Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-19T06:40:30.771Z Has data issue: false hasContentIssue false
  • English
  • Français

Community Integration in Traumatic Brain Injury: The Contributing Factor of Affect Recognition Deficits

Published online by Cambridge University Press:  10 June 2019

Allison S. Binder ,
Katie Lancaster Open the ORCID record for Katie Lancaster [Opens in a new window] ,
Jean Lengenfelder ,
Nancy D. Chiaravalloti  and
Helen M. Genova
Allison S. Binder
Affiliation:
Goodwill Industries of Central Texas, Austin, TX, USA
Katie Lancaster*
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Jean Lengenfelder
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Nancy D. Chiaravalloti
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Helen M. Genova*
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
*
Correspondence and reprint requests to: Helen M. Genova, 120 Eagle Rock Avenue, Suite 100, East Hanover, NJ, USA. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective: Individuals with traumatic brain injury (TBI) can experience social isolation, which is damaging to well-being and counterproductive to successful rehabilitation. It has been proposed that social cognitive deficits that commonly result from TBI may contribute to weakened social integration. However, the consequences of specific social cognitive deficits in TBI are still being delineated. The current work sought to better characterize the relationship between community integration and facial affect recognition (FAR) in TBI. Participants and Methods: A total of 27 participants with moderate to severe TBI and 30 healthy controls (HCs) completed two tests of FAR, which employed either static photographic stimuli or dynamic video stimuli (The Awareness of Social Inference Test). The Community Integration Questionnaire was also administered to participants. Results: Participants with TBI were significantly impaired on both the static and dynamic FAR measures, yet the deficits were most pronounced within the dynamic task. Furthermore, participants with TBI reported lower community integration compared with HCs. FAR was positively associated with community integration in both groups, such that participants with proficient affect recognition skills were better integrated into their communities. Conclusions: FAR deficits may contribute to the lack of community integration often observed in TBI; thus, interventions designed to improve FAR may be beneficial to this population’s ability to successfully reintegrate into society.

Keywords

TBITraumatic brain injuryFacial affect recognitionEmotion recognitionTASITCommunity integrationSocial integrationSocial cognition
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 8 , September 2019 , pp. 890 - 895
Copyright
Copyright © INS. Published by Cambridge University Press, 2019. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

†

Equally contributing authors.

References

REFERENCES

Babbage, D.R., Yim, J., Zupan, B., Neumann, D., Tomita, M.R., & Willer, B. (2011). Meta-analysis of facial affect recognition difficulties after traumatic brain injury. Neuropsychology, 25(3), 277.CrossRefGoogle ScholarPubMed
Benjamini, Y. & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological). Wiley Royal Statistical Society. doi: 10.2307/2346101.CrossRefGoogle Scholar
Cicerone, K.D., Mott, T., Azulay, J., & Friel, J.C. (2004). Community integration and satisfaction with functioning after intensive cognitive rehabilitation for traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 85(6), 943–950. doi: 10.1016/j.apmr.2003.07.019.CrossRefGoogle ScholarPubMed
Delis, D., Dean, C., Kramer, J.H., Kaplan, E., Ober, B. (2000). California verbal learning test, second edition (CVLT-II). San Antonie, TX: Psychological Corporation.Google Scholar
Doninger, N.A., Heinemann, A.W., Bode, R.K., Sokol, K., Corrigan, J.D., & Moore, D. (2003). Predicting community integration following traumatic brain injury with health and cognitive status measures. Rehabilitation Psychology, 48(2), 67.CrossRefGoogle Scholar
Genova, H.M., Lancaster, K., Lengenfelder, J., Bober, C.P., DeLuca, J., & Chiaravalloti, N.D. (in press). Relationship between social cognition and fatigue, depressive symptoms, and anxiety in multiple sclerosis. Journal of Neuropsychology.Google Scholar
Hoofien, D., Gilboa, A., Vakil, E., & Donovick, P.J. (2001). Traumatic brain injury (TBI) 10–20 years later: A comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning. Brain Injury, 15(3), 189–209. doi: 10.1080/026990501300005659.Google ScholarPubMed
Izaute, M., Durozard, C., Aldigier, E., Teissedre, F., Perreve, A., & Gerbaud, L. (2008). Perceived social support and locus of control after a traumatic brain injury (TBI). Brain Injury, 22(10), 758–764. doi: 10.1080/02699050802366002.CrossRefGoogle Scholar
Juengst, S.B., Arenth, P.M., Raina, K.D., McCue, M., & Skidmore, E.R. (2014). Affective state and community integration after traumatic brain injury. American Journal of Physical Medicine & Rehabilitation, 93(12), 1086–1094. doi: 10.1097/PHM.0000000000000163.CrossRefGoogle ScholarPubMed
Knox, L. & Douglas, J. (2009). Long-term ability to interpret facial expression after traumatic brain injury and its relation to social integration. Brain and Cognition, 69(2), 442–449.CrossRefGoogle ScholarPubMed
Malec, J.F., Brown, A.W., Leibson, C.L., Flaada, J.T., Mandrekar, J.N., Diehl, N.N., & Perkins, P.K. (2007). The Mayo classification system for traumatic brain injury severity. Journal of Neurotrauma, 24(9), 1417–1424. doi: 10.1089/neu.2006.0245.CrossRefGoogle ScholarPubMed
May, M., Milders, M., Downey, B., Whyte, M., Higgins, V., Wojcik, Z., O’Rourke, S. (2017). Social behavior and impairments in social cognition following traumatic brain injury. Journal of the International Neuropsychological Society, 23(05), 400–411. doi: 10.1017/S1355617717000182.CrossRefGoogle ScholarPubMed
McDonald, S., Flanagan, S., Rollins, J., & Kinch, J. (2003). TASIT: A new clinical tool for assessing social perception after traumatic brain injury. The Journal of Head Trauma Rehabilitation, 18(3), 219–238. doi: 10.1097/00001199-200305000-00001.CrossRefGoogle ScholarPubMed
McDonald, S., & Saunders, J.C. (2005). Differential impairment in recognition of emotion across different media in people with severe traumatic brain injury. Journal of the International Neuropsychological Society, 11(4), 392–399. doi: 10.1017/S1355617705050447.CrossRefGoogle ScholarPubMed
Milders, M., Fuchs, S., & Crawford, J.R. (2003). Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology (Neuropsychology, Development and Cognition: Section A), 25(2), 157–172. doi: 10.1076/jcen.25.2.157.13642.CrossRefGoogle ScholarPubMed
Morton, M.V., & Wehman, P. (1995). Psychosocial and emotional sequelae of individuals with traumatic brain injury: A literature review and recommendations. Brain Injury, 9(1), 81–92. doi: 10.3109/02699059509004574.CrossRefGoogle ScholarPubMed
Neumann, D., Babbage, D.R., Zupan, B., & Willer, B. (2015). A randomized controlled trial of emotion recognition training after traumatic brain injury. Journal of Head Trauma Rehabilitation, 30(3), E12–E23. doi: 10.1097/HTR.0000000000000054.CrossRefGoogle ScholarPubMed
Vanderploeg, R.D., Crowell, T.A., & Curtiss, G. (2001). Verbal learning and memory deficits in traumatic brain injury: encoding, consolidation, and retrieval. Journal of Clinical and Experimental Neuropsychology, 23(2), 185–195. doi: 10.1076/jcen.23.2.185.1210.CrossRefGoogle ScholarPubMed
Willer, B., Rosenthal, M., Kreutzer, J.S., Gordon, W.A., & Rempel, R. (1993). Assessment of community integration following rehabilitation for traumatic brain injury. Journal of Head Trauma Rehabilitation, 8(2), 75–87. doi: 10.1097/00001199-199308020-00009.CrossRefGoogle Scholar