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Utilization behavior: what is known and what has to be known?
Leonardo Iaccarino1, Sergio Chieffi2, Alessandro Iavarone3
1Vita-Salute San Raffaele University, Via Olgettina, 58, 20132 Milan, Italy ; Department of Nuclear Medicine, San Raffaele Hospital, Via Olgettina, 58, 20132 Milan, Italy.
Behavioural Neurology
|May 15, 2014
Summary
Utilization behavior (UB) remains poorly understood in neurology. This paper reviews UB cases, neurological mechanisms, and cognitive models, aiding clinical distinction from other neurobehavioral symptoms.
Area of Science:
- Neuroscience
- Behavioral Neurology
- Neuropsychology
Background:
- Utilization behavior (UB), first described in 1983, presents a persistent challenge in behavioral neurology and neuropsychology.
- Despite recent advances, the functional neuroanatomical basis of UB remains unclear, though neuroimaging offers improved insights.
- Current research is shifting focus from frontoparietal to intrafrontal mechanisms for a better understanding.
Purpose of the Study:
- To review documented cases of utilization behavior (UB).
- To elucidate the potential neurological mechanisms underlying UB.
- To summarize proposed cognitive models and clinical distinguishing features of UB.
Main Methods:
- Literature review of reported utilization behavior (UB) cases.
- Analysis of neuroimaging findings related to UB.
- Synthesis of proposed cognitive models and clinical diagnostic criteria.
Main Results:
- Review of historical and recent cases provides a foundation for understanding UB.
- Emerging evidence points towards intrafrontal mechanisms, differentiating from previous frontoparietal theories.
- Three cognitive models offer frameworks, yet a complete explanation for UB's complexity is still developing.
Conclusions:
- A comprehensive understanding of utilization behavior (UB) requires integrating neurological and cognitive perspectives.
- Further research into intrafrontal mechanisms and refined cognitive models is crucial.
- Clearer clinical features are needed to differentiate UB from other neurobehavioral disorders.
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