A Cross-Sectional Study of Treatments for Behavioral Disorders Following Traumatic Brain Injury
| Autor: | Bourseau, Tiphaine, Saoût, Virginie, Ali, Pauline, Pouliquen-Loriferne, Uriell, Allain, Philippe, Dinomais, Mickaël |
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| Přispěvatelé: | Centre Hospitalier Universitaire d'Angers (CHU Angers), PRES Université Nantes Angers Le Mans (UNAM), Processus de pensée et interventions, Université d'Angers (UA), Laboratoire Angevin de Recherche en Ingénierie des Systèmes (LARIS) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of Head Trauma Rehabilitation Journal of Head Trauma Rehabilitation, Lippincott, Williams & Wilkins, 2019, 34 (4), pp.E51-E60. ⟨10.1097/HTR.0000000000000452⟩ |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/HTR.0000000000000452⟩ |
| Popis: | International audience; OBJECTIVE: To give a cross-sectional overview of ongoing management of behavioral disorders following traumatic brain injury (TBI) in a region of France, to compare this with recent recommendations from the French Society of Physical Medicine and Rehabilitation (SOFMER), and to evaluate associations between treatments and participant characteristics.SETTING: Outpatients referred to medical or community-based facilities in a region of France.PARTICIPANTS: One hundred twenty-nine adults with moderate to severe TBI, in the postacute period (over 3 months postinjury).DESIGN: Cross-sectional cohort study.MAIN MEASURES: Sociodemographic data, ongoing interventions including psychotherapy and medication, behavioral disorders assessed by the Behavioral Dysexecutive Syndrome Inventory (BDSI).RESULTS: Thirty-three percent of participants received ongoing psychotherapy and 43% were on medication. The most prescribed medications were antidepressants (21%), neuroleptics (18%), anxiolytics (16%), and mood stabilizers (14%). Eighty-five participants (71%) presented a current Behavioral Dysexecutive Syndrome (BDS) according to the BDSI. These participants more frequently received treatment (P = .004), psychotherapy (P = .048), medications (often 2 or more) (P = .007), and particularly antiepileptic mood stabilizers (P = .037) compared with those without BDS.CONCLUSION: Although recommended as first-line treatment, few participants with BDS received psychotherapy. Medications were overused, especially neuroleptics in view of their potential adverse effects. In contrast, recommended medications, such as mood stabilizers and β-blockers, did not appear to be highly prescribed whatever the evolution. Compliance with recommendations seemed insufficient. |
| Databáze: | OpenAIRE |
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