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Social disinhibition

MedGen UID:
140859
•Concept ID:
C0424296
•
Mental or Behavioral Dysfunction
Synonym: Disinhibition
SNOMED CT: Lack of restraint in social settings (247977003); Social disinhibition (247977003)
 
HPO: HP:5200029

Definition

A tendency to violate social norms because of a failure to resist temptations or urges in social settings. [from HPO]

Professional guidelines

PubMed

Development and Validation of a Measure of Attachment Disorders Based on DSM-5 Criteria: The Early TRAuma-Related Disorders Questionnaire (ETRADQ).
Monette S, Cyr C, Terradas MM, Couture S, Minnis H, Lehmann S
Assessment 2022 Apr;29(3):556-571. Epub 2020 Dec 31 doi: 10.1177/1073191120981763. PMID: 33380162
Assessing social cognition in people with a diagnosis of dementia: Development of a novel screening test, the Brief Assessment of Social Skills (BASS-D).
Kelly M, McDonald S
J Clin Exp Neuropsychol 2020 Mar;42(2):185-198. Epub 2019 Dec 12 doi: 10.1080/13803395.2019.1700925. PMID: 31830851
Interventional psychiatry in the management of behavioural and psychological symptoms of dementia: a qualitative review.
Swierkosz-Lenart K, Mall JF, von Gunten A
Swiss Med Wkly 2019 Oct 21;149:w20140. Epub 2019 Oct 27 doi: 10.4414/smw.2019.20140. PMID: 31656033

Recent clinical studies

Etiology

Action control and selection in social disinhibition following severe TBI: a pavlovian-to-instrumental transfer and outcome devaluation study.
Filipčíková M, Balleine B, Kumfor F, McDonald S
J Clin Exp Neuropsychol 2023 Nov;45(9):825-839. Epub 2024 Feb 6 doi: 10.1080/13803395.2024.2313257. PMID: 38319159
Behavioural disinhibition in frontotemporal dementia investigated within an ecological framework.
Tanguy D, Rametti-Lacroux A, Bouzigues A, Saracino D, Le Ber I, Godefroy V, Morandi X, Jannin P, Levy R, Batrancourt B, Migliaccio R; ECOCAPTURE Study Group
Cortex 2023 Mar;160:152-166. Epub 2022 Dec 28 doi: 10.1016/j.cortex.2022.11.013. PMID: 36658040
Development and Validation of a Measure of Attachment Disorders Based on DSM-5 Criteria: The Early TRAuma-Related Disorders Questionnaire (ETRADQ).
Monette S, Cyr C, Terradas MM, Couture S, Minnis H, Lehmann S
Assessment 2022 Apr;29(3):556-571. Epub 2020 Dec 31 doi: 10.1177/1073191120981763. PMID: 33380162
Interventional psychiatry in the management of behavioural and psychological symptoms of dementia: a qualitative review.
Swierkosz-Lenart K, Mall JF, von Gunten A
Swiss Med Wkly 2019 Oct 21;149:w20140. Epub 2019 Oct 27 doi: 10.4414/smw.2019.20140. PMID: 31656033
The social anxiety spectrum.
Schneier FR, Blanco C, Antia SX, Liebowitz MR
Psychiatr Clin North Am 2002 Dec;25(4):757-74. doi: 10.1016/s0193-953x(02)00018-7. PMID: 12462859

Diagnosis

Action control and selection in social disinhibition following severe TBI: a pavlovian-to-instrumental transfer and outcome devaluation study.
Filipčíková M, Balleine B, Kumfor F, McDonald S
J Clin Exp Neuropsychol 2023 Nov;45(9):825-839. Epub 2024 Feb 6 doi: 10.1080/13803395.2024.2313257. PMID: 38319159
Development and Validation of a Measure of Attachment Disorders Based on DSM-5 Criteria: The Early TRAuma-Related Disorders Questionnaire (ETRADQ).
Monette S, Cyr C, Terradas MM, Couture S, Minnis H, Lehmann S
Assessment 2022 Apr;29(3):556-571. Epub 2020 Dec 31 doi: 10.1177/1073191120981763. PMID: 33380162
Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.
Lehmann S, Monette S, Egger H, Breivik K, Young D, Davidson C, Minnis H
Assessment 2020 Jun;27(4):749-765. Epub 2018 Sep 2 doi: 10.1177/1073191118797422. PMID: 30175603Free PMC Article
Examining the language and behavioural profile in FTD and ALS-FTD.
Saxon JA, Thompson JC, Jones M, Harris JM, Richardson AM, Langheinrich T, Neary D, Mann DM, Snowden JS
J Neurol Neurosurg Psychiatry 2017 Aug;88(8):675-680. Epub 2017 Jun 8 doi: 10.1136/jnnp-2017-315667. PMID: 28596248Free PMC Article
The social anxiety spectrum.
Schneier FR, Blanco C, Antia SX, Liebowitz MR
Psychiatr Clin North Am 2002 Dec;25(4):757-74. doi: 10.1016/s0193-953x(02)00018-7. PMID: 12462859

Therapy

Interventional psychiatry in the management of behavioural and psychological symptoms of dementia: a qualitative review.
Swierkosz-Lenart K, Mall JF, von Gunten A
Swiss Med Wkly 2019 Oct 21;149:w20140. Epub 2019 Oct 27 doi: 10.4414/smw.2019.20140. PMID: 31656033
Inhibiting automatic negative social responses in alcohol intoxication: interactions with theory of mind ability and level of task guidance.
Johnson EG, Skromanis S, Bruno R, Mond J, Honan CA
Psychopharmacology (Berl) 2018 Apr;235(4):1221-1232. Epub 2018 Feb 1 doi: 10.1007/s00213-018-4838-3. PMID: 29392372
Schizophrenia or neurodegenerative disease prodrome? Outcome of a first psychotic episode in a 35-year-old woman.
Khan BK, Woolley JD, Chao S, See T, Karydas AM, Miller BL, Rankin KP
Psychosomatics 2012 May-Jun;53(3):280-4. Epub 2012 Jan 28 doi: 10.1016/j.psym.2011.04.005. PMID: 22284422Free PMC Article
Alcohol-induced disinhibition expectancies and impaired control as prospective predictors of problem drinking in undergraduates.
Leeman RF, Toll BA, Taylor LA, Volpicelli JR
Psychol Addict Behav 2009 Dec;23(4):553-63. doi: 10.1037/a0017129. PMID: 20025361Free PMC Article
"Frontal variant Alzheimer's disease": a reappraisal.
Larner AJ
Clin Neurol Neurosurg 2006 Oct;108(7):705-8. Epub 2005 Aug 15 doi: 10.1016/j.clineuro.2005.07.001. PMID: 16102893

Prognosis

Disinhibited and angry: Investigating the relationship between social disinhibition and the components of aggression following severe TBI.
Filipčíková M, Wearne T, McDonald S
Neuropsychol Rehabil 2024 Jan;34(1):23-44. Epub 2022 Nov 29 doi: 10.1080/09602011.2022.2149560. PMID: 36445855
Action control and selection in social disinhibition following severe TBI: a pavlovian-to-instrumental transfer and outcome devaluation study.
Filipčíková M, Balleine B, Kumfor F, McDonald S
J Clin Exp Neuropsychol 2023 Nov;45(9):825-839. Epub 2024 Feb 6 doi: 10.1080/13803395.2024.2313257. PMID: 38319159
The prevalence, predictors, associated symptoms, and outcomes of social disinhibition following moderate-to-severe TBI: A scoping review of quantitative evidence.
Filipčíková M, Wearne T, Li R, McDonald S
J Clin Exp Neuropsychol 2021 Sep;43(7):716-736. Epub 2021 Dec 20 doi: 10.1080/13803395.2021.2000589. PMID: 34930093
Hyposmia, not emotion perception, is associated with psychosocial outcome after severe traumatic brain injury.
Osborne-Crowley K, McDonald S
Neuropsychology 2016 Oct;30(7):820-9. Epub 2016 May 5 doi: 10.1037/neu0000293. PMID: 27149553
Role of Reversal Learning Impairment in Social Disinhibition following Severe Traumatic Brain Injury.
Osborne-Crowley K, McDonald S, Rushby JA
J Int Neuropsychol Soc 2016 Mar;22(3):303-13. Epub 2016 Jan 12 doi: 10.1017/S1355617715001277. PMID: 26754292

Clinical prediction guides

Disinhibited and angry: Investigating the relationship between social disinhibition and the components of aggression following severe TBI.
Filipčíková M, Wearne T, McDonald S
Neuropsychol Rehabil 2024 Jan;34(1):23-44. Epub 2022 Nov 29 doi: 10.1080/09602011.2022.2149560. PMID: 36445855
Action control and selection in social disinhibition following severe TBI: a pavlovian-to-instrumental transfer and outcome devaluation study.
Filipčíková M, Balleine B, Kumfor F, McDonald S
J Clin Exp Neuropsychol 2023 Nov;45(9):825-839. Epub 2024 Feb 6 doi: 10.1080/13803395.2024.2313257. PMID: 38319159
Behavioural disinhibition in frontotemporal dementia investigated within an ecological framework.
Tanguy D, Rametti-Lacroux A, Bouzigues A, Saracino D, Le Ber I, Godefroy V, Morandi X, Jannin P, Levy R, Batrancourt B, Migliaccio R; ECOCAPTURE Study Group
Cortex 2023 Mar;160:152-166. Epub 2022 Dec 28 doi: 10.1016/j.cortex.2022.11.013. PMID: 36658040
The prevalence, predictors, associated symptoms, and outcomes of social disinhibition following moderate-to-severe TBI: A scoping review of quantitative evidence.
Filipčíková M, Wearne T, Li R, McDonald S
J Clin Exp Neuropsychol 2021 Sep;43(7):716-736. Epub 2021 Dec 20 doi: 10.1080/13803395.2021.2000589. PMID: 34930093
Development and Examination of the Reactive Attachment Disorder and Disinhibited Social Engagement Disorder Assessment Interview.
Lehmann S, Monette S, Egger H, Breivik K, Young D, Davidson C, Minnis H
Assessment 2020 Jun;27(4):749-765. Epub 2018 Sep 2 doi: 10.1177/1073191118797422. PMID: 30175603Free PMC Article

Recent systematic reviews

The prevalence, predictors, associated symptoms, and outcomes of social disinhibition following moderate-to-severe TBI: A scoping review of quantitative evidence.
Filipčíková M, Wearne T, Li R, McDonald S
J Clin Exp Neuropsychol 2021 Sep;43(7):716-736. Epub 2021 Dec 20 doi: 10.1080/13803395.2021.2000589. PMID: 34930093

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