Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Max, J. E. Articles by Lansing, A. E. Search for Related Content PubMed Citation Articles by Max, J. E. Articles by Lansing, A. E. Traumatic Brain Injury

The Phenomenology of Personality Change Due to Traumatic Brain Injury in Children and Adolescents

Received November 29, 1999; revised April 21, 2000; accepted June 6, 2000. From the Department of Psychiatry, University of Iowa, Iowa City, Iowa. Address correspondence to Dr. Max, University of California, San Diego, Neuropsychiatric Research, Children's Hospital, Children's Outpatient Psychiatry, 3665 Kearny Villa Road, Suite 101, San Diego, CA 92123.

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.

Key Words: Traumatic Brain Injury • Personality • Children and Adolescents

This article has been cited by other articles:

				E. Kim, E. C. Lauterbach, A. Reeve, D. B. Arciniegas, K. L. Coburn, M. F. Mendez, T. A. Rummans, and E. C. Coffey Neuropsychiatric Complications of Traumatic Brain Injury: A Critical Review of the Literature (A Report by the ANPA Committee on Research) J Neuropsychiatry Clin Neurosci, May 1, 2007; 19(2): 106 - 127. [Abstract] [Full Text] [PDF]

				J. E. Max, H. S. Levin, R. J. Schachar, J. Landis, A. E. Saunders, L. Ewing-Cobbs, S. B. Chapman, and M. Dennis Predictors of Personality Change Due to Traumatic Brain Injury in Children and Adolescents Six to Twenty-Four Months After Injury. J Neuropsychiatry Clin Neurosci, December 1, 2006; 18(1): 21 - 32. [Abstract] [Full Text] [PDF]

				S. G. Sugden, S. J. Kile, and R. L. Hendren Neurodevelopmental Pathways to Aggression: A Model to Understand and Target Treatment in Youth J Neuropsychiatry Clin Neurosci, August 1, 2006; 18(3): 302 - 317. [Abstract] [Full Text] [PDF]

				R. van Reekum, D. T. Stuss, and L. Ostrander Apathy: Why Care? J Neuropsychiatry Clin Neurosci, February 1, 2005; 17(1): 7 - 19. [Abstract] [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2001 American Neuropsychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us