Lateralization of facial emotion processing and facial paresis in Vestibular Schwannoma patients

Comparing two versions of the Chimeric Face Test: A pilot investigation

The Chimeric Face Test (CFT) is a widely used behavioral measure of degree of lateralization for emotion processing. The Pictures of Facial Affect (Ekman, 1976 [Pictures of facial affect. Consulting Psychologists Press.]) have often been used to create chimeras for this task but have widely been critiqued due to lack of ethnic diversity and small stimuli numbers. In this brief study participants (N = 45) completed two Chimeric Face Tests, one using the Pictures of Facial Affect and one using the NimStim facial stimuli (Tottenham et al., 2009 [The NimStim set of facial expressions: Judgments from untrained research participants. Psychiatry Research, 168(3), 242-249]). The laterality scores were compared across measures. The results show the two measures are related; laterality quotients showed a strong correlation between the two tasks. Participants showed a left-visual field bias on both tasks, indicative of a right-hemisphere bias for the processing of emotions. The NimStim Chimeric Face Test however was found to give a more conservative estimate of degree of lateralization. The NimStim Chimeric Face Test is discussed as a valid measure for examining lateralization for emotion processing, The extent to which different versions of the Chimeric Face Test are comparable is discussed.

Lateralization of facial emotion processing and facial paresis in Vestibular Schwannoma patients

OBJECTIVE

This study investigates whether there exist differences in lateralization of facial emotion processing in patients suffering from Vestibular Schwannoma (VS) based on the presence of a facial paresis and their degree of facial functioning as measured by the House Brackmann Grading scale (HBG).

METHODS

Forty-four VS patients, half of them with a facial paresis and half of them without a facial paresis, rated how emotive they considered images of faces showing emotion in the left versus right visual field. Stimuli consisted of faces with a neutral half and an emotional (happy or angry) half. The study had a mixed design with emotional expression (happy vs. angry) and emotional half (left vs. right visual field) of the faces as repeated measures, and facial paresis (present vs. absent) and HBG as between subjects' factors. The visual field bias was the main dependent variable.

RESULTS

In line with typical findings in the normal population, a left visual field bias showed in the current sample: patients judged emotional expressions shown in the left visual field as more emotive than those shown in the right visual field. No differences in visual field bias showed based on the presence of a facial paresis nor based on patients' HBG.

CONCLUSION

VS patients show a left visual field bias when processing facial emotion. No differences in lateralization showed based on the presence of a facial paresis or on patients' HBG. Based on this study, facial paresis thus does not affect the lateralization of facial emotion processing in patients with VS.

Quality of life, social function, emotion, and facial paresis in Dutch vestibular schwannoma patients

OBJECTIVES

The present study aimed to replicate the finding that vestibular schwannoma (VS) patients with facial paresis experience lower health related quality of life (QoL) than those without facial paresis in a Dutch sample, and to extend these findings by measuring VS patients' overall satisfaction with life, social function, and emotion.

METHODS

Forty-seven VS patients, differing in degree of facial functioning, half of them with and half of them without a facial paresis, answered questionnaires about health related QoL (SF-36 and PANQOL), overall satisfaction with life, fear of being evaluated negatively by others, social avoidance and distress, and characteristics and symptoms of depression.

RESULTS

We observed that VS patients with facial paresis experience lower health-related QoL as well negatively impacted social function and emotion compared to VS patients without facial paresis. VS patients with facial paresis experienced lower overall satisfaction with life, more characteristic symptoms of depression, and more fear of being evaluated negatively by others than VS patients without facial paresis.

CONCLUSION

These findings corroborate previous research showing an association between impaired facial functioning and lower QoL, but also extend them by showing differences on the quality of social function and emotion. Being aware of this difference between VS patients with and without facial paresis informs health practitioners regarding the specific support these patients might need. Moreover, it is also relevant to consider the influence of a facial paresis on patients' life when deciding between treatment options and in case of surgery the type of resection.

LEVEL OF EVIDENCE

3.