Neurobehavioral and self-awareness changes after traumatic brain injury: Towards new multidimensional approaches

被引:37
作者
Arnould, A. [1 ,2 ,3 ]
Dromer, E. [1 ,3 ]
Rochat, L. [2 ,4 ]
Van der Linden, M. [2 ,4 ,5 ]
Azouvi, P. [1 ,3 ]
机构
[1] Hop Raymond Poincare, AP HP, Serv Med Phys & Readaptat, 104 Blvd Raymond Poincare, F-92380 Garches, France
[2] Univ Geneva, Unite Psychopathol & Neuropsychol Cognit, Geneva, Switzerland
[3] Univ Versailles St Quentin En Yvelines, HANDIReSP, EA 4047, F-78000 Versailles, France
[4] Univ Geneva, Swiss Ctr Affect Sci, Geneva, Switzerland
[5] Univ Liege, Unite Psychopathol Cognit, Liege, Belgium
关键词
Apathy; Impulsivity; Anosognosia; Traumatic brain injury; Multidimensional approach; APATHY; IMPULSIVITY; MODERATE; ANOSOGNOSIA; PERSONALITY; CAREGIVERS; MODEL; HEMIPLEGIA; INVENTORY; SEVERITY;
D O I
10.1016/j.rehab.2015.09.002
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Neurobehavioral and self-awareness changes are frequently observed following traumatic brain injury (TBI). These disturbances have been related to negative consequences on functional outcomes, caregiver distress and social reintegration, representing therefore a challenge for clinical research. Some studies have recently been conducted to specifically explore apathetic and impulsive manifestations, as well as self-awareness impairments in patients with TBI. These findings underlined the heterogeneity of clinical manifestations for each behavioral disturbance and the diversity of psychological processes involved. In this context, new multidimensional approaches taking into account the various processes at play have been proposed to better understand and apprehend the complexity and dynamic nature of these problematic behaviors. In addition, the involvement of social and environmental factors as well as premorbid personality traits have increasingly been addressed. These new multidimensional frameworks have the potential to ensure targeted and effective rehabilitation by allowing a better identification and therefore consideration of the various mechanisms involved in the onset of problematic behaviors. In this context, the main objective of this position paper was to demonstrate the interest of multidimensional approaches in the understanding and rehabilitation of problematic behaviors in patients with TBI. (C) 2015 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:18 / 22
页数:5
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