Características psicológicas en pacientes adultos con daño cerebral adquiridoconsideraciones para la práctica clínica

  1. Ángel Romero-Martínez 1
  2. Carolina Sarrate-Costa 1
  3. Javier Comes-Fayos 1
  4. Arantxa Cuervo
  5. Jéssica García
  6. Luis Moya-Albiol 1
  1. 1 Universitat de València
    info

    Universitat de València

    Valencia, España

    ROR https://ror.org/043nxc105

Journal:
Revista Chilena de Neuropsicología

ISSN: 0718-0551

Year of publication: 2023

Volume: 17

Issue: 1

Pages: 1-6

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Chilena de Neuropsicología

Abstract

Acquired brain injury is one of the leading causes of death in the world's adult population. Even though science has advanced enough to guarantee the survival of many of these patients, a large percentage have cognitive sequelae, so much so that neuropsychology was born to detect these alterations and, thus, develop cognitive training programs. Even so, the consequences have been neglected on a psychological level. Therefore, the first objective of this study was to verify whether adult patients with acquired brain damage (n = 29) differed from a control group (n = 49) on certain psychological variables such as impulsivity, alexithymia, empathy, expression and anger trait, and emotional decoding. Second, we tried to analyze whether the relationships between the aforementioned variables differed in each of group. The results revealed that the group of patients showed greater impulsivity and alexithymia traits, but less perspective taking and ability to decode emotions, compared to the control group. Regarding the second objective, in both groups, greater impulsivity implied greater features of alexithymia and anger; in turn, greater alexithymia was also positively related to anger. Therefore, our results reinforce the need to implement psychotherapeutic intervention programs along with cognitive training. Likewise, we highlight the importance of these programs in analyzing the psychological evolution of patients, given their impact on the success of neuropsychological interventions.

Bibliographic References

  • Adams, A. G., Schweitzer, D., Molenberghs, P., & Henry, J. D. (2019). A meta-analytic review of social cognitive function following stroke. Neuroscience & Biobehavioral Reviews, 102, 400-416. Doi:10.1016/j.neubiorev.2019.03.011
  • Alawieh, A., Zhao, J., y Feng, W. (2018). Factors affecting post-stroke motor recovery: implications on neurotherapy after brain injury. Behavioural Brain Research, 340, 94-101. Doi:10.1016/j.bbr.2016.08.029
  • Armstrong, R. A. (2014). When to use the B onferroni correction. Ophthalmic and Physiological Optics, 34(5), 502-508. Doi:10.1111/opo.12131
  • Bagby, R. M., Parker, J. D., y Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale—I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38 (1), 23–32. Doi:10.1016/0022-3999(94)90005-1
  • Baron-Cohen, S., Wheelwright, S., Hill, J., Raste, Y., y Plumb, I. (2001). The “reading the mind in the eyes” test revised version: A study with normal adults, and adults with asperger syndrome or high- functioning autism. Journal of Child Psychology and Psychiatry, 42 (2), 241–251. Doi:10.1111/1469-7610.00715
  • Campanella, F., Fabbro, F., Ius, T., Shallice, T., & Skrap, M. (2015). Acute effects of surgery on emotion and personality of brain tumor patients: surgery impact, histological aspects, and recovery. Neuro- oncology, 17(8), 1121-1131. Doi:10.1093/neuonc/nov065
  • Capizzi, A., Woo, J., & Verduzco-Gutierrez, M. (2020). Traumatic brain injury: an overview of epidemiology, pathophysiology, and medical management. Medical Clinics, 104(2), 213-238. Doi:10.1016/j.mcna.2019.11.001.
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences. Second Edition. Hillsdate, NJ: LEA. Curtin, F., y Schulz, P. (1998). Multiple correlations and Bonferroni’s correction. Biological Psychiatry, 44(8), 775-777. Doi:10.1016/S0006-3223(98)00043-2
  • Davis, M.H. (1983). Measuring Individual Differences in Empathy: Evidence for a Multidimensional Approach. Journal of Personality and Social Psychology, 44 (1), 113-126.
  • De Noreña, D., Ríos-Lago, M., Bombín-González, I., Sánchez-Cubillo, I., García-Molina, A., y Tirapu-Ustárroz, J. (2010). Efectividad de la rehabilitación neuropsicológica en el daño cerebral adquirido (I): atención, velocidad de procesamiento, memoria y lenguaje. Revista de Neurología, 51(11), 687-98.
  • Dewan, M. C., Rattani, A., Gupta, S., Baticulon, R. E., Hung, Y. C., Punchak, M., ... & Park, K. B. (2018). Estimating the global incidence of traumatic brain injury. Journal of Neurosurgery, 130(4), 1080-1097. Doi:10.3171/2017.10.JNS17352
  • Driscoll, D. M., Dal Monte, O., Solomon, J., Krueger, F., & Grafman, J. (2012). Empathic deficits in combat veterans with traumatic brain injury: a voxel-based lesion-symptom mapping study. Cognitive and Behavioral Neurology, 25(4), 160-166. Doi:10.1097/WNN.0b013e318280cf4e
  • Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., ... & Hamidi, S. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795-820. Doi:10.1016/S1474- 4422(21)00252-0
  • Garofalo, C., Velotti, P., & Zavattini, G. C. (2018). Emotion regulation and aggression: The incremental contribution of alexithymia, impulsivity, and emotion dysregulation facets. Psychology of Violence, 8(4), 470. Doi:10.1037/vio0000141
  • Hillis, A. E. (2014). Inability to empathize: brain lesions that disrupt sharing and understanding another’s emotions. Brain, 137(4), 981-997. Doi:10.1093/brain/awt317
  • Jarne, A.y Aliaga, A. (Eds.). (2010). Manual de neuropsicología forense: de la clínica a los tribunales. Herder.
  • Jorna, L. S., Westerhof-Evers, H. J., Khosdelazad, S., Rakers, S. E., van der Naalt, J., Groen, R. J., ... & Spikman, J. M. (2021). Behaviors of concern after acquired brain injury: the role of negative emotion recognition and anger misattribution. Journal of the International Neuropsychological Society, 1-9. Doi:10.1017/S135561772000140X
  • Junqué, C., & Ribal, J. D. B. (2010). Manual de neuropsicología. Síntesis. Kano, M., y Fukudo, S. (2013). The alexithymic brain: the neural pathways linking alexithymia to physical disorders. BioPsychoSocial Medicine, 7(1), 1-9. Doi:10.1186/1751-0759-7-1
  • Kelly, M.E., y O'Sullivan, M. (2015). Strategies and techniques for cognitive rehabilitation: manual for healthcare professionals working with individuals with cognitive impairment. Dublin: Alzheimer Society of Ireland.
  • Kocka, A., y Gagnon, J. (2014). Definition of impulsivity and related terms following traumatic brain injury: a review of the different concepts and measures used to assess impulsivity, disinhibition and other related concepts. Behavioral Sciences, 4(4), 352-370. Doi:10.3390/bs4040352
  • Martínez-Sánchez, F. (1996). Adaptación española de la escala de Alexitimia de Toronto (TAS-20) [The Spanish version of the Toronto Alexithymia Scale (TAS-20)]. Clínica y Salud, 1, 19–32.
  • Mestre, E. V., Frías, M. D. N, y Samper, P. G. (2004). La medida de la empatía: Análisis del Interpersonal Reactivity Index. Psicothema, 16 (2), 255–260.
  • Mosti, C., y Coccaro, E. F. (2018). Mild traumatic brain injury and aggression, impulsivity, and history of other-and self-directed aggression. The Journal of neuropsychiatry and clinical neurosciences, 30(3), 220-227. Doi:10.1176/appi.neuropsych.17070141
  • Nijsse, B., Spikman, J.M., Visser-Meily, J.M., de Kort, P.L., y van Heugten, C.M. (2019). Social cognition impairments are associated with behavioural changes in the long term after stroke. PloS one, 14(3), e0213725. Doi:10.1371/journal.pone.0213725
  • Osborn, A. J., Mathias, J. L., & Fairweather-Schmidt, A. K. (2016). Prevalence of anxiety following adult traumatic brain injury: A meta-analysis comparing measures, samples and postinjury intervals. Neuropsychology, 30(2), 247–261. Doi:10.1037/neu0000221
  • Plutchik, R., y Van Praag, H.M. (1989). The measurement of suicidality and impulsivity. Progress in Neuro-Psychopharmacology & Biological Psychiatry, 13, 23–24. doi:10.1016/0278-5846(89)90107-3
  • Rapp, B. (2015). Handbook of cognitive neuropsychology: What deficits reveal about the human mind. Psychology Press.
  • Ricciardi, L., Demartini, B., Fotopoulou, A., y Edwards, M.J. (2015). Alexithymia in neurological disease: a review. The Journal of Neuropsychiatry and Clinical Neurosciences, 27(3), 179-187. Doi:10.1176/appi.neuropsych.14070169
  • Romero-Martínez, Á., Lila, M., Gracia, E., Martín-Fernández, M., & Moya- Albiol, L. (2021a). Generally antisocial batterers with high neuropsychological deficits present lower treatment compliance and higher recidivism. Psychology of Violence, 11(3), 318–328. Doi:10.1037/vio0000296
  • Romero-Martínez, Á., Santirso, F., Lila, M., Comes-Fayos, J., & Moya-Albiol, L. (2021b). Cognitive flexibility and reaction time improvements after cognitive training designed for men perpetrators of intimate partner violence: results of a pilot randomized controlled trial. Journal of Family Violence, 1-13. Doi:10.1007/s10896-021-00304-2
  • Rubio-Valladolid, G., Montero, I., Jáuregui, J., Salvador, M., Marín, J.J., Marín, J.J. y Santo-Domingo Carrasco, J. (1999). Validación de la Escala de Impulsividad de Plutchik en población española [Validation of the Plutchik Impulsivity Scale in Spanish population]. Archivos de Neurobiología, 61 (4), 307–316.
  • Scheffer, M., Monteiro, J.K., y Almeida, R. M. M. D. (2011). Frontal stroke: problem solving, decision making, impulsiveness, and depressive symptoms in men and women. Psychology & Neuroscience, 4(2), 267- 278. Doi:10.3922/j.psns.2011.2.012
  • Schneider, A.L., Wang, D., Gottesman, R.F., y Selvin, E. (2021). Prevalence of disability associated with head injury with loss of consciousness in adults in the United States: a population-based study. Neurology, 97(2), e124-e135. Doi:10.1212/WNL.0000000000012148
  • Spielberger, C.D., Jacobs, G., Russell, S., & Crane, R. (1983). Assessment of anger: The State-Trait Anger Scale. In J.N. Butcher & C.D. Spielberger (Eds.), Advances in personality assessment (Vol. 2, pp. 159– 187). Hillsdale, NJ: LEA.
  • Stone, J., Townend, E., Kwan, J., Haga, K., Dennis, M.S., y Sharpe, M. (2004). Personality change after stroke: some preliminary observations. Journal of Neurology, Neurosurgery & Psychiatry, 75(12), 1708-1713. Doi: 10.1136/jnnp.2004.037887
  • Velotti, P., Garofalo, C., Petrocchi, C., Cavallo, F., Popolo, R., & Dimaggio, G. (2016). Alexithymia, emotion dysregulation, impulsivity and aggression: A multiple mediation model. Psychiatry Research, 237, 296-303. Doi:10.1016/j.psychres.2016.01.025
  • Watson, P.A., Gignac, G.E., Weinborn, M., Green, S., y Pestell, C. (2020). A Meta-Analysis of Neuropsychological Predictors of Outcome Following Stroke and Other Non-Traumatic Acquired Brain Injuries in Adults. Neuropsychology Review, 30(2), 194-223. Doi:10.1007/s11065-020-09433-9
  • Weil, Z. M., Corrigan, J. D., & Karelina, K. (2018). Alcohol use disorder and traumatic brain injury. Alcohol Research: Current Reviews, 39(2), 171.
  • Williams, C., Wood, R.L., y Howe, H. (2019). Alexithymia is associated with aggressive tendencies following traumatic brain injury. Brain Injury, 33(1), 69-77. Doi:10.1080/02699052.2018.1531302
Data source: Dialnet