Evaluación de las alteraciones emocionales en personas con traumatismo craneoencefálico .

• Autores: Juan Manuel Muñoz Céspedes, Juan José Miguel Tobal, Antonio Cano Vindel
• Localización: Psicothema, ISSN-e 1886-144X, ISSN 0214-9915, Vol. 12, Nº. 1, 2000, págs. 99-106
• Idioma: español
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• Dialnet Métricas: 4 Citas
• Resumen

  • Las alteraciones emocionales que acompañan a los T.C.E no han sido suficientemente estudiadas por diferentes razones, entre las que destacan la complejidad de los factores etiológicos implicados y la escasez de instrumentos de evaluación adecuados para estudiar de forma específica las alteraciones emocionales postraumáticas. En el presente trabajo se ha aplicado la escala de registro neuroconductual revisada (N.R.S.-R) a una muestra de 60 pacientes afectados por T.C.E. de diferente severidad. Los resultados obtenidos reflejan la naturaleza difusa de este tipo de lesiones, pero resalta el bajo rendimiento en los ítems que evalúan aspectos relacionados con el funcionamiento de los lóbulos frontales. Se propone una nueva estructura factorial para la versión revisada y se analizan los resultados en relación con diferentes criterios de gravedad inicial - escala de coma de Glasgow (G.C.S.) y período de amnesia postraumática (A.P.T.)-. Finalmente, se destaca la ausencia de una relación directa entre la severidad del daño cerebral y la presencia de determinadas alteraciones emocionales (ansiedad y depresión), señalando la importancia del grado de conciencia de los déficit como una variable esencial para explicar el nivel de ajuste emocional después de una lesión cerebral traumática

• Referencias bibliográficas
  • Brooks, D.N., McKinlay, W., Symington, C., Beattie, A., Campsie, L. (1987). Return to work within the first seven years of severe head injury....
  • Brooks, D.N. (1991). The head injury family. Journal of Clinical and Experimental Neuropsychology, 13, 155-188.
  • Chiu, W.T., Lin, W.Y., Hung, C.C. Shih, C.J. (1993). Neurobehavioral manifestations following closed head injury. Journal of Formosa Medical...
  • Cifu, D.X., Keyser-Marcus, L., López. E., Wehman, P., Kreutzer, J.S., Englander, J., High, W.(1997). Acute predictors of sucessful return...
  • Coelho, C.A., Liles, B. Z., Duffy, R.J. (1995). Impairments of discourse abilities and executive functions in traumatically brain-injured...
  • Corrigan, J.D., Dickerson, J., Fisher, E., Meyer, P. (1990). The Neurobehavioral Rating Scale: Replication in an acute, inpatient rehabilitation...
  • Cripe, L.I. (1996). Personality assessment of brain-impaired patients. En M.E. Maruish y J.A. Moses (eds.), Clinical Neuropsychology: Theoretical...
  • Cummings, J.L. (1993). Frontal-subcortical circuits and human behavior. Archives of Neurology, 50, 873-880.
  • Dikmen, S. S., Machamer, J.E., Winn, H.R., Temkin, N.R. (1995). Neuropsychological outcome at one year post head injury. Neuropsychology,...
  • Dixon, J. (1992). BMDP biomedical statistics. Los Angeles: U.C.L.A. Eames, P. (1988). Behavior disorders after severe head injury: Their nature...
  • Fordyce, D.J. (1994). Neuropsychological assesment and cognitive rehabilitation: issues of psychologic validity: En M.A.J. Finlayson y S.H....
  • Gainotti, G. (1993). Emotional and psychosocial problems after brain injury. Neuropsychological rehabilitation, 3, (3), 259-277.
  • Gass, C.S., Apple, C. (1997). Cognitive complaints in closed-head injury: relationship to memory test performance and emotional disturbance....
  • Godfrey, H.P.D., Knight, R.G., Partridge, F.M. (1996). Emotional adjustement following traumatic brain injury: a stress-appraisal-coping formulation....
  • Godfrey, H.P.D., Partridge, F.M., Knight, R.G. (1993). Course of insight disorder and emotional dysfunction following closed head injury:...
  • Harrington, D.E., Malec, J., Cicerone, K., Katz, H.T. (1993). Current perceptions of rehabilitation professionals towards mild traumatic brain...
  • Hermann, D., Parenté, R. (1994). The multimodal approach to cognitive rehabilitation. Neuro Rehabilitation, 4, 133-142.
  • Hinkeldey, N.S., Corrigan, J.D. (1990). The structure of head-injured patients’ neurobehavioural complaints: a preliminary study. Brain Injury,...
  • Jacobs, H.E. (1990). Identifying post-traumatic behavior problems: data from psychosocial follow-up studies.En R.Ll. Wood (ed.), Neurobeha...
  • Kendall, E., Terry, D.J. (1996). Psychosocial adjustement following closed head injury: A model for understanding individual differences and...
  • Kinsella, G., Parker, S., Olver, J. (1991). Maternal reporting of behaviour following very severe blunt head injury. Journal of Neurology,...
  • Kluwe, R.H. (1987). Executive decisions and regulation of problem solving behavior. En F.E. Weinert y R.H. Kluwe (Eds.), Metacognition, motivation...
  • Kreutzer,J.S., Marwitz, J.H., Seel, R., Serio, C.D. (1996). Validation of a neurobehavioral functioning inventory for adults with traumatic...
  • Lazarus R., Folkman S. (1984). Stress, appraisal and coping. New York: Springer.
  • Leach, L.R., Frank, R.G., Bouman, D.E., Farmer, J. (1994). Family functioning, social suport and depression after traumatic brain injury....
  • Levin, H.S., High, W.M., Goethe, K.E., Sisson, R.A., Overall, J.E., Rhoades, H.M., Eisenberg, H.M., Kalisky, Z., Gary, H.E. (1987). The neurobehavioral...
  • Levin, H.S., Mazaux, J.M., Vanier, M., Dartigues, J.F., Giroire, J.M., Daverat, P., Pilon, M., Hébert, D., Johnson, C., Fournier, G., Barat,...
  • Levin, H.S., O’Donnell, V.M., Grossman, R.G. (1979). The Galveston Orientation and Amnesia Test. Journal of Nervous and Mental Disease, 167,...
  • Lezak, M.D. (1987). Relatonships between personality disorders, social disorders, social disturbances, and physical disbility following traumatic...
  • Lezak, M.D. (1995). Neuropsychological assessment (3rd. ed.). New York: Oxford University Press.
  • Lishman, W.A. (1989). Head Injury En W.A. Lishman (ed), Organic Psychiatry: The consequences of cerebral disorders (2nd. ed.). Oxford: Blackwell...
  • Lobo, A., Escolar, V. (1980). El Mini Examen Cognoscitivo«: Un test sencillo y práctico para detectar alteraciones intelectivas en pacientes...
  • Malia, K, Powell, G., Torode, S. (1995). Coping and psychosocial function after brain injury. Brain Injury, 9, 607-618.
  • Martzke, J.S., Swan, C.S., Varney, N.R. (1991). Postraumatic anosmia and orbital frontal damage: Neuropsychological and neuropsychiatric correlates....
  • McLean, A, Dikmen, S.S. Temkin, N.R. (1993). Psychosocial recovery after head injury. Archives of Physical and Medicine Rehabilitation, 74,...
  • Mitchley, N., Gray, J.M.y Pentland, B. (1996). Burden and coping among the relatives and carers of brain-injured survivors. Clinical Rehabilitation,...
  • Morton, M.V. y Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: a literature review and...
  • Muñoz Céspedes, J.M. (1997). Secuelas neuropsicológicas y psicosociales del daño cerebral traumático. Estudio prospectivo con 18 meses de...
  • Muñoz Céspedes, J.M., Fernández Guinea, S. (1997). La familia y la rehabilitación de las personas afectadas por daño cerebral. La intervención...
  • Muñoz Céspedes, J.M., Fernández Guinea, S., Gancedo, M., Ruano, A. (1997). Are the self-reports reliable in the assessment of brain injured...
  • Muñoz Céspedes, J.M., Iruarrizaga, I. (1995). Alteraciones emocionales en traumatismos craneoencefálicos. Ansiedad y Estrés. 1, 81-91.
  • Oddy, M., Coughlan, T., Tyerman, A.., Jenkins, D. (1985). Social adjustement after closed head injury: a further follow-up seven years after...
  • Pelegrín, C., Martín, M., Tirapu, J. (1995). La escala NRS: la versión española de la Neurobehavioural Rating Scale. Anales de Psiquiatría,...
  • Ponsford, J.L., Olver, J.H., Curran, C., Ng, K. (1995). Prediction of employment status 2 years after traumatic brain injury. Brain Injury,...
  • Prigatano, GP. (1987). Personality and psychosocial consequences after brain injury. En M.J. Meier, A.L. Benton y L. Diller (eds.), Neuropsycho...
  • Prigatano, G.P. (1991). Disturbances of self-awareness of deficit after traumatic brain injury. En Prigatano, G.P. y Schacter, D.L. (eds.),...
  • Prigatano, G.P., Bruna, O., Mataró, Mª., Muñoz Céspedes, Fernández, S., Junqué, C. (1998). Initial disturbances of conciousness and resultant...
  • Puente, A.E., Gillespie, J.B. (1991). Workers’ compensaton and clinical neuropsychological assessment. En J. Dywan, R.D. Kaplan y F.J. Pirozzolo...
  • Sarno, M.T., Buonaguro, A., Levita, E. (1986). Characteristics of verbal impairment in closed head injury. Journal of Neurology, Neurosurgery,...
  • Tate, R.L. (1998). «It is not only the kind of injury that matters, but the kind of head»: The contribution od premorbid psychosocial factors...
  • Turkstra, L., Mc Donald, S., Kaufmann, P.M. (1995). Assessment of pragmatic communication skills in adolescents after traumatic brain injury....
  • van Reekum, R., Bolago, I., Finlayson, M.A.J., Garner, S., Links, P.S. (1996). Psychiatric disorders after traumatic brain injury. Brain Injury,...
  • Vilkki, J., Ahola, K., Holst, P., Öhman, J., Servo, A. y Heiskanen, O. (1994). Prediction of psychosocial recovery after head injury with...