Aggressivity and irritability as defining features of NANDA® Labil Emotional Control diagnosis: integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i12.20097

Keywords:

Nursing Diagnosis; Brain Injuries, Traumatic; Irritable Mood; Aggression.

Abstract

Objective: To investigate the occurrence of irritability and aggressiveness in TBI patients to, finally, conclude the relevance of these defining characteristics in the nursing diagnosis “Labile Emotional Control”, through an integrative literature review. Method: This is an integrative review from the literature that questioned this investigation: What is the evidence in relation to the defining characteristics of irritability and aggressiveness of the nursing diagnosis “Labile emotional control” in victims of traumatic brain injury? Data collection was carried out using the PUBMED and COCHRANE databases. Results: The final sample resulted in 22 articles, mostly in English as the language of publication, only two were in Spanish. The articles included were published between 1999 and 2018. Regarding the defining characteristics observed, 12 articles presented irritability as a characteristic symptom after cranioencephalic injury, 1 article presented aggressiveness as the main symptom after TBI, and 9 articles presented both symptoms correlated. Conclusion: The signs and symptoms irritability and aggressiveness as defining characteristics in the NANDA-I taxonomy, we believe to be relevant for the implementation of nursing care for patients with traumatic brain injury. Bearing in mind that this investigation must be individualized, taking into account the defining characteristics of each patient.

References

Alhilali, L. M., Delic, J. A., Gumus, S. & Fakhran, S. (2015). Evaluation of white matter injury patterns underlying neuropsychiatric symptoms after mild traumatic brain injury1. Radiology. 277(3), 793–800.

Arciniegas, D. B. (2014). Emotional and Behavioral Dyscontrol After Traumatic Brain Injury. Psychiatr Clin NA [Internet]. 37(1), 31–53. http://dx.doi.org/10.1016/j.psc.2013.12.001.

Chaput, G., Giguère, J. F., Chauny, J. M., Denis, R. & Lavigne, G. (2009). Relationship among subjective sleep complaints, headaches, and mood alterations following a mild traumatic brain injury. Sleep Med. 10(7), 713–6.

Deb S., Burns J. Neuropsychiatric consequences of traumatic brain injury: A comparison between two age groups. Brain Inj. 2007 Mar;21(3):301–7.

Fleminger S. Long-term psychiatric disorders after traumatic brain injury. Eur J Anaesthesiol. 2008;25(SUPPL. 42):123–30.

Hammond F. M., Bickett A. K., Norton J. H., Pershad R. Effectiveness of amantadine hydrochloride in the reduction of chronic traumatic brain injury irritability and aggression. J Head Trauma Rehabil. 2014 Sep;29(5):391–9.

Hammond F. M., Davis C., Cook J. R., Philbrick P., Hirsch M. A. A conceptual model of irritability following traumatic brain injury: A qualitative, participatory research study. J Head Trauma Rehabil. 2016 Mar;31(2):E1–11.

Hammond F. M., Davis C. S., Cook J. R., Philbrick P., Hirsch M. A. Relational dimension of irritability following traumatic brain injury: A qualitative analysis. Brain Inj. 2012;26(11):1287–96.

Hammond F. M., Malec J. F., Zafonte R. D., Sherer M., Bogner J., Dikmen S., et al. Potential Impact of Amantadine on Aggression in Chronic Traumatic Brain Injury. J Head Trauma Rehabil. 2017;32(5):308–18.

Hammond F. M., Sherer M., Malec J. F., Zafonte R. D., Whitney M., Bell K., et al. Amantadine Effect on Perceptions of Irritability after Traumatic Brain Injury: Results of the Amantadine Irritability Multisite Study. J Neurotrauma. 2015;32(16):1230–8.

Hora E. C., Sousa R. M. C. de. Os efeitos das alterações comportamentais das vítimas de trauma crânio-encefálico para o cuidador familiar. Rev Lat Am Enfermagem. 2005;13(1):93–8.

Hu T., Hunt C., Ouchterlony D. Is Age Associated with the Severity of Post-Mild Traumatic Brain Injury Symptoms? Can J Neurol Sci. 2017;44(4):384–90.

Kim E., Lauterbach E. C., Reeve A., Arciniegas D. B., Coburn K. L., Mendez M. F., et al. Neuropsychiatric complications of traumatic brain injury: A critical review of the literature (A report by the ANPA Committee on research). J Neuropsychiatry Clin Neurosci. 2007;19(2):106–27.

Kim S. H., Manes F, Kosier T, Baruah S, Robinson R. G. Irritability following traumatic brain injury. J Nerv Ment Dis. 1999 Jun;187(6):327–35.

Malec J. F, Stump T. E, Monahan P. O, Kean J, Neumann D, Hammond F. M. Rasch Analysis, Dimensionality, and Scoring of the Neuropsychiatric Inventory Irritability and Aggression Subscales in Individuals With Traumatic Brain Injury. Arch Phys Med Rehabil. 2018 Feb;99(2):281-288.e2.

Melnyk, B. M.; Fineout-Overholt, E. Making the case for evidence-based practice. In: Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare. A guide to best practice. Philadelphia: Lippincot Williams & Wilkins; 2005. p.3-24.

Mendes K., Silveira R., Galvão C. Evidencias En La Sintegrativa : Método De Pesquisa Para a. Texto Context - Enferm. 2008;17(4):758–64.

Santos A. C. F. S dos, Hora Mota E. C., Santos V. dos, Cartaxo Freitas C. K. A., Barreiro M. do S. C., Santos L. de J. A. dos, et al. Validation of the Nursing Diagnosis “Labile Emotional Control” in Traumatic Brain Injury. J Nurs Scholarsh. 2019;51(1):88–95.

Tateno A., Jorge R. E., Robinson R. G. Clinical correlates of aggressive behavior after traumatic brain injury. J Neuropsychiatry Clin Neurosci. 2003;15(2):155–60.

Terrio H., Brenner L. A, Ivins B. J, Cho J. M, Helmick K., Schwab K., et al. Traumatic brain injury screening: Preliminary findings in a US army brigade combat team. J Head Trauma Rehabil. 2009 Jan;24(1):14–23.

Yang C. C., Hua M. S., Lin W. C., Tsai Y. H., Huang S. J. Irritability following traumatic brain injury: Divergent manifestations of annoyance and verbal aggression. Brain Inj. 2012;26(10):1185–91.

Yang C. C, Huang S. J., Lin W. C., Tsai Y. H., Hua M. S. Divergent manifestations of irritability in patients with mild and moderate-to-severe traumatic brain injury: Perspectives of awareness and neurocognitive correlates. Vol. 27, Brain Injury. Informa Healthcare; 2013. p. 1008–15.

Published

13/09/2021

How to Cite

MOTA, S. B.; SOUSA, A. C. A. de; SANTOS, A. C. F. S. dos; FREITAS, C. K. A. C. .; CAVALCANTE, K. M. H.; BARREIRO, M. do S. C. Aggressivity and irritability as defining features of NANDA® Labil Emotional Control diagnosis: integrative review. Research, Society and Development, [S. l.], v. 10, n. 12, p. e41101220097, 2021. DOI: 10.33448/rsd-v10i12.20097. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/20097. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences