Research Reports - Prevalence, clinical features, and correlates of inappropriate sexual behavior after traumatic brain injury

J Head Trauma Rehabil. 2013 May-Jun;28(3):202-10

Simpson GK, Sabaz M, Daher M

OBJECTIVE: : Investigate the prevalence and clinical features of inappropriate
sexual behavior (ISB) among a community-based cohort of clients of the New South
Wales Brain Injury Rehabilitation program.
SETTING: : All 11 community-based rehabilitation services of the statewide
PARTICIPANTS: : Five hundred seven clients with severe traumatic brain injury.
DESIGN: : Cross-sectional multicentre study.
MAIN MEASURES: : Overt Behavior Scale, Disability Rating Scale, Sydney
Psychosocial Reintegration Scale-2, Health of the Nation Outcome Scale-Acquired
Brain Injury, Care and Needs Scale.
RESULTS: : The point prevalence rate of ISBs was 8.9% (45/507) over the previous
3 months. Inappropriate sexual talk comprised 57.9% of all ISBs, followed by
genital and nongenital touching behaviors (29.8%) and exhibitionism/public
masturbation (10.5%). In 43 of 45 cases, ISBs were accompanied by other
challenging behaviors, most often inappropriate social behavior, and/or
aggression. Individuals who sustained more severe injuries and who were younger
were significantly more likely to display ISBs. People displaying ISBs were more
likely to display higher levels of challenging behaviors overall, lower levels of
social participation, and more neuropsychiatric sequelae than 2 other groups:
people displaying no challenging behaviors and people displaying challenging
behaviors but no ISBs respectively.
CONCLUSIONS: : ISBs pose a complex clinical challenge among a minority of
individuals with severe TBI.

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