Doretto Victoria, Scivoletto Sandra
Departamento de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, 05403-010 Sao Paulo, SP, Brazil.
Brain Sci. 2018 Jan 6;8(1):10. doi: 10.3390/brainsci8010010.
Child neglect is highly prevalent and associated with a series of biological and social consequences. Early neglect may alter the recognition of emotional faces, but its precise impact remains unclear. We aim to review and analyze data from recent literature about recognition and processing of facial expressions in individuals with history of childhood neglect. We conducted a systematic review using PubMed, PsycINFO, ScIELO and EMBASE databases in the search of studies for the past 10 years. In total, 14 studies were selected and critically reviewed. A heterogeneity was detected across methods and sample frames. Results were mixed across studies. Different forms of alterations to perception of facial expressions were found across 12 studies. There was alteration to the recognition and processing of both positive and negative emotions, but for emotional face processing there was predominance in alteration toward negative emotions. This is the first review to examine specifically the effects of early neglect experience as a prevalent condition of child maltreatment. The results of this review are inconclusive due to methodological diversity, implement of distinct instruments and differences in the composition of the samples. Despite these limitations, some studies support our hypothesis that individuals with history of early negligence may present alteration to the ability to perceive face expressions of emotions. The article brings relevant information that can help in the development of more effective therapeutic strategies to reduce the impact of neglect on the cognitive and emotional development of the child.
儿童忽视现象极为普遍，且会引发一系列生理和社会后果。早期忽视可能会改变对情绪面孔的识别，但具体影响尚不明晰。我们旨在回顾和分析近期文献中有关有童年忽视经历个体面部表情识别与处理的数据。我们使用PubMed、PsycINFO、ScIELO和EMBASE数据库进行了一项系统综述，以检索过去10年的研究。总共筛选出14项研究并进行了严格审查。研究方法和样本框架存在异质性。各研究结果不一。12项研究发现了对面部表情感知的不同形式的改变。对积极和消极情绪的识别与处理均有改变，但在情绪面孔处理方面，消极情绪的改变更为突出。这是首次专门审视早期忽视经历作为儿童虐待普遍情形所产生影响的综述。由于方法的多样性、不同工具的使用以及样本构成的差异，本综述结果尚无定论。尽管存在这些局限性，但一些研究支持了我们的假设，即有早期忽视经历的个体可能在感知情绪面孔表达的能力方面存在改变。本文提供了相关信息，有助于制定更有效的治疗策略，以减少忽视对儿童认知和情感发展的影响。
