[Non-pharmacological treatment of neurobehavioural disorders following severe traumatic brain injury. A commented literature review].
OBJECTIVE
Neurobehavioural disorders are a major public health problem and a daily challenge for neurological rehabilitation. This review presents the state of art in the field of traumatic brain injury regarding non-pharmacological treatments of neurobehavioral disorders.


METHODS
Medline data base and main reference books going back for 15 years were searched.


RESULTS
Prevention is based on information and counselling for a better coherence in the care and a better understanding of behaviour problems. Prevention of complications is based on adaptation of units and management (one-on-one care for example). Non-pharmacological treatment can be classified according to 3 approaches: (1) Behavioural approaches: with well-established procedures for each patient; (2) Holistic approaches: addressing both lesional and psychopathological as well as environmental features; (3) Psychotherapeutic approaches: either integrated to holistic programs, or adapted from classical psychotherapy, or systemic therapy.


CONCLUSIONS
Practices trend to a convergence through a comprehensive approach: behaviour analysis and management of its neuropsychological, psychopathological and environmental components. Everybody will be able to pick out elements adaptable for his own practice.
Fayol
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Service de psycho-réhabilitation, centre hospitalier Esquirol, 15, rue du Docteur-Marcland, 87025 Limoges cedex, France. patrick.fayol@unilim.fr
D001521:Behavior Therapy; D001930:Brain Injuries / Q000150:complications* / Q000523:psychology* / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D004777:Environment; D006694:Holistic Health; D006801:Humans; D001523:Mental Disorders / Q000209:etiology* / Q000523:psychology / Q000628:therapy*; D009422:Nervous System Diseases / Q000209:etiology / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy