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A Cross-Sectional Study of Treatments for Behavioral Disorders Following Traumatic Brain Injury

Abstract : OBJECTIVE: To give a cross-sectional overview of ongoing management of behavioral disorders following traumatic brain injury (TBI) in a region of France, to compare this with recent recommendations from the French Society of Physical Medicine and Rehabilitation (SOFMER), and to evaluate associations between treatments and participant characteristics. SETTING: Outpatients referred to medical or community-based facilities in a region of France. PARTICIPANTS: One hundred twenty-nine adults with moderate to severe TBI, in the postacute period (over 3 months postinjury). DESIGN: Cross-sectional cohort study. MAIN MEASURES: Sociodemographic data, ongoing interventions including psychotherapy and medication, behavioral disorders assessed by the Behavioral Dysexecutive Syndrome Inventory (BDSI). RESULTS: Thirty-three percent of participants received ongoing psychotherapy and 43% were on medication. The most prescribed medications were antidepressants (21%), neuroleptics (18%), anxiolytics (16%), and mood stabilizers (14%). Eighty-five participants (71%) presented a current Behavioral Dysexecutive Syndrome (BDS) according to the BDSI. These participants more frequently received treatment (P = .004), psychotherapy (P = .048), medications (often 2 or more) (P = .007), and particularly antiepileptic mood stabilizers (P = .037) compared with those without BDS. CONCLUSION: Although recommended as first-line treatment, few participants with BDS received psychotherapy. Medications were overused, especially neuroleptics in view of their potential adverse effects. In contrast, recommended medications, such as mood stabilizers and β-blockers, did not appear to be highly prescribed whatever the evolution. Compliance with recommendations seemed insufficient.
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https://hal.univ-angers.fr/hal-02535029
Contributeur : Marie-Françoise Gerard <>
Soumis le : mardi 7 avril 2020 - 13:46:56
Dernière modification le : mercredi 8 avril 2020 - 01:06:11

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Tiphaine Bourseau, Virginie Saoût, Pauline Ali, Uriell Pouliquen-Loriferne, Philippe Allain, et al.. A Cross-Sectional Study of Treatments for Behavioral Disorders Following Traumatic Brain Injury. Journal of Head Trauma Rehabilitation, Lippincott, Williams & Wilkins, 2019, 34 (4), pp.E51-E60. ⟨10.1097/HTR.0000000000000452⟩. ⟨hal-02535029⟩

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