@article{ref1,
title="Development of an observational measure of social disinhibition after traumatic brain injury",
journal="Journal of clinical and experimental neuropsychology",
year="2015",
author="Osborne-Crowley, Katherine and McDonald, Skye and Francis, Heather",
volume="38",
number="3",
pages="341-353",
abstract="INTRODUCTION: This study aimed to validate a new observational measure of socially disinhibited behavior for use in a population of individuals with traumatic brain injury (TBI). <br><br>METHOD: Participants were twenty-two adults with severe TBI (mean age = 50.45 years) and 21 healthy comparison participants (mean age = 45.29 years). Ratings of observed social disinhibition were correlated with the disinhibition domain scores of the Neuropsychiatric Inventory-Disinhibition (NPI-D) and with Sydney Psychosocial Reintegration Scale (SPRS) scores. A regression analysis was undertaken to determine whether formal measures of disinhibition could predict observed disinhibition. <br><br>RESULTS: The interrater absolute agreement for the social disinhibition ratings was good, intraclass correlation coefficient (ICC) =.69. Participants with TBI were rated as significantly more disinhibited than comparison participants, t(25.05) = -2.07, p =.049. The ratings were positively correlated with the NPI frequency score (r =.45, p =.038) and distress score (r =.45, p =.035). The ratings were not related to change in employment or in interpersonal relationships on the SPRS, and formal measures of disinhibition were unable to predict observed social disinhibition. <br><br>CONCLUSIONS: This study demonstrates good interrater reliability and construct validity of the observational measure. The results evidence the usefulness of this measure and the NPI-D for detecting social disinhibition after TBI.<p /> <p>Language: en</p>",
language="en",
issn="1380-3395",
doi="10.1080/13803395.2015.1115824",
url="http://dx.doi.org/10.1080/13803395.2015.1115824"
}