Diagnosing Pseudobulbar affect in traumatic brain injury

William Engelman, Flora Hammond, James F. Malec

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3%–48.2% of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA.

Original languageEnglish
Pages (from-to)1903-1910
Number of pages8
JournalNeuropsychiatric Disease and Treatment
Volume10
DOIs
StatePublished - Oct 7 2014

Fingerprint

Crying
Mood Disorders
Brain Injuries
Signs and Symptoms
Epidemiology
Depression
Therapeutics
Traumatic Brain Injury

Keywords

  • Complications
  • Crying
  • Differential diagnosis
  • Laughing
  • Traumatic brain injury

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Diagnosing Pseudobulbar affect in traumatic brain injury. / Engelman, William; Hammond, Flora; Malec, James F.

In: Neuropsychiatric Disease and Treatment, Vol. 10, 07.10.2014, p. 1903-1910.

Research output: Contribution to journalArticle

Engelman, William ; Hammond, Flora ; Malec, James F. / Diagnosing Pseudobulbar affect in traumatic brain injury. In: Neuropsychiatric Disease and Treatment. 2014 ; Vol. 10. pp. 1903-1910.
@article{877d1da7af164b30b01789391fa0a2d4,
title = "Diagnosing Pseudobulbar affect in traumatic brain injury",
abstract = "Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3{\%}–48.2{\%} of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA.",
keywords = "Complications, Crying, Differential diagnosis, Laughing, Traumatic brain injury",
author = "William Engelman and Flora Hammond and Malec, {James F.}",
year = "2014",
month = "10",
day = "7",
doi = "10.2147/NDT.S63304",
language = "English",
volume = "10",
pages = "1903--1910",
journal = "Neuropsychiatric Disease and Treatment",
issn = "1176-6328",
publisher = "Dove Medical Press Ltd.",

}

TY - JOUR

T1 - Diagnosing Pseudobulbar affect in traumatic brain injury

AU - Engelman, William

AU - Hammond, Flora

AU - Malec, James F.

PY - 2014/10/7

Y1 - 2014/10/7

N2 - Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3%–48.2% of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA.

AB - Pseudobulbar affect (PBA) is defined by episodes of involuntary crying and/or laughing as a result of brain injury or other neurological disease. Epidemiology studies show that 5.3%–48.2% of people with traumatic brain injury (TBI) may have symptoms consistent with (or suggestive of) PBA. Yet it is a difficult and often overlooked condition in individuals with TBI, and is easily confused with depression or other mood disorders. As a result, it may be undertreated and persist for longer than it should. This review presents the signs and symptoms of PBA in patients with existing TBI and outlines how to distinguish PBA from other similar conditions. It also compares and contrasts the different diagnostic criteria found in the literature and briefly mentions appropriate treatments. This review follows a composite case with respect to the clinical course and treatment for PBA and presents typical challenges posed to a provider when diagnosing PBA.

KW - Complications

KW - Crying

KW - Differential diagnosis

KW - Laughing

KW - Traumatic brain injury

UR - http://www.scopus.com/inward/record.url?scp=84908218360&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908218360&partnerID=8YFLogxK

U2 - 10.2147/NDT.S63304

DO - 10.2147/NDT.S63304

M3 - Article

AN - SCOPUS:84908218360

VL - 10

SP - 1903

EP - 1910

JO - Neuropsychiatric Disease and Treatment

JF - Neuropsychiatric Disease and Treatment

SN - 1176-6328

ER -