This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Lezak, M. D. Articles by O'Brien, K. P. Search for Related Content PubMed PubMed Citation Articles by Lezak, M. D. Articles by O'Brien, K. P. Social Bookmarking                         What's this?

Longitudinal Study of Emotional, Social, and Physical Changes after Traumatic Brain Injury

Muriel D. Lezak is an associate professor of neurology and psychiatry at the Oregon Health Sciences University and diplomate in clinical psychology and in clinical neuropsychology. She is also the past president of the International Neuropsychological Society.

Kevin P. O'Brien

Kevin P. O'Brien is a clinical neuropsychologist at the Barrow Neurological Institute and staff member of the Adult Day Hospital for Neurological Rehabilitation, an outpatient program for brain injured adults. Address: Muriel D. Lezak, Department of Neurology-L226, Oregon Health Sciences University, Portland, OR 97201.

Understanding the nature and course of personality alterations following traumatic brain injury (TBI) is needed for rational planning and effective management of TBI patients' many behavioral and social problems. Therefore, levels of emotional and social adjustment and socially relevant aspects of physical status during the first 5 years posttrauma were documented for 39 male TBI patients at six time intervals using the Portland Adaptability Inventory (PAI), an instrument developed for this study. Responses to 21 items (seven dealing with Temperament and personality, eight with Activities of Social Behavior, and six with Physical Competence) were analyzed for evidence of moderate to severe impairment. Three types of problem areas were identified: (a) those which represented persistent difficulty for many patients throughout the 5-year follow-up period; (b) those in which there was significant improvement that was sustained over time; and (c) those in which there was slight or variable improvement. At 5 years posttrauma, most patients were still socially dysfunctional in one or more ways.

Journal of Learning Disabilities, Vol. 21, No. 8, 456-462 (1988)
DOI: 10.1177/002221948802100802


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				M. I. Medved and J. Brockmeier Continuity Amid Chaos: Neurotrauma, Loss of Memory, and Sense of Self Qual Health Res, April 1, 2008; 18(4): 469 - 479. [Abstract] [PDF]

				M. A. Prater, S. Bruhl, and L. A. Serna Acquiring Social Skills Through Cooperative Learning and Teacher-Directed Instruction Remedial and Special Education, May 1, 1998; 19(3): 160 - 172. [Abstract] [PDF]

				C. Wright-Strawderman, P. Lindsey, L. Navarette, and J. R. Flippo Depression in Students with Disabilities: Recognition and Intervention Strategies Intervention in School and Clinic, May 1, 1996; 31(5): 261 - 275. [Abstract] [PDF]

				E. D. Bigler On the Neuropsychology of Suicide J Learn Disabil, March 1, 1989; 22(3): 180 - 185. [PDF]