Department of Hearing and Speech Sciences, Vanderbilt University Medical Center.
School of Rehabilitation Sciences, McMaster University.
Neuropsychology. 2018 May;32(4):476-483. doi: 10.1037/neu0000368.
To examine the relationship between facial-affect recognition and different aspects of self- and proxy-reported social-communication impairment following moderate-severe traumatic brain injury (TBI).
Forty-six adults with chronic TBI (>6 months postinjury) and 42 healthy comparison (HC) adults were administered the La Trobe Communication Questionnaire (LCQ) Self and Other forms to assess different aspects of communication competence and the Emotion Recognition Test (ERT) to measure their ability to recognize facial affects.
Individuals with TBI underperformed HC adults in the ERT and self-reported, as well as were reported by close others, as having more communication problems than did HC adults. TBI group ERT scores were significantly and negatively correlated with LCQ-Other (but not LCQ-Self) scores (i.e., participants with lower emotion-recognition scores were rated by close others as having more communication problems). Multivariate regression analysis revealed that adults with higher ERT scores self-reported more problems with disinhibition-impulsivity and partner sensitivity and had fewer other-reported problems with disinhibition-impulsivity and conversational effectiveness.
Our findings support growing evidence that emotion-recognition deficits play a role in specific aspects of social-communication outcomes after TBI and should be considered in treatment planning. (PsycINFO Database Record
探讨中重度创伤性脑损伤（TBI）后，面部表情识别与自我报告和代理报告的社会交往障碍各方面之间的关系。
46 名慢性 TBI 成人（受伤后>6 个月）和 42 名健康对照组（HC）成人接受了拉筹伯沟通问卷（LCQ）自我和他人形式，以评估沟通能力的不同方面，以及情绪识别测试（ERT），以衡量他们识别面部表情的能力。
TBI 组在 ERT 中的表现逊于 HC 成人，自我报告以及亲密他人报告的沟通问题多于 HC 成人。TBI 组 ERT 分数与 LCQ-他人（但不是 LCQ-自我）分数呈显著负相关（即，情绪识别分数较低的参与者被亲密他人评为沟通问题更多）。多元回归分析显示，ERT 得分较高的成年人自我报告抑制冲动和伴侣敏感性方面的问题更多，而他人报告的抑制冲动和会话效果方面的问题较少。
我们的发现支持越来越多的证据表明，情绪识别缺陷在 TBI 后社会交往结果的特定方面发挥作用，在治疗计划中应予以考虑。
