Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury
Traumatic brain injury (TBI) is a leading cause of disability, specifically among younger adults. Behavioral changes are common after moderate to severe TBI and have adverse consequences for social and vocational functioning. It is hypothesized that deficits in social cognition, including facial aff...
Gespeichert in:
| Veröffentlicht in: | PloS one 2013-06, Vol.8 (6), p.e65581-e65581 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e65581 |
|---|---|
| container_issue | 6 |
| container_start_page | e65581 |
| container_title | PloS one |
| container_volume | 8 |
| creator | Spikman, Jacoba M Milders, Maarten V Visser-Keizer, Annemarie C Westerhof-Evers, Herma J Herben-Dekker, Meike van der Naalt, Joukje |
| description | Traumatic brain injury (TBI) is a leading cause of disability, specifically among younger adults. Behavioral changes are common after moderate to severe TBI and have adverse consequences for social and vocational functioning. It is hypothesized that deficits in social cognition, including facial affect recognition, might underlie these behavioral changes. Measurement of behavioral deficits is complicated, because the rating scales used rely on subjective judgement, often lack specificity and many patients provide unrealistically positive reports of their functioning due to impaired self-awareness. Accordingly, it is important to find performance based tests that allow objective and early identification of these problems. In the present study 51 moderate to severe TBI patients in the sub-acute and chronic stage were assessed with a test for emotion recognition (FEEST) and a questionnaire for behavioral problems (DEX) with a self and proxy rated version. Patients performed worse on the total score and on the negative emotion subscores of the FEEST than a matched group of 31 healthy controls. Patients also exhibited significantly more behavioral problems on both the DEX self and proxy rated version, but proxy ratings revealed more severe problems. No significant correlation was found between FEEST scores and DEX self ratings. However, impaired emotion recognition in the patients, and in particular of Sadness and Anger, was significantly correlated with behavioral problems as rated by proxies and with impaired self-awareness. This is the first study to find these associations, strengthening the proposed recognition of social signals as a condition for adequate social functioning. Hence, deficits in emotion recognition can be conceived as markers for behavioral problems and lack of insight in TBI patients. This finding is also of clinical importance since, unlike behavioral problems, emotion recognition can be objectively measured early after injury, allowing for early detection and treatment of these problems. |
| doi_str_mv | 10.1371/journal.pone.0065581 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1367061372</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A478308812</galeid><doaj_id>oai_doaj_org_article_9b28682a5d624c4b9dad4768a90a6e22</doaj_id><sourcerecordid>A478308812</sourcerecordid><originalsourceid>FETCH-LOGICAL-c758t-123109506e1a9df8ee9f59d41a3dc7b7700e924a6ced40bd2d8ffe25a3ddac043</originalsourceid><addsrcrecordid>eNqNk9tq3DAQhk1padK0b1BaQ6G0F7uVLFuWbwohPS0EAj3dirE09mqxpY1kb5uX6DNX3t2E3ZKL4gsNmm_-OViTJM8pmVNW0ncrN3oL3XztLM4J4UUh6IPklFYsm_GMsIcH9knyJIQVIQUTnD9OTjJWlrwgxWny5wM2RpkhpMamDSgDXYq9G4yzqUflWmu2trHaKBgwrXEJG-N85NQSbIshBatT06_BeNRpwK6ZwS_waDFEXzOgT3un0U_Rg4vABn20PIw9DEaltQczJViN_uZp8qiBLuCz_XmW_Pj08fvFl9nl1efFxfnlTJWFGGY0Y5RUBeFIodKNQKyaotI5BaZVWZclIVhlOXCFOie1zrRoGsyK6NagSM7Okpc73XXngtyPMkjKeEl4HG8WicWO0A5Wcu1ND_5GOjBye-F8K8HH8juUVZ0JLjIoNM9yldeVBp2XXEBFgGM2ab3fZxvrHrVCG7vvjkSPPdYsZes2knFBcjGV-2Yv4N31iGGQvQkKuw4sunFbd1VSIRiN6Kt_0Pu721MtxAaMbVzMqyZReZ6XghEh6ETN76Hip7E3Kr67xsT7o4C3RwGRGfD30MIYglx8-_r_7NXPY_b1AbtE6IZlcN04Pc1wDOY7UHkXgsfmbsiUyGltbqchp7WR-7WJYS8Of9Bd0O2esL85JBWO</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1367061372</pqid></control><display><type>article</type><title>Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Spikman, Jacoba M ; Milders, Maarten V ; Visser-Keizer, Annemarie C ; Westerhof-Evers, Herma J ; Herben-Dekker, Meike ; van der Naalt, Joukje</creator><creatorcontrib>Spikman, Jacoba M ; Milders, Maarten V ; Visser-Keizer, Annemarie C ; Westerhof-Evers, Herma J ; Herben-Dekker, Meike ; van der Naalt, Joukje</creatorcontrib><description>Traumatic brain injury (TBI) is a leading cause of disability, specifically among younger adults. Behavioral changes are common after moderate to severe TBI and have adverse consequences for social and vocational functioning. It is hypothesized that deficits in social cognition, including facial affect recognition, might underlie these behavioral changes. Measurement of behavioral deficits is complicated, because the rating scales used rely on subjective judgement, often lack specificity and many patients provide unrealistically positive reports of their functioning due to impaired self-awareness. Accordingly, it is important to find performance based tests that allow objective and early identification of these problems. In the present study 51 moderate to severe TBI patients in the sub-acute and chronic stage were assessed with a test for emotion recognition (FEEST) and a questionnaire for behavioral problems (DEX) with a self and proxy rated version. Patients performed worse on the total score and on the negative emotion subscores of the FEEST than a matched group of 31 healthy controls. Patients also exhibited significantly more behavioral problems on both the DEX self and proxy rated version, but proxy ratings revealed more severe problems. No significant correlation was found between FEEST scores and DEX self ratings. However, impaired emotion recognition in the patients, and in particular of Sadness and Anger, was significantly correlated with behavioral problems as rated by proxies and with impaired self-awareness. This is the first study to find these associations, strengthening the proposed recognition of social signals as a condition for adequate social functioning. Hence, deficits in emotion recognition can be conceived as markers for behavioral problems and lack of insight in TBI patients. This finding is also of clinical importance since, unlike behavioral problems, emotion recognition can be objectively measured early after injury, allowing for early detection and treatment of these problems.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0065581</identifier><identifier>PMID: 23776505</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Adults ; Awareness - physiology ; Behavior ; Behavioral Symptoms - etiology ; Brain ; Brain damage ; Brain injuries ; Brain Injuries - complications ; Brain Injuries - physiopathology ; Change detection ; Cognition ; Cognition & reasoning ; Emotion recognition ; Emotions ; Emotions - physiology ; Face recognition ; Facial Expression ; Female ; Head injuries ; Humans ; Male ; Medicine ; Netherlands ; Neurology ; Neuropsychology ; Patients ; Pattern recognition ; Performance tests ; Questionnaires ; Ratings ; Ratings & rankings ; Recognition, Psychology - physiology ; Self awareness ; Self Concept ; Social and Behavioral Sciences ; Social interactions ; Studies ; Surveys and Questionnaires ; Traumatic brain injury</subject><ispartof>PloS one, 2013-06, Vol.8 (6), p.e65581-e65581</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Spikman et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Spikman et al 2013 Spikman et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-123109506e1a9df8ee9f59d41a3dc7b7700e924a6ced40bd2d8ffe25a3ddac043</citedby><cites>FETCH-LOGICAL-c758t-123109506e1a9df8ee9f59d41a3dc7b7700e924a6ced40bd2d8ffe25a3ddac043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680484/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680484/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23776505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spikman, Jacoba M</creatorcontrib><creatorcontrib>Milders, Maarten V</creatorcontrib><creatorcontrib>Visser-Keizer, Annemarie C</creatorcontrib><creatorcontrib>Westerhof-Evers, Herma J</creatorcontrib><creatorcontrib>Herben-Dekker, Meike</creatorcontrib><creatorcontrib>van der Naalt, Joukje</creatorcontrib><title>Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Traumatic brain injury (TBI) is a leading cause of disability, specifically among younger adults. Behavioral changes are common after moderate to severe TBI and have adverse consequences for social and vocational functioning. It is hypothesized that deficits in social cognition, including facial affect recognition, might underlie these behavioral changes. Measurement of behavioral deficits is complicated, because the rating scales used rely on subjective judgement, often lack specificity and many patients provide unrealistically positive reports of their functioning due to impaired self-awareness. Accordingly, it is important to find performance based tests that allow objective and early identification of these problems. In the present study 51 moderate to severe TBI patients in the sub-acute and chronic stage were assessed with a test for emotion recognition (FEEST) and a questionnaire for behavioral problems (DEX) with a self and proxy rated version. Patients performed worse on the total score and on the negative emotion subscores of the FEEST than a matched group of 31 healthy controls. Patients also exhibited significantly more behavioral problems on both the DEX self and proxy rated version, but proxy ratings revealed more severe problems. No significant correlation was found between FEEST scores and DEX self ratings. However, impaired emotion recognition in the patients, and in particular of Sadness and Anger, was significantly correlated with behavioral problems as rated by proxies and with impaired self-awareness. This is the first study to find these associations, strengthening the proposed recognition of social signals as a condition for adequate social functioning. Hence, deficits in emotion recognition can be conceived as markers for behavioral problems and lack of insight in TBI patients. This finding is also of clinical importance since, unlike behavioral problems, emotion recognition can be objectively measured early after injury, allowing for early detection and treatment of these problems.</description><subject>Adult</subject><subject>Adults</subject><subject>Awareness - physiology</subject><subject>Behavior</subject><subject>Behavioral Symptoms - etiology</subject><subject>Brain</subject><subject>Brain damage</subject><subject>Brain injuries</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - physiopathology</subject><subject>Change detection</subject><subject>Cognition</subject><subject>Cognition & reasoning</subject><subject>Emotion recognition</subject><subject>Emotions</subject><subject>Emotions - physiology</subject><subject>Face recognition</subject><subject>Facial Expression</subject><subject>Female</subject><subject>Head injuries</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Netherlands</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Patients</subject><subject>Pattern recognition</subject><subject>Performance tests</subject><subject>Questionnaires</subject><subject>Ratings</subject><subject>Ratings & rankings</subject><subject>Recognition, Psychology - physiology</subject><subject>Self awareness</subject><subject>Self Concept</subject><subject>Social and Behavioral Sciences</subject><subject>Social interactions</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Traumatic brain injury</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNk9tq3DAQhk1padK0b1BaQ6G0F7uVLFuWbwohPS0EAj3dirE09mqxpY1kb5uX6DNX3t2E3ZKL4gsNmm_-OViTJM8pmVNW0ncrN3oL3XztLM4J4UUh6IPklFYsm_GMsIcH9knyJIQVIQUTnD9OTjJWlrwgxWny5wM2RpkhpMamDSgDXYq9G4yzqUflWmu2trHaKBgwrXEJG-N85NQSbIshBatT06_BeNRpwK6ZwS_waDFEXzOgT3un0U_Rg4vABn20PIw9DEaltQczJViN_uZp8qiBLuCz_XmW_Pj08fvFl9nl1efFxfnlTJWFGGY0Y5RUBeFIodKNQKyaotI5BaZVWZclIVhlOXCFOie1zrRoGsyK6NagSM7Okpc73XXngtyPMkjKeEl4HG8WicWO0A5Wcu1ND_5GOjBye-F8K8HH8juUVZ0JLjIoNM9yldeVBp2XXEBFgGM2ab3fZxvrHrVCG7vvjkSPPdYsZes2knFBcjGV-2Yv4N31iGGQvQkKuw4sunFbd1VSIRiN6Kt_0Pu721MtxAaMbVzMqyZReZ6XghEh6ETN76Hip7E3Kr67xsT7o4C3RwGRGfD30MIYglx8-_r_7NXPY_b1AbtE6IZlcN04Pc1wDOY7UHkXgsfmbsiUyGltbqchp7WR-7WJYS8Of9Bd0O2esL85JBWO</recordid><startdate>20130612</startdate><enddate>20130612</enddate><creator>Spikman, Jacoba M</creator><creator>Milders, Maarten V</creator><creator>Visser-Keizer, Annemarie C</creator><creator>Westerhof-Evers, Herma J</creator><creator>Herben-Dekker, Meike</creator><creator>van der Naalt, Joukje</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20130612</creationdate><title>Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury</title><author>Spikman, Jacoba M ; Milders, Maarten V ; Visser-Keizer, Annemarie C ; Westerhof-Evers, Herma J ; Herben-Dekker, Meike ; van der Naalt, Joukje</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c758t-123109506e1a9df8ee9f59d41a3dc7b7700e924a6ced40bd2d8ffe25a3ddac043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Awareness - physiology</topic><topic>Behavior</topic><topic>Behavioral Symptoms - etiology</topic><topic>Brain</topic><topic>Brain damage</topic><topic>Brain injuries</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - physiopathology</topic><topic>Change detection</topic><topic>Cognition</topic><topic>Cognition & reasoning</topic><topic>Emotion recognition</topic><topic>Emotions</topic><topic>Emotions - physiology</topic><topic>Face recognition</topic><topic>Facial Expression</topic><topic>Female</topic><topic>Head injuries</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Netherlands</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Patients</topic><topic>Pattern recognition</topic><topic>Performance tests</topic><topic>Questionnaires</topic><topic>Ratings</topic><topic>Ratings & rankings</topic><topic>Recognition, Psychology - physiology</topic><topic>Self awareness</topic><topic>Self Concept</topic><topic>Social and Behavioral Sciences</topic><topic>Social interactions</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Traumatic brain injury</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spikman, Jacoba M</creatorcontrib><creatorcontrib>Milders, Maarten V</creatorcontrib><creatorcontrib>Visser-Keizer, Annemarie C</creatorcontrib><creatorcontrib>Westerhof-Evers, Herma J</creatorcontrib><creatorcontrib>Herben-Dekker, Meike</creatorcontrib><creatorcontrib>van der Naalt, Joukje</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spikman, Jacoba M</au><au>Milders, Maarten V</au><au>Visser-Keizer, Annemarie C</au><au>Westerhof-Evers, Herma J</au><au>Herben-Dekker, Meike</au><au>van der Naalt, Joukje</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-06-12</date><risdate>2013</risdate><volume>8</volume><issue>6</issue><spage>e65581</spage><epage>e65581</epage><pages>e65581-e65581</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Traumatic brain injury (TBI) is a leading cause of disability, specifically among younger adults. Behavioral changes are common after moderate to severe TBI and have adverse consequences for social and vocational functioning. It is hypothesized that deficits in social cognition, including facial affect recognition, might underlie these behavioral changes. Measurement of behavioral deficits is complicated, because the rating scales used rely on subjective judgement, often lack specificity and many patients provide unrealistically positive reports of their functioning due to impaired self-awareness. Accordingly, it is important to find performance based tests that allow objective and early identification of these problems. In the present study 51 moderate to severe TBI patients in the sub-acute and chronic stage were assessed with a test for emotion recognition (FEEST) and a questionnaire for behavioral problems (DEX) with a self and proxy rated version. Patients performed worse on the total score and on the negative emotion subscores of the FEEST than a matched group of 31 healthy controls. Patients also exhibited significantly more behavioral problems on both the DEX self and proxy rated version, but proxy ratings revealed more severe problems. No significant correlation was found between FEEST scores and DEX self ratings. However, impaired emotion recognition in the patients, and in particular of Sadness and Anger, was significantly correlated with behavioral problems as rated by proxies and with impaired self-awareness. This is the first study to find these associations, strengthening the proposed recognition of social signals as a condition for adequate social functioning. Hence, deficits in emotion recognition can be conceived as markers for behavioral problems and lack of insight in TBI patients. This finding is also of clinical importance since, unlike behavioral problems, emotion recognition can be objectively measured early after injury, allowing for early detection and treatment of these problems.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23776505</pmid><doi>10.1371/journal.pone.0065581</doi><tpages>e65581</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2013-06, Vol.8 (6), p.e65581-e65581 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1367061372 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Adult Adults Awareness - physiology Behavior Behavioral Symptoms - etiology Brain Brain damage Brain injuries Brain Injuries - complications Brain Injuries - physiopathology Change detection Cognition Cognition & reasoning Emotion recognition Emotions Emotions - physiology Face recognition Facial Expression Female Head injuries Humans Male Medicine Netherlands Neurology Neuropsychology Patients Pattern recognition Performance tests Questionnaires Ratings Ratings & rankings Recognition, Psychology - physiology Self awareness Self Concept Social and Behavioral Sciences Social interactions Studies Surveys and Questionnaires Traumatic brain injury |
| title | Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T02%3A06%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Deficits%20in%20facial%20emotion%20recognition%20indicate%20behavioral%20changes%20and%20impaired%20self-awareness%20after%20moderate%20to%20severe%20traumatic%20brain%20injury&rft.jtitle=PloS%20one&rft.au=Spikman,%20Jacoba%20M&rft.date=2013-06-12&rft.volume=8&rft.issue=6&rft.spage=e65581&rft.epage=e65581&rft.pages=e65581-e65581&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0065581&rft_dat=%3Cgale_plos_%3EA478308812%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1367061372&rft_id=info:pmid/23776505&rft_galeid=A478308812&rft_doaj_id=oai_doaj_org_article_9b28682a5d624c4b9dad4768a90a6e22&rfr_iscdi=true |