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Social Behavior and Impairments in Social Cognition Following Traumatic Brain Injury

Published online by Cambridge University Press:  12 April 2017

Michelle May ,
Maarten Milders ,
Bruce Downey ,
Maggie Whyte ,
Vanessa Higgins ,
Zuzana Wojcik ,
Sophie Amin  and
Suzanne O’Rourke
Michelle May
Affiliation:
Murdostoun Brain Injury Rehabilitation & Neurological Care Centre Murdostoun, Wishaw, United Kingdom, United Kingdom
Maarten Milders*
Affiliation:
Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
Bruce Downey
Affiliation:
National Health Service Grampian, Aberdeen, United Kingdom
Maggie Whyte
Affiliation:
National Health Service Grampian, Aberdeen, United Kingdom
Vanessa Higgins
Affiliation:
University of Aberdeen, Aberdeen, United Kingdom
Zuzana Wojcik
Affiliation:
National Health Service Grampian, Aberdeen, United Kingdom
Sophie Amin
Affiliation:
Momentum Skills, Aberdeen, United Kingdom
Suzanne O’Rourke
Affiliation:
University of Edinburgh, Edinburgh, United Kingdom
*
Correspondence and reprint requests to: Maarten Milders, Department of Clinical Neuropsychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, 1081 BT Amsterdam, Netherlands. E-mail: [email protected]
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Abstract

Objectives: The negative effect of changes in social behavior following traumatic brain injury (TBI) are known, but much less is known about the neuropsychological impairments that may underlie and predict these changes. The current study investigated possible associations between post-injury behavior and neuropsychological competencies of emotion recognition, understanding intentions, and response selection, that have been proposed as important for social functioning. Methods: Forty participants with TBI and 32 matched healthy participants completed a battery of tests assessing the three functions of interest. In addition, self- and proxy reports of pre- and post-injury behavior, mood, and community integration were collected. Results: The TBI group performed significantly poorer than the comparison group on all tasks of emotion recognition, understanding intention, and on one task of response selection. Ratings of current behavior suggested significant changes in the TBI group relative to before the injury and showed significantly poorer community integration and interpersonal behavior than the comparison group. Of the three functions considered, emotion recognition was associated with both post-injury behavior and community integration and this association could not be fully explained by injury severity, time since injury, or education. Conclusions: The current study confirmed earlier findings of associations between emotion recognition and post-TBI behavior, providing partial evidence for models proposing emotion recognition as one of the pre-requisites for adequate social functioning. (JINS, 2017, 23, 400–411)

Keywords

Brain injurySocial behaviorModels of social cognitionImpairmentCognitive function
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 23 , Issue 5 , May 2017 , pp. 400 - 411
Copyright
Copyright © The International Neuropsychological Society 2017 

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References

REFERENCES

Adolphs, R. (2009). The social brain: Neural basis of social knowledge. Annual Review of Psychology, 60, 693–716.Google Scholar
Babbage, D., Yim, J., Zupan, B., Neumann, D., Tomita, M., & Willer, B. (2011). Meta-analysis of facial affect recognition difficulties after traumatic brain injury. Neuropsychology, 25, 277–285.Google Scholar
Ben-David, B.M., Nguyen, L.L., & van Lieshout, P.H. (2011). Stroop effects in persons with traumatic brain injury: Selective attention, speed of processing, or color-naming? A meta-analysis. Journal of the International Neuropsychological Society, 17, 354–363.Google Scholar
Benedictus, M., Spikman, J., & van der Naalt, J. (2010). Cognitive and behavioural impairment in traumatic brain injury related to outcome and return to work. Archives of Physical and Medical Rehabilitation, 91, 1436–1441.CrossRefGoogle ScholarPubMed
Bennett, P.C., Ong, B., & Ponsford, J. (2005). Assessment of executive dysfunction following traumatic brain injury: Comparison of the BADS with other clinical neuropsychological measures. Journal of the International Neuropsychological Society, 11, 606–613.Google Scholar
Benton, A.L., Sivan, A.B., Hamsher, K., Varney, N.R., & Spreen, O. (1994). Contributions to neuropsychological assessment. New York: Oxford University Press.Google Scholar
Bibby, H., & McDonald, S. (2005). Theory of mind after traumatic brain injury. Neuropsychologia, 43, 99–114.CrossRefGoogle ScholarPubMed
Bivona, U., Riccio, A., Ciurli, P., Carlesimo, G., Delle Donne, V., Pizzonia, E., Caltagirone, C., … Costa, A. (2014). Low self-awareness of individuals with severe traumatic brain injury can lead to reduced ability to take another person’s perspective. The Journal of Head Trauma Rehabilitation, 29, 157–171.CrossRefGoogle ScholarPubMed
Bornhofen, C., & McDonald, S. (2008). Treating deficits in emotion perception following traumatic brain injury. Neuropsychological Rehabilitation, 18, 22–24.CrossRefGoogle ScholarPubMed
Brooks, N., Campsie, L., Symington, C., Beattie, A., & McKinlay, W. (1986). The five year outcome of severe blunt head injury: A relative’s view. Journal of Neurology, Neurosurgery, and Psychiatry, 49, 764–770.Google Scholar
Calder, A., Young, A., Rowland, A., Perrett, D., Hodges, J., & Etcoff, N. (1996). Facial emotion recognition after bilateral amygdala damage: Differentially severe impairment of fear. Cognitive Neuropsychology, 13, 699–745.Google Scholar
Cannon, B.J. (2000). A comparison of self- and other-rated forms of the neuropsychology behaviour and affect profile in a traumatic brain injury population. Archives of Clinical Neuropsychology, 15, 327–334.Google Scholar
Channon, S., Pellijeff, A., & Rule, A. (2005). Social cognition after head injury: Sarcasm and theory of mind. Brain and Language, 93, 123–134.CrossRefGoogle ScholarPubMed
Chaytor, N., & Schmitter-Edgecombe, M. (2007). Fractionation of the dysexecutive syndrome in a heterogeneous neurological sample: Comparing the dysexecutive questionnaire and the brock adaptive functioning questionnaire. Brain Injury, 21, 615–621.Google Scholar
Corcoran, R., Mercer, G., & Frith, C.D. (1995). Schizophrenia, symptomatology and social inference: Investigating “theory of mind” in people with schizophrenia. Schizophrenia Research, 17, 5–17.Google Scholar
Corrigan, P. (1997). The social perceptual deficits of schizophrenia. Psychiatry, 60, 309–326.CrossRefGoogle ScholarPubMed
Croker, V., & McDonald, S. (2005). Recognition of emotion from facial expression following traumatic brain injury. Brain Injury, 19, 787–799.Google Scholar
Dahlberg, C., Hawley, L., Morey, C., Newman, J., Cusick, C., & Harrison-Felix, C. (2006). Social communication skills in persons with post-acute traumatic brain injury: Three perspectives. Brain Injury, 20, 425–435.Google Scholar
Dijkers, M. (1997). Measuring the long-term outcomes of traumatic brain injury: A review of the Community Integration Questionnaire. The Journal of Head Trauma Rehabilitation, 12, 74–91.Google Scholar
Ekman, P., & Friesen, W. (1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Eslinger, P.J., Moore, P., Anderson, C., & Grossman, M. (2011). Social cognition, executive functioning and neuroimaging correlates of empathic deficits in frontotemporal dementia. The Journal of Neuropsychiatry and Clinical Neurosciences, 23, 74–82.CrossRefGoogle ScholarPubMed
Geraci, A., Surian, L., Ferraro, M., & Cantagallo, A. (2010). Theory of mind in patients with ventromedial or dorsolateral prefrontal lesions following traumatic brain injury. Brain Injury, 24, 978–987.Google Scholar
Golan, O., Baron-Cohen, S., & Hill, J. (2006). The Cambridge Mindreading (CAM) Face-Voice Battery: Testing complex emotion recognition in adults with and without Asperger syndrome. Journal of Autism and Developmental Disorders, 36, 169–183.CrossRefGoogle ScholarPubMed
Golden, C.J. (1978). The Stroop colour and word test: A manual for clinical and experimental uses. Chicago: Stoelting Co.Google Scholar
Goodglass, H., & Kaplan, E. (1983). Boston Diagnostic Aphasia Examination. Media, PA: Williams & Wilkins.Google Scholar
Gregory, C., Lough, S., Stone, V., Erzinclioglu, S., Martin, L., Baron-Cohen, S., & Hodges, J. (2002). Theory of mind in patients with frontal variant frontotemporal dementia and Alzheimer’s disease: Theoretical and practical implication. Brain, 125, 752–764.CrossRefGoogle Scholar
Hanks, R., Temkin, N., Machamer, J., & Dikmen, S. (1999). Emotional and behavioral adjustment after traumatic brain injury. Archives of Physical Medicine and Rehabilitation, 80, 991–999.CrossRefGoogle ScholarPubMed
Hannay, H.J., Howieson, D.B., Loring, D.W., Fischer, J.S., & Lezak, M.D. (2004). Neuropathology for neuropsychologists. In M. D. Lezak, D. B. Howieson & D. W. Loring (Eds.), Neuropsychological assessment. Oxford, UK: Oxford University Press. p. 160.Google Scholar
Havet-Thomassin, V., Allain, P., Etcharry-Bouyx, F., & Le Gall, D. (2006). What about theory of mind after severe brain injury? Brain Injury, 20, 83–91.CrossRefGoogle ScholarPubMed
Henry, J., Cowan, D., Leeb, T., & Sachdev, S. (2015). Recent trends in testing social cognition. Current Opinion Psychiatry, 28, 133–140.CrossRefGoogle ScholarPubMed
Herrmann, C. (1997). International experiences with the hospital anxiety and depression scale: A review of validation data and clinical results. Journal of Psychosomatic Research, 2, 17–41.Google Scholar
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, 148–159.Google Scholar
Katsifaraki, M., & Wood, R. (2014). The impact of alexithymia on burnout amongst relatives of people who suffer from traumatic brain injury. Brain Injury, 28, 1389–1395.CrossRefGoogle ScholarPubMed
Kelley, E., Sullivan, C., Loughlin, J., Hutson, L., Dahdah, N., Long, M., & Poole, J. (2014). Self-awareness and neurobehavioral outcomes, 5 years or more after moderate to severe brain injury. The Journal of Head Trauma Rehabilitation, 29, 147–152.Google Scholar
Kendall, E., & Terry, D. (1996). Psychosocial adjustment following closed head injury: A model for understanding individual differences and predicting outcome. Neuropsychological Rehabilitation, 6, 101–132.Google Scholar
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, 442–449.Google Scholar
Koskinen, S. (1998). Quality of life 10 years after a very severe traumatic brain injury (TBI): The perspective of the injured and the closest relative. Brain Injury, 12, 631–648.Google Scholar
Kosty, J., Stein, A., & Sherman, C. (2013). Measuring outcome after severe TBI. Neurological Research, 35, 277–284.CrossRefGoogle ScholarPubMed
Lezak, M.D., & O’Brien, K.P. (1988). Longitudinal study of emotional, social, and physical changes after traumatic brain injury. Journal of Learning Disabilities, 21, 456–463.Google Scholar
Mah, L.W.Y., Arnold, M.C., & Grafman, J. (2005). Deficits in social knowledge following damage to ventromedial prefrontal cortex. The Journal of Neuropsychiatry and Clinical Neurosciences, 17, 66–74.Google Scholar
Mathias, J.L., & Coats, J.L. (1999). Emotional and cognitive sequelae to mild traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 21, 200–215.Google Scholar
McDonald, S. (2013). Impairments in social cognition following severe traumatic brain injury. Journal of the International Neuropsychological Society, 19, 231–246.Google Scholar
McDonald, S., Fisher, A., & Flanagan, S. (2015). When diplomacy fails: Difficulty understanding hints following severe traumatic brain injury. Aphasiology, doi: 10.1080/02687038.2015.1070948 Google Scholar
McLellan, T., & Mckinlay, A. (2013). Sensitivity to emotion, empathy and theory of mind: Adult performance following childhood TBI. Brain Injury, 27, 1032–1037.Google Scholar
Milders, M., Fuchs, S., & Crawford, J.R. (2003). Neuropsychological impairments and changes in emotional and social behavior following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 25, 157–172.Google Scholar
Milders, M., Ietswaart, M., Crawford, J.R., & Currie, D. (2006). Impairments in ‘theory of mind’ shortly after traumatic brain injury and at one-year follow-up. Neuropsychology, 20, 400–408.Google Scholar
Milders, M., Ietswaart, M., Crawford, J.R., & Currie, D. (2008). Social behaviour following traumatic brain injury and its association with emotion recognition, understanding of intentions, and cognitive flexibility. Journal of the International Neuropsychological Society, 14, 318–326.Google Scholar
Muller, F., Simion, A., Reviriego, E., Galera, C., Mazaux, J., Barat, M., & Joseph, P. (2010). Exploring theory of mind after severe traumatic brain injury. Cortex, 46, 1088–1099.Google Scholar
Nelson, L., Drebing, C., Satz, P., & Uchiyama, C.L. (1998). Personality change in head trauma: A validity study of the Neuropsychology Behaviour and Affect Profile. Archives of Clinical Neuropsychology, 13, 549–560.CrossRefGoogle ScholarPubMed
Neumann, D., Babbage, D., Zupan, B., & Willer, B. (2014). A randomized controlled trial of emotion recognition training after traumatic brain injury. Journal of Head Trauma Rehabilitation, 30, E12–E23.Google Scholar
Norris, G., & Tate, R.L. (2000). The Behavioural Assessment of the Dysexecutive Syndrome (BADS): Ecological, concurrent and construct validity. Neuropsychological Rehabilitation, 10, 33–45.Google Scholar
Ochsner, K. (2008). The Social-Emotional Processing Stream: Five core constructs and their translational potential for schizophrenia and beyond. Biological Psychiatry, 64, 48–61.CrossRefGoogle ScholarPubMed
Oddy, M., Coughlan, T., Tyerman, A., & Jenkins, D. (1985). Social adjustment after closed head injury: A further follow-up seven years after injury. Journal of Neurology, Neurosurgery, and Psychiatry, 48, 564–568.Google Scholar
Osborne-Crowley, K., & McDonald, S. (2016). Hyposmia, not emotion perception, is associated with psychosocial outcome after severe traumatic brain injury. Neuropsychology, 30, 820–829.Google Scholar
Osborne-Crowley, K., McDonald, S., & Rushby, J. (2016). Role of reversal learning impairment in social disinhibition following severe traumatic brain injury. Journal of the International Neuropsychological Society, 22, 303–313.Google Scholar
Ownsworth, T., & McKenna, K. (2004). Investigation of factors related to employment outcome following traumatic brain injury: A critical review and conceptual model. Disability and Rehabilitation, 26, 765–784.CrossRefGoogle ScholarPubMed
O’Sullivan, M., & Guilford, J.P. (1976). Four factor test of social intelligence: Manual of instructions and interpretations. Orange, CA: Seridan Psychological Services.Google Scholar
Parente, J.K., DeCesare, A., & Parente, R. (1990). Spouses who stayed. Cognitive Rehabilitation, 8, 22–25.Google Scholar
Prigatano, G. (1992). Personality disturbances associated with traumatic brain injury. Journal of Consulting and Clinical Psychology, 60, 360–368.CrossRefGoogle ScholarPubMed
Reid-Arndt, S., Nehl, C., & Hinkebein, J. (2007). The Frontal Systems Behaviour Scale (FrSBe) as a predictor of community integration following a traumatic brain injury. Brain Injury, 21, 1361–1369.Google Scholar
Reitan, R.M. (1958). Validity of the Trail Making Test as an indication of organic brain damage. Perceptual Motor Skills, 8, 271–276.Google Scholar
Rolls, E., Hornak, J., Wade, D., & McGrath, J. (1994). Emotion-related learning in patients with social and emotional changes associated with frontal lobe damage. Journal of Neurology, Neurosurgery, and Psychiatry, 57, 1518–1524.CrossRefGoogle ScholarPubMed
Salter, K., Foley, N., Jutai, J., Bayley, M., & Teasell, R. (2008). Assessment of community integration following traumatic brain injury. Brain Injury, 22, 820–835.Google Scholar
Shany-Ur, T., & Rankin, K. (2011). Personality and social cognition in neurodegenerative disease. Current Opinion in Neurology, 24, 550–555.Google Scholar
Spikman, J., Timmerman, M., Milders, M., Veenstra, W., & van der Naalt, J. (2012). Social cognition impairments in relation to general cognitive deficits, injury severity and prefrontal lesions in traumatic brain injury patients. Journal of Neurotrauma, 29, 101–111.Google Scholar
Spikman, J.M., Milders, M.V., Visser-Keizer, A.C., Westerhof-Evers, H.J., Herben-Dekker, M., & van der Naalt, J. (2013). Deficits in facial emotion recognition indicate behavioral changes and impaired self-awareness after moderate to severe traumatic brain injury. PLoS One, 8, 1–7.Google Scholar
Stone, V.E., Baron-Cohen, S., & Knight, R.T. (1998). Frontal lobe contributions to theory of mind. Journal of Cognitive Neuroscience, 10, 640–656.Google Scholar
Struchen, M.A., Clark, A.N., Sander, A.M., Mills, M.R., Evans, G., & Kurtz, D. (2008). Relation of executive functioning and social communication measures to functional outcomes following traumatic brain injury. NeuroRehabilitaion, 23, 185–198.Google Scholar
Struchen, M., Pappadis, M., Sander, A., Burrows, C., & Myszka, K. (2011). Examining the contribution of social communication abilities and affective/behavioral functioning to social integration outcomes for adults with traumatic brain injury. J Head Trauma Rehabilitation, 26, 30–42.Google Scholar
Tate, R.L. (1999). Executive dysfunction and characterological changes after traumatic brain injury: Two sides of the same coin? Cortex, 35, 39–55.Google Scholar
Ubukata, S., Tanemure, R., Yoshizumi, M., Sugihara, G., Murai, T., & Ueda, K. (2014). Social cognition and its relationship to functional outcomes in patients with sustained acquired brain injury. Neuropsychiatric Disease and Treatment, 10, 2061–2068.Google Scholar
Vilkki, J., Ahola, K., Holst, P., Ohman, J., Servo, A., & Heiskanen, O. (1994). Prediction of psychosocial recovery after head injury with cognitive test and neurobehavioral ratings. Journal of Clinical and Experimental Neuropsychology, 16, 325–338.Google Scholar
Vollm, B.A., Taylor, A.N.W., Richandson, P., Corcoran, R., Stirling, J., McKie, S., & Elliot, R. (2006). Neuronal correlates of theory of mind and empathy: A functional magnetic resonance imaging study in a nonverbal task. Neuroimage, 29, 90–98.Google Scholar
Wechsler, D., Wycherley, R., Benjamin, L., Crawford, J., & Mockler, D. (1998). Manual for the Wechsler Adult Intelligence Scale (3rd ed.). London: Psychological Corporation.Google Scholar
Wessa, M., Houenou, J., Paillere-Martinot, M.L., Berthoz, S., Artiges, E., Lebooyer, M., & Marinot, J.L. (2007). Fronto-striatal overactivation in euthymic bipolar patients during an emotional go/nogo task. The American Journal of Psychiatry, 164, 638–646.Google Scholar
Williams, C., & Wood, R. (2010). Impairment in the recognition of emotion across different media following traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 32, 113–122.Google Scholar
Williams, C., & Wood, R.L. (2013). The impact of alexithymia on relationship quality and satisfaction following traumatic brain injury. Journal of Head Trauma Rehabilitation, 28, E21–E30.Google Scholar
Willer, B., Ottenbacher, K.J., & Coad, M.L. (1994). The Community Integration Questionnaire: A comparative examination. American Journal of Physical Medicine and Rehabilitation, 73, 103–111.Google Scholar
Wilson, B., Alderman, N., Burgess, P., Emslie, H., & Evans, J. (1996). Behavioural Assessment of the Dysexecutive Syndrome. Bury St. Edmunds, UK: Thames Valley Test Company.Google Scholar
Wood, R.L. (2001). Understanding neurobehavioural disability. In R.L. Wood & T.M. McMillan (Eds.), Neurobehavioural disability and social handicap following traumatic brain injury (pp. 3–28). Hove: Psychology Press Ltd.Google Scholar
Wood, R., & Rutterford, N. (2006). Demographic and cognitive predictors of long-term psychosocial outcome following traumatic brain injury. Journal of the International Neuropsychological Society, 12, 350–358.Google Scholar
Wood, R., & Yurdakul, L. (1997). Change in relationship status following traumatic brain injury. Brain Injury, 11, 491–501.Google Scholar
Wood, R., & Williams, C. (2008). Inability to empathize following traumatic brain injury. Journal of the International Neuropsychological Society, 14, 289–296.Google Scholar
Zigmond, A., & Snaith, R. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.Google Scholar