title: Prevalence, clinical features, and correlates of inappropriate sexual behavior after traumatic brain injury: a multicenter study.
abstract: OBJECTIVE
  Investigate the prevalence and clinical features of inappropriate sexual behavior (ISB) among a community-based cohort of clients of the New South Wales Brain Injury Rehabilitation program.
  
  
  METHODS
  All 11 community-based rehabilitation services of the statewide network.
  
  
  METHODS
  Five hundred seven clients with severe traumatic brain injury.
  
  
  METHODS
  Cross-sectional multicentre study.
  
  
  METHODS
  Overt Behavior Scale, Disability Rating Scale, Sydney Psychosocial Reintegration Scale-2, Health of the Nation Outcome Scale-Acquired Brain Injury, Care and Needs Scale.
  
  
  RESULTS
  The point prevalence rate of ISBs was 8.9% (45/507) over the previous 3 months. Inappropriate sexual talk comprised 57.9% of all ISBs, followed by genital and nongenital touching behaviors (29.8%) and exhibitionism/public masturbation (10.5%). In 43 of 45 cases, ISBs were accompanied by other challenging behaviors, most often inappropriate social behavior, and/or aggression. Individuals who sustained more severe injuries and who were younger were significantly more likely to display ISBs. People displaying ISBs were more likely to display higher levels of challenging behaviors overall, lower levels of social participation, and more neuropsychiatric sequelae than 2 other groups: people displaying no challenging behaviors and people displaying challenging behaviors but no ISBs respectively.
  
  
  CONCLUSIONS
  ISBs pose a complex clinical challenge among a minority of individuals with severe TBI.
authors: Liverpool Brain Injury Rehabilitation Unit, Liverpool Hospital, Sydney, Australia. grahame.simpson@sswahs.nsw.gov.au
authors: Grahame K
authors: GK
authors: Simpson
authors: Mark
authors: M
authors: Sabaz
authors: Maysaa
authors: M
authors: Daher
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000150:complications / Q000523:psychology / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D015995:Prevalence; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000453:epidemiology*; D058992:Social Participation; D014110:Touch; D055815:Young Adult