Article

Neurobehavioral and self-awareness changes are frequently observed following
traumatic brain injury (TBI). These disturbances have been related to negative
consequences on functional outcomes, caregiver distress and social reintegration,
representing therefore a challenge for clinical research. Some studies have
recently been conducted to specifically explore apathetic and impulsive
manifestations, as well as self-awareness impairments in patients with TBI.
These findings underlined the heterogeneity of clinical manifestations for each
behavioral disturbance and the diversity of psychological processes involved. In
this context, new multidimensional approaches taking into account the various
processes at play have been proposed to better understand and apprehend the
complexity and dynamic nature of these problematic behaviors.
In addition, the
involvement of social and environmental factors as well as premorbid personality
traits have increasingly been addressed. These new multidimensional frameworks
have the potential to ensure targeted and effective rehabilitation by allowing a
better identification and therefore consideration of the various mechanisms
involved in the onset of problematic behaviors. In this context, the main
objective of this position paper was to demonstrate the interest of
multidimensional approaches in the understanding and rehabilitation of
problematic behaviors in patients with TBI.
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Langue : ANGLAIS