Use of the neuropsychiatric inventory in traumatic brain injury: A pilot investigation

Ryan P. Kilmer, George J. Demakis, Flora Hammond, Karen E. Grattan, James R. Cook, Aleksandr A. Kornev

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective: The goal of this investigation was to pilot the Neuropsychiatric Inventory (NPI) among individuals with traumatic brain injury (TBI) and their caregivers, assessing its screen-metric approach. Design and Participants: Using the NPI, caregivers rated neurobehavioral disturbances in 51 individuals with moderate-to-severe TBI. The NPI was completed 1 or 2 years after the individuals were injured. Results: Caregivers reported the highest symptom levels for participants on Irritability/Lability, Apathy, and Agitation/Aggression, and rated greater levels of distress tied to those domains and to Dysphoria. Caregivers endorsing domain screening items endorsed significantly more metric items (vs. screen non-endorsers) within that domain, as would be expected if the screen accurately measured the psychopathology under consideration. In addition, the screen-metric yielded extremely low false-positive rates, although 5 of the 12 domains had elevated false-negative rates. Conclusions: Findings provide preliminary support for the accuracy of the NPI's screen-metric in this population and are consistent with prior work detailing common problematic neurobehavioral consequences of TBI. These results lay groundwork for research and clinical use of this measure in populations with TBI.

Original languageEnglish (US)
Pages (from-to)232-238
Number of pages7
JournalRehabilitation Psychology
Volume51
Issue number3
DOIs
StatePublished - Aug 2006
Externally publishedYes

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Caregivers
Equipment and Supplies
Apathy
Aggression
Psychopathology
Population
Traumatic Brain Injury
Research

Keywords

  • Assessment
  • Neuropsychiatric Inventory
  • Traumatic brain injury

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Health Professions(all)
  • Clinical Psychology

Cite this

Use of the neuropsychiatric inventory in traumatic brain injury : A pilot investigation. / Kilmer, Ryan P.; Demakis, George J.; Hammond, Flora; Grattan, Karen E.; Cook, James R.; Kornev, Aleksandr A.

In: Rehabilitation Psychology, Vol. 51, No. 3, 08.2006, p. 232-238.

Research output: Contribution to journalArticle

Kilmer, Ryan P. ; Demakis, George J. ; Hammond, Flora ; Grattan, Karen E. ; Cook, James R. ; Kornev, Aleksandr A. / Use of the neuropsychiatric inventory in traumatic brain injury : A pilot investigation. In: Rehabilitation Psychology. 2006 ; Vol. 51, No. 3. pp. 232-238.
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