Prevalence, comorbidities, and correlates of challenging behavior among community-dwelling adults with severe traumatic brain injury: A multicenter study

Journal article


Sabaz, Mark, Simpson, Grahame, Walker, Alexandra, Rogers, Jeffrey M., Gillis, Inika and Strettles, Barbara. (2014) Prevalence, comorbidities, and correlates of challenging behavior among community-dwelling adults with severe traumatic brain injury: A multicenter study. Journal of Head Trauma Rehabilitation. 29(2), pp. E19 - E30. https://doi.org/10.1097/HTR.0b013e31828dc590
AuthorsSabaz, Mark, Simpson, Grahame, Walker, Alexandra, Rogers, Jeffrey M., Gillis, Inika and Strettles, Barbara
Abstract

Objective: Investigate the prevalence, comorbidities, and correlates of challenging behaviors among clients of the New South Wales Brain Injury Rehabilitation Program. Setting: All community-based rehabilitation services of the statewide program. Participants: Five hundred seven active clients with severe traumatic brain injury. Design: Prospective multicenter study. Main Measures: Eighty-eight clinicians from the 11 services rated clients on the Overt Behaviour Scale, Disability Rating Scale, Sydney Psychosocial Reintegration Scale–2, Care and Needs Scale, and Health of the Nation Outcome Scale–Acquired Brain Injury. Results: Overall prevalence rate of challenging behaviors was 54%. Inappropriate social behavior (33.3%), aggression (31.9%), and adynamia (23.1%) were the 3 most common individual behaviors, with 35.5% of the sample displaying more than 1 challenging behavior. Significant associations were found between increasing levels of challenging behavior and longer duration of posttraumatic amnesia, increasing functional disability, greater restrictions in participation, increased support needs, and greater degrees of psychiatric disturbance, respectively (P < 0.004). Multivariate binomial logistic regression found that premorbid alcohol abuse, postinjury restrictions in participation, and higher levels of postinjury psychiatric disturbance were independent predictors of challenging behavior. Conclusions: Challenging behaviors are widespread among community-dwelling adults with severe traumatic brain injury. Services need to deliver integrated anger management, social skills, and motivational treatments.

Year2014
JournalJournal of Head Trauma Rehabilitation
Journal citation29 (2), pp. E19 - E30
PublisherLippincott Williams and Wilkins
ISSN0885-9701
Digital Object Identifier (DOI)https://doi.org/10.1097/HTR.0b013e31828dc590
Scopus EID2-s2.0-84896401710
Page rangeE19 - E30
Research GroupSchool of Philosophy
Place of publicationUnited States of America
Permalink -

https://acuresearchbank.acu.edu.au/item/87281/prevalence-comorbidities-and-correlates-of-challenging-behavior-among-community-dwelling-adults-with-severe-traumatic-brain-injury-a-multicenter-study

  • 2
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: Evidence from a randomized controlled pilot study
Rogers, Jeffrey M., Duckworth, Jonathan, Middleton, Sandy, Steenbergen, Bert and Wilson, Peter H.. (2019) Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: Evidence from a randomized controlled pilot study. Journal of NeuroEngineering and Rehabilitation. 16(56), pp. 1 - 13. https://doi.org/10.1186/s12984-019-0531-y
Acute EEG patterns associated with transient ischemic attack
Rogers, Jeffrey M., Bechara, Jacob, Middleton, Sandy and Johnstone, Stuart J.. (2019) Acute EEG patterns associated with transient ischemic attack. Clinical EEG and Neuroscience. 50(3), pp. 196 - 204. https://doi.org/10.1177/1550059418790708
Predicting functional outcomes after stroke: An observational study of acute single-channel EEG
Rogers, Jeffrey M., Middleton, Sandy, Wilson, Peter H. and Johnstone, Stuart J.. (2019) Predicting functional outcomes after stroke: An observational study of acute single-channel EEG. Topics in Stroke Rehabilitation. 27(3), pp. 161 - 172. https://doi.org/10.1080/10749357.2019.1673576
Predicting functional outcomes after stroke: An observational study of acute single-channel EEG
Rogers, Jeffrey M., Middleton, Sandy, Wilson, Peter H. and Johnstone, Stuart J.. (2019) Predicting functional outcomes after stroke: An observational study of acute single-channel EEG. Topics in Stroke Rehabilitation. 27(3), pp. 161 - 172. https://doi.org/10.1080/10749357.2019.1673576
What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes
Aminov, Anna, Rogers, Jeff, Middleton, Sandy, Caeyenberghs, Karen and Wilson, Peter. (2018) What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes. Journal of NeuroEngineering and Rehabilitation. 15(29), pp. 1 - 24. https://doi.org/10.1186/s12984-018-0370-2
General and domain-specific effectiveness of cognitive remediation after stroke: Systematic literature review and meta-analysis
Rogers, Jeffrey M., Foord, Rachael, Stolwyk, Renerus J., Wong, Dana and Wilson, Peter H.. (2018) General and domain-specific effectiveness of cognitive remediation after stroke: Systematic literature review and meta-analysis. Neuropsychology Review. 28(3), pp. 285 - 309. https://doi.org/10.1007/s11065-018-9378-4
Mindfulness-based interventions for adults who are overweight or obese: A meta-analysis of physical and psychological health outcomes
Rogers, Jeffrey M., Ferrari, Madeleine, Mosely, Kylie, Lang, Cathryne P. and Brennan, Leah. (2017) Mindfulness-based interventions for adults who are overweight or obese: A meta-analysis of physical and psychological health outcomes. Obesity Reviews. 18(1), pp. 51 - 67. https://doi.org/10.1111/obr.12461
Test-retest reliability of a single-channel, wireless EEG system
Rogers, Jeffrey Michael, Johnstone, Stuart J., Aminov, Anna, Donnelly, James and Wilson, Peter Henry. (2016) Test-retest reliability of a single-channel, wireless EEG system. International Journal of Psychophysiology. 106, pp. 87 - 96. https://doi.org/10.1016/j.ijpsycho.2016.06.006
Preliminary evaluation of a brief mindfulness-based stress reduction intervention for mental health professionals
Dobie, Alana, Tucker, Alison, Ferrari, Madeleine and Rogers, Jeffrey Michael. (2016) Preliminary evaluation of a brief mindfulness-based stress reduction intervention for mental health professionals. Australasian Psychiatry. 24(1), pp. 42 - 45. https://doi.org/10.1177/1039856215618524
Mindfulness-based interventions for adults who are overweight or obese: a meta-analysis of physical and psychological health outcomes
Rogers, Jeffrey M., Ferrari, Madeleine, Mosely, Kylie, Lang, Cathryne P. and Brennan, Leah. (2016) Mindfulness-based interventions for adults who are overweight or obese: a meta-analysis of physical and psychological health outcomes. Obesity Reviews. 18(1), pp. 51 - 67. https://doi.org/10.1111/obr.12461
Working memory binding of visual object features in older adults
Read, Christina, Rogers, Jeffrey Michael and Wilson, Peter Henry. (2016) Working memory binding of visual object features in older adults. Neuropsychology, Development and Cognition. Section B: Aging, Neuropsychology and Cognition: a journal on normal and dysfunctional development. 23(3), pp. 263 - 281. https://doi.org/10.1080/13825585.2015.1083937
Second generation system development and multi-centre studies of the Elements VR-rehab system
Mumford, Nick, Shum, David, Thomas, Patrick, Steenbergen, Bert, Duckworth, Jonathan, Eldridge, Ross, Williams, Gavin, Green, Dido, Rogers, Jeff, Caeyenberghs, Karen and Wilson, Peter H.. (2015) Second generation system development and multi-centre studies of the Elements VR-rehab system. 2015 International Conference on Virtual Rehabilitation. Spain: IEEE Computer Society. pp. 164 - 165 https://doi.org/10.1109/ICVR.2015.7358601
The impact of Vocational, Education, Training and Employment Coordinator positions on attitudes and practices in a NSW mental health service
Sommer, Joanne, Lunt, Bronwyn, Rogers, Jeffrey Michael, Poole, Roslyn and Singham, Asha. (2012) The impact of Vocational, Education, Training and Employment Coordinator positions on attitudes and practices in a NSW mental health service. Australasian Psychiatry. 20(4), pp. 295 - 300. https://doi.org/10.1177/1039856212447964
Event-related potential practice effects on the Paced Auditory Serial Addition Test (PASAT)
Rogers, Jeffrey M. and Fox, Allison. (2012) Event-related potential practice effects on the Paced Auditory Serial Addition Test (PASAT). Advances in Cognitive Psychology. 8(4), pp. 281 - 291. https://doi.org/10.2478%2Fv10053-008-0123-z
Fluorodeoxyglucose-positron emission tomography in the differential diagnosis of early-onset dementia: A prospective, community-based study
Panegyres, Peter, Rogers, Jeff, McCarthy, Michael, Campbell, Andrew and Wu, Jing Shan. (2009) Fluorodeoxyglucose-positron emission tomography in the differential diagnosis of early-onset dementia: A prospective, community-based study. BMC Neurology. 9(1), pp. 41 - 50. https://doi.org/10.1186/1471-2377-9-41
Cognitive Impairment in Multiple Sclerosis: Evidence-Based Analysis and Recommendations
Rogers, Jeff and Panegyres, Peter. (2007) Cognitive Impairment in Multiple Sclerosis: Evidence-Based Analysis and Recommendations. Journal of Clinical Neuroscience. 14(10), pp. 919 - 927.
Psychiatric Comorbidity Following Traumatic Brain Injury
Rogers, Jeff and Read, Christina. (2007) Psychiatric Comorbidity Following Traumatic Brain Injury. Brain Injury. 21(13-14), pp. 1321 - 1333.