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A review of social disinhibition after traumatic brain injury

Osborne-Crowley, K; McDonald, S; (2018) A review of social disinhibition after traumatic brain injury. Journal of Neuropsychology , 12 (2) pp. 176-199. 10.1111/jnp.12113. Green open access

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Abstract

Acquired social disinhibition refers to a debilitating behavioural syndrome commonly reported after a severe traumatic brain injury (TBI) and is characterized by inappropriate social behaviour, often described as immaturity and insensitivity towards others. These behaviours can have enduring effects on the social capability of the individual and their relationships with others. However, research into socially disinhibited behaviour after TBI has been thwarted by a lack of consensus in the literature on definition and measurement. This review provides an overview of our current understanding of the definition, measurement, prevalence, associated outcomes, neuropathology, and underlying mechanisms of social disinhibition after TBI. In addition, suggestions are made for future research to further our understanding of this syndrome with the eventual aim of rehabilitating problematic behaviours. It is concluded that an improved understanding of what causes disinhibited behaviour after TBI will be necessary for the development of effective treatment strategies aimed at the rehabilitation of underlying impairments.

Type: Article
Title: A review of social disinhibition after traumatic brain injury
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/jnp.12113
Publisher version: http://dx.doi.org/10.1111/jnp.12113
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: disinhibition, impulsivity, inhibition, orbitofrontal cortex, socially inappropriate behaviour, traumatic brain injury
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/1576317
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