Document Detail


The Frontal Systems Behaviour Scale (FrSBe) as a predictor of community integration following a traumatic brain injury.
MedLine Citation:
PMID:  18066938     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PRIMARY OBJECTIVE: This study examined the relationships between the Frontal Systems Behaviour Scale (FrSBe), neuropsychological tests and community integration outcomes among individuals with a history of TBI. METHODS: Seventy-six individuals with a history of TBI were consecutively recruited from patients seen in a Neuropsychology clinic in an academic healthcare setting. Participants completed neuropsychological tests, the FrSBe and the Community Integration Questionnaire (CIQ) as part of a standard clinical neuropsychological evaluation. RESULTS: The FrSBe was a significant predictor of community integration (CIQ) outcomes. Specifically, poorer executive functioning (FrSBe Executive Functioning) predicted lower CIQ Total Scores, while increased apathy (FrSBe Apathy) was associated with reduced CIQ Productivity. Regarding neuropsychological tests, only Delayed Memory remained as a predictor: higher scores were associated with enhanced CIQ Total Scores and CIQ Social Integration. Finally, female gender was associated with superior CIQ Total Scores, CIQ Home Integration and CIQ Productivity. CONCLUSIONS: While neuropsychological tests of executive functioning failed to add predictive power to models of community integration following TBI with this sample, the FrSBe, a measure of behavioural manifestations of frontal lobe dysfunction, did predict these important functional outcomes. This suggests that use of the FrSBe may enhance the ecological validity of information gathered during a clinical neuropsychological assessment.
Authors:
Stephanie A Reid-Arndt; Carissa Nehl; Joseph Hinkebein
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Brain injury : [BI]     Volume:  21     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-10     Completed Date:  2008-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  England    
Other Details:
Languages:  eng     Pagination:  1361-9     Citation Subset:  IM    
Affiliation:
Department of Health Psychology, University of Missouri-Columbia, Columbia, MI 65212, USA. reidarndts@health.missouri.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological*
Adolescent
Adult
Brain Injuries / psychology,  rehabilitation*
Brief Psychiatric Rating Scale / standards*
Female
Frontal Lobe / physiology
Humans
Male
Middle Aged
Neuropsychological Tests / standards*
Outcome Assessment (Health Care)
Predictive Value of Tests
Quality of Life
Questionnaires
Social Adjustment*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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