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Dimensions of personality disturbance after focal brain damage: Investigation with the Iowa Scales of Personality Change
Journal article   Open access   Peer reviewed

Dimensions of personality disturbance after focal brain damage: Investigation with the Iowa Scales of Personality Change

Joseph Barrash, Erik Asp, Kristian Markon, Kenneth Manzel, Steven W Anderson and Daniel Tranel
Journal of clinical and experimental neuropsychology, Vol.33(8), pp.833-852
10/01/2011
DOI: 10.1080/13803395.2011.561300
PMCID: PMC3140575
PMID: 21500116
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3140575View
Open Access

Abstract

This study employed a multistep, rational-empirical approach to identify dimensions of personality disturbance in brain-damaged individuals: (a) Five dimensions were hypothesized based on empirical literature and conceptual grounds; (b) principal components analysis was performed on the Iowa Scales of Personality Change (ISPC) to determine the pattern of covariance among 30 personality characteristics; (c) when discrepancies existed between principal components analysis results and conceptually based dimensions, empirical findings and clinical considerations were weighed to determine assignment of ISPC scales to dimensions; (d) the fit of data to the refined dimensions was assessed by examination of intercorrelations; (e) differential predictions concerning the relationship of dimensions to ventromedial prefrontal cortex (vmPFC) damage were tested. This process resulted in the specification of five dimensions: Disturbed Social Behavior, Executive/Decision-Making Deficits, Diminished Motivation/Hypo-Emotionality, Irascibility, and Distress. In accord with predictions, the 28 participants with vmPFC lesions, compared to 96 participants with focal lesions elsewhere in the brain, had significantly more Disturbed Social Behavior and Executive/Decision-Making Deficits and tended to have more Diminished Motivation/Hypo-Emotionality. Irascibility was not significantly higher among the vmPFC group, and the groups had very similar levels of Distress. The findings indicate that conceptually distinctive dimensions with differential relationships to vmPFC can be derived from the Iowa Scales of Personality Change.
Apathy Disinhibition Executive function Factor analysis Prefrontal cortex

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