[en] Aim: The current study aimed to test the intensity of spontaneous emotional expressions and the accuracy of posed emotional expressions in patients with severe traumatic brain injury (TBI). Method: Twenty-three participants with TBI and 27 matched control participants were asked to relate personal angry, happy, and sad events (spontaneous expressivity) and to pose angry, happy, and sad expressions in response to a photo or word cue (posed expressivity). Their emotional facial expressions were coded via judges’ ratings. Results: Participants with TBI had less intense sad expressions when relating a sad event compared to control participants. No group difference emerged in the happy and angry events, the latter possibly due to differentially low inter-rater reliability for anger ratings. Participants with TBI were impaired in their ability to pose sad emotions. Conclusions: These preliminary findings suggest that patients with TBI are impaired at expressing sad expressions either spontaneously or deliberately. This may reflect difficulties in the initiation or suppression of facial expression as well as an impaired semantic knowledge of the facial configuration of sad expression.
Disciplines :
Neurosciences & behavior
Author, co-author :
Dethier, Marie ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychologie clinique cognitive et comportementale
Blairy, Sylvie ; Université de Liège - ULiège > Département de Psychologie : cognition et comportement > Psychologie clinique cognitive et comportementale
Rosenberg, Hannah
McDonald, Skye
Language :
English
Title :
Spontaneous and Posed Emotional Facial Expressions Following Severe Traumatic Brain Injury
Publication date :
2012
Journal title :
Journal of Clinical and Experimental Neuropsychology
ISSN :
1380-3395
eISSN :
1744-411X
Publisher :
Taylor & Francis, New York, United States - New York
Abdel-Dayem, H. M., Abu-Judeh, H., Kumar, M., Atay, S., Naddaf, S., and, El-Zeftawy, H. 1998. SPECT brain perfusion abnormalities in mild or moderate traumatic brain injury. Clinical Nuclear Medicine, 23 (5): 309-317.
Adams, J. H., Scott, G., Parker, L. S., Graham, D. I., and, Doyle, D. 1980. The contusion index: A quantitative approach to cerebral contusions in head injury. Neuropathology & Applied Neurobiology, 6 (4): 319-324.
Angrilli, A., Palomba, D., Cantagallo, A., Maietti, A., and, Stegagno, L. 1999. Emotional impairment after right orbitofrontal lesion in a patient without cognitive deficits. Neuroreport, 10 (8): 1741-1746.
Beer, J. S., John, O. P., Scabini, D., and, Knight, R. T. 2006. Orbitofrontal cortex and social behavior: Integrating self-monitoring and emotion-cognition interactions. Journal of Cognitive Neuroscience, 18 (6): 871-879.
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): 515-531. doi: 10.1037/0894-4105.21.5.515
Blair, R. J. 2003. Facial expressions, their communicatory functions and neuro-cognitive substrates. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 358 (1431): 561-572.
Blair, R. J., and, Cipolotti, L. 2000. Impaired social response reversal. A case of acquired sociopathy.. Brain, 123 (6): 1122-1141.
Blanchard, J. J., and, Panzarella, C. 1998. Affect and social functioning in schizophrenia. In Handbook of social functioning in schizophrenia, Edited by: Mueser, K. T. and Tarrier, N. T. 181-196. Needham Heights, MA: Allyn & Bacon.
Borod, J. C., Welkowitz, J., Alpert, M., Brozgold, A. Z., Martin, C., Peselow, E., and, Diller, L. 1990. Parameters of emotional processing in neuropsychiatric disorders: Conceptual issues and a battery of tests. Journal of Communication Disorders, 23 (4-5): 247-271. doi: 10.1016/0021-9924(90)90003-h
Brozgold, A. Z., Borod, J. C., Martin, C. C., Pick, L. H., Alpert, M., and, Welkowitz, J. 1998. Social functioning and facial emotional expression in neurological and psychiatric disorders. Applied Neuropsychology, 5 (1): 15-23. doi: 10.1207/s15324826an0501-2
Calvo, M. G., Nummenmaa, L., and, Avero, P. 2010. Recognition advantage of happy faces in extrafoveal vision: Featural and affective processing. Visual Cognition, 18 (9): 1274-1297. doi: 10.1080/13506285.2010.481867
Camras, L. 1994. Two aspects of emotional development: Expression and elicitation. In The nature of emotion: Fundamental questions, Edited by: Ekman, P. and Davidson, R. 347-351. Oxford, UK: Oxford University Press.
Croker, V., and, McDonald, S. 2005. Recognition of emotion from facial expression following traumatic brain injury. Brain Injury, 19 (10): 787-799. doi: 10.1080/02699050500110033
Damasio, A. R. 1994. Descartes error and the future of human life. Scientific American, 271 (4): 144
Demakis, G. J., Hammond, F., Knotts, A., Cooper, D. B., Clement, P., and, Kennedy, J. 2007. The Personality Assessment Inventory in individuals with traumatic brain injury. Archives of Clinical Neuropsychology, 22 (1): 123-130. doi: 10.1016/j.acn.2006.09.004
de Sousa, A., McDonald, S., Rushby, J., Li, S., Dimoska, A., and, James, C. 2010. Why don't you feel how I feel? Insight into the absence of empathy after severe traumatic brain injury. Neuropsychologia, 48 (12): 3585-3595. doi: 10.1016/j.neuropsychologia.2010.08.008
de Sousa, A., McDonald, S., Rushby, J., Li, S., Dimoska, A., and, James, C. 2011. Understanding deficits in empathy after traumatic brain injury: The role of affective responsivity. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 47 (5): 526-535.
Dethier, M., Blairy, S., Rosenberg, H., and, McDonald, S. 2011. Emotional regulation impairments following severe traumatic brain injury: An investigation of the body and facial feedback effects, Manuscript submitted for publication.
Dimoska, A., McDonald, S., Pell, M., Tate, R., and, James, C. 2010. Recognizing vocal expressions of emotion in patients with social skills deficits following traumatic brain injury. Journal of the International Neuropsychological Society, 16 (2): 369-382. doi: 10.1017/S1355617709991445
Ekman, P. 1992. Facial expressions of emotion: An old controversy and new findings. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 335 (1273): 63-69.
Elfenbein, H. A., and, Eisenkraft, N. 2010. The relationship between displaying and perceiving nonverbal cues of affect: A meta-analysis to solve an old mystery. Journal of Personality and Social Psychology, 98 (2): 301-318. doi: 10.1037/a0017766
Elsass, L., and, Kinsella, G. 1987. Social interaction following severe closed head injury. Psychological Medicine, 17 (1): 67-78.
Fridlund, A. J. 1991. Sociality of solitary smiling: Potentiation by an implicit audience. Journal of Personality and Social Psychology, 60 (2): 229-240. doi: 10.1037/0022-3514.60.2.229
Fridlund, A. J. 1994. Human facial expression: An evolutionary view, San Diego, CA: Academic Press.
Fujiwara, E., Schwartz, M. L., Gao, F., Black, S. E., and, Levine, B. 2008. Ventral frontal cortex functions and quantified MRI in traumatic brain injury. Neuropsychologia, 46 (2): 461-474. doi: 10.1016/j.neuropsychologia.2007. 08.027
Gentry, L. R., Godersky, J. C., and, Thompson, B. 1988. MR imaging of head trauma: Review of the distribution and radiopathologic features of traumatic lesions. American Journal of Roentgenology, 150 (3): 663-672.
Green, R. E. A., Turner, G. R., and, Thompson, W. F. 2004. Deficits in facial emotion perception in adults with recent traumatic brain injury. Neuropsychologia, 42 (2): 133-141.
Hopkins, M. J., Dywan, J., and, Segalowitz, S. J. 2002. Altered electrodermal response to facial expression after closed head injury. Brain Injury, 16 (3): 245-257.
Hornak, J., Rolls, E., and, 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. doi: 10.1016/0028-3932%2895%2900106-9
Ietswaart, M., Milders, M., Crawford, J. R., Currie, D., and, Scott, C. L. 2008. Longitudinal aspects of emotion recognition in patients with traumatic brain injury. Neuropsychologia, 46 (1): 148-159.
Jackson, H. F., and, Moffat, N. J. 1987. Impaired emotional recognition following severe head injury. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 23 (2): 293-300.
Kersel, D. A., Marsh, N. V., Havill, J. H., and, Sleigh, J. W. 2001. Psychosocial functioning during the year following severe traumatic brain injury. Brain Injury, 15 (8): 683-696.
Kornreich, C., Philippot, P., Foisy, M.-L., Blairy, S., Raynaud, E., and, Dan, B. 2002. Impaired emotional facial expression recognition is associated with interpersonal problems in alcoholism. Alcohol and Alcoholism, 37 (4): 394-400. doi: 10.1093/alcalc/37.4.394
Lovibond, P. F., and, Lovibond, S. H. 1995. Manual for the Depression Anxiety Stress Scales, Sydney, Australia: Psychology Foundation of Australia.
Matsumoto, D., and, Ekman, P. 1988. Japanese and Caucasian facial expressions of emotion (JACFEE) [Slides], San Francisco, CA: Intercultural and Emotion Research Laboratory, Department of Psychology, San Francisco State University.
McDonald, S., Flanagan, S., Rollins, J., and, 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
McDonald, S., Hunt, C., Henry, J. D., Dimoska, A., and, Bornhofen, C. 2010. Angry responses to emotional events: The role of impaired control and drive in people with severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 32 (8): 855-864. doi: 10.1080/13803391003596405
McDonald, S., Li, S., De Sousa, A., Rushby, J., Dimoska, A., and, James, C. 2011. Impaired mimicry response to angry faces following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 33 (1): 17-29.
McDonald, S., and, 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/S135561770505023X
Mega, M. S., and, Cummings, J. L. 1994. Frontal-subcortical circuits and neuropsychiatric disorders. Journal of Neuropsychiatry & Clinical Neurosciences, 6 (4): 358-370.
Morton, M. V., and, 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
Park, S., Matthews, N., and, Gibson, C. 2008. Imitation, simulation, and schizophrenia. Schizophrenia Bulletin, 34 (4): 698-707. doi: 10.1093/schbul/sbn048
Parkinson, B. 2005. Do facial movements express emotions or communicate motives?. Personality and Social Psychology Review, 9 (4): 278-311. doi: 10.1207/s15327957pspr0904-1
Phillips, M. L., Drevets, W. C., Rauch, S. L., and, Lane, R. 2003. Neurobiology of emotion perception: I. The neural basis of normal emotion perception. Biological Psychiatry, 54 (5): 504-514. doi: 10.1016/S0006- 3223%2803%2900168-9
Radice-Neumann, D., Zupan, B., Babbage, D. R., and, Willer, B. 2007. Overview of impaired facial affect recognition in persons with traumatic brain injury. Brain Injury, 21 (8): 807-816. doi: 10.1080/02699050701504281
Rinn, W. E. 1984. The neuropsychology of facial expression: A review of the neurological and psychological mechanisms for producing facial expressions. Psychological Bulletin, 95 (1): 52-77. doi: 10.1037/0033-2909.95.1.52
Sanchez-Navarro, J. P., Martinez-Selva, J. M., and, Roman, F. 2005. Emotional response in patients with frontal brain damage: Effects of affective valence and information content. Behavioral Neuroscience, 119 (1): 87-97.
Saunders, J. C., McDonald, S., and, Richardson, R. 2006. Loss of emotional experience after traumatic brain injury: Findings with the startle probe procedure. Neuropsychology, 20 (2): 224-231. doi: 10.1037/0894-4105.20.2. 224
Schneider, W., Eschman, A., and, Zuccolotto, A. 2002. E-Prime user's guide, Pittsburgh, PA: Psychology Software Tools.
Shamay-Tsoory, S. G. 2007. Impaired empathy following ventromedial prefrontal brain damage. In Empathy in mental illness, Edited by: Farrow, T. and Woodruff, P. 89-110. New York, NY: Cambridge University Press.
Smith, M. C., Smith, M. K., and, Ellgring, H. 1996. Spontaneous and posed facial expression in Parkinson's disease. Journal of the International Neuropsychological Society, 2 (5): 383-391. doi: 10.1017/s1355617700001454
Soussignan, R., Ehrle, N., Henry, A., Schaal, B., and, Bakchine, S. 2005. Dissociation of emotional processes in response to visual and olfactory stimuli following frontotemporal damage. Neurocase, 11 (2): 114-128.
Stuss, D. T., Gow, C. A., and, Hetherington, C. R. 1992. No longer Gage: Frontal lobe dysfunction and emotional changes. Journal of Consulting & Clinical Psychology, 60 (3): 349-359.
Tate, R. L. 1999. Executive dysfunction and characterological changes after traumatic brain injury: Two sides of the same coin?. Cortex: A Journal Devoted to the Study of the Nervous System and Behavior, 35 (1): 39-55. doi: 10.1016/s0010-9452(08)70784-6
Tate, R. L., Fenelon, B., Manning, M., and, Hunter, M. 1991. Patterns of neuropsychological impairment after severe blunt head injury. Journal of Nervous and Mental Disease, 179 (3): 117-126. doi: 10.1097/00005053-199103000-00001
Velikonja, D., Warriner, E., and, Brum, C. 2010. Profiles of emotional and behavioral sequelae following acquired brain injury: Cluster analysis of the Personality Assessment Inventory. Journal of Clinical & Experimental Neuropsychology: Official Journal of the International Neuropsychological Society, 32 (6): 610-621.
Wechsler, D. 1997. Wechsler Adult Intelligence Scale-Third Edition (WAIS-III), San Antonio, TX: Psychological Corporation.
Weddell, R. A. 1994. Effects of subcortical lesion site on human emotional behavior. Brain and Cognition, 25 (2): 161-193. doi: 10.1006/brcg.1994.1029
Weddell, R. A., Miller, J. D., and, Trevarthen, C. 1990. Voluntary emotional facial expressions in patients with focal cerebral lesions. Neuropsychologia, 28 (1): 49-60. doi: 10.1016/0028-3932(90)90085-3
Weddell, R. A., Trevarthen, C., and, Miller, J. D. 1988. Reactions of patients with focal cerebral lesions to success or failure. Neuropsychologia, 26 (3): 373-385. doi: 10.1016/0028-3932(88)90092-9
Williams, C., and, Wood, R. L. 2010. Impairment in the recognition of emotion across different media following traumatic brain injury. Journal of Clinical & Experimental Neuropsychology: Official Journal of the International Neuropsychological Society, 32 (2): 113-122.
Williams, G., Robertson, V., and, Greenwood, K. 2004. Measuring high-level mobility after traumatic brain injury. American Journal of Physical Medicine & Rehabilitation, 83 (12): 910-920.
Wood, R. L., Liossi, C., and, Wood, L. 2005. The impact of head injury neurobehavioural sequelae on personal relationships: Preliminary findings. Brain Injury, 19 (10): 845-851.
Wood, R. L., and, Yurdakul, L. K. 1997. Change in relationship status following traumatic brain injury. Brain Injury, 11 (7): 491-501.