PsycEXTRA Dataset

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TRAUMATIC BRAIN INJURY AND EXECUTIVE FUNCTIONING IN AN INCARCERATED SAMPLEAbigail A. Bernett, M.A.Marquette University, 2012 Incarcerated adults in the United States represent a significant segment of the population, and traumatic brain injury (TBI) in incarcerated populations has been identified as an area of public health concern. However, not much is known about it because research investigating TBI in incarcerated populations has focused primarily on its relationship to violent behavior. The existing research suggests that a history of TBI may be related to later violent behavior, criminal activity, mental health problems, and poorer institutional and community adjustment. Further, some of the cognitive deficits found in the general population following TBI, including executive dysfunction, have also been found in incarcerated populations. The purpose of the current study was to address a gap in the research by examining the relationship between TBI and executive functioning in a sample of adults incarcerated in the Federal Prison System. The study aimed to describe the neurocognitive functioning of the sample in the domains of IQ, executive functioning, verbal memory, attention, and motor skills. Further, hypotheses based on the theory of cognitive reserve were tested regarding the relationships between TBI, executive functioning, and institution behavior. Overall, the sample demonstrated average performance across the majority of cognitive domains tested. The range of scores in all domains spanned from profound impairment to superior performance. Multivariate analysis of variance was used to look for differences in executive functioning across varying levels of TBI severity, though no significant difference was found. Regression analyses found that lower cognitive reserve was associated with lower executive functioning, though structural equation modeling did not support a relationship between executive functioning and subsequent institutional behavior. Caveats in interpreting test scores, particularly in the domain of executive functioning, are discussed, along with possible explanations for differences in cognitive functioning across incarcerated subgroups. Based on the findings of this study, it is recommended that correctional institutions increase screening and cognitive testing of individuals who present with risk factors for possible executive dysfunction (e.g., history of violent offenses, TBI) in order to better classify the inmate population. Further, individualized treatment and the incorporation of programming that specifically targets executive dysfunction are recommended.

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Clinical Correlates of Aggressive Behavior After Traumatic Brain Injury

Cited by 232 publications

References 40 publications

Traumatic brain injury among female offenders in a prison population: results of the FleuryTBI study

Traumatic brain injury among female offenders in a prison population: results of the FleuryTBI study

Insight into illness and adherence to psychotropic medications are separately associated with violence severity in a forensic sample

Traumatic Brain Injury and Executive Functioning in an Incarcerated Sample

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