Contemporary approaches to the management of irritability and aggression following traumatic brain injury
Contemporary approaches to the management of irritability and aggression following traumatic brain injury
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DOI：
10.1080/09602010244000327
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发表时间：
2003-03-01
影响因子：
2.7
通讯作者：
Alderman, N
中科院分区：
文献类型：
--
作者：
Alderman, N
在本文中，管理应激和侵略创伤性脑损伤（TBI）后的主要手段将简要审查。本文将首先考虑易怒的患病率，它是什么，以及一些可能导致这种情况的原因。侵略也将被同样地考虑。在讨论这些管理中最常用的方法之前，读者的注意力将被引导到一系列与报告治疗疗效相关的需要考虑的方法学问题，包括缺乏同质性和需要使用标准化评估工具。三个主要的管理方法，然后将被描述和评价，这些是药理学，心理治疗和行为治疗。在心理治疗方法的讨论中，将特别提到认知行为疗法的使用，并将采用两个详细的案例研究来说明与认知行为疗法和行为疗法有关的问题。
In this paper, the principal means of managing irritability and aggression following traumatic brain injury (TBI) will be briefly reviewed. The paper will initially consider the prevalence of irritability, what it is and some of the likely causes that drive the condition. Aggression will then be similarly contemplated. Prior to a discussion regarding those methods most regularly employed in their management, the attention of the reader will be directed to a range of methodological issues that need to be considered in relation to reporting treatment efficacy, including lack of homogeneity and the need to use standardised assessment tools. Three principal management approaches will then be described and appraised, these being pharmacology, psychotherapy, and behaviour therapy. Within the discussion of psychotherapeutic methods, special mention will be made with regard to use of cognitive behaviour therapy, and two detailed case studies will be employed to illustrate issues relating to both cognitive behaviour therapy and behaviour therapy.