An evaluation of antisocial behaviour in children after traumatic brain injury: The prospect of improving the quality of life in rehabilitation
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College of Physiotherapy, Wroclaw, Poland
The Ateneum University, Gdańsk, Poland
The Andrzej Frycz-Modrzewski Krakow University, Krakow, Poland
Institute of Psychology, Kazimierz Wielki University, Bydgoszcz, Poland
The Reintegrative-Training Centre of the Polish Neuropsychological Society, Krakow, Poland
The Andrzej Frycz-Modrzewski Krakow University, Krakow, Poland Center for Cognition and Communication, New York, NY, USA
Maria Pąchalska   

The Andrzej Frycz-Modrzewski Krakow University, Krakow, Poland Center for Cognition and Communication, New York, NY, USA
Ann Agric Environ Med. 2014;21(3):649–653
Introduction and objective:
The aim of the article is to present the consequences of traumatic brain injury in children, associated with general cognition and behavioural disorders, mainly of the antisocial type.

Material and Methods:
A total of 20 school-age children took part in the study, including six girls and 14 boys. The average age of the children was 13.35 years (standard deviation SD = 1.95). The research instruments included an analysis of documentation, a structured clinical interview, MMSE and Frontal Behavioral Inventory (FBInv) with additional set of five supplementary questions directed for detection of antisocial behavior. The research was conducted from the beginning of January 2009 until the end of May 2009.

As hypothesized, the functioning of the children with traumatic brain injury is severely disrupted, because of the presence of cognitive impairment, however, dementia is not manifested. In a significant number of the children with traumatic brain injury we found not only the frontal syndrome, but also the occurrence of antisocial behaviour. The most commonly reported behavioural problems were: disorganization commonly referred to as laziness, hypersensitivity, and anxiety. The most common types of anti-social behaviour were: impulsivity, physical and verbal aggression, and also an outburst of anger.

The children with traumatic brain injury suffer from a cognitive disorders and behavioural problems, especially impulsivity, physical and verbal aggression, increased anxiety, and disorganization. The occurrence of frontal syndrome is related to the development of antisocial behaviour.

Finkelstein E, Corso P, Miller T. The Incidence and Economic Burden of Injuries in the United States. Oxford University Press, New York (NY) 2006.
Faul M, Xu L, Wald MM, Coronado VG. Traumatic brain injury in the United States: emergency department visits, hospitalizations, and deaths. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Atlanta (GA) 2010.
Głowacki J, Marek Z. Urazy czaszki i mózgu. Krakowskie Wydawnictwo Medyczne, Kraków 2000 (in Polish).
Pąchalska M. Neuropsychologia kliniczna: Urazy mózgu. T. I-II Procesy poznawcze i emocjonalne. Wydawnictwo Naukowe PWN, Warszawa 2007 (in Polish).
Humphreys I, Wood RL, Phillips CJ, Macey S. The costs of traumatic brain injury: a literature review. 2013;5:281—287.
Granacher RA. Traumatic Brain Injury: Methods for Clinical & Forensic Neuropsychiatric Assessment, Second Edition. Boca Raton: CRC, 2007.
Ashley MJ. Traumatic Brain Injury. Rehabilitative Treatment and Case Management, Second Edition. Boca Raton: CRC Press, 2004.
Kolb B, Whishaw IQ: Fundamentals of Human Neuropsychology. V. Worth Publishers, New York 2003.
MacQueen BD, Pąchalska M: Zaburzenia porozumiewania się chorych po urazach czaszkowo-mózgowych. In: Herzy A, Daniluk B, Pąchalska M, MacQueen BD (eds.). Neuropsychologiczne problemy pacjentów po urazach czaszkowo-mózgowych: Jakość życia pacjenta. Lublin: UMCS, 2003.p.101–120 (in Polish).
Narayan RK, Michel ME, Ansell B, et al. Clinical trials in head trauma. Journal of Neurotrauma 2002; 19 (5): 503–557.
Błachnio A, Bidzan M, Pufal A, Łukaszewska B. Identity disturbance in a patient with severe traumatic brain injury. Acta Neuropsychologica 2009; 7(1):73–83.
Pachalska M, Mańko G, Kropotov ID, Mirski A, Łukowicz M, Jedwabińska A. Talar J. Evaluation of neurotherapy for a patient with chronic impaired self-awareness and secondary ADHD after severe TBI and long term coma using event-related potentials. Acta Neuropsychologica 2012; 10(3): 399–417.
Bilikiewicz A, Pużyński S, Rybakowski J, Wciórka J (eds.). Psychiatria. T. 2. Wydawnictwo Medyczne Urban & Partner, Wrocław 2002 (in Polish).
Kaczmarek BLJ. Regulatory function of the frontal lobes. A neurolinguistic perspective. In: Perecman E (ed.). The frontal lobes revisited. IRBN Press, Nowy Jork 1987.p.225–240.
Hall RC, Hall RC, Chapman MJ. Definition, diagnosis and forensic implications of postconcussional syndrome. Psychosomatics 2005; 46 (3): 195–202.
Folstein MF, Folstein SE, McHugh PR. Mini-Mental State: A practical method for grading the state of patients for the clinician. Journal of Psychiatric Research 1975; 12, 189–198.
Kertesz A, Davidson W, Fox H. Frontal Behavioral Inventory: Diagnostic criteria for frontal lobe dementia. Canadian Journal of Neurological Sciences 1997; 24: 29–36.
Pąchalska M. Rehabilitacja neuropsychologiczna: Procesy poznawcze i emocjonalne. Wydawnictwo Naukowe UMCS, Lublin 2008 (in Polish).
Rao V, Rosenberg P, Bertrand M, Salehinia S, Spiro J, Vaishnavi S, Rastogi P, Noll K, Schretlen DJ, Brandt J, et al. Aggression after traumatic brain injury: prevalence and correlates. J Neuropsychiatry Clin Neurosci. 2009; 21(4): 420–429.
Harvey AG, Bryant RA. Predictors of acute stress following mild traumatic brain injury. Brain Injury 1998; 12(2): 147–154.
Pąchalska M, Mańko G, Chantsoulis M, et al. The quality of life of persons with TBI in the process of a Comprehensive Rehabilitation Program. Med Sci Monit. 2012; 18(7): 432–442.
Pachalska M, Pronina M V, Mańko G, Chantsoulis M, Mirski A, Kaczmarek B, Łuckoś M, Kropotov IuD. Evaluation of neurotherapy program for a patient with clinical symptoms of schizophrenia and severe TBI using event-related potentials. Acta Neuropsychologica. 2013; 11(4):435–449.
Tomaszewski W, Mańko G, Ziółkowski A, Pąchalska M. An evaluation of health-related quality of life of patients aroused from prolonged coma when treated by physiotherapists with or without training in the ‘Academy of Life’ programme. Ann Agric Environ Med. 2013; 20(2): 319-323.