School of Psychology, University of New South Wales, Australia.
J Int Neuropsychol Soc. 2013 May;19(5):528-38. doi: 10.1017/S1355617713000039. Epub 2013 Feb 26.
Traumatic brain injuries (TBI) in children and adolescents can impair social cognition and communication skills but there are few assessment tools suitable for adolescents. The Awareness of Social Inference Test (TASIT) uses professionally enacted audiovisual vignettes of everyday conversational exchanges and is a valid measure of social perception disorders in adults. This study examined its utility for assessing impairments in social cognition in a group of 16 adolescents with TBI, compared to a group of 16 typically developing (TD) adolescents. Adolescents with TBI were, on average, no different to their TD peers on TASIT 1 (emotion recognition) and TASIT 3 (recognizing lies and sarcasm when provided with additional cues) but performed more poorly on TASIT 2 which required them to interpret sarcastic and sincere conversational exchanges with few cues other than the demeanor of the speakers. Within the TBI group, poor performance on TASIT correlated to both relative and self-reported communication difficulties at home. It also correlated with IQ, face recognition and severity of injury as indexed by duration of post-traumatic amnesia. Overall, this study suggests TASIT is a valid measure for adolescents although it raised questions as to how effective normative data is for comparing performance in social cognition during childhood and adolescence.
儿童和青少年的创伤性脑损伤 (TBI) 可能会损害社交认知和沟通能力，但适合青少年的评估工具却很少。社会推理意识测验 (TASIT) 使用专业制作的视听短片来模拟日常对话交流，是一种评估成人社交感知障碍的有效方法。本研究在一组 16 名 TBI 青少年和一组 16 名典型发育 (TD) 青少年中，评估了该测试在评估社交认知障碍方面的效用。与 TASIT 1（情绪识别）和 TASIT 3（在提供额外线索时识别谎言和讽刺）相比，TBI 青少年在 TASIT 2 上的表现与 TD 同龄人没有差异，TASIT 2 要求他们在很少有说话者表情等线索的情况下，解读讽刺和真诚的对话交流。在 TBI 组中，TASIT 表现不佳与在家中的相对和自我报告的沟通困难有关。它还与 IQ、面部识别和创伤后遗忘症持续时间所代表的损伤严重程度相关。总的来说，这项研究表明 TASIT 是一种适用于青少年的有效测量方法，但它也提出了一个问题，即如何有效地利用规范数据来比较儿童和青少年时期的社交认知表现。
