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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Neurobehavioral disorders.

Nathan D Zasler1, Michael F Martelli, Harvey E Jacobs

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Summary
This summary is machine-generated.

Neurobehavioral disorders, resulting from brain conditions or injury, often lack comprehensive assessment and treatment. A biopsychosocial approach is crucial for holistic management beyond just medication.

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Area of Science:

  • Neuroscience
  • Neurology
  • Psychiatry

Background:

  • Neurobehavioral disorders encompass behavioral impairments linked to brain diseases (stroke, MS, dementia), transient/permanent brain impairments (encephalopathies), and injury (trauma, hypoxia).
  • Current neurorehabilitative care often inadequately addresses the assessment and management of these behavioral impairments.
  • Clinicians may overemphasize pharmacological treatments, neglecting a comprehensive biopsychosocial approach to disease management.

Purpose of the Study:

  • To provide an overview of common behavioral impairments associated with brain dysfunction.
  • To detail the nature of specific impairments like localization-related syndromes, affective, and personality disorders.
  • To examine principles of neurobehavioral assessment and treatment, including history taking, behavioral analysis, and functional behavioral assessment.

Main Methods:

  • Review of common behavioral impairments in neurobehavioral disorders.
  • Explanation of localization-related syndromes, affective, and personality disorders.
  • Discussion of neurobehavioral assessment principles, including history, physical examination, and functional behavioral assessment.

Main Results:

  • Common behavioral impairments associated with brain dysfunction are identified.
  • Principles for neurobehavioral assessment and treatment are outlined.
  • Guidelines for adaptation, disability management, and positive behavioral supports are provided.

Conclusions:

  • Effective management of neurobehavioral disorders requires a comprehensive approach addressing behavioral impairments.
  • A biopsychosocial model is recommended over solely relying on pharmacological interventions.
  • Holistic disease state management is essential for patients with neurobehavioral disorders.