Interrelationships between crime, substance abuse, and aggressive behaviours among persons with traumatic brain injury

Author(s): Marwitz, J. H., Witol, A. D.

Journal/Book: Brain Injury. 1995; 9: 4 John St, London, England WC1N 2ET. Taylor & Francis Ltd London. 757-768.

Abstract: Professionals have suggested that aggessiveness, substance abuse, and criminality contribute to poor outcomes after brain injury. There is considerable research regarding post-injury aggressive behaviour, but limited information concerning criminal behaviour and alcohol use patterns. With a sample of 327 patients varying in severity of traumatic brain injury, the present investigation examined alcohol use patterns, arrest histories, behavioural characteristics, and psychiatric treatment histories. Relative to the uninjured population, analysis revealed relatively high incidence of heavy drinking, both pre- and post-injury, among patients with a history of arrest. Increases in abstinence rates were found regardless of arrest history. In addition, a history of arrest was associated with a seater likelihood of psychiatric treatment. Findings also indicated relatively high levels of aggressive behaviours. Discussion focuses on implications for evaluation, rehabilitation, and future research.

Note: Article JS Kreutzer, Virginia Commonwealth Univ, Med Coll Virginia, Dept Rehabil Med, Richmond, VA 23298 USA

Keyword(s): HEAD-INJURY

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