Behavioral and Emotional Dyscontrol Following Traumatic Brain Injury: A Systematic Review of Neuroimaging and Electrophysiological Correlates.

Autor: Bryant BR; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: bbryan15@jhmi.edu., Richey LN; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Jahed S; Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI., Heinzerling A; Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA., Stevens DA; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Pace BD; Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA., Tsai J; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Bray MJC; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Esagoff AI; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Adkins J; Louisiana State University, Baton Rouge, LA., Cohen I; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Narapareddy BR; Hartford HealthCare, Hartford, CT., Rodriguez CP; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Jones MB; Baylor College of Medicine, Menninger Department of Psychiatry and Behavioral Sciences, One Baylor Plaza - BCM350, Houston, TX., Roper C; VA Maryland Healthcare System, Baltimore, MD., Goldwaser EL; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD; Sheppard Pratt Health System, Baltimore, MD., Lobner K; Johns Hopkins University School of Medicine, Welch Medical Library, Baltimore, MD., Siddiqi S; Department of Psychiatry, Brigham and Women's Hospital, Boston, MA., Sair HI; Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Lauterbach M; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD; Sheppard Pratt Health System, Baltimore, MD., Luna LP; Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Peters ME; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD., Trapp NT; Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, IA.
Jazyk: angličtina
Zdroj: Journal of the Academy of Consultation-Liaison Psychiatry [J Acad Consult Liaison Psychiatry] 2022 Nov-Dec; Vol. 63 (6), pp. 579-598. Date of Electronic Publication: 2022 May 23.
DOI: 10.1016/j.jaclp.2022.05.004
Abstrakt: Background: Behavioral and emotional dyscontrol commonly occur following traumatic brain injury (TBI). Neuroimaging and electrophysiological correlates of dyscontrol have not been systematically summarized in the literature to date.
Objective: To complete a systematic review of the literature examining neuroimaging and electrophysiological findings related to behavioral and emotional dyscontrol due to TBI.
Methods: A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant literature search was conducted in PubMed (MEDLINE), PsycINFO, EMBASE, and Scopus databases prior to May 2019. The database query yielded 4392 unique articles. These articles were narrowed based on specific inclusion criteria (e.g., clear TBI definition, statistical analysis of the relationship between neuroimaging and dyscontrol).
Results: A final cohort of 24 articles resulted, comprising findings from 1552 patients with TBI. Studies included civilian (n = 12), military (n = 10), and sport (n = 2) samples with significant variation in the severity of TBI incorporated. Global and region-based structural imaging was more frequently used to study dyscontrol than functional imaging or diffusion tensor imaging. The prefrontal cortex was the most common neuroanatomical region associated with behavioral and emotional dyscontrol, followed by other frontal and temporal lobe findings.
Conclusions: Frontal and temporal lesions are most strongly implicated in the development of postinjury dyscontrol symptoms although they are also the most frequently investigated regions of the brain for these symptom categories. Future studies can make valuable contributions to the field by (1) emphasizing consistent definitions of behavioral and emotional dyscontrol, (2) assessing premorbid dyscontrol symptoms in subjects, (3) utilizing functional or structural connectivity-based imaging techniques, or (4) restricting analyses to more focused brain regions.
(Copyright © 2022 Academy of Consultation-Liaison Psychiatry. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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