Behavioral and Psychiatric Comorbidities of TBI

Robert L. Collins, Hannah L. Combs, Shannon R. Miles, Nicholas J. Pastorek, Andra Teten Tharp, Thomas A. Kent

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Traumatic brain injury (TBI) is associated with a variety of behavioral consequences, including symptoms of depression, anxiety, aggression, and impulse control and overlaps with many of the symptoms of posttraumatic stress and posttraumatic stress disorder. There are many challenges to researchers and clinicians, including heterogeneity of the injury, distinguishing premorbid characteristics from the consequences of the TBI, lack of specificity in diagnostic criteria, and the absence of systematic therapeutic trials. In this chapter, we present an overview of the literature on psychiatric and behavioral consequences of TBI, highlighting those studies that investigate the incidence of these conditions, contribution of premorbid functioning to subsequent symptoms, and characteristics of mild TBI (frequently referred to as concussion) that provide clues to distinguishing it from other psychiatric comorbidities. Our analysis of the available literature suggests that in some but not all cases, TBI may diminish inhibitory control over certain behaviors, while in others there may be an exacerbation of clinical expression of psychiatric symptoms. Potential treatments need to consider the possibility of adverse events in patients who have suffered a TBI, and prospective trials should be encouraged.

Original languageEnglish (US)
Title of host publicationTraumatic Brain Injury
Subtitle of host publicationA Clinician’s Guide to Diagnosis, Management, and Rehabilitation: Second Edition
PublisherSpringer International Publishing
Pages239-261
Number of pages23
ISBN (Electronic)9783030224363
ISBN (Print)9783030224356
DOIs
StatePublished - Jan 1 2019

Keywords

  • Aggression
  • Depression
  • Impulsive aggression
  • Military
  • Postconcussion syndrome
  • Posttraumatic stress disorder
  • Suicide
  • Traumatic brain injury
  • Veteran

ASJC Scopus subject areas

  • Medicine(all)

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