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
Hauptverfasser: Max, Jeffrey Edwin, Robertson, Brigitte Anna Marie, Lansing, Amy E
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container_title The journal of neuropsychiatry and clinical neurosciences
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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><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. 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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. 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source MEDLINE; American Psychiatric Publishing Journals (1997-Present); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Psychiatry Legacy Collection Online Journals 1844-1996
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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