Article

Behavioral disorders are major sequelae of severe traumatic brain injury. Before
considering care management of these disorders, and in the absence of a precise
definition for TBI-related behavioral disorder, it is essential to refine,
according to the data from the literature, incidence, prevalence, predictive
factors of commonly admitted disruptive symptoms.
METHODS: Systematic review of
the literature targeting epidemiological data related to behavioral disorders
after traumatic brain injury in order to elaborate good practice recommendations
according to the methodology established by the French High Authority for Health.
RESULTS: Two hundred and ninety-nine articles were identified. The responsibility
of traumatic brain injury (TBI) in the onset of behavioral disorders is
unequivocal. Globally, behavioral disorders are twice more frequent after TBI
than orthopedic trauma without TBI (Masson et al., 1996). These disorders are
classified into disruptive primary behaviors by excess (agitation 11-70%,
aggression 25-39%, irritability 29-71%, alcohol abuse 7-26% drug abuse 2-20%),
disruptive primary behaviors by default (apathy 20-71%), affective disorders -
anxiety - psychosis (depression 12-76%, anxiety 0.8-24,5%, posttraumatic stress
11-18%, obsessive-compulsive disorders 1.2-30%, psychosis 0.7%), suicide attempts
and suicide 1%. DISCUSSION: The improvement of care management for behavioral
disorders goes through a first step of defining a common terminology. Four
categories of posttraumatic behavioral clinical symptoms are defined: disruptive
primary behaviors by excess,
by default, affective disorders-psychosis-anxiety,
suicide attempts and suicide. All these symptoms yield a higher prevalence than
in the general population.
They impact all of life's domains and are sustainable
over time.
CI - Copyright (c) 2015 Elsevier Masson SAS. All rights reserved.
- Troubles du comportement

Langue : ANGLAIS