Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury

Objective: This article will address how anomalies of executive function after traumatic brain injury (TBI) can translate into altered social behavior that has an impact on a person’s capacity to live safely and independently in the community.Method: Review of literature on executive and neurobehavi...

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Main Authors: Rodger Ll. Wood, Andrew Worthington
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-10-01
Series:Frontiers in Behavioral Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fnbeh.2017.00195/full
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author Rodger Ll. Wood
Andrew Worthington
author_facet Rodger Ll. Wood
Andrew Worthington
author_sort Rodger Ll. Wood
collection DOAJ
description Objective: This article will address how anomalies of executive function after traumatic brain injury (TBI) can translate into altered social behavior that has an impact on a person’s capacity to live safely and independently in the community.Method: Review of literature on executive and neurobehavioral function linked to cognitive ageing in neurologically healthy populations and late neurocognitive effects of serious TBI. Information was collated from internet searches involving MEDLINE, PubMed, PyscINFO and Google Scholar as well as the authors’ own catalogs.Conclusions: The conventional distinction between cognitive and emotional-behavioral sequelae of TBI is shown to be superficial in the light of increasing evidence that executive skills are critical for integrating and appraising environmental events in terms of cognitive, emotional and social significance. This is undertaken through multiple fronto-subcortical pathways within which it is possible to identify a predominantly dorsolateral network that subserves executive control of attention and cognition (so-called cold executive processes) and orbito-frontal/ventro-medial pathways that underpin the hot executive skills that drive much of behavior in daily life. TBI frequently involves disruption to both sets of executive functions but research is increasingly demonstrating the role of hot executive deficits underpinning a wide range of neurobehavioral disorders that compromise relationships, functional independence and mental capacity in daily life.
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spelling doaj.art-d01c4b69d1ee4d2aa33cf272a5444cfd2022-12-22T02:16:26ZengFrontiers Media S.A.Frontiers in Behavioral Neuroscience1662-51532017-10-011110.3389/fnbeh.2017.00195296709Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain InjuryRodger Ll. Wood0Andrew Worthington1Clinical Neuropsychology, College of Medicine, Swansea University, Swansea, United KingdomCollege of Medicine and College of Human and Health Sciences, Swansea University, Swansea, United KingdomObjective: This article will address how anomalies of executive function after traumatic brain injury (TBI) can translate into altered social behavior that has an impact on a person’s capacity to live safely and independently in the community.Method: Review of literature on executive and neurobehavioral function linked to cognitive ageing in neurologically healthy populations and late neurocognitive effects of serious TBI. Information was collated from internet searches involving MEDLINE, PubMed, PyscINFO and Google Scholar as well as the authors’ own catalogs.Conclusions: The conventional distinction between cognitive and emotional-behavioral sequelae of TBI is shown to be superficial in the light of increasing evidence that executive skills are critical for integrating and appraising environmental events in terms of cognitive, emotional and social significance. This is undertaken through multiple fronto-subcortical pathways within which it is possible to identify a predominantly dorsolateral network that subserves executive control of attention and cognition (so-called cold executive processes) and orbito-frontal/ventro-medial pathways that underpin the hot executive skills that drive much of behavior in daily life. TBI frequently involves disruption to both sets of executive functions but research is increasingly demonstrating the role of hot executive deficits underpinning a wide range of neurobehavioral disorders that compromise relationships, functional independence and mental capacity in daily life.http://journal.frontiersin.org/article/10.3389/fnbeh.2017.00195/fullneurobehavioral disorderexecutive dysfunctiondecision makingtraumatic brain injurybrain injury rehabilitation
spellingShingle Rodger Ll. Wood
Andrew Worthington
Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
Frontiers in Behavioral Neuroscience
neurobehavioral disorder
executive dysfunction
decision making
traumatic brain injury
brain injury rehabilitation
title Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
title_full Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
title_fullStr Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
title_full_unstemmed Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
title_short Neurobehavioral Abnormalities Associated with Executive Dysfunction after Traumatic Brain Injury
title_sort neurobehavioral abnormalities associated with executive dysfunction after traumatic brain injury
topic neurobehavioral disorder
executive dysfunction
decision making
traumatic brain injury
brain injury rehabilitation
url http://journal.frontiersin.org/article/10.3389/fnbeh.2017.00195/full
work_keys_str_mv AT rodgerllwood neurobehavioralabnormalitiesassociatedwithexecutivedysfunctionaftertraumaticbraininjury
AT andrewworthington neurobehavioralabnormalitiesassociatedwithexecutivedysfunctionaftertraumaticbraininjury