Diagnosing pseudobulbar affect in traumatic brain injury

William Engelman,1 Flora M Hammond,2 James F Malec2 1Health Economics and Epidemiology, Evidera, Lexington, MA, 2Indiana University School of Medicine, Rehabilitation Hospital of Indiana, Indianapolis, IN, USA Abstract: Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Engelman W, Hammond FM, Malec JF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ba68f781e0784a169f6adcde6066c9c9
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ba68f781e0784a169f6adcde6066c9c9
record_format	dspace
spelling	oai:doaj.org-article:ba68f781e0784a169f6adcde6066c9c92021-12-02T05:48:24ZDiagnosing pseudobulbar affect in traumatic brain injury1178-2021https://doaj.org/article/ba68f781e0784a169f6adcde6066c9c92014-10-01T00:00:00Zhttp://www.dovepress.com/diagnosing-pseudobulbar-affect-in-traumatic-brain-injury-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 William Engelman,1 Flora M Hammond,2 James F Malec2 1Health Economics and Epidemiology, Evidera, Lexington, MA, 2Indiana University School of Medicine, Rehabilitation Hospital of Indiana, Indianapolis, IN, USA Abstract: Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3%–48.2% of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA. Keywords: traumatic brain injury, complications, differential diagnosis, crying, laughingEngelman WHammond FMMalec JFDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2014, Iss default, Pp 1903-1910 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Engelman W Hammond FM Malec JF Diagnosing pseudobulbar affect in traumatic brain injury
description	William Engelman,1 Flora M Hammond,2 James F Malec2 1Health Economics and Epidemiology, Evidera, Lexington, MA, 2Indiana University School of Medicine, Rehabilitation Hospital of Indiana, Indianapolis, IN, USA Abstract: Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3%–48.2% of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA. Keywords: traumatic brain injury, complications, differential diagnosis, crying, laughing
format	article
author	Engelman W Hammond FM Malec JF
author_facet	Engelman W Hammond FM Malec JF
author_sort	Engelman W
title	Diagnosing pseudobulbar affect in traumatic brain injury
title_short	Diagnosing pseudobulbar affect in traumatic brain injury
title_full	Diagnosing pseudobulbar affect in traumatic brain injury
title_fullStr	Diagnosing pseudobulbar affect in traumatic brain injury
title_full_unstemmed	Diagnosing pseudobulbar affect in traumatic brain injury
title_sort	diagnosing pseudobulbar affect in traumatic brain injury
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/ba68f781e0784a169f6adcde6066c9c9
work_keys_str_mv	AT engelmanw diagnosingpseudobulbaraffectintraumaticbraininjury AT hammondfm diagnosingpseudobulbaraffectintraumaticbraininjury AT malecjf diagnosingpseudobulbaraffectintraumaticbraininjury
_version_	1718400253202268160

Diagnosing pseudobulbar affect in traumatic brain injury

Ejemplares similares