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[Emotional and behavior disorders after brain lesion].

Béatrice Leemann1, Carole Greber1, Myriam Chabloz1

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Summary

Brain lesions can cause emotional and behavioral disorders like apathy, aggression, and depression, impacting patient and family quality of life. This review offers guidance on recognizing, evaluating, and treating these common issues.

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Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Psychology

Background:

  • Brain lesions frequently lead to significant emotional and behavioral disturbances.
  • These disorders negatively impact the quality of life for both patients and their families.
  • Apathy, aggression, and depression are particularly common and challenging post-lesion conditions.

Purpose of the Study:

  • To provide practical guidance for managing common emotional and behavioral disorders after brain injury.
  • To focus on three high-frequency issues: apathy, aggression, and depression.
  • To outline methods for recognizing, evaluating, and treating these conditions.

Main Methods:

  • Literature review of existing research and clinical guidelines.
  • Synthesis of current understanding on the phenomenology of apathy, aggression, and depression post-brain lesion.
  • Discussion of evidence-based management strategies.

Main Results:

  • Apathy is characterized by diminished motivation and emotional responsiveness.
  • Aggression may manifest as irritability, hostility, or outbursts.
  • Depression presents with persistent sadness, anhedonia, and changes in sleep and appetite.

Conclusions:

  • Effective management requires accurate recognition and thorough evaluation of symptoms.
  • Treatment approaches should be tailored to the individual patient and specific disorder.
  • Interdisciplinary collaboration is crucial for optimizing patient outcomes and supporting families.