Neural correlates of improvements in personality and behavior following a neurological event

NEUROPSYCHOLOGIA

卷:145

Article

King, Marcie L.¹  Manzel, Kenneth²  Bruss, Joel^2,3  Tranel, Daniel^1,2 

[1] Univ Iowa, Dept Psychol & Brain Sci, W311 Seashore Hall, Iowa City, IA 52242 USA

[2] Univ Iowa, Carver Coll Med, Dept Neurol, 2007 Roy Carver Pavil,200 Hawkins Dr, Iowa City, IA 52242 USA

[3] Univ Iowa, Carver Coll Med, Dept Psychiat, 2007 Roy Carver Pavil,200 Hawkins Dr, Iowa City, IA 52242 USA

关键词: Personality;    Behavior;    Lesion;    Neurological event;   

DOI  :  10.1016/j.neuropsychologia.2017.11.023

来源: Elsevier

【 摘 要 】

Research on changes in personality and behavior following brain damage has focused largely on negative outcomes, such as increased irritability, moodiness, and social inappropriateness. However, clinical observations suggest that some patients may actually show positive personality and behavioral changes following a neurological event. In the current work, we investigated neuroanatomical correlates of positive personality and behavioral changes following a discrete neurological event (e.g., stroke, benign tumor resection). Patients (N = 97) were rated by a well-known family member or friend on five domains of personality and behavior: social behavior, irascibility, hypo-emotionality, distress, and executive functioning. Ratings were acquired during the chronic epoch of recovery, when psychological status was stabilized. We identified patients who showed positive changes in personality and behavior in one or more domains of functioning. Lesion analyses indicated that positive changes in personality and behavior were most consistently related to damage to the bilateral frontal polar regions and the right anterior dorsolateral prefrontal region. These findings support the conclusion that improvements in personality and behavior can occur after a neurological event, and that such changes have systematic neuroanatomical correlates. Patients who showed positive changes in personality and behavior following a neurological event were rated as having more disturbed functioning prior to the event. Our study may be taken as preliminary evidence that improvements in personality and behavior following a neurological event may involve dampening of (premorbidly) more extreme expressions of emotion.

【 授权许可】

Free