Download PDF
neuroreha 2014; 06(03): 136-141
DOI: 10.1055/s-0034-1390240
Schwerpunkt SHT: Aus der Praxis
Georg Thieme Verlag KG Stuttgart · New York

Verhaltensauffälligkeiten und therapeutische Ansätze nach Schädel-Hirn-Trauma

Wolfgang Deppe
1   Chefarzt Neurologisches Rehabilitationszentrum für Kinder, Jugendliche und junge Erwachsene Klinik Bavaria Kreischa gGmbH, Zscheckwitz 1–3, 01731 Kreischa
› Author Affiliations
Further Information

Publication History

Publication Date:
09 September 2014 (online)

    Permissions and Reprints

Zusammenfassung

Probleme im Sozialverhalten, besondere Erregbarkeit, ungewohnte Emotionen und Veränderungen der Persönlichkeit sind häufige Folgen einer Hirnverletzung. Sie belasten die betroffenen Menschen selber und ihre Umwelt oft stärker und länger als körperliche Schäden. Während bleibende motorische oder sensorische Störungen (z. B. Paresen) gewöhnlich nur nach einem schweren Schädel-Hirn-Trauma auftreten, können Störungen des Verhaltens oder des emotionalen Erlebens und Beeinträchtigungen der geistigen Leistungsfähigkeit bereits nach mittelschweren Hirnverletzungen dauerhaften Charakter annehmen.

 

  • Literatur

  • 1 Gurdjian ES. Cerebral contusions: Re-evaluation of the mechanism of their development. J Trauma 1976; 16: 35-51
    CrossrefGoogle Scholar
  • 2 Gerstenbrand F. Das traumatische apallische Syndrom. Wien New York: Springer; 1967
    CrossrefGoogle Scholar
  • 3 Sabaz M et al. Prevalence, comorbidities, and correlates of challenging behavior among community-dwelling adults with severe traumatic brain injury: A multicenter study. J Head Trauma Rehabil 2014; 29: E19-30
    Google Scholar
  • 4 Baguley IJ et al. Aggressive behavior following traumatic brain injury: How common is common?. J Head Trauma Rehabil 2006; 21: 45-56
    CrossrefGoogle Scholar
  • 5 Brown G et al. A prospective study of children with head injuries: III. Psychiatric sequelae. Psychol Med 1981; 11: 63-78
    CrossrefGoogle Scholar
  • 6 Rivara JB et al. Family functioning and children’s academic performance and behavior problems in the year following traumatic brain injury. Arch Phys Med Rehabil 1994; 75: 369-379
    CrossrefGoogle Scholar
  • 7 Hawley CA. Reported problems and their resolution following mild, moderate and severe traumatic brain injury amongst children and adolescents in the UK. Brain Inj 2003; 17: 105-129
    CrossrefGoogle Scholar
  • 8 Hooper SR et al. Caregiver reports of common symptoms in children following a traumatic brain injury. NeuroRehabilitation 2004; 19: 175-189
    Google Scholar
  • 9 Lehmkuhl G et al. Development in children after severe head injury. In: Rothenberger A. (eds) Brain and Behaviour in Child Psychiatry. New York: Springer; 1990
    CrossrefGoogle Scholar
  • 10 Simpson GK et al. Prevalence, clinical features, and correlates of inappropriate sexual behavior after traumatic brain injury: A multicenter study. J Head Trauma Rehabil 2013; 28: 202-210
    Google Scholar
  • 11 Brown G et al. A prospective study of children with head injuries: III. Psychiatric sequelae. Psychol Med 1981; 11: 63-78
    CrossrefGoogle Scholar
  • 12 Gerring JP et al. Premorbid prevalence of ADHD and development of secondary ADHD after closed head injury. J Am Acad Child Adolesc Psychiatry 1998; 37: 647-654
    CrossrefGoogle Scholar
  • 13 Bloom DR et al. Lifetime and novel psychiatric disorders after pediatric traumatic brain injury. J Am Acad Child Adolesc Psychiatry 2001; 40: 572-579
    CrossrefGoogle Scholar
  • 14 Max JE et al. Predictors of secondary attention-deficit/hyperactivity disorders in children and adolescents 6 to 24 months after traumatic brain injury. J Am Acad Child Adolesc Psychiatry 2005; 44: 1041-1049
    CrossrefPubMedGoogle Scholar
  • 15 Levin HS et al. Symptoms of attention-deficit/hyperactivity disorder following traumatic brain injury in children. J Dev Behav Pediatr 2007; 28: 108-118
    CrossrefGoogle Scholar
  • 16 Geraldina P et al. Neuropsychiatric sequelae in TBI: A comparison across different age groups. Brain Inj 2003; 17: 835-846
    CrossrefGoogle Scholar
  • 17 Slifer KJ et al. Behavior analysis and intervention during hospitilization for brain trauma rehabilitation. Arch Phys Med Rehabil 1993; 74: 810-817
    CrossrefGoogle Scholar
  • 18 Slifer KJ et al. Operant conditioning for behaviour management during post-traumatic amnesia in children and adolescents with brain injury. J Head Trauma Rehabil 1996; 11: 39-50
    CrossrefGoogle Scholar
  • 19 Deppe W.. Neurorehabilitation im Kindes- und Jugendalter. In: Frommelt P, Lösslein H, (Hrsg.) NeuroRehabilitation. Springer-Verlag Berlin Heidelberg; 2010: 581-609
    CrossrefGoogle Scholar
  • 20 Deppe W et al. Verhaltenstherapeutische Methoden in der neurologischen Rehabilitation von Kindern und Jugendlichen. In: von Wild K RH, Hömberg V, Ritz A, (Hrsg) Das schädelhirnverletzte Kind – Motorische Rehabilitation – Qualitätsmanagement. Zuckschwerdt Verlag; 1999: 134-136
    CrossrefGoogle Scholar
  • 21 Carnevale GJ et al. A natural setting behavior management program for persons with acquired brain injury: A randomized controlled trial. Arch Phys Med Rehabil 2006; 87: 1289-1297
    CrossrefGoogle Scholar
  • 22 Bradbury CL et al. The efficacy of cognitive behavior therapy in the treatment of emotional distress after acquired brain injury. Arch Phys Med Rehabil 2008; 89: S61-68
    Google Scholar
  • 23 Wade SL et al. Effect on behavior problems of teen online problem-solving for adolescent traumatic brain injury. Pediatrics 2011; 128: e947-953
    CrossrefGoogle Scholar
  • 24 McDougle CJ et al. Atypical antipsychotics in children and adolescents with autistic and other pervasive developmental disorders. J Clin Psychiatry 2008; 69 (Suppl. 04) 15-20
    CrossrefGoogle Scholar
  • 25 Loy JH et al. Atypical antipsychotics for disruptive behaviour disorders in children and youths. Cochrane Database Syst Rev 12.09.2012; 9 CD008559 DOI: 10.1002/14651858.CD008559.
    Google Scholar
  • 26 Alderman N et al. Neurobehavioural approaches to the rehabilitation of challenging behaviour. NeuroRehabilitation 2013; 32: 761-770
    Google Scholar