Aggression after traumatic brain injury: prevalence and correlates.
Aggression after traumatic brain injury (TBI) is common but not well defined. Sixty-seven participants with first-time TBI were evaluated for aggression within 3 months of injury. The prevalence of aggression was found to be 28.4%, predominantly verbal aggression. Post-TBI aggression was associated with new-onset major depression (p=0.02), poorer social functioning (p=0.04), and increased dependency in activities of daily living (p=0.03), but not with a history of substance abuse or adult/childhood behavioral problems. Implications of the study include early screening for aggression, evaluation for depression, and consideration of psychosocial support in aggressive patients.
Rao
Vani
V
Division of Neuropsychiatry & Geriatric Psychiatry, Dept. of Psychiatry, Johns Hopkins University, 5300 Alpha Commons Dr., 4th Floor, #444, Baltimore, MD 21224, USA. vrao@jhmi.edu
Rosenberg
Paul
P
Bertrand
Melaine
M
Salehinia
Saeed
S
Spiro
Jennifer
J
Vaishnavi
Sandeep
S
Rastogi
Pramit
P
Noll
Kathy
K
Schretlen
David J
DJ
Brandt
Jason
J
Cornwell
Edward
E
Makley
Michael
M
Miles
Quincy Samus
QS
D000203:Activities of Daily Living; D000328:Adult; D000374:Aggression / Q000523:psychology*; D001930:Brain Injuries / Q000150:complications* / Q000523:psychology; D016022:Case-Control Studies; D003865:Major Depressive Disorder / Q000150:complications*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D018579:Patient Selection; D011446:Prospective Studies; D012044:Regression Analysis; D012917:Social Adjustment; D012919:Social Behavior; D012944:Social Support