a Department of Clinical and Developmental Neuropsychology , University of Groningen (RUG) , The Netherlands.
Neuropsychol Rehabil. 2013;23(6):824-45. doi: 10.1080/09602011.2013.826138. Epub 2013 Aug 22.
Deficits in emotion recognition, a crucial aspect of social cognition, are common after serious brain injury, as are executive deficits. Since social cognition and executive function are considered to be separate constructs, our first aim was to examine the presence of emotion recognition problems in brain injury patients with dysexecutive problems. We studied 65 brain injury patients of mixed aetiology participating in a randomised controlled trial evaluating the effects of a multifaceted treatment for executive dysfunction (Spikman, Boelen, Lamberts, Brouwer, & Fasotti, 2010 ) and 84 matched controls with a test for emotion recognition. Results showed that, in patients with acquired brain injury exhibiting executive deficits, emotion recognition deficits are also present. Male patients are more impaired than female patients, irrespective of aetiology. Our second aim was to investigate whether emotion recognition problems negatively predict the results of the treatment programme. Pre-treatment emotion recognition performance significantly predicted resumption of roles in daily life (Role Resumption List; RRL) and performance on an ecologically valid test for everyday executive functioning (Executive Secretarial Task; EST) post-treatment and, in addition, interfered negatively with treatment condition. Moreover, worse pre-treatment emotion recognition skills affect the learning of compensatory strategies for executive dysfunction negatively, whereas pre-treatment dysexecutive deficits do not.
情绪识别缺陷是社会认知的一个重要方面，在严重脑损伤后很常见，执行功能缺陷也是如此。由于社会认知和执行功能被认为是两个独立的结构，我们的第一个目标是研究在执行功能障碍（Spikman、Boelen、Lamberts、Brouwer 和 Fasotti，2010）多方面治疗的随机对照试验中，患有执行功能障碍的脑损伤患者是否存在情绪识别问题。我们研究了 65 名混合病因的脑损伤患者，他们参加了一项评估多方面治疗执行功能障碍效果的随机对照试验（Spikman、Boelen、Lamberts、Brouwer 和 Fasotti，2010），并对 84 名具有情绪识别测试的匹配对照组进行了研究。结果表明，在表现出执行功能缺陷的获得性脑损伤患者中，也存在情绪识别缺陷。无论病因如何，男性患者比女性患者受损更严重。我们的第二个目标是研究情绪识别问题是否会对治疗方案的结果产生负面影响。治疗前的情绪识别表现显著预测了日常生活角色的恢复（角色恢复清单；RRL）和治疗后日常执行功能的生态有效测试（执行秘书任务；EST）的表现，此外，还与治疗条件呈负相关。此外，较差的治疗前情绪识别技能会对执行功能障碍的补偿策略的学习产生负面影响，而治疗前的执行功能障碍则不会。
