Assessment of impulsivity after moderate to severe traumatic brain injury

Executive functions; Impulsivity; TBI; UPPS; Adolescent; Adult; Analysis of Variance; Brain Injuries; Diagnostic Self Evaluation; Executive Function; Factor Analysis, Statistical; Female; Humans; Impulsive Behavior; Male; Middle Aged; Questionnaires

Abstract :

[en] The aim of the study was to develop and validate a short questionnaire assessing four dimensions of impulsivity (urgency, lack of premeditation, lack of perseverance, sensation seeking) in patients with traumatic brain injury (TBI). To this end, 82 patients with TBI and their caregivers completed a short questionnaire adapted from the UPPS Impulsive Behavior Scale designed to assess impulsivity changes after TBI. Confirmatory factor analyses (CFAs) performed on the version of the scale completed by the relatives revealed that a hierarchical model holding that lack of premeditation and lack of perseverance are facets of a higher order construct (lack of conscientiousness), with urgency and sensation seeking as separate correlated factors, fit the data best. Urgency, lack of premeditation, and lack of perseverance increased after the TBI, whereas sensation seeking decreased. CFA failed to reveal a satisfactory model in the version of the scale completed by the patients. The psychological processes related to these impulsivity changes and the discrepancy observed between self-report and informant-report are discussed. This short questionnaire opens up interesting prospects for better comprehension and assessment of behavioural symptoms of TBI. © 2010 Psychology Press.

Disciplines :

Neurosciences & behavior

Author, co-author :

Rochat, Lucien; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 40 Boulevard du Pont d'Arve, CH-1205 Geneva, Switzerland

Beni, Catia; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 40 Boulevard du Pont d'Arve, CH-1205 Geneva, Switzerland

Billieux, Joël; Cognitive Psychopathology and Neuropsychology Unit, University of Geneva, 40 Boulevard du Pont d'Arve, CH-1205 Geneva, Switzerland

Azouvi, Philippe; Neurological Reeducation Centre, Versailles-Saint-Quentin University, Garches, France

Annoni, Jean-Marie; Neuropsychology Unit, Geneva University Hospital, Switzerland

Van der Linden, Martial ; Université de Liège - ULiège > Département de Psychologie > Département de Psychologie

Language :

English

Title :

Assessment of impulsivity after moderate to severe traumatic brain injury

Publication date :

2010

Journal title :

Neuropsychological Rehabilitation

ISSN :

0960-2011

eISSN :

1464-0694

Publisher :

Taylor & Francis, United Kingdom

Volume :

Issue :

Pages :

778-797

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 30 December 2019

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