The Phenomenology of Personality Change Due to Traumatic Brain Injury in Children and Adolescents
The authors aimed to contribute a clinically rich description of personality change due to traumatic brain injury (PC) in children. The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain inj...
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Veröffentlicht in: | The journal of neuropsychiatry and clinical neurosciences 2001, Vol.13 (2), p.161-170 |
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creator | Max, Jeffrey Edwin Robertson, Brigitte Anna Marie Lansing, Amy E |
description | The authors aimed to contribute a clinically rich description of personality change due to traumatic brain injury (PC) in children. The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain injury (TBI). A standardized psychiatric interview, the Neuropsychiatric Rating Schedule, was used to elicit symptoms of PC. PC occurred in 59% of severe (22 37) and 5% of mild moderate (3 57) TBI subjects. Among the 37 severe TBI subjects, the labile subtype of PC was the most common (49%), followed by the aggressive and disinhibited subtypes (38% each), apathy (14%), and paranoia (5%). Also frequent in severe TBI was perseveration (35%). A detailed case example, numerous clinical vignettes of PC symptoms, and a tabulation of their frequencies provide clinicians a broader frame of reference for eliciting symptoms of PC. |
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The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain injury (TBI). A standardized psychiatric interview, the Neuropsychiatric Rating Schedule, was used to elicit symptoms of PC. PC occurred in 59% of severe (22 37) and 5% of mild moderate (3 57) TBI subjects. Among the 37 severe TBI subjects, the labile subtype of PC was the most common (49%), followed by the aggressive and disinhibited subtypes (38% each), apathy (14%), and paranoia (5%). Also frequent in severe TBI was perseveration (35%). A detailed case example, numerous clinical vignettes of PC symptoms, and a tabulation of their frequencies provide clinicians a broader frame of reference for eliciting symptoms of PC.</description><identifier>ISSN: 0895-0172</identifier><identifier>EISSN: 1545-7222</identifier><identifier>DOI: 10.1176/jnp.13.2.161</identifier><identifier>PMID: 11449023</identifier><identifier>CODEN: JNCNE7</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adolescent ; Adult and adolescent clinical studies ; Biological and medical sciences ; Brain Injuries - complications ; Brain Injuries - psychology ; Child ; Female ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Personality Assessment ; Personality Development ; Personality disorders ; Personality Disorders - classification ; Personality Disorders - etiology ; Personality Disorders - psychology ; Prospective Studies ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Retrospective Studies ; Traumas. Diseases due to physical agents</subject><ispartof>The journal of neuropsychiatry and clinical neurosciences, 2001, Vol.13 (2), p.161-170</ispartof><rights>2001 INIST-CNRS</rights><rights>Copyright American Psychiatric Press, Inc. 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The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain injury (TBI). A standardized psychiatric interview, the Neuropsychiatric Rating Schedule, was used to elicit symptoms of PC. PC occurred in 59% of severe (22 37) and 5% of mild moderate (3 57) TBI subjects. Among the 37 severe TBI subjects, the labile subtype of PC was the most common (49%), followed by the aggressive and disinhibited subtypes (38% each), apathy (14%), and paranoia (5%). Also frequent in severe TBI was perseveration (35%). A detailed case example, numerous clinical vignettes of PC symptoms, and a tabulation of their frequencies provide clinicians a broader frame of reference for eliciting symptoms of PC.</description><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - psychology</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Personality Assessment</subject><subject>Personality Development</subject><subject>Personality disorders</subject><subject>Personality Disorders - classification</subject><subject>Personality Disorders - etiology</subject><subject>Personality Disorders - psychology</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Retrospective Studies</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0895-0172</issn><issn>1545-7222</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0M1r2zAYBnAxNta0623nIUYpDOZMryxL1rHLPlootIf0LF7LcuNgS55kH_LfTyOBlbGDkAQ_Hr16CHkPbA2g5Je9n9ZQrvkaJLwiK6hEVSjO-WuyYrWuCgaKn5HzlPaMMV5K8ZacAQih82VFcLtz9HHnfBjzGsLzgYaOPrqYgsehnw90s0P_7Oi3xdE50G3EZcS5t_RrxN7TO79f4oHm02bXD210nqJv6U0bBpes83N6R950OCR3edovyNOP79vNbXH_8PNuc3NfINd8LqxolXWOWwlVCULrWjeqajSTYBk4XTdOMStLJkTXSMGUqG2nW41diRy7prwg18fcKYZfi0uzGfs8wTCgd2FJRjGtheIiw4__wH1YYv5tMqArXom6rjL6fEQ2hpSi68wU-xHjwQAzf3o3uXcDpeEm9575h1Pm0oyu_YtPRWdwdQKYLA5dRG_79CKUS6lYZp-ODKepfzHX_978DeWAl5s</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Max, Jeffrey Edwin</creator><creator>Robertson, Brigitte Anna Marie</creator><creator>Lansing, Amy E</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Press</general><general>American Psychiatric Publishing, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>2001</creationdate><title>The Phenomenology of Personality Change Due to Traumatic Brain Injury in Children and Adolescents</title><author>Max, Jeffrey Edwin ; Robertson, Brigitte Anna Marie ; Lansing, Amy E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a292t-c4d7cee2c6153149989b75b9061c01e98be70c63044fb640748cf9d9af3a2afb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - psychology</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Personality Assessment</topic><topic>Personality Development</topic><topic>Personality disorders</topic><topic>Personality Disorders - classification</topic><topic>Personality Disorders - etiology</topic><topic>Personality Disorders - psychology</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Retrospective Studies</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Max, Jeffrey Edwin</creatorcontrib><creatorcontrib>Robertson, Brigitte Anna Marie</creatorcontrib><creatorcontrib>Lansing, Amy E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of neuropsychiatry and clinical neurosciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Max, Jeffrey Edwin</au><au>Robertson, Brigitte Anna Marie</au><au>Lansing, Amy E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Phenomenology of Personality Change Due to Traumatic Brain Injury in Children and Adolescents</atitle><jtitle>The journal of neuropsychiatry and clinical neurosciences</jtitle><addtitle>J Neuropsychiatry Clin Neurosci</addtitle><date>2001</date><risdate>2001</risdate><volume>13</volume><issue>2</issue><spage>161</spage><epage>170</epage><pages>161-170</pages><issn>0895-0172</issn><eissn>1545-7222</eissn><coden>JNCNE7</coden><abstract>The authors aimed to contribute a clinically rich description of personality change due to traumatic brain injury (PC) in children. The sample consisted of consecutively injured children. Ninety-four subjects ages 5 to 14 years were assessed at the time of hospitalization after a traumatic brain injury (TBI). A standardized psychiatric interview, the Neuropsychiatric Rating Schedule, was used to elicit symptoms of PC. PC occurred in 59% of severe (22 37) and 5% of mild moderate (3 57) TBI subjects. Among the 37 severe TBI subjects, the labile subtype of PC was the most common (49%), followed by the aggressive and disinhibited subtypes (38% each), apathy (14%), and paranoia (5%). Also frequent in severe TBI was perseveration (35%). A detailed case example, numerous clinical vignettes of PC symptoms, and a tabulation of their frequencies provide clinicians a broader frame of reference for eliciting symptoms of PC.</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>11449023</pmid><doi>10.1176/jnp.13.2.161</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Adult and adolescent clinical studies Biological and medical sciences Brain Injuries - complications Brain Injuries - psychology Child Female Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Personality Assessment Personality Development Personality disorders Personality Disorders - classification Personality Disorders - etiology Personality Disorders - psychology Prospective Studies Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Retrospective Studies Traumas. Diseases due to physical agents |
title | The Phenomenology of Personality Change Due to Traumatic Brain Injury in Children and Adolescents |
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