|
1
|
Zhu Y, Ren W, Yang L, Yue Y, Lu X, Zhu F, Liu Y, Zhou Y, Li C, Du X. Relationship between facial emotion recognition and non-suicidal self injury in adolescents with depression: A multicenter cross-sectional study from China. J Affect Disord 2025; 383:394-400. [PMID: 40334850 DOI: 10.1016/j.jad.2025.05.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2024] [Revised: 04/25/2025] [Accepted: 05/04/2025] [Indexed: 05/09/2025]
Abstract
OBJECT Adolescent depression is highly co-occurring with non-suicidal self-injury (NSSI). Exploring the relationship between NSSI and facial emotion recognition is crucial for early intervention in adolescents with depression. METHODS This study used a multi-center cross-sectional design (14 psychiatric hospitals in 9 provinces of China). The Patient Health Questionnaire-9 (PHQ-9) and Functional Assessment of Self-Mutilation (FASM) were used to evaluate depression and NSSI respectively. Six emotions including neutral, angry, disgusted, fearful, happy, sad and surprised were used for testing. Spearman correlation analysis and binary logistic regression analysis were used to explore the relationship between NSSI and emotion recognition. RESULTS This study recruited 1644 adolescent depression patients, of whom 76.2 % (1252/1644) reported NSSI behavior and had significantly higher PHQ-9 scores than adolescents without NSSI behavior (p < 0.001). "Cut or carved on your skin" was more common in the choice of method (87.6 %). The age curve showed that girls have more NSSI in each age group, and the peak incidence of NSSI in girls was higher than that in boys. Compared with the non-NSSI group, the NSSI group exhibited higher accuracy in recognizing aversive emotions. In addition, PHQ-9 scores were significantly correlated with the recognition of neutral(P < 0.001), angry(P = 0.011), and happy(P = 0.008). Furthermore, PHQ-9 scores (P < 0.001) and Surprised facial emotion recognition scores (P = 0.026) showed significant correlations with NSSI behavior. CONCLUSION NSSI is common in adolescents with depression, and the emotional recognition ability of NSSI patients has decreased, especially in identifying neutral, happy, and angry emotions. Similarly, depression further exacerbates the risk of NSSI.
Collapse
Affiliation(s)
- Yingzhao Zhu
- Medical College of Soochow University, Suzhou, China; Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Wei Ren
- Medical College of Soochow University, Suzhou, China; Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Lin Yang
- Medical College of Soochow University, Suzhou, China; Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Yan Yue
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Xinchuan Lu
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Feng Zhu
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China
| | - Yaozhi Liu
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China; School of Psychiatry, North Sichuan Medical College, Nanchong, Sichuan, China
| | - Yongjie Zhou
- Shenzhen Mental Health Center, Shenzhen Kangning Hospital, Shenzhen, China
| | - Chuanwei Li
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
| | - Xiangdong Du
- Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, China.
| |
Collapse
|
|
2
|
Mittmann G, Schrank B, Steiner-Hofbauer V. TV Series in Mainstream Media Depicting Autism and Self-Diagnosis of Autism in a General Population of Young Adults. J Autism Dev Disord 2025; 55:1995-1999. [PMID: 37847319 PMCID: PMC12069503 DOI: 10.1007/s10803-023-06150-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/28/2023] [Indexed: 10/18/2023]
Abstract
PURPOSE The prevalence of autism diagnoses has increased in recent years. The portrayal of autistic characters in mainstream media, such as TV series, may be a contributing factor. This study investigated whether young adults who consume media featuring autistic characters are more likely to self-diagnose with autism. METHODS 348 participants filled out an online questionnaire exploring their media consumption, subjective diagnosis of autism and objective indicators of autism using an Emotion Recognition Task. RESULTS Results from linear regression analysis indicated a significant correlation between media consumption and self-diagnosis, while valence of the series and objective diagnosis did not have a significant influence. The study found no gender differences. CONCLUSION The results suggest a need for further research on the relationship between media consumption and self-diagnosis, including for other forms of media beyond TV series.
Collapse
Affiliation(s)
- Gloria Mittmann
- Research Centre Transitional Psychiatry, Karl Landsteiner University for Health Sciences, Krems, Austria.
| | - Beate Schrank
- Research Centre Transitional Psychiatry, Karl Landsteiner University for Health Sciences, Krems, Austria
- Department of Psychiatry and Psychotherapeutic Medicine, University Hospital Tulln, Tulln, Austria
| | - Verena Steiner-Hofbauer
- Research Centre Transitional Psychiatry, Karl Landsteiner University for Health Sciences, Krems, Austria
| |
Collapse
|
|
3
|
Meinhardt-Injac B, Boutet I, Chaby L, von Castell C, Welsch R. Regulation of interpersonal distance in virtual reality: Implications for socio-emotional functioning in late adulthood. PLoS One 2025; 20:e0323182. [PMID: 40338893 PMCID: PMC12061152 DOI: 10.1371/journal.pone.0323182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2024] [Accepted: 04/03/2025] [Indexed: 05/10/2025] Open
Abstract
OBJECTIVE Accurately interpreting emotional states from facial expressions is crucial for effective social interactions. This study investigates age-related differences in interpersonal distance (IPD) regulation and emotion recognition using a virtual reality (VR) environment. We examined how younger and older adults adjust their IPD in response to emotional expressions from virtual agents. METHODS Eighty participants, divided into older adults (OA) and younger adults (YA), took part in the study. Participants were immersed in a VR setup where they engaged in social interactions with happy or angry looking virtual agents. This behavioral task was complemented by a standardized emotion recognition task (ERT). RESULTS Results showed that both YA and OA preferred larger distances from angry-looking virtual agents compared to happy ones. No significant differences in IPD were found between the age groups. However, older adults were less accurate in recognizing facial expressions. CONCLUSION These findings suggest that older adults can effectively regulate their social distance despite potential challenges in emotion recognition. The study underscores the importance of considering cognitive, perceptual, and motivational factors when examining the dynamics of emotional recognition and interpersonal distance in social contexts.
Collapse
Affiliation(s)
- Bozana Meinhardt-Injac
- Department of Developmental Psychology, Catholic University of Applied Sciences Berlin, Berlin, Germany
| | | | - Laurence Chaby
- Vision Action Cognition, Université Paris Cité, Paris, France
| | | | - Robin Welsch
- Department of Engineering Psychology, Aalto University, Espoo, Finland
| |
Collapse
|
|
4
|
Şandor S, Hıdıroğlu-Ongun C, Yıldırım E. Cognitive reserve and aging: Impacts on theory of mind and executive functions. APPLIED NEUROPSYCHOLOGY. ADULT 2025:1-11. [PMID: 40122060 DOI: 10.1080/23279095.2025.2480710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/25/2025]
Abstract
AIM This study examines the effects of cognitive reserve (CR) on Executive Functions (EF) and Theory of Mind (ToM). While CR is suggested to mitigate age-related cognitive decline, its relationship with social cognition remains limited and inconsistent in the literature. It was hypothesized that the effect of CR on ToM might be indirect, mediated by EF and working memory. METHODS 225 cognitively healthy participants were included. CR was measured with the Cognitive Reserve Index Questionnaire, EF with verbal fluency and the Stroop Test, and WM using digit span tasks. Structural Equation Modeling was used to analyze the relationships among CR, EF, WM, and SC, controlling for age and gender. RESULTS CR was significantly associated with both RMET and FPRT performances. Mediation analysis revealed the direct effects of CR on RMET performance, while the effects on FPRT performance were mediated by executive functions. WM had a partial mediating effect on EF and ToM, but did not directly influence FPRT. Education was most strongly associated with RMET performance, while leisure activities were linked to FPRT performance. CONCLUSION These findings suggest that CR indirectly supports ToM by enhancing EF and highlight the importance of interventions aimed at strengthening executive control to support social cognition in aging.
Collapse
Affiliation(s)
- Serra Şandor
- Department of Psychology, Istanbul Medeniyet University, Istanbul, Türkiye
| | | | - Elif Yıldırım
- Department of Psychology, Işık University, Istanbul, Türkiye
| |
Collapse
|
|
5
|
Chander RJ, Numbers K, Grainger SA, Cleary R, Mather KA, Kochan NA, Brodaty H, Henry JD, Sachdev PS. Differential Social Cognitive Performance in Older Adults With Mild Cognitive Impairment and Dementia. Am J Geriatr Psychiatry 2025; 33:248-259. [PMID: 39266407 DOI: 10.1016/j.jagp.2024.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Revised: 07/30/2024] [Accepted: 08/15/2024] [Indexed: 09/14/2024]
Abstract
OBJECTIVE To study general and subdomain performance in measures of social cognition in individuals with mild cognitive impairment (MCI), and dementia, and to explore associations between social cognitive and neuropsychological subdomains. DESIGN Cross-sectional study of participants from the Sydney Memory and Ageing Study (MAS). SETTING Current data was collected in 2016-2018. PARTICIPANTS Community-dwelling older adults (n=321) aged 80 years and above, with no history of neurological or psychiatric conditions. Participants had dementia, MCI, or no cognitive impairment (NCI). MEASURES Social cognition was indexed using the Reading the Mind in the Eyes Test (RMET), the Interpersonal Reactivity Index - Perspective Taking (IRI-PT) and Empathic Concern (IRI-EC) subscales, and the Emotion Recognition Task (ERT). These subdomain scores were used to make a composite social cognition score. Apathy was measured via the Apathy Evaluation Scale (AES). Neurocognitive function was indexed using the Addenbrooke Cognitive Examination v3 (ACE-3). RESULTS Dementia was associated with poorer overall social cognitive composite performance. MCI and dementia participants performed poorer on RMET and recognition of anger, disgust and happiness on ERT. RMET and ERT disgust remained significant after controlling for relevant covariates. Dementia participants performed poorer than MCI and NCI on the IRI-PT, IRI-EC, and AES. AES remained significant after regression. RMET was correlated with ACE-3 Fluency and/or Language in all study groups. CONCLUSIONS MCI is associated with poorer scores in specific social cognitive assessments. Dementia is somewhat associated with poorer scores in informant-rated social cognition scales, though this is no longer significant after accounting for apathy.
Collapse
Affiliation(s)
- Russell J Chander
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia.
| | - Katya Numbers
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Sarah A Grainger
- School of Psychology (SAG, JDH), University of Queensland, St Lucia Queensland, Australia
| | - Rhiagh Cleary
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Karen A Mather
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Nicole A Kochan
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Henry Brodaty
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia; Dementia Collaborative Research Centre (HB), School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia; Academic Department for Old Age Psychiatry (HB), Prince of Wales Hospital, Randwick, New South Wales, Australia
| | - Julie D Henry
- School of Psychology (SAG, JDH), University of Queensland, St Lucia Queensland, Australia
| | - Perminder S Sachdev
- Centre for Healthy Brain Ageing (RJC, KN, RC, KAM, NAK, HB, PSS), Discipline of Psychiatry & Mental Health, School of Clinical Medicine , Faculty of Medicine & Health, University of New South Wales, Sydney, New South Wales, Australia; Neuropsychiatric Institute (PSS), Prince of Wales Hospital, Randwick, New South Wales, Australia
| |
Collapse
|
|
6
|
van den Broek B, Muskens J, van Heugten C, Bus B, Rijnen S. "Together is no longer completely together": Exploring the influence of social cognition problems on partner relationships following acquired brain injury. Clin Rehabil 2025; 39:339-352. [PMID: 39801297 PMCID: PMC11927025 DOI: 10.1177/02692155241312134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2024] [Accepted: 12/16/2024] [Indexed: 03/22/2025]
Abstract
ObjectiveTo examine the experiences of individuals with acquired brain injury and their partners regarding the effects of social cognition problems on their relationships.DesignQualitative interview study.SettingInterviews were conducted 1 to 5 years post-injury, either in the participants' home or at a care facility in the Netherlands.ParticipantsNine couples consisting of an individual with acquired brain injury and a partner without acquired brain injury. Scores on neuropsychological tests indicated social cognition difficulties in individuals with acquired brain injury.MethodsIndividual semi-structured interviews were conducted, audio recorded, and transcribed verbatim. Two independent analysts analyzed the data using thematic analysis aimed at finding common themes across the data set. Data analysis was carried out recursively and parallel to data collection to help determine when saturation was reached.ResultsSix themes were generated from the interview data: (1) partners feeling disappointed, lonely, and despondent, (2) individuals with acquired brain injury feeling insecure and ashamed of falling short, (3) relationship roles changing, (4) the aggravating role of fatigue and sensory hypersensitivity, (5) the importance of professional help, and (6) silver linings: increased awareness creating closeness.ConclusionSocial cognition problems have the potential to strongly affect relationships between those with acquired brain injury and their partners in many ways. Addressing social cognition problems is recommended as it is greatly appreciated by individuals with acquired brain injury and their partners and holds promise for improving their relationship.
Collapse
Affiliation(s)
- Brenda van den Broek
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, the Netherlands
- School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, the Netherlands
- Limburg Brain Injury Centre, Maastricht, the Netherlands
| | - Jorn Muskens
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, the Netherlands
- Vincent van Gogh Institute for Psychiatry, Venray, the Netherlands
| | - Caroline van Heugten
- Limburg Brain Injury Centre, Maastricht, the Netherlands
- Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, the Netherlands
| | - Boudewijn Bus
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, the Netherlands
- Limburg Brain Injury Centre, Maastricht, the Netherlands
| | - Sophie Rijnen
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, the Netherlands
- Limburg Brain Injury Centre, Maastricht, the Netherlands
| |
Collapse
|
|
7
|
Maes JHR, Scheper AR, Hermans D, Vissers CTWM. Incidental learning and social-communicative abilities in children with developmental language disorder: Further evaluating the implicit learning deficit hypothesis. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS 2025; 60:e70017. [PMID: 39977834 PMCID: PMC11842015 DOI: 10.1111/1460-6984.70017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Accepted: 02/03/2025] [Indexed: 02/22/2025]
Abstract
BACKGROUND The implicit learning deficit hypothesis claims that impaired implicit learning underlies deficits in social-communicative abilities associated with developmental language disorder (DLD). However, previous research testing this hypothesis revealed inconsistent results and largely used process-impure sequential learning tasks. AIMS This study further tested the hypothesis using a novel process-pure implicit associative learning task. METHODS AND PROCEDURES The performance of 9- to 13-year-old children with (N = 60) and without DLD (typically developing, TD, N = 52) on a contingency learning task (CLT) was compared. The task entailed the incidental learning of the contingency between simultaneously presented figure-colour combinations. Also, the association of CLT performance with three aspects of social-communicative abilities was assessed: facial emotion recognition ability, social responsiveness and language abilities. OUTCOMES AND RESULTS Compared to the TD group, the DLD group performed equally on the CLT but showed worse performance on the measures of emotion recognition and social abilities. In neither group was CLT performance significantly related to any of the three social-communicative abilities. CONCLUSIONS AND IMPLICATIONS These results do not support the implicit learning deficit hypothesis. The demonstrated intact implicit learning ability suggests the potential of using interventions to improve social-communicative abilities in children with DLD that are based on incidental or implicit learning rather than on intentional or explicit learning. WHAT THIS PAPER ADDS What is already known on the subject Individuals with developmental language disorder (DLD) not only have linguistic problems but also impaired abilities in social and emotional domains. According to the implicit learning deficit hypothesis, these impairments are largely due to a compromised ability to incidentally or implicitly learn regularities of stimuli or events occurring in daily life. However, research examining this hypothesis has yielded mixed results. What this paper adds to existing knowledge This study contributes to the discussion about the presence or absence of a domain-general implicit learning deficit in individuals with DLD, and corresponding potential clinical implications. For this, in addition to measures of language, emotion recognition and social abilities, a novel incidental learning task was used that was held to provide a more process-pure measure of incidental and implicit learning compared to previous research. The collective results do not support the claim of a domain-general implicit learning deficit underlying the social-communicative and -emotional problems in DLD. What are the potential or actual clinical implications of this work? Current interventions to improve language, social and emotional abilities in children with DLD are largely based on relatively effortful strategies involving explicit instruction and feedback. The present evidence of intact incidental and implicit learning abilities supports the examination of possible novel interventions that are based on relatively effortless implicit learning strategies, which may be more in line with how these abilities are acquired in daily life.
Collapse
Affiliation(s)
- Joseph H. R. Maes
- Donders Institute for Brain, Cognition and BehaviourCentre for CognitionRadboud UniversityNijmegenThe Netherlands
| | - Annette R. Scheper
- Royal KentalisUtrechtThe Netherlands
- Behavioral Science InstituteRadboud UniversityNijmegenThe Netherlands
| | - Daan Hermans
- Royal KentalisUtrechtThe Netherlands
- Behavioral Science InstituteRadboud UniversityNijmegenThe Netherlands
| | - Constance T. W. M. Vissers
- Royal KentalisUtrechtThe Netherlands
- Behavioral Science InstituteRadboud UniversityNijmegenThe Netherlands
| |
Collapse
|
|
8
|
Pinkham AE, Hajdúk M, Ziermans T. Harmonizing cross-cultural and transdiagnostic assessment of social cognition by expert panel consensus. SCHIZOPHRENIA (HEIDELBERG, GERMANY) 2025; 11:25. [PMID: 39984495 PMCID: PMC11845741 DOI: 10.1038/s41537-024-00540-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2024] [Accepted: 11/18/2024] [Indexed: 02/23/2025]
Abstract
Social cognition, the perception and processing of social information, is adversely affected in multiple psychiatric, neurological, and neurodevelopmental disorders, and these impairments negatively impact quality of life for individuals across the globe. Despite the clear importance of social cognition, efforts to advance research via harmonization of data across cultures and diagnoses has been stymied by the lack of uniformly used and suitable assessments. To address this issue, the current study conducted an expert survey and consensus process to identify social cognitive assessments that are best suited for cross-cultural and transdiagnostic use among adults. A large group of experts in social cognition were surveyed to gather nominations for cross-culturally and transdiagnostically appropriate measures. These measures were then critically evaluated by a smaller group of experts using a Delphi consensus process to identify the best existing tasks for each use. Ninety-eight experts, representing 25 countries, responded to the initial survey and nominated a total of 81 tasks. Initial rounds of the Delphi process identified 50 tasks with adequate psychometric properties that were then subdivided into social cognition domains. For each domain, members ranked the five best tasks, once for cross-cultural use and once for transdiagnostic use, and rated the suitability of those tasks for the intended use. No tasks were identified as ideally suited for either use; however, within each domain, 4-5 tasks emerged as the most consistently selected, and all were ranked as having "good" or better suitability for use. While there is still a critical need for social cognitive assessments that are specifically designed for cross-cultural and transdiagnostic use, there does appear to be a handful of existing tasks that are currently available and likely informative. Caution is warranted however, as these still require comprehensive evaluation in cross-cultural and transdiagnostic studies.
Collapse
Affiliation(s)
- Amy E Pinkham
- Department of Psychology, School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA.
| | - Michal Hajdúk
- Department of Psychology, Faculty of Arts, Comenius University in Bratislava, Bratislava, Slovak Republic
- The Centre for Psychiatric Disorders Research, Science Park, Comenius University in Bratislava, Bratislava, Slovak Republic
- Department of Psychiatry, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovak Republic
| | - Tim Ziermans
- Dutch Autism & ADHD Research Center, Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands
| |
Collapse
|
|
9
|
Becker C, Conduit R, Chouinard PA, Laycock R. EEG correlates of static and dynamic face perception: The role of naturalistic motion. Neuropsychologia 2024; 205:108986. [PMID: 39218391 DOI: 10.1016/j.neuropsychologia.2024.108986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 08/09/2024] [Accepted: 08/28/2024] [Indexed: 09/04/2024]
Abstract
Much of our understanding of how the brain processes dynamic faces comes from research that compares static photographs to dynamic morphs, which exhibit simplified, computer-generated motion. By comparing static, video recorded, and dynamic morphed expressions, we aim to identify the neural correlates of naturalistic facial dynamism, using time-domain and time-frequency analysis. Dynamic morphs were made from the neutral and peak frames of video recorded transitions of happy and fearful expressions, which retained expression change and removed asynchronous and non-linear features of naturalistic facial motion. We found that dynamic morphs elicited increased N400 amplitudes and lower LPP amplitudes compared to other stimulus types. Video recordings elicited higher LPP amplitudes and greater frontal delta activity compared to other stimuli. Thematic analysis of participant interviews using a large language model revealed that participants found it difficult to assess the genuineness of morphed expressions, and easier to analyse the genuineness of happy compared to fearful expressions. Our findings suggest that animating real faces with artificial motion may violate expectations (N400) and reduce the social salience (LPP) of dynamic morphs. Results also suggest that delta oscillations in the frontal region may be involved with the perception of naturalistic facial motion in happy and fearful expressions. Overall, our findings highlight the sensitivity of neural mechanisms required for face perception to subtle changes in facial motion characteristics, which has important implications for neuroimaging research using faces with simplified motion.
Collapse
Affiliation(s)
- Casey Becker
- RMIT University, School of Health & Biomedical Sciences, STEM College, 225-254 Plenty Rd, Bundoora, Victoria, 3083, Australia.
| | - Russell Conduit
- RMIT University, School of Health & Biomedical Sciences, STEM College, 225-254 Plenty Rd, Bundoora, Victoria, 3083, Australia.
| | - Philippe A Chouinard
- La Trobe University, Department of Psychology, Counselling, & Therapy, 75 Kingsbury Drive, Bundoora, Victoria, 3086, Australia.
| | - Robin Laycock
- RMIT University, School of Health & Biomedical Sciences, STEM College, 225-254 Plenty Rd, Bundoora, Victoria, 3083, Australia.
| |
Collapse
|
|
10
|
León-Rodríguez DA, Moncaleano C. Emotional Competences in Adolescents Exposed to Colombian Armed Conflict During Their Childhood. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2024; 17:1133-1150. [PMID: 39686942 PMCID: PMC11646258 DOI: 10.1007/s40653-024-00647-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/12/2024] [Indexed: 12/18/2024]
Abstract
Objective: Analyse the mediation role of emotional competences on behavior problems in adolescents exposed to Armed-Conflict Childhood Adversities (ACCA). Method: Families with adolescent children who studied in three schools in the municipality of Soacha, Colombia, were invited to participate in the study. One hundred and sixty-one participants were selected and pooled into three groups according to their Adverse Childhood Experiences (ACE) scores: lower-ACE (LACE), higher-ACE (HACE), and ACCA using the Adverse Childhood Experiences Questionnaire for Adolescents (ACE-QA). The Emotion Recognition Task, the Empathy for Pain Task, and the Child Behavior Checklist assessed teenagers' emotional functioning. Results: Teenagers exposed to ACCA more frequently experienced childhood adversities such as domestic violence, child abuse, and parental neglect. Moreover, these adolescents were less accurate in discriminating angry faces, reported higher control perception after social stressors, were more rigorous in punishing those who intentionally harmed others, and showed more internalizing behavior problems. In the mediational model, we found that: the control perception after social stress mediated the reduction of depressive symptoms in adolescents with ACCA history. Additionally, inaccuracy in perceiving angry faces and harsh punishment toward behaviors that intentionally harm others mediated the presence of thinking problems, anxiety, and rule-breaking behaviors. Conclusions: Colombian adolescents who experienced ACCA showed specific changes in their emotional competences, which mediate the parental report of behavioral problems. These results indicate the need for more focused interventions aimed at improving the emotional competences and mental health of adolescent victims of armed conflicts. Supplementary Information The online version contains supplementary material available at 10.1007/s40653-024-00647-0.
Collapse
|
|
11
|
Hachtel H, Deuring G, Graf M, Vogel T. Impact of psychosocial stress on facial emotion recognition in schizophrenia and controls: an experimental study in a forensic sample. Front Psychiatry 2024; 15:1358291. [PMID: 39081531 PMCID: PMC11287427 DOI: 10.3389/fpsyt.2024.1358291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 06/03/2024] [Indexed: 08/02/2024] Open
Abstract
Introduction Psychotic disorders have been associated with dysregulated stress reactions and adaptation. Little is known about the neuroendocrine responses to psychosocial stress in justice-involved individuals with schizophrenia. Methods Using an experimental research design, the present study aims to examine differences in the subjective and neuroendocrine responses to psychosocial stress and its impact on facial emotion recognition (FER) and performance on an arithmetic task in chronically ill justice-involved individuals with schizophrenia (PAT) and a healthy control group. PAT undergoing treatment in forensic psychiatric inpatient wards (n = 17) and a healthy control group (n = 17) were assessed regarding sociodemographic and clinical characteristics. Additionally, salivary cortisol levels, measured before and after performing a psychosocial stress task [Montreal Imaging Stress Task (MIST)], and performance on an arithmetic problem-solving task and two FER tasks were recorded. Two participants dropped out, one from each group. Therefore, the final sample consisted of 32 individuals. Results Significant group differences in FER were recorded. There was a significant rise in subjective perception of momentary strain relating to the induction of psychosocial stress in both groups. Notably, the pre-stress level of subjective strain was higher in the PAT group than controls. Acute psychosocial stress induced an increase in FER performance in a sub-task related to naming emotions in individuals with schizophrenia spectrum disorder. Discussion The results underline the importance of psychosocial and therapeutic interventions aimed at strengthening stress resilience in individuals with schizophrenia spectrum disorders.
Collapse
Affiliation(s)
- Henning Hachtel
- Forensic Department, University Psychiatric Clinic Basel, Basel, Switzerland
- Medical Faculty, University of Basel, Basel, Switzerland
| | - Gunnar Deuring
- Forensic Department, University Psychiatric Clinic Basel, Basel, Switzerland
| | - Marc Graf
- Medical Faculty, University of Basel, Basel, Switzerland
| | - Tobias Vogel
- Medical Faculty, University of Basel, Basel, Switzerland
| |
Collapse
|
|
12
|
Şahintürk S, Yıldırım E. Effects of tDCS on emotion recognition and brain oscillations. J Clin Exp Neuropsychol 2024; 46:504-521. [PMID: 38855946 DOI: 10.1080/13803395.2024.2364403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 05/30/2024] [Indexed: 06/11/2024]
Abstract
INTRODUCTION Emotion recognition, the ability to interpret the emotional state of individuals by looking at their facial expressions, is essential for healthy social interactions and communication. There is limited research on the effects of tDCS on emotion recognition in the literature. This study aimed to investigate the effects of anodal stimulation of the ventromedial prefrontal cortex (vmPFC), a key region for emotion recognition from facial expressions, on emotion recognition and brain oscillations. METHOD A single-blind randomized-controlled study was conducted with 54 healthy participants. Before and after brain stimulation emotion recognition tasks were administered and resting-state EEG were recorded. The changes in task performances and brain oscillations were analyzed using repeated-measures two-way ANOVA analysis. RESULTS There was no significant difference in the emotion recognition tasks between groups in pre-post measurements. The changes in delta, theta, alpha, beta and gamma frequency bands in the frontal, temporal, and posterio-occipital regions, which were determined as regions of interest in resting state EEG data before and after tDCS, were compared between groups. The results showed that there was a significant difference between groups only in delta frequency before and after tDCS in the frontal and temporal regions. While an increase in delta activity was observed in the experimental group in the frontal and temporal regions, a decrease was observed in the control group. CONCLUSIONS The tDCS may not have improved emotion recognition because it may not have had the desired effect on the vmPFC, which is in the lower part of the prefrontal lobe. The changes in EEG frequencies observed section tDCS may be similar to those seen in some pathological processes, which could explain the lack of improvement in emotion recognition. Future studies to be carried out for better understand this effect are important.
Collapse
Affiliation(s)
- Saliha Şahintürk
- The Research Institute for Health Sciences and Technologies (SABITA) fiNCAN Laboratory, Istanbul Medipol University, İstanbul, Türkiye
| | - Erol Yıldırım
- The Research Institute for Health Sciences and Technologies (SABITA) fiNCAN Laboratory, Istanbul Medipol University, İstanbul, Türkiye
- Department of Psychology, Istanbul Medipol University, İstanbul, Türkiye
| |
Collapse
|
|
13
|
de Boer L, van den Berg E, Poos JM, Klop W, Giannini LAA, De Houwer JFH, Seelaar H, Jiskoot LC. Impairments in knowledge of social norms in presymptomatic, prodromal, and symptomatic frontotemporal dementia. ALZHEIMER'S & DEMENTIA (AMSTERDAM, NETHERLANDS) 2024; 16:e12630. [PMID: 39229325 PMCID: PMC11369490 DOI: 10.1002/dad2.12630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/07/2024] [Revised: 06/06/2024] [Accepted: 07/08/2024] [Indexed: 09/05/2024]
Abstract
INTRODUCTION We aimed to assess the knowledge of social norms in patients with behavioral variant frontotemporal dementia (bvFTD) with the Dutch version of the Social Norms Questionnaire (SNQ-NL). METHODS The SNQ-NL was administered in 34 patients with bvFTD, 20 prodromal mutation carriers, 76 presymptomatic mutation carriers, and 56 controls. Group differences and correlations with other neuropsychological tests and gray matter volume were examined. RESULTS Patients with bvFTD had lower total SNQ-NL scores and more over-adherence errors than presymptomatic mutation carriers and controls (P < 0.001). SNQ-NL performance correlated with tests for executive functioning and social cognition, and with gray matter volume in bilateral frontal and unilateral temporal regions. DISCUSSION The SNQ-NL can identify impairments in knowledge of social norms in bvFTD, highlighting its significance in clinical diagnosis and upcoming clinical trials. The SNQ-NL currently fails to differentiate presymptomatic mutation carriers from controls; to this end, larger sample sizes from larger cohorts and longitudinal follow-up are warranted. Highlights The Dutch version of the Social Norms Questionnaire (SNQ-NL) is able to detect impairment in social cognition in symptomatic bvFTD patients.A trend towards a lower performance in prodromal mutation carriers was found.Performance on the SNQ-NL is related to other measures of social cognition, executive functioning, and language.Lower SNQ-NL performance is related to gray matter volume loss in bilateral frontal and temporal regions.The SNQ-NL provides insight into the underlying cause of deficits in social cognition in bvFTD.
Collapse
Affiliation(s)
- Liset de Boer
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Esther van den Berg
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Jackie M. Poos
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Willeke Klop
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Lucia A. A. Giannini
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Julie F. H. De Houwer
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Harro Seelaar
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
| | - Lize C. Jiskoot
- Department of Neurology and Alzheimer CenterErasmus MC University Medical CenterRotterdamthe Netherlands
- Dementia Research CenterUniversity College LondonLondonUK
| |
Collapse
|
|
14
|
Antezana L, Valdespino A, Wieckowski AT, Coffman MC, Carlton CN, Garcia KM, Gracanin D, White SW, Richey JA. Social Anxiety Symptoms Predict Poorer Facial Emotion Recognition in Autistic Male Adolescents and Young Adults Without Intellectual Disability. J Autism Dev Disord 2024; 54:2454-2470. [PMID: 37120659 DOI: 10.1007/s10803-023-05998-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2023] [Indexed: 05/01/2023]
Abstract
Utilizing a novel computerized task, we aimed to examine whether social anxiety symptoms would be related to individual differences in facial emotion recognition (FER) in a sample of autistic male adolescents and young adults without intellectual disability. Results indicated that social anxiety and IQ predicted poorer FER, irrespective of specific emotion type. When probing specific effects within emotion and condition types, social anxiety impacted surprise and disgust FER during a truncated viewing condition and not full viewing condition. Collectively, results suggest that social anxiety in autism may play a larger role in FER than previously thought. Future work should consider the role of social anxiety within autism as a factor that may meaningfully relate to FER assessment and intervention.
Collapse
Affiliation(s)
- Ligia Antezana
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA.
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
| | - Andrew Valdespino
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
- James A. Haley Veterans' Hospital, Tampa, FL, USA
| | - Andrea T Wieckowski
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
- A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA
| | - Marika C Coffman
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
- Duke University Center for Autism and Brain Development, Duke University, Durham, NC, USA
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA
| | - Corinne N Carlton
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
| | - Katelyn M Garcia
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
| | - Denis Gracanin
- Department of Computer Science, Virginia Tech, Blacksburg, VA, USA
| | - Susan W White
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
- Center for Youth Development and Intervention and Department of Psychology, The University of Alabama, Tuscaloosa, AL, USA
| | - John A Richey
- Department of Psychology, Virginia Tech, 109 Williams Hall, 890 Drillfield Drive, Blacksburg, VA, 24061, USA
| |
Collapse
|
|
15
|
Cservenka A, Donahue LC. Emotion Recognition and Self-Reported Emotion Processing in Alcohol and Cannabis Co-Using Young Adults. Behav Sci (Basel) 2024; 14:407. [PMID: 38785898 PMCID: PMC11117838 DOI: 10.3390/bs14050407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 04/26/2024] [Accepted: 05/10/2024] [Indexed: 05/25/2024] Open
Abstract
Alcohol and cannabis use are each associated with impairments in emotion recognition accuracy, which may promote interpersonal problems. It is unclear if emotion recognition or self-reported emotion processing differs between young adult alcohol and cannabis co-users (ACCs) and healthy controls (HCs). This study examined whether ACCs and HCs differed in their emotion recognition across two different behavioral tasks with static or dynamic faces and determined if there were differences in self-reported socio-emotional processing and alexithymia. 22 ACCs (mean age = 21.27 ± 1.75) and 25 HCs (mean age = 21.48 ± 2.68), matched on age, sex, and IQ, completed the Metrisquare Emotion Recognition Task and CANTAB Emotion Recognition Task. The ACCs and HCs were compared on task accuracy and self-reported measures, including the Social Emotional Questionnaire (SEQ) and the Perth Alexithymia Questionnaire (PAQ). No significant main effects of the Group variable or the Emotion-Group interaction variable were present for either task. The ACCs had lower SEQ (p = 0.014) and higher PAQ (p = 0.024) scores relative to the HCs, indicating greater difficulties in socio-emotional processing and identifying one's own emotions, respectively. Understanding the behavioral correlates of the self-reported difficulties in emotion processing reported by ACCs is needed to develop interventions to reduce these symptoms and promote healthy socio-emotional functioning in this population.
Collapse
Affiliation(s)
- Anita Cservenka
- School of Psychological Science, Oregon State University, 2950 SW Jefferson Way, Corvallis, OR 97331, USA;
| | | |
Collapse
|
|
16
|
Duits AA, de Ronde EM, Vinke RS, Vos SH, Esselink RAJ, Kessels RPC. The impact of deep brain stimulation of the subthalamic nucleus on facial emotion recognition in patients with Parkinson's disease. J Neuropsychol 2024; 18 Suppl 1:134-141. [PMID: 37353988 DOI: 10.1111/jnp.12336] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 06/01/2023] [Accepted: 06/14/2023] [Indexed: 06/25/2023]
Abstract
Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is successful in patients with advanced Parkinson's disease (PD) but may worsen cognitive outcome, including facial emotion recognition (FER). Data-analyses on 59 consecutive PD patients with complete pre- and postoperative assessments, using a sensitive FER test, showed no changes in FER 1 year after STN-DBS surgery, both after group and individual analyses. These findings do however not exclude the impact of FER in and on itself on the outcome after STN-DBS.
Collapse
Affiliation(s)
- Annelien A Duits
- Department of Medical Psychology, Radboud University Medical Centre, Nijmegen, The Netherlands
- Department of Psychiatry and Neuropsychology, Maastricht University, Maastricht, The Netherlands
| | - Eva M de Ronde
- Donders Institute for Brain, Cognition and Behaviour, Department of Neurosurgery, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - R Saman Vinke
- Donders Institute for Brain, Cognition and Behaviour, Department of Neurosurgery, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Sandra H Vos
- Vincent van Gogh Institute for Psychiatry, Centre of Excellence for Korsakoff and Alcohol-related Cognitive Disorders, Venray, The Netherlands
| | - Rianne A J Esselink
- Donders Institute for Brain, Cognition and Behaviour, Department of Neurosurgery, Radboud University Medical Centre, Nijmegen, The Netherlands
- Department of Neurology, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Roy P C Kessels
- Department of Medical Psychology, Radboud University Medical Centre, Nijmegen, The Netherlands
- Vincent van Gogh Institute for Psychiatry, Centre of Excellence for Korsakoff and Alcohol-related Cognitive Disorders, Venray, The Netherlands
- Donders Institute for Brain. Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
| |
Collapse
|
|
17
|
Hutten JC, van Horn JE, Hoppenbrouwers SS, Ziermans TB, Geurts HM. Neuropsychological assessment of aggressive offenders: a Delphi consensus study. Front Psychol 2024; 15:1328839. [PMID: 38464622 PMCID: PMC10922935 DOI: 10.3389/fpsyg.2024.1328839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 02/05/2024] [Indexed: 03/12/2024] Open
Abstract
Objective This study explores the intricate relationship between cognitive functioning and aggression, with a specific focus on individuals prone to reactive or proactive aggression. The purpose of the study was to identify important neuropsychological constructs and suitable tests for comprehending and addressing aggression. Methods An international panel of 32 forensic neuropsychology experts participated in this three-round Delphi study consisting of iterative online questionnaires. The experts rated the importance of constructs based on the Research Domain Criteria (RDoC) framework. Subsequently, they suggested tests that can be used to assess these constructs and rated their suitability. Results The panel identified the RDoC domains Negative Valence Systems, Social Processes, Cognitive Systems and Positive Valence Systems as most important in understanding aggression. Notably, the results underscore the significance of Positive Valence Systems in proactive aggression and Negative Valence Systems in reactive aggression. The panel suggested a diverse array of 223 different tests, although they noted that not every RDoC construct can be effectively measured through a neuropsychological test. The added value of a multimodal assessment strategy is discussed. Conclusions This research advances our understanding of the RDoC constructs related to aggression and provides valuable insights for assessment strategies. Rather than suggesting a fixed set of tests, our study takes a flexible approach by presenting a top-3 list for each construct. This approach allows for tailored assessment to meet specific clinical or research needs. An important limitation is the predominantly Dutch composition of the expert panel, despite extensive efforts to diversify.
Collapse
Affiliation(s)
- Juliette C. Hutten
- De Waag (Outpatient Forensic Mental Health Clinic), Forensic Care Specialists, Utrecht, Netherlands
- Brain and Cognition, Department of Psychology, Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, Netherlands
| | - Joan E. van Horn
- De Waag (Outpatient Forensic Mental Health Clinic), Forensic Care Specialists, Utrecht, Netherlands
| | - Sylco S. Hoppenbrouwers
- De Waag (Outpatient Forensic Mental Health Clinic), Forensic Care Specialists, Utrecht, Netherlands
| | - Tim B. Ziermans
- Brain and Cognition, Department of Psychology, Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, Netherlands
| | - Hilde M. Geurts
- Brain and Cognition, Department of Psychology, Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, Netherlands
| |
Collapse
|
|
18
|
van den Broek B, Galesloot J, Rijnen S, Stiekema A, van Heugten C, Bus B. Exploring social cognition in individuals with neuropsychiatric symptoms following acquired brain injury. APPLIED NEUROPSYCHOLOGY. ADULT 2023:1-6. [PMID: 37796475 DOI: 10.1080/23279095.2023.2264437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
Abstract
In this study, we explored the social cognitive skills of individuals with neuropsychiatric symptoms following acquired brain injury (ABI). To this end, a retrospective chart review was carried out. We examined scores on social cognition tests that were administered as part of routine neuropsychological assessment at a Dutch specialized care facility for patients with neuropsychiatric symptoms following ABI. In addition, correlations with time post injury were explored. Aspects of social cognition (emotion recognition, Theory of Mind (ToM) and empathy) were measured using the Emotion Recognition Task (n = 40), the Ekman 60-Faces Test of the Facial Expression of Emotion: Stimuli and Tests (n = 11) and the Faux Pas Test (n = 36). 72.5% to 81.8% of participants scored very low or low on emotion recognition. Participants' scores for ToM and empathy were lower than those reported recently for samples of Dutch stroke and traumatic brain injury patients. Correlations between social cognition scores and time since injury were non-significant or negative. While further research is necessary, our results indicate that social cognitive problems are prevalent and persistent in individuals who display neuropsychiatric symptoms after ABI. Future studies should employ a prospective approach in order to confirm our exploratory findings.
Collapse
Affiliation(s)
- Brenda van den Broek
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, The Netherlands
- School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands
- Limburg Brain Injury Centre, Maastricht, The Netherlands
| | - Janneke Galesloot
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, The Netherlands
| | - Sophie Rijnen
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, The Netherlands
- Limburg Brain Injury Centre, Maastricht, The Netherlands
| | - Annemarie Stiekema
- School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands
- Limburg Brain Injury Centre, Maastricht, The Netherlands
| | - Caroline van Heugten
- School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands
- Limburg Brain Injury Centre, Maastricht, The Netherlands
- Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, The Netherlands
| | - Boudewijn Bus
- Multidisciplinary Specialist Centre for Brain Injury and Neuropsychiatry, GGZ Oost Brabant, Boekel, The Netherlands
- Limburg Brain Injury Centre, Maastricht, The Netherlands
| |
Collapse
|
|
19
|
Oliveira R, de Pinho GD, Silva D, Chester C, Marques IB. Altered social cognition in early relapsing remitting multiple sclerosis. Mult Scler Relat Disord 2023; 78:104924. [PMID: 37566975 DOI: 10.1016/j.msard.2023.104924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 07/22/2023] [Accepted: 07/28/2023] [Indexed: 08/13/2023]
Abstract
INTRODUCTION People with multiple sclerosis (pwMS) may suffer from some degree of impaired social cognition (SC), the process that integrates the mental operations underlying social interactions. SC is still not clearly characterized in the early stages of MS, and it is not defined whether SC is independent of cognitive impairment. METHODS In this cross-sectional study, we aimed to compare SC measures in a population of early (≤5 years) relapsing-remitting MS (RRMS) with an age, sex, and education-matched control group. All participants performed a clinical and a comprehensive neuropsychological assessment. SC evaluation included assessment of facial emotion recognitionn by the Emotion Recognition Task, affective theory of mind (ToM) by the Reading the Mind in the eyes Test (RMET) and cognitive ToM by the Faux Pas test (FPT). Depression, anxiety, fatigue, and quality of life were also assessed. We included 38 pwMS (mean age 34.8 ± 8.7, 78.9% female sex, mean disease duration 1.9±1.3 years) and 38 healthy controls (mean age 34.9 ± 8.4, 81.6% female sex). RESULTS Altered social cognition was present in 34.2% of pwMS. Participants with MS performed worse than controls on measures of cognitive ToM, and affective ToM. There were no differences regarding FER. Cognitive ToM and FER correlated with cognitive functions, but no correlation was found between affective ToM and cognitive tests. The only clinical factor associated with altered SC was poor quality of life. CONCLUSIONS Social cognition impairment is already present in a significant percentage of early RRMS patients, namely ToM deficits. While cognitive ToM and FER appears to correlate with impaired cognitive results, affective ToM is likely independent of other cognitive functions.
Collapse
Affiliation(s)
- Renato Oliveira
- Department of Neurology, Hospital da Luz Lisboa, Lisbon, Portugal; Neuroimmunology clinic, Hospital da Luz Lisboa, Lisbon Portugal; Comprehensive Health Research Centre, Universidade Nova de Lisboa, Lisbon, Portugal.
| | | | - Dina Silva
- Department of Neurology, Hospital da Luz Lisboa, Lisbon, Portugal
| | - Catarina Chester
- Department of Neurology, Hospital da Luz Lisboa, Lisbon, Portugal
| | - Inês Brás Marques
- Department of Neurology, Hospital da Luz Lisboa, Lisbon, Portugal; Neuroimmunology clinic, Hospital da Luz Lisboa, Lisbon Portugal
| |
Collapse
|
|
20
|
Stutesman MG, Frye DA. Affective Theory of Mind in Late Adulthood: The Role of Emotion Complexity and Social Relatedness. Exp Aging Res 2023; 49:472-500. [PMID: 36284488 DOI: 10.1080/0361073x.2022.2137359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 10/12/2022] [Indexed: 11/04/2022]
Abstract
BACKGROUND Age-related declines in adult affective theory of mind (AToM) have been discovered. However, AToM measures have not accounted for emotional state complexity involved in AToM. Measures have also not accounted for different types of relationships - friends versus strangers - for which AToM is employed, which is important considering the limited social networks of aging adults. OBJECTIVE We address these issues and examine the emotion complexity, social-relatedness, and contextual relevance in AToM across adult ages (18-89 years) using a new task and two well-established measures. RESULTS The new task displayed good structural fit and internal construct validity. Overall, an age-related decline in AToM was found along with an interaction between age and emotion complexity. For all ages, AToM performance was best for complex emotions. However, as age increased, there was more rapid decline in AToM for more complex emotions than for less complex ones. Surprisingly, AToM performance for strangers was better than for social companions. CONCLUSION The findings suggest age-related AToM declines are more nuanced than previously understood given that adult age differences are related to emotional state complexity. They indicate that the emotion complexity levels of basic, complex, and self-conscious should be included in AToM assessments. Implications for AToM tasks and development are discussed.
Collapse
Affiliation(s)
- Megan G Stutesman
- Department of Psychology, 3F5, George Mason University, Fairfax, Virginia, 22030, USA
| | - Douglas A Frye
- Department of Psychology, 3F5, George Mason University, Fairfax, Virginia, 22030, USA
| |
Collapse
|
|
21
|
Vlot N, Postma A, Oudman E. When Do Korsakoff Patients Justify Immoral Behaviors? The Influence of Premorbid Delinquency and Self-Other Perspectives in Moral Decision-Making and Moral Reasoning. J Clin Med 2023; 12:6257. [PMID: 37834901 PMCID: PMC10573903 DOI: 10.3390/jcm12196257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Revised: 09/25/2023] [Accepted: 09/26/2023] [Indexed: 10/15/2023] Open
Abstract
Korsakoff's syndrome (KS) is a chronic neuropsychiatric disorder caused by a vitamin B1 deficiency. KS is characterized by profound amnesia and often accompanied by poor executive functioning, decreased social-cognitive abilities, and difficulties in behavioral regulation. As moral behaviors and attitudes may provide insight in socio-behavioral interactions, the current study aimed to evaluate everyday moral maturity by administering self- versus other-oriented moral dilemmas in a group of KS patients (n = 20) and healthy controls (n = 20). Responses were scored according to the Kohlberg stages of moral reasoning. Furthermore, we assessed premorbid delinquency and current neurocognitive functioning as possible relevant factors. Our results show that KS patients were prone to lower levels of moral maturity when confronted with moral dilemmas relating to themselves, compared to dilemmas relating to (un)personal others in KS patients, while healthy subjects showed an opposite pattern. Moral immaturity could find its origin already before the onset of the KS diagnosis, as suggested by the elevated premorbid levels of delinquent behavior and correlation between premorbid delinquency and moral maturity in KS. Lower moral maturity could therefore be a possible predisposing factor to both delinquency and later development of Korsakoff's syndrome.
Collapse
Affiliation(s)
- Nairobi Vlot
- Experimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands (A.P.)
- Lelie Care Group, Slingedael Korsakoff Expertise Center, Slinge 901, 3086 EZ Rotterdam, The Netherlands
| | - Albert Postma
- Experimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands (A.P.)
- Lelie Care Group, Slingedael Korsakoff Expertise Center, Slinge 901, 3086 EZ Rotterdam, The Netherlands
| | - Erik Oudman
- Experimental Psychology, Helmholtz Institute, Utrecht University, 3584 CS Utrecht, The Netherlands (A.P.)
- Lelie Care Group, Slingedael Korsakoff Expertise Center, Slinge 901, 3086 EZ Rotterdam, The Netherlands
| |
Collapse
|
|
22
|
Samtani S, Meka A, Siette J. Beyond memory: exploring the value of social cognition for older adults with neurocognitive disorders. Front Psychiatry 2023; 14:1209745. [PMID: 37840782 PMCID: PMC10575711 DOI: 10.3389/fpsyt.2023.1209745] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 09/05/2023] [Indexed: 10/17/2023] Open
Abstract
Neurocognitive disorders involves progressive decline in cognition, function, behavior and needs. Recent developments have identified the need to characterize social cognition in individuals with neurocognitive impairments to support uncertainty in clinical decision making, treatment plans and monitoring individual change. Routine social cognition assessments have thus been more recently used and adopted in persons with dementia or mild cognitive impairment. This work serves to summarize current assessments and provide a discourse on the practicality of available social cognition tools, its implication in clinical practice and key future directions. We highlight advantages in establishing validated, multicomponent measures of social cognition for people with neurocognitive disorders.
Collapse
Affiliation(s)
- Suraj Samtani
- Centre for Healthy Brain Ageing (CHeBA), Discipline of Psychiatry and Mental Health, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia
| | - Anjani Meka
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Westmead, NSW, Australia
| | - Joyce Siette
- The MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Westmead, NSW, Australia
| |
Collapse
|
|
23
|
Lynham AJ, Jones IR, Walters JTR. Cardiff Online Cognitive Assessment in a National Sample: Cross-Sectional Web-Based Study. J Med Internet Res 2023; 25:e46675. [PMID: 37703073 PMCID: PMC10534289 DOI: 10.2196/46675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2023] [Revised: 06/14/2023] [Accepted: 07/20/2023] [Indexed: 09/14/2023] Open
Abstract
BACKGROUND Psychiatric disorders are associated with cognitive impairment. We have developed a web-based, 9-task cognitive battery to measure the core domains affected in people with psychiatric disorders. To date, this assessment has been used to collect data on a clinical sample of participants with psychiatric disorders. OBJECTIVE The aims of this study were (1) to establish a briefer version of the battery (called the Cardiff Online Cognitive Assessment [CONCA]) that can give a valid measure of cognitive ability ("g") and (2) to collect normative data and demonstrate CONCA's application in a health population sample. METHODS Based on 6 criteria and data from our previous study, we selected 5 out of the original 9 tasks to include in CONCA. These included 3 core tasks that were sufficient to derive a measure of "g" and 2 optional tasks. Participants from a web-based national cohort study (HealthWise Wales) were invited to complete CONCA. Completion rates, sample characteristics, performance distributions, and associations between cognitive performance and demographic characteristics and mental health measures were examined. RESULTS A total of 3679 participants completed at least one CONCA task, of which 3135 completed all 3 core CONCA tasks. Performance on CONCA was associated with age (B=-0.05, SE 0.002; P<.001), device (tablet computer: B=-0.26, SE 0.05; P<.001; smartphone: B=-0.46, SE 0.05; P<.001), education (degree: B=1.68, SE 0.14; P<.001), depression symptoms (B=-0.04, SE 0.01; P<.001), and anxiety symptoms (B=-0.04, SE 0.01; P<.001). CONCLUSIONS CONCA provides a valid measure of "g," which can be derived using as few as 3 tasks that take no more than 15 minutes. Performance on CONCA showed associations with demographic characteristics in the expected direction and was associated with current depression and anxiety symptoms. The effect of device on cognitive performance is an important consideration for research using web-based assessments.
Collapse
Affiliation(s)
- Amy Joanne Lynham
- Division of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - Ian R Jones
- Division of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - James T R Walters
- Division of Psychological Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
| |
Collapse
|
|
24
|
Guerrini S, Hunter EM, Papagno C, MacPherson SE. Cognitive reserve and emotion recognition in the context of normal aging. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2023; 30:759-777. [PMID: 35634692 DOI: 10.1080/13825585.2022.2079603] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 05/13/2022] [Indexed: 06/15/2023]
Abstract
The Cognitive Reserve (CR) hypothesis accounts for individual differences in vulnerability to age- or pathological-related brain changes. It suggests lifetime influences (e.g., education) increase the effectiveness of cognitive processing in later life. While evidence suggests CR proxies predict cognitive performance in older age, it is less clear whether CR proxies attenuate age-related decline on social cognitive tasks. This study investigated the effect of CR proxies on unimodal and cross-modal emotion identification. Sixty-six older adults aged 60-78 years were assessed on CR proxies (Cognitive Reserve Index Questionnaire, NART), unimodal(faces only, voices only), and cross-modal (faces and voices combined) emotion recognition and executive function (Stroop Test). No CR proxy predicted performance on emotion recognition. However, NART IQ predicted performance on the Stroop test; higher NART IQ was associated with better performance. The current study suggests CR proxies do not predict performance on social cognition tests but do predict performance on cognitive tasks.
Collapse
Affiliation(s)
- Sofia Guerrini
- Dipartimento di Psicologia, Università degli studi di Milano-Bicocca, Milano, Italy
| | | | - Costanza Papagno
- CeRiN, Centro di Riabilitazione Neurocognitiva, CIMeC, Università di Trento, Rovereto, Italy
| | - Sarah E MacPherson
- Human Cognitive Neuroscience, Department of Psychology, University of Edinburgh, Edinburgh, UK
| |
Collapse
|
|
25
|
Petrovic SA, Kaurin N, Knezevic J, Maric NP. Theory of Mind in Typical Adults: Sex-Differences and Its Associations with Anxiety and Depression Symptoms. Arch Clin Neuropsychol 2023; 38:913-921. [PMID: 36715310 DOI: 10.1093/arclin/acad007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2023] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVE Despite an increased interest in research of theory of mind (ToM) in recent years - both related to psychopathology (depression and anxiety spectrum disorders) and within the typical adults, the existing literature is scarce and presents some conflicting results. Present study aimed to explore sex differences in ToM, alongside its associations with current anxiety and depression symptoms, in a large sample of typical adults collected online. METHOD Participants completed the 15-minutes survey obtaining socio-demographic data, current self-reported depression and anxiety symptom severity, and ToM ability (the Reading the Mind in the Eyes Task). The sample comprised 605 participants -mostly younger adults, women, and high school graduate/student population. RESULTS The majority of participants reported minimal/mild depressive and anxiety symptoms that were significantly more severe in women. Women also displayed significantly better overall ToM ability than men. Significant negative correlation between the severity of current depressive and anxiety symptoms and ToM ability was also observed, but only in individuals expressing the symptoms requiring clinical attention (such association was absent in those exhibiting minimal/mild symptoms). CONCLUSIONS Present research adds to the existing knowledge on the association between ToM ability, anxiety, and depressive symptoms in typical adults as well as on the sex-differences in this important social cognitive domain. Exploring the factors representing indicators of vulnerability for depression-anxiety spectrum disorders is important for their timely detection and treatment.
Collapse
Affiliation(s)
- Sanja Andric Petrovic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Mental Health, Belgrade, Serbia
| | - Nina Kaurin
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Jelena Knezevic
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Nadja P Maric
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Institute of Mental Health, Belgrade, Serbia
| |
Collapse
|
|
26
|
Hama T, Koeda M. Characteristics of healthy Japanese young adults with respect to recognition of facial expressions: a preliminary study. BMC Psychol 2023; 11:237. [PMID: 37592360 PMCID: PMC10436396 DOI: 10.1186/s40359-023-01281-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 08/09/2023] [Indexed: 08/19/2023] Open
Abstract
BACKGROUND Emotional cognitive impairment is a core phenotype of the clinical symptoms of psychiatric disorders. The ability to measure emotional cognition is useful for assessing neurodegenerative conditions and treatment responses. However, certain factors such as culture, gender, and generation influence emotional recognition, and these differences require examination. We investigated the characteristics of healthy young Japanese adults with respect to facial expression recognition. METHODS We generated 17 models of facial expressions for each of the six basic emotions (happiness, sadness, anger, fear, disgust, and surprise) at three levels of emotional intensity using the Facial Acting Coding System (FACS). Thirty healthy Japanese young adults evaluated the type of emotion and emotional intensity the models represented to them. RESULTS Assessment accuracy for all emotions, except fear, exceeded 60% in approximately half of the videos. Most facial expressions of fear were rarely accurately recognized. Gender differences were observed with respect to both faces and participants, indicating that expressions on female faces were more recognizable than those on male faces, and female participants had more accurate perceptions of facial emotions than males. CONCLUSION The videos used may constitute a dataset, with the possible exception of those that represent fear. The subject's ability to recognize the type and intensity of emotions was affected by the gender of the portrayed face and the evaluator's gender. These gender differences must be considered when developing a scale of facial expression recognition.
Collapse
Affiliation(s)
- Tomoko Hama
- Department of Medical Technology, Ehime Prefectural University of Health Sciences, 543 Takoda, Tobe-Cho, Iyo-Gun, Ehime, 791-2101, Japan
| | - Michihiko Koeda
- Department of Neuropsychiatry, Graduate School of Medicine, Nippon Medical School, 1-1-5, Sendagi, Bunkyo-Ku, Tokyo, 113-8603, Japan.
- Department of Neuropsychiatry, Nippon Medical School Tama Nagayama Hospital, 1-7-1, Nagayama, Tama, Tokyo, 206-8512, Japan.
| |
Collapse
|
|
27
|
Clough S, Morrow E, Mutlu B, Turkstra L, Duff MC. Emotion recognition of faces and emoji in individuals with moderate-severe traumatic brain injury. Brain Inj 2023; 37:596-610. [PMID: 36847497 PMCID: PMC10175112 DOI: 10.1080/02699052.2023.2181401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 01/11/2023] [Accepted: 02/13/2023] [Indexed: 03/01/2023]
Abstract
BACKGROUND Facial emotion recognition deficits are common after moderate-severe traumatic brain injury (TBI) and linked to poor social outcomes. We examine whether emotion recognition deficits extend to facial expressions depicted by emoji. METHODS Fifty-one individuals with moderate-severe TBI (25 female) and fifty-one neurotypical peers (26 female) viewed photos of human faces and emoji. Participants selected the best-fitting label from a set of basic emotions (anger, disgust, fear, sadness, neutral, surprise, happy) or social emotions (embarrassed, remorseful, anxious, neutral, flirting, confident, proud). RESULTS We analyzed the likelihood of correctly labeling an emotion by group (neurotypical, TBI), stimulus condition (basic faces, basic emoji, social emoji), sex (female, male), and their interactions. Participants with TBI did not significantly differ from neurotypical peers in overall emotion labeling accuracy. Both groups had poorer labeling accuracy for emoji compared to faces. Participants with TBI (but not neurotypical peers) had poorer accuracy for labeling social emotions depicted by emoji compared to basic emotions depicted by emoji. There were no effects of participant sex. DISCUSSION Because emotion representation is more ambiguous in emoji than human faces, studying emoji use and perception in TBI is an important consideration for understanding functional communication and social participation after brain injury.
Collapse
Affiliation(s)
- Sharice Clough
- Department of Hearing and Speech Sciences, Vanderbilt
University Medical Center
| | - Emily Morrow
- Department of Hearing and Speech Sciences, Vanderbilt
University Medical Center
| | - Bilge Mutlu
- Department of Computer Sciences, University of
Wisconsin-Madison
| | - Lyn Turkstra
- School of Rehabilitation Science, McMaster University
| | - Melissa C. Duff
- Department of Hearing and Speech Sciences, Vanderbilt
University Medical Center
| |
Collapse
|
|
28
|
Davodabadi A, Daneshian B, Saati S, Razavyan S. Mathematical model and artificial intelligence for diagnosis of Alzheimer's disease. EUROPEAN PHYSICAL JOURNAL PLUS 2023; 138:474. [PMID: 37274456 PMCID: PMC10226030 DOI: 10.1140/epjp/s13360-023-04128-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 05/22/2023] [Indexed: 06/06/2023]
Abstract
Degeneration of the neurological system linked to cognitive deficits, daily living exercise clutters, and behavioral disturbing impacts may define Alzheimer's disease. Alzheimer's disease research conducted later in life focuses on describing ways for early detection of dementia, a kind of mental disorder. To tailor our care to each patient, we utilized visual cues to determine how they were feeling. We did this by outlining two approaches to diagnosing a person's mental health. Support vector machine is the first technique. Image characteristics are extracted using a fractal model for classification in this method. With this technique, the histogram of a picture is modeled after a Gaussian distribution. Classification was performed with several support vector machines kernels, and the outcomes were compared. Step two proposes using a deep convolutional neural network architecture to identify Alzheimer's-related mental disorders. According to the findings, the support vector machines approach accurately recognized over 93% of the photos tested. The deep convolutional neural network approach was one hundred percent accurate during model training, whereas the support vector machines approach achieved just 93 percent accuracy. In contrast to support vector machines accuracy of 89.3%, the deep convolutional neural network model test findings were accurate 98.8% of the time. Based on the findings reported here, the proposed deep convolutional neural network architecture may be used for diagnostic purposes involving the patient's mental state.
Collapse
Affiliation(s)
- Afsaneh Davodabadi
- Department of Mathematics, Central Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Behrooz Daneshian
- Department of Mathematics, Central Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Saber Saati
- Department of Mathematics, North Tehran Branch, Islamic Azad University, Tehran, Iran
| | - Shabnam Razavyan
- Department of Mathematics, South Tehran Branch, Islamic Azad University, Tehran, Iran
| |
Collapse
|
|
29
|
Ho MH, Kemp BT, Eisenbarth H, Rijnders RJP. Designing a neuroclinical assessment of empathy deficits in psychopathy based on the Zipper Model of Empathy. Neurosci Biobehav Rev 2023; 151:105244. [PMID: 37225061 DOI: 10.1016/j.neubiorev.2023.105244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 05/02/2023] [Accepted: 05/20/2023] [Indexed: 05/26/2023]
Abstract
Ho, M.H., Kemp, B.T., Eisenbarth, H. & Rijnders, R.J.P. Designing a neuroclinical assessment of empathy deficits in psychopathy based on the Zipper Model of Empathy. NEUROSCI BIOBEHAV REV YY(Y) XXX-XXX, 2023. The heterogeneity of the literature on empathy highlights its multidimensional and dynamic nature and affects unclear descriptions of empathy in the context of psychopathology. The Zipper Model of Empathy integrates current theories of empathy and proposes that empathy maturity is dependent on whether contextual and personal factors push affective and cognitive processes together or apart. This concept paper therefore proposes a comprehensive battery of physiological and behavioral measures to empirically assess empathy processing according to this model with an application for psychopathic personality. We propose using the following measures to assess each component of this model: (1) facial electromyography; (2) the Emotion Recognition Task; (3) the Empathy Accuracy task and physiological measures (e.g., heart rate); (4) a selection of Theory of Mind tasks and an adapted Dot Perspective Task, and; (5) an adjusted Charity Task. Ultimately, we hope this paper serves as a starting point for discussion and debate on defining and assessing empathy processing, to encourage research to falsify and update this model to improve our understanding of empathy.
Collapse
Affiliation(s)
- Man Him Ho
- Danish Research Center for Magnetic Resonance, Kettegård Alle 30, 2650 Hvidovre, Capital Region, Denmark; Maastricht University, Psychology Neurosciences Department, Universiteitssingel 40, 6229 ER Maastricht, the Netherlands.
| | - Benjamin Thomas Kemp
- Maastricht University, Psychology Neurosciences Department, Universiteitssingel 40, 6229 ER Maastricht, the Netherlands.
| | - Hedwig Eisenbarth
- School of Psychology, Victoria University of Wellington, PO Box 600, Wellington 6140, New Zealand.
| | - Ronald J P Rijnders
- Netherlands Institute for Forensic Psychiatry and Psychology, Forensic Observation Clinic "Pieter Baan Centrum", Carl Barksweg 3, 1336 ZL, Almere, the Netherlands; Utrecht University, Faculty of Social Sciences, Department of Psychology, Heidelberglaan 8, 3584 CS, Utrecht, the Netherlands.
| |
Collapse
|
|
30
|
Abstract
OBJECTIVE Disorders of social cognition, such as difficulties with emotion perception, alexithymia, Theory of Mind (ToM), empathy and disorders of emotion regulation, are prevalent and pervasive problems across many neurological, neurodevelopmental and neuropsychiatric conditions. Clinicians are familiar with how these difficulties present but assessment and treatment has lagged behind other traditional cognitive domains, such as memory, language and executive functioning. METHOD In this paper, we review the prevalence and degree of impairment associated with disorders of social cognition and emotion regulation across a range of clinical conditions, with particular emphasis on their relationship to cognitive deficits and also real-world functioning. We reported effects sizes from published meta-analyses for a range of clinical disorders and also review test usage and available tests. RESULTS In general, many clinical conditions are associated with impairments in social cognition and emotion regulation. Effect sizes range from small to very large and are comparable to effect sizes for impairments in nonsocial cognition. Socio-emotional impairments are also associated with social and adaptive functioning. In reviewing prior research, it is apparent that the standardized assessment of social cognition, in particular, is not routine in clinical practice. This is despite the fact that there are a range of tools available and accruing evidence for the efficacy of interventions for social cognitive impairments. CONCLUSION We are using this information to urge and call for clinicians to factor social cognition into their clinical assessments and treatment planning, as to provide rigorous, holistic and comprehensive person-centred care.
Collapse
Affiliation(s)
- Skye McDonald
- School of Psychology, University of New South Wales, Sydney, Australia
| | - Travis Wearne
- School of Psychology, University of Western Sydney, Penrith South, Australia
| | - Michelle Kelly
- School of Psychological Sciences, University of Newcastle, Callaghan, Australia
| |
Collapse
|
|
31
|
Ferrer-Cairols I, Ferré-González L, García-Lluch G, Peña-Bautista C, Álvarez-Sánchez L, Baquero M, Cháfer-Pericás C. Emotion recognition and baseline cortisol levels relationship in early Alzheimer disease. Biol Psychol 2023; 177:108511. [PMID: 36716987 DOI: 10.1016/j.biopsycho.2023.108511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 01/09/2023] [Accepted: 01/26/2023] [Indexed: 01/30/2023]
Abstract
BACKGROUND Emotion recognition is often impaired in early Alzheimer's disease (AD) and can be evaluated using the Reading the Mind in the Eyes Test (RMET). Similarly, cortisol levels can affect cognition and could be considered a biomarker of AD. OBJECTIVES The aim of this study was to analyse the relationship between the emotion recognition task and cortisol levels in participants with early Alzheimer Disease (AD). METHODS Complex emotion recognition was assessed with RMET, and plasma cortisol levels were determined by mass spectrometry in participants classified into mild cognitive impairment (MCI) due to AD (n = 25), mild dementia (MD) due to AD (n = 20), MCI non-AD (n = 34), MD non-AD (n = 13) and healthy controls (HC) (n = 16) groups. RESULTS Significantly lower positive emotion recognition was found in the MCI non-AD group (p = 0.02) and lower emotion recognition in MD (AD and non-AD) groups (p < 0.01) compared to the healthy group. In addition, significant differences were observed between cortisol and all RMET scores among the MCI and MD groups (p < 0.01). A significant correlation was also obtained between total and neutral RMET scores and cortisol levels in MD groups (p = 0.01). CONCLUSIONS These outcomes suggest that detection of positive emotion dysfunction could help to identify MCI non-AD patients. Furthermore, general impaired emotion recognition and high cortisol levels may be associated with cognitive impairment at mild dementia level.
Collapse
Affiliation(s)
- I Ferrer-Cairols
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain
| | - L Ferré-González
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain
| | - G García-Lluch
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain
| | - C Peña-Bautista
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain
| | - L Álvarez-Sánchez
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain
| | - M Baquero
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain; Neurology Unit, University and Polytechnic Hospital La Fe, Valencia, Spain
| | - C Cháfer-Pericás
- Research Group in Alzheimer Disease. Health Research Institute La Fe, Valencia, Spain.
| |
Collapse
|
|
32
|
Cognitive reserve profiles are associated with outcome in schizophrenia. J Neurol Sci 2022; 443:120496. [PMID: 36410188 DOI: 10.1016/j.jns.2022.120496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/17/2022] [Accepted: 11/12/2022] [Indexed: 11/17/2022]
Abstract
Cognitive reserve (CR), the brain's ability to cope with brain pathology to minimize symptoms, could explain the heterogeneity of outcomes in neuropsychiatric disorders, however it is still rarely investigated in schizophrenia. Indeed, this study aims to classify CR in this disorder and evaluate its impact on neurocognitive and socio-cognitive performance and daily functioning. A group of 106 patients diagnosed with schizophrenia was enrolled and assessed in these aereas: neurocognition, Theory of Mind (ToM) and daily functioning. A composite CR score was determined through an integration of the intelligence quotient and education and leisure activities. CR profiles were classified with a two-step cluster analysis and differences among clusters were determined with an analysis of variance (ANOVA). The cluster analysis was identified with three CR profiles characterized, respectively, by high, medium and low CR. ANOVA analysis showed significant differences on neurocognition, ToM and daily functioning between the clusters: people with higher CR reached significantly superior scores. This study suggests that greater general cognitive resources could act as a buffer against the effect of brain pathology, allowing patients to have a better cognitive performance, social outcome and quality of life.
Collapse
|
|
33
|
Zupan B, Eskritt M. Validation of Affective Sentences: Extending Beyond Basic Emotion Categories. JOURNAL OF PSYCHOLINGUISTIC RESEARCH 2022; 51:1409-1429. [PMID: 35953648 PMCID: PMC9646620 DOI: 10.1007/s10936-022-09906-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/09/2022] [Indexed: 06/15/2023]
Abstract
We use nonverbal and verbal emotion cues to determine how others are feeling. Most studies in vocal emotion perception do not consider the influence of verbal content, using sentences with nonsense words or words that carry no emotional meaning. These online studies aimed to validate 95 sentences with verbal content intended to convey 10 emotions. Participants were asked to select the emotion that best described the emotional meaning of the sentence. Study 1 included 436 participants and Study 2 included 193. The Simpson diversity index was applied as a measure of dispersion of responses. Across the two studies, 38 sentences were labelled as representing 10 emotion categories with a low degree of diversity in participant responses. Expanding current databases beyond basic emotion categories is important for researchers exploring the interaction between tone of voice and verbal content, and/or people's capacity to make subtle distinctions between their own and others' emotions.
Collapse
Affiliation(s)
- Barbra Zupan
- Speech Pathology, College of Health Science, School of Health, Medical and Applied Sciences, Central Queensland University, Bruce Highway, North Rockhampton, QLD, 4702, Australia.
| | | |
Collapse
|
|
34
|
Belo JPR, Azevedo H, Ramos JJG, Romero RAF. Deep Q-network for social robotics using emotional social signals. Front Robot AI 2022; 9:880547. [PMID: 36226257 PMCID: PMC9548603 DOI: 10.3389/frobt.2022.880547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Accepted: 08/18/2022] [Indexed: 11/13/2022] Open
Abstract
Social robotics represents a branch of human-robot interaction dedicated to developing systems to control the robots to operate in unstructured environments with the presence of human beings. Social robots must interact with human beings by understanding social signals and responding appropriately to them. Most social robots are still pre-programmed, not having great ability to learn and respond with actions adequate during an interaction with humans. Recently more elaborate methods use body movements, gaze direction, and body language. However, these methods generally neglect vital signs present during an interaction, such as the human emotional state. In this article, we address the problem of developing a system to turn a robot able to decide, autonomously, what behaviors to emit in the function of the human emotional state. From one side, the use of Reinforcement Learning (RL) represents a way for social robots to learn advanced models of social cognition, following a self-learning paradigm, using characteristics automatically extracted from high-dimensional sensory information. On the other side, Deep Learning (DL) models can help the robots to capture information from the environment, abstracting complex patterns from the visual information. The combination of these two techniques is known as Deep Reinforcement Learning (DRL). The purpose of this work is the development of a DRL system to promote a natural and socially acceptable interaction among humans and robots. For this, we propose an architecture, Social Robotics Deep Q-Network (SocialDQN), for teaching social robots to behave and interact appropriately with humans based on social signals, especially on human emotional states. This constitutes a relevant contribution for the area since the social signals must not only be recognized by the robot but help him to take action appropriated according to the situation presented. Characteristics extracted from people’s faces are considered for extracting the human emotional state aiming to improve the robot perception. The development and validation of the system are carried out with the support of SimDRLSR simulator. Results obtained through several tests demonstrate that the system learned satisfactorily to maximize the rewards, and consequently, the robot behaves in a socially acceptable way.
Collapse
Affiliation(s)
- José Pedro R. Belo
- Computer Science Department, Institute of Mathematics and Computer Science, University of São Paulo, São Carlos, Brazil
- *Correspondence: José Pedro R. Belo,
| | - Helio Azevedo
- Center for Information Technology Renato Archer, Campinas, Brazil
| | | | - Roseli A. F. Romero
- Computer Science Department, Institute of Mathematics and Computer Science, University of São Paulo, São Carlos, Brazil
| |
Collapse
|
|
35
|
Comunicación no verbal de emociones: variables sociodemográficas y ventaja endogrupal. REVISTA IBEROAMERICANA DE PSICOLOGÍA 2022. [DOI: 10.33881/2027-1786.rip.15209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
En el campo de la comunicación no verbal de las emociones aún existe un debate en torno a la universalidad de las expresiones de emoción y el efecto que tiene la cultura en ellas. Actualmente existen dos teorías que tratan de explicar este fenómeno, la teoría neurocultural y la teoría de los dialectos. Ambas se enfocan en explicar la comunicación no verbal de emociones, pero la primera se centra en los aspectos universales, mientras que la segunda lo hace en la cultura. El objetivo del presente estudio fue indagar la ventaja endogrupal al interior de una cultura. Se diseñó un cuasiexperimento en el que se solicitó a 107 participantes que indicaran la emoción expresada en 42 estímulos en tres formatos de presentación distintos. Los resultados indican la existencia de dicha ventaja en las mujeres y jóvenes. Los presentes resultados ilustran los efectos de la cultura en este fenómeno.
Collapse
|
|
36
|
Comon M, Rouch I, Edjolo A, Padovan C, Krolak-Salmon P, Dorey JM. Impaired Facial Emotion Recognition and Gaze Direction Detection in Mild Alzheimer's Disease: Results from the PACO Study. J Alzheimers Dis 2022; 89:1427-1437. [PMID: 36057821 DOI: 10.3233/jad-220401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Facial emotion recognition (FER) and gaze direction (GD) identification are core components of social cognition, possibly impaired in many psychiatric or neurological conditions. Regarding Alzheimer's disease (AD), current knowledge is controversial. OBJECTIVE The aim of this study was to explore FER and GD identification in mild AD compared to healthy controls. METHODS 180 participants with mild AD drawn from the PACO study and 74 healthy elderly controls were enrolled. Participants were asked to complete three socio-cognitive tasks: face sex identification, recognition of facial emotions (fear, happiness, anger, disgust) expressed at different intensities, and GD discrimination. Multivariate analyses were conducted to compare AD participants and healthy controls. RESULTS Sex recognition was preserved. GD determination for subtle deviations was impaired in AD. Recognition of prototypically expressed facial emotions was preserved while recognition of degraded facial emotions was impacted in AD participants compared to controls. Use of multivariate analysis suggested significant alteration of low-expressed fear and disgust recognition in the AD group. CONCLUSION Our results showed emotion recognition and GD identification in patients with early-stage AD compared to elderly controls. These impairments could be the object of specific therapeutic interventions such as social cognition remediation or raising awareness of primary caregivers to improve the quality of life of patients with early AD.
Collapse
Affiliation(s)
- Martin Comon
- Aging Psychiatry Unit, University Hospital Le Vinatier, Bron, France
| | - Isabelle Rouch
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint-Etienne, France.,INSERM U 1219, Bordeaux Population Health Center, University of Bordeaux, France
| | - Arlette Edjolo
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint-Etienne, France.,INSERM U 1219, Bordeaux Population Health Center, University of Bordeaux, France
| | - Catherine Padovan
- Aging Psychiatry Unit, University Hospital Le Vinatier, Bron, France
| | - Pierre Krolak-Salmon
- Memory Clinical and Research Center of Lyon (CMRR), Aging Institute I-Vie, University Hospital of Lyon, Villeurbanne, France.,Brain Dynamics and Cognition, Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France
| | - Jean-Michel Dorey
- Aging Psychiatry Unit, University Hospital Le Vinatier, Bron, France.,Brain Dynamics and Cognition, Lyon Neuroscience Research Center, INSERM U1028, CNRS UMR 5292, Lyon, France
| |
Collapse
|
|
37
|
Aksu S, Soyata AZ, Mursalova Z, Eskicioğlu G, Tükel R. Transcranial direct current stimulation does not improve clinical and neurophysiological outcomes in panic disorder: A randomized sham-controlled trial. Psychiatry Clin Neurosci 2022; 76:384-392. [PMID: 35587504 DOI: 10.1111/pcn.13378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 05/08/2022] [Accepted: 05/16/2022] [Indexed: 11/28/2022]
Abstract
AIM Emerging evidence suggests that transcranial direct current stimulation (tDCS) has anxiolytic effects and may enhance emotional processing of threat and reduce threat-related attentional bias. Panic disorder (PD) is considered to be a fear network disorder along with prefrontal activity alterations. We aim to assess the effect of tDCS on clinical and physiological parameters in PD for the first time. METHODS In this triple-blind randomized sham-controlled pilot study, 30 individuals with PD were allocated into active and sham groups to receive 10 sessions of tDCS targeting the dorsolateral prefrontal cortex bilaterally at 2 mA for 20-min duration over 2 weeks. The clinical severity, threat-related attentional bias, interoceptive accuracy, and emotional recognition were assessed before, immediately after, and 1 month after tDCS. RESULTS Active tDCS, in comparison to sham, did not elicit more favorable clinical and neuropsychological/physiological outcomes in PD. CONCLUSION The present study provides the first clinical and neurobehavioral results of prefrontal tDCS in PD and indicates that prefrontal tDCS was not superior to sham in PD.
Collapse
Affiliation(s)
- Serkan Aksu
- Department of Physiology, Faculty of Medicine, Muğla Sıtkı Koçman University, Muğla, Turkey.,Department of Physiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | | | - Zhala Mursalova
- Department of Psychiatry, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Gaye Eskicioğlu
- Department of Psychology, Istanbul University, Istanbul, Turkey
| | - Raşit Tükel
- Department of Psychiatry, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey
| |
Collapse
|
|
38
|
Chard J, Cook R, Press C. Impaired sensitivity to spatial configurations in healthy aging. Cortex 2022; 155:347-356. [DOI: 10.1016/j.cortex.2022.05.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 03/16/2022] [Accepted: 05/16/2022] [Indexed: 11/03/2022]
|
|
39
|
Roheger M, Brenning J, Riemann S, Martin AK, Flöel A, Meinzer M. Progression of socio-cognitive impairment from healthy aging to Alzheimer's Dementia: A systematic Review and Meta-Analysis. Neurosci Biobehav Rev 2022; 140:104796. [PMID: 35905800 DOI: 10.1016/j.neubiorev.2022.104796] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Revised: 06/16/2022] [Accepted: 07/23/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Trajectories of decline across different socio-cognitive domains in healthy older adults and in pathological aging conditions have not been investigated. This was addressed in the present systematic review and meta-analysis. METHODS MEDLINE, Web of Science Core Collection, CENTRAL, and PsycInfo were searched for studies investigating social cognition across four domains (Theory of Mind, ToM; emotion recognition, ER; Social-decision making, SD; visual perspective taking, VPT) in healthy older individuals, individuals with subjective and mild cognitive impairment (SCD, MCI) and Alzheimer's disease (AD). Random-effects meta-analyses were conducted. RESULTS Of 8,137 screened studies, 132 studies were included in the review. ToM and ER showed a clear progression of impairment from normal aging to AD. Differential patterns of decline were identified for different types of ToM and ER. CONCLUSION This systematic review identified progression of impairment of specific socio-cognitive abilities, which is the necessary pre-requisite for developing targeted interventions. We identified a lack of research on socio-cognitive decline in different populations (e.g., middle age, SCD and MCI-subtypes) and domains (SDM, VPT). REGISTRATION CRD42020191607, https://www.crd.york.ac.uk/prospero/.
Collapse
Affiliation(s)
- Mandy Roheger
- Department of Neurology, University Medicine Greifswald, Greifswald, Germany.
| | - Jana Brenning
- Department of Neurology, University Medicine Greifswald, Greifswald, Germany
| | - Steffen Riemann
- Department of Neurology, University Medicine Greifswald, Greifswald, Germany
| | - Andrew K Martin
- Department of Psychology, University of Kent, Canterbury, United Kingdom CT2 7NP
| | - Agnes Flöel
- Department of Neurology, University Medicine Greifswald, Greifswald, Germany
| | - Marcus Meinzer
- Department of Neurology, University Medicine Greifswald, Greifswald, Germany
| |
Collapse
|
|
40
|
Francisco HC, Bregola AG, Ottaviani AC, Luchesi BM, Orlandi FDS, Fraga FJ, Guarisco LPC, Pavarini SCI. The association between language and recognition of facial emotional expressions in elderly individuals. Codas 2022; 34:e20210052. [PMID: 35894306 PMCID: PMC9886300 DOI: 10.1590/2317-1782/20212021052pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2021] [Accepted: 12/28/2021] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To check the association between a good performance of language and the recognition of facial emotional expressions in elderly individuals. METHODS Transversal study performed with 118 elderly individuals from the primary care services of health of a city in the state of São Paulo. Sociodemographic data were collected, regarding the performance of language through the domain of Addenbrooke Cognitive Examination - Revised and Recognition of Facial Emotional Expressions. The sample was divided in thirds according to the performance of language: T1 = the best, T2 = average, and T3 = the worst. The groups T1xT3 were compared regarding the performance of recognition of facial expressions of anger, disgust, fear, happiness, sadness, and surprise, and for the intensities of 40%, 60%, 80%, and 100%. The association of independent variables over the performance of language was analyzed through logistic regression. The multivariate model was built from the results of the univariate analyses and has included the continuous variables by emotion and by intensity. Age and schooling associated to the performance of language in the univariate model were included in the multivariate model in order to adjust association analyses. RESULTS The sample was mainly female (84.7%), with an average age of 70.5 years old, and 3.5 schooling years. The variables associated to the best performance of language in comparative analysis of T1 and T3 were: surprise (OR = 1.485, IC 95% 1.194 - 1.846), and disgust (OR = 1.143, IC 95% 1.005 - 1.300). CONCLUSION The recognition of facial emotional expressions of surprise and disgust were shown as important factors associated to the good performance of language.
Collapse
Affiliation(s)
- Helen Capeleto Francisco
- Programa de Pós-graduação em Enfermagem, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.
| | - Allan Gustavo Bregola
- School of Health Sciences, University of East Anglia – UEA - Norwich, Norfolk, United Kingdom.
| | - Ana Carolina Ottaviani
- Programa de Pós-graduação em Enfermagem, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.
| | - Bruna Moretti Luchesi
- Programa de Pós-graduação em Enfermagem. Universidade Federal de Mato Grosso do Sul – UFMS - Campus de Três Lagoas - Três Lagoas (MS), Brasil.
| | - Fabiana de Souza Orlandi
- Programa de Pós-graduação em Enfermagem, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.,Programa de Pós-graduação em Gerontologia, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.
| | - Francisco José Fraga
- Centro de Engenharia, Modelagem e Ciências Sociais Aplicadas – CECS, Universidade Federal do ABC – UFABC - Santo André (SP), Brasil.
| | - Letícia Pimenta Costa Guarisco
- Programa de Pós-graduação em Enfermagem, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.,Programa de Pós-graduação em Gerontologia, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.
| | - Sofia Cristina Iost Pavarini
- Programa de Pós-graduação em Enfermagem, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.,Programa de Pós-graduação em Gerontologia, Universidade Federal de São Carlos – UFSCar - São Carlos (SP), Brasil.
| |
Collapse
|
|
41
|
Emotion recognition bias depends on stimulus morphing strategy. Atten Percept Psychophys 2022; 84:2051-2059. [PMID: 35790680 PMCID: PMC9255837 DOI: 10.3758/s13414-022-02532-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2022] [Indexed: 11/26/2022]
Abstract
Emotion recognition is vital for social interactions, and atypical (or biased) emotion recognition has been linked to mental health disorders including depression and anxiety. However, biases in emotion recognition vary across studies, and it is unclear whether this reflects genuine group differences in psychological processes underlying emotion recognition or differences in methodologies. One common method to measure biases in emotion recognition involves morphing a face between two emotional expressions in different ratios and asking participants to categorise the faces as belonging to one of the two emotion categories (‘direct-morphing’ method). However, this method creates morphed faces that are not ecologically valid. Alternatively, faces may be morphed through a neutral expression (‘morphing-through-neutral’ method), which is more ecologically valid since emotional expressions usually start from a neutral face. To compare these two approaches, we measured emotion recognition biases using two morphing techniques in 136 participants who also completed measures of anxiety (GAD-7) and depression (PHQ-9). Biases obtained using the two methods differed significantly: In the direct-morphing method, participants perceived the central 50% happy/50% angry face as slightly happy, whereas in the morphing-through-neutral method the neutral face was seen as angry. There were no associations between biases and depression or anxiety scores for either morphing method. This study is the first to directly compare emotion recognition biases obtained using two different morphing methods and is a first step towards reconciling discrepancies in the literature.
Collapse
|
|
42
|
Schneider JN, Matyjek M, Weigand A, Dziobek I, Brick TR. Subjective and objective difficulty of emotional facial expression perception from dynamic stimuli. PLoS One 2022; 17:e0269156. [PMID: 35709093 PMCID: PMC9202844 DOI: 10.1371/journal.pone.0269156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Accepted: 05/17/2022] [Indexed: 11/18/2022] Open
Abstract
This study aimed to discover predictors of subjective and objective difficulty in emotion perception from dynamic facial expressions. We used a multidimensional emotion perception framework, in which observers rated the perceived emotion along a number of dimensions instead of choosing from traditionally-used discrete categories of emotions. Data were collected online from 441 participants who rated facial expression stimuli in a novel paradigm designed to separately measure subjective (self-reported) and objective (deviation from the population consensus) difficulty. We targeted person-specific (sex and age of observers and actors) and stimulus-specific (valence and arousal values) predictors of those difficulty scores. Our findings suggest that increasing age of actors makes emotion perception more difficult for observers, and that perception difficulty is underestimated by men in comparison to women, and by younger and older adults in comparison to middle-aged adults. The results also yielded an increase in the objective difficulty measure for female observers and female actors. Stimulus-specific factors–valence and arousal–exhibited quadratic relationships with subjective and objective difficulties: Very positive and very negative stimuli were linked to reduced subjective and objective difficulty, whereas stimuli of very low and high arousal were linked to decreased subjective but increased objective difficulty. Exploratory analyses revealed low relevance of person-specific variables for the prediction of difficulty but highlighted the importance of valence in emotion perception, in line with functional accounts of emotions. Our findings highlight the need to complement traditional emotion recognition paradigms with novel designs, like the one presented here, to grasp the “big picture” of human emotion perception.
Collapse
Affiliation(s)
- Jan N. Schneider
- Institut für Informatik und Computational Science, Universität Potsdam, Potsdam, Germany
- Department of Psychology, Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
- * E-mail: (JNS); (MM)
| | - Magdalena Matyjek
- Department of Psychology, Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
- * E-mail: (JNS); (MM)
| | - Anne Weigand
- Department of Psychology, Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Isabel Dziobek
- Department of Psychology, Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Timothy R. Brick
- Department of Human Development and Family Studies and Institute for Computational and Data Sciences, The Pennsylvania State University, State College, PA, United States of America
| |
Collapse
|
|
43
|
Kuttenreich AM, Volk GF, Guntinas-Lichius O, von Piekartz H, Heim S. Facial Emotion Recognition in Patients with Post-Paralytic Facial Synkinesis-A Present Competence. Diagnostics (Basel) 2022; 12:1138. [PMID: 35626294 PMCID: PMC9139660 DOI: 10.3390/diagnostics12051138] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Revised: 04/28/2022] [Accepted: 04/28/2022] [Indexed: 11/17/2022] Open
Abstract
Facial palsy is a movement disorder with impacts on verbal and nonverbal communication. The aim of this study is to investigate the effects of post-paralytic facial synkinesis on facial emotion recognition. In a prospective cross-sectional study, we compared facial emotion recognition between n = 30 patients with post-paralytic facial synkinesis (mean disease time: 1581 ± 1237 days) and n = 30 healthy controls matched in sex, age, and education level. Facial emotion recognition was measured by the Myfacetraining Program. As an intra-individual control condition, auditory emotion recognition was assessed via Montreal Affective Voices. Moreover, self-assessed emotion recognition was studied with questionnaires. In facial as well as auditory emotion recognition, on average, there was no significant difference between patients and healthy controls. The outcomes of the measurements as well as the self-reports were comparable between patients and healthy controls. In contrast to previous studies in patients with peripheral and central facial palsy, these results indicate unimpaired ability for facial emotion recognition. Only in single patients with pronounced facial asymmetry and severe facial synkinesis was an impaired facial and auditory emotion recognition detected. Further studies should compare emotion recognition in patients with pronounced facial asymmetry in acute and chronic peripheral paralysis and central and peripheral facial palsy.
Collapse
Affiliation(s)
- Anna-Maria Kuttenreich
- Department of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany; (G.F.V.); (O.G.-L.)
- Facial-Nerve-Center Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
- Center of Rare Diseases Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany;
- Department of Neurology, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
| | - Gerd Fabian Volk
- Department of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany; (G.F.V.); (O.G.-L.)
- Facial-Nerve-Center Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
- Center of Rare Diseases Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| | - Orlando Guntinas-Lichius
- Department of Otorhinolaryngology, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany; (G.F.V.); (O.G.-L.)
- Facial-Nerve-Center Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
- Center of Rare Diseases Jena, Jena University Hospital, Am Klinikum 1, 07747 Jena, Germany
| | - Harry von Piekartz
- Department of Physical Therapy and Rehabilitation Science, Osnabrück University of Applied Sciences, Albrechtstr. 30, 49076 Osnabrück, Germany;
| | - Stefan Heim
- Department of Psychiatry, Psychotherapy and Psychosomatics, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany;
- Department of Neurology, Medical Faculty, RWTH Aachen University, Pauwelsstr. 30, 52074 Aachen, Germany
- Institute of Neuroscience and Medicine (INM-1), Forschungszentrum Jülich, Leo-Brand-Strasse 5, 52428 Jülich, Germany
| |
Collapse
|
|
44
|
Romani-Sponchiado A, Maia CP, Torres CN, Tavares I, Arteche AX. Emotional face expressions recognition in childhood: developmental markers, age and sex effect. Cogn Process 2022; 23:467-477. [PMID: 35362838 DOI: 10.1007/s10339-022-01086-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Accepted: 03/10/2022] [Indexed: 11/29/2022]
Abstract
Recognizing emotional face expressions in others is a valuable non-verbal communication and particularly relevant throughout childhood given that children's language skills are not yet fully developed, but the first interactions with peers have just started. This study aims to investigate developmental markers of emotional facial expression in children and the effect of age and sex on it. A total of 90 children split into three age groups: 6-7 years old (n = 30); 8-9 years old (n = 30); 10-11 years old (n = 30) took part in the study. Participants were exposed to 38 photos in two exposure times (500 ms and 1000 ms) of children expressing happiness, sadness, anger, disgust, fear and surprise on three intensities, plus images of neutral faces. Happiness was the easiest expression to be recognized, followed by disgust and surprise. As expected, 10-11-year-old group showed the highest accuracy means, whereas 6-7-year-old group had the lowest means of accuracy. Data support the non-existence of female advantage.
Collapse
Affiliation(s)
- Aline Romani-Sponchiado
- Psychology Department, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Av. Ipiranga 6681, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Cíntia Pacheco Maia
- Psychology Department, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Av. Ipiranga 6681, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Carol Nunes Torres
- Psychology Department, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Av. Ipiranga 6681, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Inajá Tavares
- Psychology Department, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Av. Ipiranga 6681, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Adriane Xavier Arteche
- Psychology Department, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Av. Ipiranga 6681, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil.
| |
Collapse
|
|
45
|
Lynham AJ, Jones IR, Walters JTR. Web-Based Cognitive Testing in Psychiatric Research: Validation and Usability Study. J Med Internet Res 2022; 24:e28233. [PMID: 35142640 PMCID: PMC8874806 DOI: 10.2196/28233] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Revised: 06/11/2021] [Accepted: 11/21/2021] [Indexed: 01/23/2023] Open
Abstract
Background Cognitive impairments are features of many psychiatric disorders and affect functioning. A barrier to cognitive research on psychiatric disorders is the lack of large cross-disorder data sets. However, the collection of cognitive data can be logistically challenging and expensive. Web-based collection may be an alternative; however, little is known about who does and does not complete web-based cognitive assessments for psychiatric research. Objective The aims of this study are to develop a web-based cognitive battery for use in psychiatric research, validate the battery against the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery, and compare the characteristics of the participants who chose to take part with those of the individuals who did not participate. Methods Tasks were developed by The Many Brains Project and selected to measure the domains specified by the MATRICS initiative. We undertook a cross-validation study of 65 participants with schizophrenia, bipolar disorder, depression, or no history of psychiatric disorders to compare the web-based tasks with the MATRICS Consensus Cognitive Battery. Following validation, we invited participants from 2 large ongoing genetic studies, which recruited participants with psychiatric disorders to complete the battery and evaluated the demographic and clinical characteristics of those who took part. Results Correlations between web-based and MATRICS tasks ranged between 0.26 and 0.73. Of the 961 participants, 887 (92.3%) completed at least one web-based task, and 644 (67%) completed all tasks, indicating adequate completion rates. Predictors of web-based participation included being female (odds ratio [OR] 1.3, 95% CI 1.07-1.58), ethnicity other than White European (OR 0.66, 95% CI 0.46-0.96), higher levels of education (OR 1.19, 95% CI 1.11-1.29), diagnosis of an eating disorder (OR 2.17, 95% CI 1.17-4) or depression and anxiety (OR 5.12, 95% CI 3.38-7.83), and absence of a diagnosis of schizophrenia (OR 0.59, 95% CI 0.35-0.94). Lower performance on the battery was associated with poorer functioning (B=−1.76, SE 0.26; P<.001). Conclusions Our findings offer valuable insights into the advantages and disadvantages of testing cognitive function remotely for mental health research.
Collapse
Affiliation(s)
- Amy Joanne Lynham
- Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychiatry and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - Ian R Jones
- Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychiatry and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, United Kingdom
| | - James T R Walters
- Medical Research Council Centre for Neuropsychiatric Genetics and Genomics, Division of Psychiatry and Clinical Neurosciences, School of Medicine, Cardiff University, Cardiff, United Kingdom
| |
Collapse
|
|
46
|
Poos JM, van den Berg E, Visch-Brink E, Eikelboom WS, Franzen S, van Hemmen J, Pijnenburg YAL, Satoer D, Dopper EGP, van Swieten JC, Papma JM, Seelaar H, Jiskoot LC. Exploring Abstract Semantic Associations in the Frontotemporal Dementia Spectrum in a Dutch Population. Arch Clin Neuropsychol 2022; 37:104-116. [PMID: 33856423 PMCID: PMC8763124 DOI: 10.1093/arclin/acab022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 03/25/2021] [Accepted: 03/27/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To investigate the differential ability of the "Test Relaties Abstracte Concepten" (TRACE), a Dutch test for abstract semantic knowledge, in frontotemporal dementia (FTD). METHODS The TRACE was administered in patients with behavioral variant FTD (bvFTD; n = 16), nonfluent variant (nfvPPA; n = 10), logopenic variant (lvPPA; n = 10), and semantic variant primary progressive aphasia (svPPA; n = 9), and controls (n = 59). We examined group differences, performed correlational analyses with other neuropsychological tests and investigated discriminative ability. We compared the TRACE with a semantic association test for concrete stimuli (SAT). RESULTS All patient groups, except nfvPPA, performed worse on the TRACE than controls (p < .01). svPPA patients performed worse than the other patient groups (p < .05). The TRACE discriminated well between patient groups, except nfvPPA, versus controls (all p < .01) and between svPPA versus other patient groups with high sensitivity (75-100%) and specificity (86%-92%). In bvFTD and nfvPPA the TRACE correlated with language tests (ρ > 0.6), whereas in svPPA the concrete task correlated (ρ ≥ 0.75) with language tests. Patients with bvFTD, nfvPPA and lvPPA performed lower on the TRACE than the SAT (p < .05), whereas patients with svPPA were equally impaired on both tasks (p = .2). DISCUSSION We demonstrated impaired abstract semantic knowledge in patients with bvFTD, lvPPA, and svPPA, but not nfvPPA, with svPPA patients performing worse than the other subtypes. The TRACE was a good classifier between each patient group versus controls and between svPPA versus other patient groups. This highlights the value of incorporating semantic tests with abstract stimuli into standard neuropsychological assessment for early differential diagnosis of FTD subtypes.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | - L C Jiskoot
- Corresponding author at: Dr. Molewaterplein 40, Room: Nf-331, 3015 GD Rotterdam, the Netherlands. Tel.: 0031650031894. E-mail address:
| |
Collapse
|
|
47
|
Francisco HC, Bregola AG, Ottaviani AC, Luchesi BM, Orlandi FDS, Fraga FJ, Costa-Guarisco LP, Pavarini SCI. The association between language and recognition of facial emotional expressions in elderly individuals. Codas 2022. [DOI: 10.1590/2317-1782/20212021052en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Purpose To check the association between a good performance of language and the recognition of facial emotional expressions in elderly individuals. Methods Transversal study performed with 118 elderly individuals from the primary care services of health of a city in the state of São Paulo. Sociodemographic data were collected, regarding the performance of language through the domain of Addenbrooke Cognitive Examination – Revised and Recognition of Facial Emotional Expressions. The sample was divided in thirds according to the performance of language: T1 = the best, T2 = average, and T3 = the worst. The groups T1xT3 were compared regarding the performance of recognition of facial expressions of anger, disgust, fear, happiness, sadness, and surprise, and for the intensities of 40%, 60%, 80%, and 100%. The association of independent variables over the performance of language was analyzed through logistic regression. The multivariate model was built from the results of the univariate analyses and has included the continuous variables by emotion and by intensity. Age and schooling associated to the performance of language in the univariate model were included in the multivariate model in order to adjust association analyses. Results The sample was mainly female (84.7%), with an average age of 70.5 years old, and 3.5 schooling years. The variables associated to the best performance of language in comparative analysis of T1 and T3 were: surprise (OR = 1.485, IC 95% 1.194 – 1.846), and disgust (OR = 1.143, IC 95% 1.005 – 1.300). Conclusion The recognition of facial emotional expressions of surprise and disgust were shown as important factors associated to the good performance of language.
Collapse
|
|
48
|
Neumann D, Mayfield R, Sander AM, Jang JH, Bhamidipalli SS, Hammond FM. An Examination of Social Inferencing Skills in Males and Females Following Traumatic Brain Injury. Arch Phys Med Rehabil 2021; 103:937-943. [PMID: 34861235 DOI: 10.1016/j.apmr.2021.10.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 09/28/2021] [Accepted: 10/25/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVE This study examines sex differences in social inferencing deficits after traumatic brain injury (TBI), and examines the odds of males and females being impaired while controlling for potential confounders. DESIGN Cross-sectional survey. SETTING Outpatient.USA and a University in Canada. PARTICIPANTS One hundred five participants with TBI (60 males, 45 females) and 105 healthy controls (HC; 57 males, 48 females). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES The Awareness of Social Inference Test (TASIT), which includes 1) Emotional Evaluation Test (EET), 2) Social Inference-Minimal (SI-M) test, and 3) Social Inference-Enriched (SI-E) test. RESULTS Within the HC sample, males and females performed similarly on all three TASIT subtests. Within the TBI group, males had significantly lower scores than females on EET (P = 0.03), SI-M (P=0.01) and SI-E (P=0.04). Using impairment cutoffs derived from the HC sample, significantly more males with TBI (30%) were impaired on the EET than females(16.7%); impairment was similar between males and females on SI-M and SI-E. When adjusting for executive functioning and education, the odds of being impaired on the EET did not significantly differ for males and females (OR = 0.47; 95% CI: 0.16 - 1.40; P = 0.18). CONCLUSIONS While more males with TBI have emotion perception deficits than females, the difference appears to be driven by education and executive functioning. Research is needed in larger samples with more definitive norms to better understand social inferencing impairments in males and females with TBI, and translation to interpersonal behaviors.
Collapse
Affiliation(s)
- Dawn Neumann
- Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN; Rehabilitation Hospital of Indiana, Indianapolis, IN.
| | - Ryan Mayfield
- Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN
| | - Angelle M Sander
- Division of Clinical Neuropsychology and Rehabilitation Psychology, H. Ben Taub Department of Physical Medicine and Rehabilitation, Baylor College of Medicine and Harris Health System, Houston, TX; Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX
| | - Jeong Hoon Jang
- Department of Biostatistics and Health Data Science, Indiana University of Medicine, Indianapolis, IN
| | - Surya Sruthi Bhamidipalli
- Department of Biostatistics and Health Data Science, Indiana University of Medicine, Indianapolis, IN
| | - Flora M Hammond
- Department of Physical Medicine and Rehabilitation, Indiana University School of Medicine, Indianapolis, IN; Rehabilitation Hospital of Indiana, Indianapolis, IN
| |
Collapse
|
|
49
|
Furlong LS, Rossell SL, Karantonis JA, Cropley VL, Hughes M, Van Rheenen TE. Characterization of facial emotion recognition in bipolar disorder: Focus on emotion mislabelling and neutral expressions. J Neuropsychol 2021; 16:353-372. [PMID: 34762769 DOI: 10.1111/jnp.12267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 10/28/2021] [Indexed: 11/29/2022]
Abstract
Increasing evidence suggests that facial emotion recognition is impaired in bipolar disorder (BD). However, patient-control differences are small owing to ceiling effects on the tasks used to assess them. The extant literature is also limited by a relative absence of attention towards identifying patterns of emotion misattribution or understanding whether neutral faces are mislabelled in the same way as ones displaying emotion. We addressed these limitations by comparing facial emotion recognition performance in BD patients and healthy controls on a novel and challenging task. Thirty-four outpatients with BD I and 32 demographically matched healthy controls completed a facial emotion recognition task requiring the labelling of neutral and emotive faces displayed at low emotional intensities. Results indicated that BD patients were significantly less accurate at labelling faces than healthy controls, particularly if they displayed fear or neutral expressions. There were no between-group differences in response times or patterns of emotion mislabelling, with both groups confusing sad and neutral faces, although BD patients also mislabelled sad faces as angry. Task performance did not significantly correlate with mood symptom severity in the BD group. These findings suggest that facial emotion recognition impairments in BD extend to neutral face recognition. Emotion misattribution occurs in a similar, albeit exaggerated manner in patients with BD compared to healthy controls. Future behavioural and neuroimaging research should reconsider the use of neutral faces as baseline stimuli in their task designs.
Collapse
Affiliation(s)
- Lisa S Furlong
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia
| | - Susan L Rossell
- Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Victoria, Australia.,Department of Psychiatry, St Vincent's Hospital, Melbourne, Victoria, Australia
| | - James A Karantonis
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.,Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Victoria, Australia
| | - Vanessa L Cropley
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia
| | - Matthew Hughes
- Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Victoria, Australia
| | - Tamsyn E Van Rheenen
- Melbourne Neuropsychiatry Centre, Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia.,Centre for Mental Health, Faculty of Health, Arts and Design, School of Health Sciences, Swinburne University, Melbourne, Victoria, Australia
| |
Collapse
|
|
50
|
Kanel D, Vanes LD, Pecheva D, Hadaya L, Falconer S, Counsell SJ, Edwards DA, Nosarti C. Neonatal White Matter Microstructure and Emotional Development during the Preschool Years in Children Who Were Born Very Preterm. eNeuro 2021; 8:ENEURO.0546-20.2021. [PMID: 34373253 PMCID: PMC8489022 DOI: 10.1523/eneuro.0546-20.2021] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 05/19/2021] [Accepted: 05/19/2021] [Indexed: 11/21/2022] Open
Abstract
Children born very preterm (<33 weeks of gestation) are at a higher risk of developing socio-emotional difficulties compared with those born at term. In this longitudinal study, we tested the hypothesis that diffusion characteristics of white matter (WM) tracts implicated in socio-emotional processing assessed in the neonatal period are associated with socio-emotional development in 151 very preterm children previously enrolled into the Evaluation of Preterm Imaging study (EudraCT 2009-011602-42). All children underwent diffusion tensor imaging at term-equivalent age and fractional anisotropy (FA) was quantified in the uncinate fasciculus (UF), inferior fronto-occipital fasciculus (IFOF), inferior longitudinal fasciculus (ILF), and superior longitudinal fasciculus (SLF). Children's socio-emotional development was evaluated at preschool age (median = 4.63 years). Exploratory factor analysis conducted on the outcome variables revealed a three-factor structure, with latent constructs summarized as: "emotion moderation," "social function," and "empathy." Results of linear regression analyses, adjusting for full-scale IQ and clinical and socio-demographic variables, showed an association between lower FA in the right UF and higher "emotion moderation" scores (β = -0.280; p < 0.001), which was mainly driven by negative affectivity scores (β = -0.281; p = 0.001). Results further showed an association between higher full-scale IQ and better social functioning (β = -0.334, p < 0.001). Girls had higher empathy scores than boys (β = -0.341, p = 0.006). These findings suggest that early alterations of diffusion characteristics of the UF could represent a biological substrate underlying the link between very preterm birth and emotional dysregulation in childhood and beyond.
Collapse
Affiliation(s)
- Dana Kanel
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, United Kingdom
| | - Lucy D Vanes
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
| | - Diliana Pecheva
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
| | - Laila Hadaya
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, United Kingdom
| | - Shona Falconer
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
| | - Serena J Counsell
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
| | - David A Edwards
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
- MRC Centre for Neurodevelopmental Disorders, King's College London, London SE1 1UL, United Kingdom
| | - Chiara Nosarti
- Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, United Kingdom
- Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AF, United Kingdom
| |
Collapse
|