A Cross-Sectional Study of Treatments for Behavioral Disorders Following Traumatic Brain Injury : Comparison With French Recommendations
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
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| Enthalten in: |
The Journal of head trauma rehabilitation - 34(2019), 4 vom: 01. Juli, Seite E51-E60 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Bourseau, Tiphaine [VerfasserIn] |
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| Links: |
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| Themen: |
Comparative Study |
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| Anmerkungen: |
Date Completed 06.10.2020 Date Revised 06.10.2020 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/HTR.0000000000000452 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM291308538 |
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| 245 | 1 | 2 | |a A Cross-Sectional Study of Treatments for Behavioral Disorders Following Traumatic Brain Injury |b Comparison With French Recommendations |
| 264 | 1 | |c 2019 | |
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| 500 | |a Date Completed 06.10.2020 | ||
| 500 | |a Date Revised 06.10.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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 | ||
| 520 | |a SETTING: Outpatients referred to medical or community-based facilities in a region of France | ||
| 520 | |a PARTICIPANTS: One hundred twenty-nine adults with moderate to severe TBI, in the postacute period (over 3 months postinjury) | ||
| 520 | |a DESIGN: Cross-sectional cohort study | ||
| 520 | |a MAIN MEASURES: Sociodemographic data, ongoing interventions including psychotherapy and medication, behavioral disorders assessed by the Behavioral Dysexecutive Syndrome Inventory (BDSI) | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 7 | |a Psychotropic Drugs |2 NLM | |
| 700 | 1 | |a Saoût, Virginie |e verfasserin |4 aut | |
| 700 | 1 | |a Ali, Pauline |e verfasserin |4 aut | |
| 700 | 1 | |a Pouliquen-Loriferne, Uriell |e verfasserin |4 aut | |
| 700 | 1 | |a Allain, Philippe |e verfasserin |4 aut | |
| 700 | 1 | |a Dinomais, Mickaël |e verfasserin |4 aut | |
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