Behavioral Changes after Traumatic Brain Injury: A Systematic Review and Meta-analysis on the Frontal Systems Behavior Scale

Abstract

Objective. To analyze the behavioral changes of patients with traumatic brain injury (TBI) based on their performance on the Frontal Systems Behavior Scale (FrSBe). Method. We performed a systematic review andmeta-analysis of original articles that used the FrSBe scale in patients with TBI from the time of publication of the instrument (year 1999) to February 2022, using PubMed, Scopus, and EBSCO databases. Results. The searchyielded a total of 4318 records, of which 28 met the selection criteria. The studies reported that patientswithTBI showed impairments in some domainsassessed by the FrSBe: apathy and executive dysfunction. Conclusions. The results are consistent with behavioral impairments frequently reportedin TBI patients. Therefore, the FrSBe is presented as a useful and effective tool for the detection of behavioral changes in this population.