The association of negative attributions with irritation and anger after brain injury.

Neumann, Dawn; Malec, James F.; Hammond, Flora M.

doi:10.1037/rep0000036

Cited by 28 publications

(36 citation statements)

References 41 publications

(81 reference statements)

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“…This is inconsistent with a study by Neumann et al (2015), which indicated that the more TBI patients perceived other people's behaviors as intentional, hostile, or blameworthy, the more irritated and angry they felt. Even though Neumann et al (2015) examined judgments of scenarios not facial expressions, it would be expected that the misattribution Behaviors of Concern after Acquired Brain Injury of anger to facial expressions would also be related to irritation and anger and in turn to more aggression. On the other hand, there may be differential contributions of the severity of brain injury and other factors, such as post-traumatic disorder (PTSD), to anger and aggression.…”

Section: Discussioncontrasting

confidence: 79%

“…The tendency to make attributions that are significantly more negative than the attributions of the general population is termed negative attribution bias. Negative attribution bias is a clinical problem that has been found in TBI patients (Neumann, Malec, & Hammond, 2015). A negative attribution bias is also found to be related to interpersonal dysfunction (Carton, Kessler, & Pape, 1999).…”

Section: Introductionmentioning

confidence: 94%

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Behaviors of Concern after Acquired Brain Injury: The Role of Negative Emotion Recognition and Anger Misattribution

Jorna

Westerhof-Evers

Khosdelazad

et al. 2021

J Int Neuropsychol Soc

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Objective: Behavioral changes are common after acquired brain injury (ABI) and may be caused by social cognition impairments. We investigated whether impaired emotion recognition, specifically Negative Emotion Recognition (NER) and Anger Misattribution (AM), after ABI was related to behavioral problems, so-called Behaviors of Concern (BoC). Method: The study included 139 participants with ABI and 129 healthy controls. BoC was measured using four scales of the Brock Adaptive Functioning Questionnaire (BAFQ): Impulsivity, Aggression, Social Monitoring, and Empathy. Both self-ratings and informant ratings of BoC were obtained. Emotion recognition was measured with the Ekman 60 Faces Test (FEEST). A NER score was composed of the summed scores on Anger, Disgust, Fear, and Sadness. An AM score was composed of the number of facial expressions wrongly recognized as Anger. Results: Total FEEST scores in ABI participants were significantly worse than in healthy controls. The effect size is moderate. Informants rated significantly more problems in Social Monitoring and Empathy than participants. Effect sizes were small. Scores on FEEST total, NER, and AM were significantly correlated to informant ratings of Social Monitoring. Correlations were weak to moderate. Conclusions: Worse NER and more profound AM were related to more informant-rated problems in social monitoring. In addition, informants rated more problems in social monitoring and empathy than participants. This strongly suggests problems in self-awareness in ABI participants. Consequently, social cognition tests and informant ratings should be used in clinical practice to improve the detection and treatment of BoC after ABI.

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Section: Discussioncontrasting

confidence: 79%

Section: Introductionmentioning

confidence: 94%

Behaviors of Concern after Acquired Brain Injury: The Role of Negative Emotion Recognition and Anger Misattribution

Jorna

Westerhof-Evers

Khosdelazad

et al. 2021

J Int Neuropsychol Soc

View full text Add to dashboard Cite

show abstract

“…47 This standardized measure has been widely used in many populations, including TBI. 4,[49][50][51][52][53] Toronto Alexithymia Scale (TAS-20) 28,54 : The TAS-20 is a 20-item questionnaire that measures total alexithymia, and three subconstructs: difficulty identifying feelings (emotional self-awareness), difficulty describing feelings, and externally-oriented thinking. Scores range between 20-100; scores of 51 or less indicate low alexithymia; scores of 61 and higher indicate high alexithymia; scores in between indicate moderate alexithymia.…”

Section: Methodsmentioning

confidence: 99%

“…It is widely acknowledged that problems with aggression are quite common after traumatic brain injury (TBI) 1 , with studies documenting aggression rates between 12% and 45% [2][3][4][5][6] . While the prevalence of post-TBI aggression compared to that of healthy controls has been less studied, findings from two studies suggest that it is more pervasive in the TBI population.…”

mentioning

confidence: 99%

The Relations of Self-Reported Aggression to Alexithymia, Depression, and Anxiety After Traumatic Brain Injury

Neumann¹,

Malec²,

Hammond³

2017

Journal of Head Trauma Rehabilitation

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“…6,7 The roots of posttraumatic anger are complex and vary across individuals. Pre-injury personality characteristics, direct injury to frontal/executive systems that modulate affect and behavior, 8 and cognitive deficits affecting communication and inference in social situations 9 may all play a role. In addition, limitations in financial and personal independence and loss of meaningful activity can compound frustration.…”

Section: Introductionmentioning

confidence: 99%

Anger Self-Management Training for Chronic Moderate to Severe Traumatic Brain Injury: Results of a Randomized Controlled Trial

Hart

Brockway

Maiuro

et al. 2017

Journal of Head Trauma Rehabilitation

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Objective Test efficacy of 8-session, 1:1 treatment, Anger Self-Management Training (ASMT), for chronic moderate to severe traumatic brain injury (TBI). Setting Three US outpatient treatment facilities. Participants 90 people with TBI and elevated self-reported anger; 76 significant others (SOs) provided collateral data. Design Multi-center randomized controlled trial with 2:1 randomization to ASMT or structurally equivalent comparison treatment, Personal Readjustment and Education (PRE). Primary outcome assessment 1 week post treatment; 8-week follow-up. Primary outcome: Response to treatment defined as ≥1 standard deviation change in self-reported anger. Secondary outcomes: SO-rated anger, emotional and behavioral status, satisfaction with life, timing of treatment response, participant and SO-rated global change and treatment satisfaction. Main Measures State-Trait Anger Expression Inventory-Revised Trait Anger (TA) and Anger Expression-Out (AX-O) subscales; Brief Anger-Aggression Questionnaire (BAAQ); Likert-type ratings of treatment satisfaction, global changes in anger and well-being. Results After treatment, ASMT response rate (68%) exceeded that of PRE (47%) on TA but not AX-O or BAAQ; this finding persisted at 8 week follow-up. No significant between-group differences in SO-reported response rates, emotional/ehavioral status, or life satisfaction. ASMT participants were more satisfied with treatment and rated global change in anger as significantly better; SO ratings of global change in both anger and well-being were superior for ASMT. Conclusion Anger self-management training was efficacious and persistent for some aspects of problematic anger. More research is needed to determine optimal dose and essential ingredients of behavioral treatment for anger following TBI.

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The association of negative attributions with irritation and anger after brain injury.

Cited by 28 publications

References 41 publications

Behaviors of Concern after Acquired Brain Injury: The Role of Negative Emotion Recognition and Anger Misattribution

Behaviors of Concern after Acquired Brain Injury: The Role of Negative Emotion Recognition and Anger Misattribution

The Relations of Self-Reported Aggression to Alexithymia, Depression, and Anxiety After Traumatic Brain Injury

Anger Self-Management Training for Chronic Moderate to Severe Traumatic Brain Injury: Results of a Randomized Controlled Trial

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