Osborne-Crowley, K;
McDonald, S;
Francis, H;
(2016)
Development of an observational measure of social disinhibition after traumatic brain injury.
Journal of Clinical and Experimental Neuropsychology
, 38
(3)
pp. 341-353.
10.1080/13803395.2015.1115824.
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Abstract
INTRODUCTION: This study aimed to validate a new observational measure of socially disinhibited behavior for use in a population of individuals with traumatic brain injury (TBI). METHOD: Participants were twenty-two adults with severe TBI (mean age = 50.45 years) and 21 healthy comparison participants (mean age = 45.29 years). Ratings of observed social disinhibition were correlated with the disinhibition domain scores of the Neuropsychiatric Inventory–Disinhibition (NPI–D) and with Sydney Psychosocial Reintegration Scale (SPRS) scores. A regression analysis was undertaken to determine whether formal measures of disinhibition could predict observed disinhibition. RESULTS: The interrater absolute agreement for the social disinhibition ratings was good, intraclass correlation coefficient (ICC) = .69. Participants with TBI were rated as significantly more disinhibited than comparison participants, t(25.05) = –2.07, p = .049. The ratings were positively correlated with the NPI frequency score (r = .45, p = .038) and distress score (r = .45, p = .035). The ratings were not related to change in employment or in interpersonal relationships on the SPRS, and formal measures of disinhibition were unable to predict observed social disinhibition. CONCLUSIONS: This study demonstrates good interrater reliability and construct validity of the observational measure. The results evidence the usefulness of this measure and the NPI–D for detecting social disinhibition after TBI.
| Type: | Article |
|---|---|
| Title: | Development of an observational measure of social disinhibition after traumatic brain injury |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/13803395.2015.1115824 |
| Publisher version: | http://dx.doi.org/10.1080/13803395.2015.1115824 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Social disinhibition, Traumatic brain injury, Observational measure, Neuropsychiatric Inventory |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1575622 |
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