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Facial Emotion Recognition Deficits following Moderate–Severe Traumatic Brain Injury (TBI): Re-examining the Valence Effect and the Role of Emotion Intensity

Published online by Cambridge University Press:  14 November 2014

Hannah Rosenberg ,
Skye McDonald ,
Marie Dethier ,
Roy P.C. Kessels  and
R. Frederick Westbrook
Hannah Rosenberg*
Affiliation:
School of Psychology, University of New South Wales, Sydney, NSW, Australia
Skye McDonald
Affiliation:
School of Psychology, University of New South Wales, Sydney, NSW, Australia
Marie Dethier
Affiliation:
Department of Psychology: Cognition and Behavior, University of Liege, Liège, Belgium
Roy P.C. Kessels
Affiliation:
Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, The Netherlands Department of Medical Psychology, Radboud University Nijmegen Medical Centre, The Netherlands Vincent van Gogh Institute for Psychiatry, Korsakoff Clinic, Venray, The Netherlands
R. Frederick Westbrook
Affiliation:
School of Psychology, University of New South Wales, Sydney, NSW, Australia
*
Correspondence and reprint requests to: Hannah Rosenberg, University of New South Wales, School of Psychology, Mathews Building, Sydney NSW 2052 Australia. E-mail: [email protected]
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Abstract

Many individuals who sustain moderate–severe traumatic brain injuries (TBI) are poor at recognizing emotional expressions, with a greater impairment in recognizing negative (e.g., fear, disgust, sadness, and anger) than positive emotions (e.g., happiness and surprise). It has been questioned whether this “valence effect” might be an artifact of the wide use of static facial emotion stimuli (usually full-blown expressions) which differ in difficulty rather than a real consequence of brain impairment. This study aimed to investigate the valence effect in TBI, while examining emotion recognition across different intensities (low, medium, and high).

Method: Twenty-seven individuals with TBI and 28 matched control participants were tested on the Emotion Recognition Task (ERT). The TBI group was more impaired in overall emotion recognition, and less accurate recognizing negative emotions. However, examining the performance across the different intensities indicated that this difference was driven by some emotions (e.g., happiness) being much easier to recognize than others (e.g., fear and surprise). Our findings indicate that individuals with TBI have an overall deficit in facial emotion recognition, and that both people with TBI and control participants found some emotions more difficult than others. These results suggest that conventional measures of facial affect recognition that do not examine variance in the difficulty of emotions may produce erroneous conclusions about differential impairment. They also cast doubt on the notion that dissociable neural pathways underlie the recognition of positive and negative emotions, which are differentially affected by TBI and potentially other neurological or psychiatric disorders. (JINS, 2014, 20, 1–10)

Keywords

Traumatic brain injuryEmotion recognitionFacial affectValencePositive emotionNegative emotion
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 20 , Issue 10 , November 2014 , pp. 994 - 1003
Copyright
Copyright © The International Neuropsychological Society 2014 

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References

Adams, J.H, Doyle, D., Ford, I., Gennarelli, T.A, Graham, D.I, & McLellan, D.R (1989). Diffuse axonal injury in head injury: Definition, diagnosis and grading. Histopathology, 15(1), 49–45.Google Scholar
Adams, J.H, Doyle, D., Graham, D.I, Lawrence, A.E, McLellan, D.R, Gennarelli, T.A, & Sakamoto, T. (1985). The contusion index: A reappraisal in human and experimental non-missile head injury. Neuropathology & Applied Neurobiology, 11(4), 299–308.CrossRefGoogle ScholarPubMed
Adolphs, R. (2001). The neurobiology of social cognition. Current Opinion in Neurobiology, 11(2), 231–239.Google Scholar
Adolphs, R. (2002a). Neural systems for recognizing emotion. Current Opinion in Neurobiology, 12(2), 169–177.CrossRefGoogle ScholarPubMed
Adolphs, R. (2002b). Recognizing emotion from facial expressions: Psychological and neurological mechanisms. Behavioral and Cognitive Neuroscience Reviews, 1(1), 21–62.CrossRefGoogle ScholarPubMed
Ammerlaan, E.J, Hendriks, M.P, Colon, A.J, & Kessels, R.P (2008). Emotion perception and interpersonal behavior in epilepsy patients after unilateral amygdalohippocampectomy. Acta Neurobiologiae Experimentalis, 68, 214–218.CrossRefGoogle ScholarPubMed
Anderson, A.K, & Phelps, E.A (2000). Expression without recognition: Contributions of the human amygdala to emotional communication. Psychological Science, 11(2), 106–111.Google Scholar
Antony, M.M, Bieling, P.J, Cox, B.J, Enns, M.W, & Swinson, R.P (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176–181.CrossRefGoogle Scholar
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), 277–285.Google Scholar
Benson, P.J, & Perrett, D.I (1991). Synthesising continuous-tone caricatures. Image and Vision Computing, 9(2), 123–129. doi: http://dx.doi.org/10.1016/0262-8856(91)90022-H Google Scholar
Biehl, M., Matsumoto, D., Ekman, P., Hearn, V. et al. 1997). Matsumoto and Ekman’s Japanese and Caucasian Facial Expressions of Emotion (JACFEE): Reliability data and cross-national differences. Journal of Nonverbal Behavior, 21(1), 3–21.CrossRefGoogle Scholar
Bigler, E.D (2007). Anterior and middle cranial fossa in traumatic brain injury: Relevant neuroanatomy and neuropathology in the study of neuropsychological outcome. Neuropsychology, 21(5), 515.Google Scholar
Bird, K.D (2011). Deduced inference in the analysis of experimental data. Psychological Methods, 16(4), 432–443. doi: 10.1037/a0024447 CrossRefGoogle ScholarPubMed
Bornhofen, C., & McDonald, S. (2008). Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention. Journal of the International Neuropsychological Society, 14(04), 511–525. doi: doi:10.1017/S1355617708080703 Google Scholar
Bornhofen, C., & McDonald, S. (2010). Reading smiles (and other great expressions). A manual for treating emotion perception disorders. Sydney, Australia: ASSBI Resources.Google Scholar
Braun, M., Traue, H., Frisch, S., Deighton, R., & Kessler, H. (2005). Emotion recognition in stroke patients with left and right hemispheric lesion: Results with a new instrument-the Feel Test. Brain and Cognition, 58(2), 193–201.Google Scholar
Calder, A.J (1996). Facial emotion recognition after bilateral amygdala damage: Differentially severe impairment of fear. Cognitive Neuropsychology, 13(5), 699–745.Google Scholar
Croker, V., & McDonald, S. (2005). Recognition of emotion from facial expression following traumatic brain injury. Brain Injury, 19(10), 787–799. doi: http://dx.doi.org/10.1080/02699050500110033 Google Scholar
Corrigan, J.D, Selassie, A.W, & Orman, J.A L. (2010). The epidemiology of traumatic brain injury. Journal of Head Trauma Rehabilitation, 25(2), 72–80.Google Scholar
Demaree, H.A, Everhart, D.E, Youngstrom, E.A, & Harrison, D.W (2005). Brain lateralization of emotional processing: Historical roots and a future incorporating “dominance”. Behavioral and Cognitive Neuroscience Reviews, 4(1), 3–20.Google Scholar
Dethier, M., Blairy, S., Rosenberg, H., & McDonald, S. (2012). Spontaneous and posed emotional facial expressions following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 34(9), 936–947.Google Scholar
Dethier, M., Blairy, S., Rosenberg, H., & McDonald, S. (2013). Emotional regulation impairments following severe traumatic brain injury: An investigation of the body and facial feedback effects. Journal of the International Neuropsychological Society, 19(4), 1–13.CrossRefGoogle ScholarPubMed
Ekman, P., & Friesen, W.V (1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychological Press.Google Scholar
Elsass, L., & Kinsella, G. (1987). Social interaction following severe closed head injury. Psychological Medicine, 17(01), 67–78. doi: 10.1017/S003329170001299X CrossRefGoogle ScholarPubMed
Ferguson, C.J (2009). An effect size primer: A guide for clinicians and researchers. Professional Psychology, Research and Practice, 40(5), 532–538.Google Scholar
Fernandez-Duque, D., & Black, S.E (2005). Impaired recognition of negative facial emotions in patients with frontotemporal dementia. Neuropsychologia, 43(11), 1673–1687.Google Scholar
Frigerio, E., Burt, D.M, Montagne, B., Murray, L.K, & Perrett, D.I (2002). Facial affect perception in alcoholics. Psychiatry Research, 113(1–2), 161–171. doi: http://dx.doi.org/10.1016/S0165-1781(02)00244-5 Google Scholar
George, D., & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference. 11.0 update (4th ed.). Boston: Allyn & Bacon.Google Scholar
Gray, J., Venn, H., Montagne, B., Murray, L., Burt, M., Frigerio, E., & Young, A.H (2006). Bipolar patients show mood-congruent biases in sensitivity to facial expressions of emotion when exhibiting depressed symptoms, but not when exhibiting manic symptoms. Cognitive Neuropsychiatry, 11(6), 505–520. doi:10.1080/13546800544000028 Google Scholar
Green, R.E A., Turner, G.R, & Thompson, W.F (2004). Deficits in facial emotion perception in adults with recent traumatic brain injury. Neuropsychologia, 42, 133–141.Google Scholar
Hennenlotter, A., & Schroeder, U. (2006). Partly dissociable neural substrates for recognizing basic emotions: A critical review. Progress in Brain Research, 156, 443–456.Google Scholar
Henry, J.D, & Crawford, J.R (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227–239.CrossRefGoogle Scholar
Hopkins, M.J, Dywan, J., & Segalowitz, S.J (2002). Altered electrodermal response to facial expression after closed head injury. Brain Injury, 16(3), 245–257. doi: doi:10.1080/02699050110103346 CrossRefGoogle ScholarPubMed
Hornak, J., Rolls, E., & Wade, D. (1996). Face and voice expression identification in patients with emotional and behavioural changes following ventral frontal lobe damage. Neuropsychologia, 34(4), 247–261.CrossRefGoogle ScholarPubMed
Ietswaart, M., Milders, M., Crawford, J.R, Currie, D., & Scott, C.L (2008). Longitudinal aspects of emotion recognition in patients with traumatic brain injury. Neuropsychologia, 46(1), 148–159. doi: 10.1016/j.neuropsychologia.2007.08.002 Google Scholar
Kersel, D.A, Marsh, N.V, Havill, J.H, & Sleigh, J.W (2001). Psychosocial functioning during the year following severe traumatic brain injury. Brain Injury, 15(8), 683–696.Google Scholar
Kessels, R.P C., Gerritsen, L., Montagne, B., Ackl, N., Diehl, J., & Danek, A. (2007). Recognition of facial expressions of different emotional intensities in patients with frontotemporal lobar degeneration. Behavioural Neurology, 18(1), 31–36.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. doi: http://dx.doi.org/10.1016/j.bandc.2008.09.009 CrossRefGoogle ScholarPubMed
Kohler, C.G, Anselmo-Gallagher, G., Bilker, W., Karlawish, J., Gur, R.E, & Clark, C.M (2005). Emotion-discrimination deficits in mild Alzheimer disease. American Journal of Geriatric Psychiatry, 13(11), 926–933.CrossRefGoogle ScholarPubMed
Kreibig, S.D (2010). Autonomic nervous system activity in emotion: A review. Biological Psychology, 84(3), 394–421.Google Scholar
Law Smith, M.J, Montagne, B., Perrett, D.I, Gill, M., & Gallagher, L. (2010). Detecting subtle facial emotion recognition deficits in high-functioning Autism using dynamic stimuli of varying intensities. Neuropsychologia, 48(9), 2777–2781.Google Scholar
LeDoux, J. (1995). Emotions: Clues from the brain. Annual Reviews: Psychology, 46, 209–235.Google Scholar
Lovibond, P.F, & Lovibond, S.H (1995). Manual for the Depression Anxiety Stress Scales. Sydney, Australia: Psychology Foundation of Australia.Google Scholar
Mandal, M.K, Pandey, R., & Prasad, A.B (1998). Facial expressions of emotions and schizophrenia: A review. [Literature Review]. Schizophrenia Bulletin, 24(3), 399–412.Google Scholar
McDonald, S., & Flanagan, S. (2004). Social perception deficits after traumatic brain injury: Interaction between emotion recognition, mentalizing ability, and social communication. Neuropsychology, 18(3), 572–579. doi: 10.1037/0894-4105.18.3.572 Google Scholar
McDonald, S., Flanagan, S., Rollins, J., & Kinch, J. (2003). TASIT: A new clinical tool for assessing social perception after traumatic brain injury. Journal of Head Trauma Rehabilitation, 18, 219–238.Google Scholar
Montagne, B., de Geus, F., Kessels, R.P, Denys, D., de Haan, E.H, & Westenberg, H.G (2008). Perception of facial expressions in obsessive-compulsive disorder: A dimensional approach. European Psychiatry, 23(1), 26–28.Google Scholar
Montagne, B., Kessels, R.P C., De Haan, E.H F., & Perrett, D.I (2007). The emotion recognition task: A paradigm to measure the perception of facial emotional expressions at different intensities. Perceptual and Motor Skills, 104(2), 589–598. doi: 10.2466/pms.104.2.589–598 Google Scholar
Montagne, B., Nys, G.M S., Van Zandvoort, M.J E., Kappelle, L.J, De Haan, E.H F., & Kessels, R.P C. (2007). The perception of emotional facial expressions in stroke patients with and without depression. Acta Neuropsychiatrica, 19(5), 279–283. doi: 10.1111/j.1601-5215.2007.00235.x Google Scholar
Montagne, B., Schutters, S., Westenberg, H.G M., van Honk, J., Kessels, R.P C., & de Haan, E.H F. (2006). Reduced sensitivity in the recognition of anger and disgust in social anxiety disorder. Cognitive Neuropsychiatry, 11(4), 389–401. doi: 10.1080/13546800444000254 Google Scholar
Montagne, B., Sierra, M., Medford, N., Hunter, E., Baker, D., Kessels, R.P C., & David, A.S (2007). Emotional memory and perception of emotional faces in patients suffering from depersonalization disorder. British Journal of Psychology, 98(3), 517–527. doi: 10.1348/000712606X160669 CrossRefGoogle ScholarPubMed
Oddy, M., & Humphrey, M. (1980). Social recovery during the year following severe head injury. Journal of Neurology, Neurosurgery, and Psychiatry, 43, 798–802.Google Scholar
Phillips, M.L, Drevets, W.C, Rauch, S.L, & Lane, R. (2003). Neurobiology of emotion perception I: The neural basis of normal emotion perception. Biological Psychiatry, 54(5), 504–514.Google Scholar
Radice-Neumann, D., Zupan, B., Babbage, D.R, & Willer, B. (2007). Overview of impaired facial affect recognition in persons with traumatic brain injury. Brain Injury, 21(8), 807–816.CrossRefGoogle ScholarPubMed
Rapcsak, S.Z, Galper, S., Comer, J., Reminger, S., Nielsen, L., Kaszniak, A., & Cohen, R. (2000). Fear recognition deficits after focal brain damage A cautionary note. Neurology, 54(3), 575–575.CrossRefGoogle ScholarPubMed
Rosenberg, H., Dethier, M., Kessels, R.P C., Westbrook, R.F, & McDonald, S. (2014). Emotion perception after moderate-severe traumatic brain injury: The valence effect and the role of working memory, processing speed and non-verbal reasoning. Manuscript submitted for publication.Google Scholar
Russell, J.A (1994). Is there universal recognition of emotion from facial expressions? A review of the cross-cultural studies. Psychological Bulletin, 115(1), 102.CrossRefGoogle ScholarPubMed
Scholten, M.R M., Aleman, A., Montagne, B., & Kahn, R.S (2005). Schizophrenia and processing of facial emotions: Sex matters. Schizophrenia Research, 78(1), 61–67.CrossRefGoogle ScholarPubMed
Spell, L., & Frank, E. (2000). Recognition of nonverbal communication of affect following traumatic brain injury. Journal of Nonverbal Behavior, 24(4), 285–300.Google Scholar
Vuilleumier, P. (2002). Facial expression and selective attention. Current Opinion in Psychiatry, 15(3), 291–300.Google Scholar
Ylvisaker, M., & Feeney, T. (2000). Reflections on Dobermans, poodles, and social rehabilitation for difficult-to-serve individuals with traumatic brain injury. Aphasiology, 14(4), 407–431.Google Scholar
Zupan, B., & Neumann, D. (2013). Affect recognition in traumatic brain injury: Responses to unimodal and multimodal media. Journal of Head Trauma Rehabiitationl. doi: 10.1097/HTR.0b013e31829dded6 Google Scholar