Executive disorders and perceived socio‐emotional changes after traumatic brain injury

Rochat, Lucien; Ammann, Jussara.; Mayer, Eugene P.; Annoni, Jean‐Marie; Linden, Martial Van der

doi:10.1348/174866408x397656

Cited by 47 publications

(28 citation statements)

References 48 publications

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“…32 In individuals who have sustained TBI, social and behavioral changes after the injury can be associated with the cognitive impairment acquired due to primary and secondary lesions related to the trauma, particularly those related to executive functions. 33 Thus, at least part of the personality changes displayed by the patient could be associated with this cognitive impairment, which, in turn, is related to the ability of the patient to return to their work activities. In a study by Benedictus et al, the cognitive performance of patients with moderate to severe TBI was associated with RTW independently of their level of functional independence.…”

Section: Discussionmentioning

confidence: 99%

Personality changes and return to work after severe traumatic brain injury: a prospective study

Diaz

Schwarzbold

Thais

et al. 2014

Rev. Bras. Psiquiatr.

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Objective: To evaluate predictors of non-return to work (nRTW) among social, demographic, clinical, and psychiatric variables after severe traumatic brain injury (TBI) in a cohort of Brazilian patients. Methods: Prospective study. Forty-three community-dwelling individuals treated at a Level I trauma center at the time of TBI were evaluated 18 months after trauma. Measures included DSM-IV-TR criteria for personality changes after TBI and Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) to assess psychiatric diagnosis. Hospitalization variables included Glasgow Coma Scale scores, pupil examination findings, associated limb trauma, Marshall computed tomography classification, and blood glucose levels. Results: After multiple logistic regression analysis, only the diagnosis of personality changes was found to be independently associated with nRTW, with an adjusted odds ratio of 10.92 (p = 0.02, 95% confidence interval 1.41-84.28). Conclusions: In this study, personality changes were an independent predictor of nRTW after severe TBI. Ways to predict risk factors associated with personality changes after severe brain injury could aid in identification of early and effective interventions that might ease the burden associated with this condition.

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Section: Discussionmentioning

confidence: 99%

Personality changes and return to work after severe traumatic brain injury: a prospective study

Diaz

Schwarzbold

Thais

et al. 2014

Rev. Bras. Psiquiatr.

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“…This might be caused by posttraumatic affective disorder, which may occur after brain injury or posttraumatic stress disorder (26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

Aesthetic outcome in patients after polymethyl-methacrylate (PMMA) cranioplasty — a questionnaire-based single-centre study

Fischer

Burkhardt

Sarnthein

et al. 2012

Neurological Research

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OBJECTIVES: Acquired skull deformities are common and most likely treated surgically by cranioplasty. Since data on patient aesthetic outcome after cranioplasty are rare in literature, we aimed to assess patient satisfaction after polymethyl-methacrylate (PMMA) cranioplasty in this study using a questionnaire. METHODS: A patient questionnaire was developed to evaluate the grade of satisfaction after surgery. After approval by the institutional ethical review board, we were allowed to send to all 115 patients, who received a cranioplasty from 2001 to 2008 at the University Hospital of Zurich, our questionnaire once to retrospectively analyze the patient response together with the patient hospital records. RESULTS: Out of 115 patients, 36 patients were lost to follow-up and our questionnaire was sent out once to 79 patients. Sixty-three of 79 patients replied to the questionnaire (79·7%) and 16 did not reply. Seventeen declined to participate in this study and out of the remaining 46 patients (58·2%, 18 women, mean age 54 years, range 20-83 years), who agreed to participate in this study, 22 (47·8%) judged their cranioplasty to be aesthetically 'excellent', 16 (34·8%) 'favorable' and 4 (8·7%) 'poor'. Another four patients (8·7%) were not satisfied, asking for a surgical revision. Patient age and gender was not related to the assessment of the aesthetic result. A higher satisfaction grade was found in patients with primary PMMA cranioplasty compared to PMMA cranioplasty implanted during a second surgery (Fisher's exact test, P = 0·031). A dent was strongly associated with absence of satisfaction (P<0·01, Fisher's exact test). CONCLUSION: Our questionnaire was suitable to assess patient satisfaction after cranioplasty. Localization of cranioplasty showed to be an important factor of aesthetic outcome, especially in the fronto-temporal region where a carefully planned reconstruction should be performed to guarantee an excellent grade of satisfaction after surgery. AbstractObjectives Acquired skull deformities are common and most likely treated surgically by cranioplasty. Since data on patient aesthetic outcome after cranioplasty are rare in literature, we aimed to assess patient satisfaction after polymethyl-methacrylate (PMMA) cranioplasty in this study using a questionnaire.Methods A patient questionnaire was developed to evaluate the grade of satisfaction after Results Out of 115 patients, 36 patients were lost to follow-up and our questionnaire was sent out once to 79 patients. 63 of 79 patients replied to the questionnaire (79.7%) and 16 did not reply. 17 declined to participate in this study and out of the remaining 46 patients (58.2%, 18women, mean age 54y, range 20-83y), who agreed to participate in this study, 22 (47.8%) judged their cranioplasty to be aesthetically "excellent", 16 (34.8%) "favorable" and 4 (8.7%) "poor". Another 4 patients (8.7%) were not satisfied, asking for a surgical revision. Patient age and gender was not related to the assessment of the aesthetic result. A higher satisfact...

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“…In this perspective, the increase in impulsivity observed on the urgency, lack of premeditation and lack of perseverance dimensions in patients with TBI is congruent with the inhibition of pre-potent responses , sustained attention , decision-making processes (Levine et al, 2005), planning (Fortin, Godbout, & Braun, 2003) and working memory (e.g., VallatAzouvi, Weber, Legrand, & Azouvi, 2007) deficits observed after TBI. In the same vein, a recent study highlighted that poor multitasking performances had been specifically related to the occurrence of externalising behaviours in a sample of patients with TBI (Rochat, Ammann, Mayer, Annoni, & Van der Linden, 2009), suggesting that it might be particularly relevant to consider specific executive processes to better understand neurobehavioural disorders after TBI. In this context, the theoretical framework surrounding the 790 ROCHAT ET AL.…”

Section: Discussionmentioning

confidence: 99%

Assessment of impulsivity after moderate to severe traumatic brain injury

Rochat

Beni

Billieux

et al. 2010

Neuropsychological Rehabilitation

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The aim of the study was to develop and validate a short questionnaire assessing four dimensions of impulsivity (urgency, lack of premeditation, lack of perseverance, sensation seeking) in patients with traumatic brain injury (TBI). To this end, 82 patients with TBI and their caregivers completed a short questionnaire adapted from the UPPS Impulsive Behavior Scale designed to assess impulsivity changes after TBI. Confirmatory factor analyses (CFAs) performed on the version of the scale completed by the relatives revealed that a hierarchical model holding that lack of premeditation and lack of perseverance are facets of a higher order construct (lack of conscientiousness), with urgency and sensation seeking as separate correlated factors, fit the data best. Urgency, lack of premeditation, and lack of perseverance increased after the TBI, whereas sensation seeking decreased. CFA failed to reveal a satisfactory model in the version of the scale completed by the patients. The psychological processes related to these impulsivity changes and the discrepancy observed between self-report and informant-report are discussed. This short questionnaire opens up interesting prospects for better comprehension and assessment of behavioural symptoms of TBI.

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Executive disorders and perceived socio‐emotional changes after traumatic brain injury

Cited by 47 publications

References 48 publications

Personality changes and return to work after severe traumatic brain injury: a prospective study

Personality changes and return to work after severe traumatic brain injury: a prospective study

Aesthetic outcome in patients after polymethyl-methacrylate (PMMA) cranioplasty — a questionnaire-based single-centre study

Assessment of impulsivity after moderate to severe traumatic brain injury

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