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Inattentive behavior after traumatic brain injury

Published online by Cambridge University Press:  26 February 2009

John Whyte
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, PA 19141 Department of Physical Medicine and Rehabilitation, Temple University School of Medicine, Philadelphia, PA 19140
Marcia Polansky
Affiliation:
The Medical College of Pennsylvania, Hahnemann University, Philadelphia, PA 19102
Christopher Cavallucci
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, PA 19141
Megan Fleming
Affiliation:
The Medical College of Pennsylvania, Hahnemann University, Philadelphia, PA 19102
Joanna Lhulier
Affiliation:
Moss Rehabilitation Research Institute, Philadelphia, PA 19141
H. Branch Coslett
Affiliation:
Department of Neurology, Temple University School of Medicine, Philadelphia, PA 19140

Abstract

Clinicians and families report that traumatic brain injury results in a variety of attention deficits. Numerous laboratory studies have documented slowing of information processing, alteration in event-related potentials, or difficulty attending to specific relevant task dimensions in the presence of redundant information. However, little is known about how these information processing abnormalities relate to observable behaviors in daily living or work environments, which presumably form the basis for clinicians’ and families’ reports. We developed a quantitative assessment of behavioral inattentiveness in both quiet and distracting environments, and demonstrated excellent interrater reliability. Using this assessment, we have studied 20 patients with recent traumatic brain injury and 20 demographically comparable control subjects. We have confirmed marked differences in behavioral attentivencss between patients and controls in both distracting and nondistracting environments. (JINS, 1996, 2, 274–281.)

Type
Research Article
Copyright
Copyright © The International Neuropsychological Society 1996

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References

REFERENCES

American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., revised), pp. 5051. Washington, DC: American Psychiatric Association.Google Scholar
Auerbach, S.H. (1986). Neuroanatomical correlates of attention and memory disturbances in traumatic brain injury: An application of neurobehavioral subtypes. Journal of Head Trauma Rehabilitation, 1, 112.CrossRefGoogle Scholar
Brouwer, W.H. & van Wolffelaar, P.C. (1985). Sustained attention and sustained effort after closed head injury: Detection and 0.10 Hz heart rate variability in a low event rate vigilance task. Cortex 21, 111119.CrossRefGoogle Scholar
Campbell, K.B., Suffield, J.B. & Deacon, D.L. (1990). Electro-physiological assessment of cognitive disorder in closed head-injured outpatients. New Trends and Advanced Techniques in Clinical Neurophysiology (EEG suppl. 41), 202215.CrossRefGoogle Scholar
Cremona-Meteyard, S.L. & Geffen, G.M. (1994a). Event-related potential indices of visual attention following moderate to severe closed head injury. Brain Injury, 8, 541558.CrossRefGoogle ScholarPubMed
Cremona-Meteyard, S.L. & Geffen, G.M. (1994b). Persistent visuospatial attention deficits following mild head injury in Australian rules football players. Neuropsychologia, 32, 649662.CrossRefGoogle ScholarPubMed
Deacon, D. & Campbell, K.B. (1991). Decision-making following closed-head injury: Can response speed be retrained? Journal of Clinical and Experimental Neuropsychology, 13, 639651.CrossRefGoogle ScholarPubMed
Gronwall, D. (1977) Paced serial addition task: A measure of recovery from concussion. Perceptual Motor Skills, 44, 367373.CrossRefGoogle ScholarPubMed
Jacobs, H. (1988). The Los Angeles Head Injury Survey: Procedures and initial findings. Archives of Physical Medicine and Rehabilitation, 69, 425431.Google ScholarPubMed
Levin, H.S. & Goldstein, F.C. (1989). Neurobehavioral aspects of traumatic brain injury. In Bach-y-Rita, P. (Ed.), Traumatic brain injury, Comprehensive neurologic rehabilitation, Vol. 2 (pp. 5372). New York: Demos.Google Scholar
McKinlay, W.W., Brooks, D.N., Bond, M.R., Martinage, D.P., & Marshall, M.M. (1981). The short term outcome of severe blunt head injury as reported by relatives of the injured persons. Journal of Neurology, Neurosurgery, and Psychiatry, 44, 527533.CrossRefGoogle ScholarPubMed
Ponsford, J. & Kinsella, G. (1992). Attention deficits following closed-head injury. Journal of Clinical and Experimental Neuropsychology, 14, 822838.CrossRefGoogle ScholarPubMed
Ponsford, J. & Kinsella, G. (1991). The use of a rating scale of attentional behaviour. Neuropsychological Rehabilitation, 4, 241257.CrossRefGoogle Scholar
Rappaport, M., Hall, K.M., Hopkins, K., Belleza, T., & Cope, D.N. (1982). Disability rating scale for severe head trauma: Coma to community. Archives of Physical Medicine and Rehabilitation, 63, 118123.Google ScholarPubMed
Schmitter-Edgecombe, M.E., Marks, W., Fahy, J.F., & Long, C.J. (1992). Effects of severe closed-head injury on three stages of information processing. Journal of Clinical and Experimental Neuropsychology, 14, 717737.CrossRefGoogle ScholarPubMed
Shum, D.H.K., McFarland, K., & Bain, J.D. (1994). Effects of closed-head injury on attentional processes: Generality of Sternberg's additive factor method. Journal of Clinical and Experimental Neuropsychology, 16, 547555.CrossRefGoogle ScholarPubMed
Shum, D.H.K., McFarland, K., Bain, J.D., & Humphreys, M.S. (1990). Effects of closed-head injury on attentional processes: An information-processing stage analysis. Journal of Clinical and Experimental Neuropsychology, 12, 247264.CrossRefGoogle ScholarPubMed
Tromp, E. & Mulder, T. (1991). Slowness of information processing after traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 13, 821830.CrossRefGoogle Scholar
van Zomeren, A.H. (1981). Reaction time and attention after closed head injury. Lisse, The Netherlands: Swets & Zeitlinger, B.V.Google Scholar
van Zomeren, A.H. & Brouwer, W.H. (1994). Clinical neuropsychology of attention. New York: Oxford University Press.Google Scholar
van Zomeren, A.H., Brouwer, W.H., & Deelman, B.G. (1984). Attention deficits: The riddles of selectivity, speed, and alertness. In Brooks, N. (Ed.), Closed head injury: Psychological, social, and family consequences (pp. 74107). Oxford: Oxford University Press.Google Scholar
Whyte, J. (1992) Attention and arousal: Basic science aspects. Archives of Physical Medicine and Rehabilitation, 73, 940949.Google ScholarPubMed
Whyte, J. (1994). Toward a methodology for rehabilitation research. American Journal of Physical Medicine and Rehabilitation, 73, 428435.CrossRefGoogle Scholar
Whyte, J., Polansky, M., Fleming, M, Coslett, H.B., & Cavallucci, C. (1995). Sustained arousal and attention after traumatic brain injury. Neuropsychologia, 33, 797813.CrossRefGoogle ScholarPubMed
Whyte, J., Rose, T., Glenn, M.B., Gutowski, W., Wroblewski, B., & Reger, J. (1994). Quantification of attention related behaviors in individuals with traumatic brain injury. American Journal of Physical Medicine and Rehabilitation, 73, 29.CrossRefGoogle ScholarPubMed
Whyte, J. & Rosenthal, M. (1993). Rehabilitation of the patient with traumatic brain injury. In DeLisa, J. (Ed.), Rehabilitation medicine: Principles and practice (pp. 825860). Philadelphia: J.B. Lippincott.Google Scholar