a Facultad de Psicología , Universidad de Buenos Aires , Buenos Aires , Argentina.
b Unidad de Neuropsicología, Hospital Interzonal General de Agudos "Eva Perón" , Buenos Aires , Argentina.
Clin Neuropsychol. 2019 Jan;33(1):166-182. doi: 10.1080/13854046.2017.1418024. Epub 2017 Dec 21.
Existing single-case studies have reported deficit in recognizing basic emotions through facial expression and unaffected performance with body expressions, but not the opposite pattern. The aim of this paper is to present a case study with impaired emotion recognition through body expressions and intact performance with facial expressions.
In this single-case study we assessed a 30-year-old patient with autism spectrum disorder, without intellectual disability, and a healthy control group (n = 30) with four tasks of basic and complex emotion recognition through face and body movements, and two non-emotional control tasks. To analyze the dissociation between facial and body expressions, we used Crawford and Garthwaite's operational criteria, and we compared the patient and the control group performance with a modified one-tailed t-test designed specifically for single-case studies.
There were no statistically significant differences between the patient's and the control group's performances on the non-emotional body movement task or the facial perception task. For both kinds of emotions (basic and complex) when the patient's performance was compared to the control group's, statistically significant differences were only observed for the recognition of body expressions. There were no significant differences between the patient's and the control group's correct answers for emotional facial stimuli.
Our results showed a profile of impaired emotion recognition through body expressions and intact performance with facial expressions. This is the first case study that describes the existence of this kind of dissociation pattern between facial and body expressions of basic and complex emotions.
现有的单病例研究报告称,患者通过面部表情识别基本情绪存在缺陷,而通过身体表情识别则不受影响,但没有相反的模式。本文旨在报告一个通过身体表情识别情绪受损,而通过面部表情识别情绪完好的病例研究。
在这项单病例研究中,我们评估了一名 30 岁的自闭症谱系障碍患者,其无智力障碍,同时还评估了一个健康对照组(n=30)。通过面部和身体运动的四种基本和复杂情绪识别任务,以及两个非情绪控制任务,评估患者的情绪识别能力。为了分析面部和身体表情之间的分离,我们使用了 Crawford 和 Garthwaite 的操作标准,并使用专为单病例研究设计的修正单侧 t 检验来比较患者和对照组的表现。
患者和对照组在非情绪身体运动任务或面部感知任务上的表现没有统计学上的显著差异。对于基本和复杂两种情绪,当将患者的表现与对照组进行比较时,只有在识别身体表情时才观察到统计学上的显著差异。对于情绪面部刺激,患者和对照组的正确答案没有显著差异。
我们的结果显示,患者存在通过身体表情识别情绪受损,而通过面部表情识别情绪完好的表现。这是首例描述基本和复杂情绪的面部和身体表情之间存在这种分离模式的病例研究。