Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury

Maarten Valentijn Milders, John Robertson Crawford, S. Fuchs

Research output: Contribution to journalArticle

194 Citations (Scopus)

Abstract

Changes in emotional and social behaviour are relatively common following severe traumatic brain injury (TBI). Despite the serious consequences of these changes, little is known about the underlying neuropsychological. deficits. In this study, we investigated which deficits might underlie these behavioural changes. The emotional and social behaviour of 17 patients with severe TBI was assessed with questionnaires, completed by the patient and a relative. Neuropsychological tests assessed recognition of emotional expressions, understanding of other people's mental states and cognitive fluency. Ratings from patients and relatives revealed changes in emotional and social behaviour after injury. Compared to matched healthy controls, the patients were impaired at recognising facial and vocal expressions of emotions, detecting social faux pas and nonverbal fluency. None of these impairments was significantly associated with the relatives' ratings of behavioural problems following TBI, although the correlation with detecting social faux pas was relatively high (r = -.61).

Original languageEnglish
Pages (from-to)157-172
Number of pages15
JournalJournal of Clinical and Experimental Neuropsychology
Volume25
Issue number2
Publication statusPublished - 2003

Keywords

  • CLOSED-HEAD INJURY
  • PSYCHOSOCIAL ADJUSTMENT
  • SEQUELAE
  • MIND
  • PERSONALITY
  • CHILDREN
  • VALIDITY
  • EMPATHY
  • TBI

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