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Integrated neuropsychologic and neuromedical assessment of response bias following ABI
Abstracts/Archives of Clinical Neuropsychology 15 (2000) 653-850
661
A neurorehabilitation intervention for brain-injured children exhibiting aggression Teichner G, Wagner MT, Golden CJ, Newman SA. This research presents a multi-modal treatment approach in the neurorehabilitation of 2 severely brain-injured children exhibiting significant violent, aggressive, and non-compliant behaviors. Both children sustained severe closed head injuries, were in extended comas, and required extensive initial inpatient rehabilitation. Neurological damage was confirmed by CT and MR] studies, and neuropsychological correlates were obtained. Subjects developed serious violent behaviors several months post-injury, and presented for treatment approximately 8 months post-injury for this problem. Behavioral treatments included contingency management, stimulus control, problem solving, social skills training, relaxation training, anger management, classroom management, and parent training. On the basis of the Achenbach Child Behavior Checklist and frequency (parental self-report) data, results indicated a significant reduction in violent and aggressive behaviors for both children, and this success was maintained at follow-up. This neurorehabilitation program may assist neuropsychologists, rehabilitation specialists, and families to better manage aggressive and non-compliant behaviors that frequently follow a traumatic brain injury.
Integrated neuropsychologic and neuromedical assessment of response bias following ABI Martelli MF, Zasler ND, Pickett TC. Neuropsychological and neuromedical evaluative procedures for assessing acquired brain injury (ABI) sequelae are critically reviewed. The literature relating to current instruments and procedures for assessing motivation and response bias is summarized, with special emphasis on currently available instruments and interpretive findings from commonly used tests and interview procedures. A multiaxial conceptual model is presented and a procedural instrument for completing a profile of motivation and response bias which incorporates a wide array of findings from common instruments during ABI evaluation is elaborated. Finally, explicit and comprehensive recommendations for enhancing motivation, assessing response bias, and increasing efficiency, utility and ecological validity of ABI assessment are offered. A tabular format is employed for summarizing information.
Aricept effectiveness in a 17-year-old with acquired brain injury Efihimiou JM, Avella H. The purpose of this case study was to assess the effectiveness of using Aricept for improvement in memory functions on a 17-year-old, male with acquired brain injury. The subject had suffered anoxia to the brain secondary to a drug and alcohol overdose. He was in a coma for a total of 31 days. Baseline measures (T1) were taken which were 3 months from the onset of the injury. Time 2 measures took place 5 months from the onset of the injury and were under the condition of 5 mg of Aricept. Time 3 measures took place 1 month later under the condition of 10 mg of Aricept. Time 4 measures took place 1 month later and were under the condition of no Aricept. The instruments used were: 1) RAVLT (alternate forms I, II, and III); 2) WMS (alternate forms of WMS-R, WMS-Form I, WMS-Form II); 3) Trails A and B. The results showed no significant differences in attention, short term or delayed memory with the use of Aricept. However, there were clinically significant improvements noted in Trails A and B with the use of Aricept which were maintained at the Time 4 measures. The improvement could not be attributed to improvement in attention per se but more towards the improvement in mental flexibility or
661
A neurorehabilitation intervention for brain-injured children exhibiting aggression Teichner G, Wagner MT, Golden CJ, Newman SA. This research presents a multi-modal treatment approach in the neurorehabilitation of 2 severely brain-injured children exhibiting significant violent, aggressive, and non-compliant behaviors. Both children sustained severe closed head injuries, were in extended comas, and required extensive initial inpatient rehabilitation. Neurological damage was confirmed by CT and MR] studies, and neuropsychological correlates were obtained. Subjects developed serious violent behaviors several months post-injury, and presented for treatment approximately 8 months post-injury for this problem. Behavioral treatments included contingency management, stimulus control, problem solving, social skills training, relaxation training, anger management, classroom management, and parent training. On the basis of the Achenbach Child Behavior Checklist and frequency (parental self-report) data, results indicated a significant reduction in violent and aggressive behaviors for both children, and this success was maintained at follow-up. This neurorehabilitation program may assist neuropsychologists, rehabilitation specialists, and families to better manage aggressive and non-compliant behaviors that frequently follow a traumatic brain injury.
Integrated neuropsychologic and neuromedical assessment of response bias following ABI Martelli MF, Zasler ND, Pickett TC. Neuropsychological and neuromedical evaluative procedures for assessing acquired brain injury (ABI) sequelae are critically reviewed. The literature relating to current instruments and procedures for assessing motivation and response bias is summarized, with special emphasis on currently available instruments and interpretive findings from commonly used tests and interview procedures. A multiaxial conceptual model is presented and a procedural instrument for completing a profile of motivation and response bias which incorporates a wide array of findings from common instruments during ABI evaluation is elaborated. Finally, explicit and comprehensive recommendations for enhancing motivation, assessing response bias, and increasing efficiency, utility and ecological validity of ABI assessment are offered. A tabular format is employed for summarizing information.
Aricept effectiveness in a 17-year-old with acquired brain injury Efihimiou JM, Avella H. The purpose of this case study was to assess the effectiveness of using Aricept for improvement in memory functions on a 17-year-old, male with acquired brain injury. The subject had suffered anoxia to the brain secondary to a drug and alcohol overdose. He was in a coma for a total of 31 days. Baseline measures (T1) were taken which were 3 months from the onset of the injury. Time 2 measures took place 5 months from the onset of the injury and were under the condition of 5 mg of Aricept. Time 3 measures took place 1 month later under the condition of 10 mg of Aricept. Time 4 measures took place 1 month later and were under the condition of no Aricept. The instruments used were: 1) RAVLT (alternate forms I, II, and III); 2) WMS (alternate forms of WMS-R, WMS-Form I, WMS-Form II); 3) Trails A and B. The results showed no significant differences in attention, short term or delayed memory with the use of Aricept. However, there were clinically significant improvements noted in Trails A and B with the use of Aricept which were maintained at the Time 4 measures. The improvement could not be attributed to improvement in attention per se but more towards the improvement in mental flexibility or