title: Assessing frontal behavioral syndromes and cognitive functions in traumatic brain injury.
abstract: This study examined the relationship between individual and family ratings on a measure of frontal behaviors using the Frontal Systems Behavior Scale (FrSBe). Additionally, this study investigated whether self-reported symptoms of frontal-lobe dysfunction correspond to neuropsychological performance, particularly those tests measuring executive functions. Thirty-three individuals with moderate-to-severe traumatic brain injury (TBI) and 19 healthy individuals completed the FrSBe and neuropsychological measures. Results indicated that the self-ratings of individuals' apathy, disinhibition, and executive dysfunction significantly increased from before to after injury, as did the family members' ratings, with no significant difference between the patients' and family members' reports for any of the three FrSBe subscales. Although individuals with TBI demonstrated impairments in neuropsychological measures, including measures of executive functioning, few significant correlations were found between the patients' FrSBe ratings and measures of cognitive functioning. This suggests that information from the FrSBe may differ from information gathered during a cognitive evaluation and may enhance our understanding of the behavioral sequelae following TBI that may not be captured by neuropsychological assessment alone.
authors.affiliation: a Kessler Foundation Research Center , West Orange.
authors.forename: Jeannie
authors.initials: J
authors.lastname: Lengenfelder
authors.forename: Aparna
authors.initials: A
authors.lastname: Arjunan
authors.forename: Nancy
authors.initials: N
authors.lastname: Chiaravalloti
authors.forename: Angela
authors.initials: A
authors.lastname: Smith
authors.forename: John
authors.initials: J
authors.lastname: DeLuca
mesh_terms: D000293:Adolescent; D000328:Adult; D057565:Apathy / Q000502:physiology*; D001930:Brain Injuries / Q000150:complications* / Q000503:physiopathology / Q000523:psychology; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000523:psychology; D056344:Executive Function / Q000502:physiology*; D005260:Female; D005625:Frontal Lobe / Q000503:physiopathology*; D006801:Humans; D007266:Inhibition, Psychological; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D055815:Young Adult
keywords: executive functions; frontal behaviors; traumatic brain injury