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• W2055663485 abstract "Primary objectives:To determine the frequency and nature of post-TBI personality disorders (PDs) in a community-based sample of individuals with TBI.Research design:One hundred individuals with TBI were administered a structural clinical interview to determine Axis II psychopathology.Methods of procedures:The Structured Clinical Interview for DSM-IV Personality Disorders, Clinician Version (SCID II) was used to determine 12 Axis II personality disorders. SCID II questions were modified so that symptom onset could be rated as occurring pre-injury vs. post-TBI. Data were analysed using student T-tests, chi-square analysis and one way analyses of variance.Outcomes and results:Pre-TBI PDs were diagnosed in 24% of the sample; antisocial PD and obsessive–compulsive PD were the most common diagnoses. Post-TBI, 66% of the sample met criteria for at least one PD, with PDs independent of TBI severity, age at injury, and time since injury. The most common post-TBI PDs were: borderline, avoidant, paranoid, obsessive–compulsive and narcissistic. Men were more likely to be diagnosed with antisocial PD and narcissistic PD. Individuals with pre- TBI PDs were at greater risk of acquiring additional psychopathology post-TBI. Personalty traits endorsed by more than 30% of the sample post-TBI reflected loss of self-confidence, attempts to cope with cognitive and interpersonal failures and negative affect.Conclusion:These findings argue against a specific TBI personality syndrome, but rather a diversity of personality disorders reflective of the persistent challenges and compensatory coping strategies developed by individuals post-TBI. Prospective need for clinical assessment, pro-active education and focused treatment approaches are discussed." @default.
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• W2055663485 date "2000-01-01" @default.
• W2055663485 modified "2023-09-27" @default.
• W2055663485 title "Axis II psychopathology in individuals with traumatic brain injury" @default.
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• W2055663485 doi "https://doi.org/10.1080/0269905001209161" @default.
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