A critical and descriptive approach to interictal behavior with the Neurobehavior Inventory (NBI)

A critical and descriptive approach to interictal behavior with the Neurobehavior Inventory (NBI)

Author Oliveira, Guilherme Nogueira M. de Google Scholar
Kummer, Arthur Google Scholar
Marchetti, Renato Luiz Google Scholar
Araujo Filho, Gerardo Maria de Autor UNIFESP Google Scholar
Salgado, Joao Vincius Google Scholar
David, Anthony S. Google Scholar
Teixeira, Antonio Lúcio Autor UNIFESP Google Scholar
Institution Hosp Felicio Rocho
Universidade Federal de Minas Gerais (UFMG)
Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Kings Coll London
Abstract Purpose: the purpose of this study was to test the psychometric properties of the Neurobehavior Inventory (NBI) in a group of temporal lobe epilepsy (TLE) patients from a tertiary care center, correlating its scores with the presence of psychiatric symptoms.Methods: Clinical and sociodemographic data from ninety-six TLE outpatients were collected, and a neuropsychiatric evaluation was performed with the following instruments: Mini-Mental State Examination (MMSE), structured psychiatric interview (MINI-PLUS), Neurobehavior Inventory (NBI), and Hamilton Depression Rating Scale (HAM-D).Results: Some traits evaluated by the NBI showed adequate internal consistency (mean inter-item correlation between 0.2 and 0.4) and were frequent, such as religiosity (74%) and repetitiveness (60.4%). Principal component analysis showed three factors, named here as emotions (Factor 1), hyposexuality (Factor 2), and unusual ideas (Factor 3). Depressive symptoms on HAM-D showed a strong association with emotions and hyposexuality factors. When patients with left TLE and right TLE were compared, the former exhibited more sadness (p=0.017), and the latter, a greater tendency toward sense of personal destiny (p=0.028).Conclusion: Depression influences NBI scoring, mainly emotionality and hyposexuality traits. Neurobehavior Inventory subscales can be better interpreted with an appropriate evaluation of comorbid mood and anxiety disorders. Compromise in left temporal mesial structures is associated with increased tendency toward sad affect, whereas right temporal pathology is associated with increased beliefs in personal destiny. (C) 2012 Elsevier Inc. All rights reserved.
Keywords Temporal lobe epilepsy
Interictal behavior
Gastaut-Geschwind syndrome
Neurobehavior Inventory
Psychiatric disorders
Depression
Language English
Sponsor Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)
Date 2012-11-01
Published in Epilepsy & Behavior. San Diego: Academic Press Inc Elsevier Science, v. 25, n. 3, p. 334-340, 2012.
ISSN 1525-5050 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 334-340
Origin http://dx.doi.org/10.1016/j.yebeh.2012.08.031
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000310917000007
URI http://repositorio.unifesp.br/handle/11600/35425

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