Emotional and Behavioral Dyscontrol After Traumatic Brain Injury

被引:130
作者
Arciniegas, David B. [1 ,2 ,3 ]
Wortzel, Hal S. [1 ,3 ,4 ]
机构
[1] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Beth K & Stuart C Yudofsky Div Neuropsychiat, Houston, TX 77030 USA
[2] TIRR Mem Hermann, Brain Injury Res Ctr, Houston, TX USA
[3] Univ Colorado, Sch Med, Dept Psychiat, Neuropsychiat Serv, Aurora, CO USA
[4] VISN 19 MIRECC, Denver Vet Med Ctr, Denver, CO USA
关键词
Pathological laughing and crying; Affective lability; Irritability; Management; Aggression; Traumatic brain injury; Assessment; Disinhibition; CLOSED-HEAD-INJURY; SOCIAL COMMUNICATION-SKILLS; RANDOMIZED CONTROLLED-TRIAL; OF-THE-LITERATURE; AFFECTIVE INSTABILITY; COGNITIVE REHABILITATION; BORDERLINE PERSONALITY; AGGRESSIVE-BEHAVIOR; NEUROPSYCHIATRIC INVENTORY; POSTCONCUSSIVE SYMPTOMS;
D O I
10.1016/j.psc.2013.12.001
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Emotional and behavioral dyscontrol are relatively common neuropsychiatric sequelae of traumatic brain injury and present substantial challenges to recovery and community participation. Among the most problematic and functionally disruptive of these types of behaviors are pathologic laughing and crying, affective lability, irritability, disinhibition, and aggression. Managing these problems effectively requires an understanding of their phenomenology, epidemiology, and clinical evaluation. This article reviews these issues and provides clinicians with brief and practical suggestions for the management of emotional and behavioral dyscontrol.
引用
收藏
页码:31 / +
页数:24
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