Anticipatory behaviour deficits in closed head injury

Closed head injured patients demonstrated greater anticipatory behaviour deficit than cerebral vascular accident patients on a shuttlebox-analog avoidance task, even though these two groups did not differ on escape behaviour and on performance on the individual tests of the Halstead-Reitan Battery and Wechsler scales. Neither clarification of instructions, additional trials, nor enhancement of the warning cue appeared to improve the anticipatory behaviour deficit. It was concluded that anticipatory behaviour deficit should be considered a relatively dense deficit that is not identified by standard instruments. Clinical and practical implications are discussed.