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Lugasi N, Sachar Y, Vakil E. The Effect of Body Expressions on the Learning Process and Facial Recognition among Healthy Participants and Individuals with Traumatic Brain Injury: Examination Using Eye Movements. Arch Clin Neuropsychol 2025:acaf008. [PMID: 39899353 DOI: 10.1093/arclin/acaf008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2024] [Revised: 12/05/2024] [Accepted: 01/20/2025] [Indexed: 02/04/2025] Open
Abstract
OBJECTIVE Context-dependent effect (CDE) is a process by which reinstating at test the original learning context enhances the recall ability of the material being studied. Although recognition by people with traumatic brain injury (TBI) is poorer than that of healthy controls, both groups show CDE equally. In the current study, we seek to test the effect of body emotional expressions as contextual information, on facial recognition, and eye movements. METHOD Twenty-four healthy individuals and 27 patients with moderate-to-severe TBI participated in the study. Participants were exposed to photos of people with neutral facial and body expressions and were asked to remember the people for a subsequent memory test. In the testing session, they were asked to determine whether the person presented to them had appeared before, under two conditions: (1) where the context remains constant (facial and body expressions remained neutral-Repeat condition) and (2) where the context changes (facial expression remained neutral but the body expression changed to angry or happy-Re-pair condition). RESULTS While the memory of the individuals with TBI was poorer than that of the controls, both groups exhibited equal CDE. We found that both groups, controls more than TBI, spent most of their time looking at the head. Furthermore, longer dwell time was associated with better recognition in the study phase. CONCLUSIONS These findings are consistent with previous studies showing that despite impaired memory following TBI compared to a control group, CDE was preserved. The current study extends the context effect to body postures that express emotion.
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Affiliation(s)
- Natalie Lugasi
- Department of Psychology and Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat-Gan 5290002, Israel
| | - Yaron Sachar
- Brain Injury rehabilitation, Loewenstein Hospital, Raanana 43100, Israel
| | - Eli Vakil
- Department of Psychology and Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar-Ilan University, Ramat-Gan 5290002, Israel
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2
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Gordillo F, Arana JM, Lamas B, Pérez MÁ. Analysis of attentional biases in anxiety using 24 facial priming sequences. Cogn Process 2023; 24:339-351. [PMID: 36934379 DOI: 10.1007/s10339-023-01132-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 03/07/2023] [Indexed: 03/20/2023]
Abstract
The processing of emotional facial expressions helps people to adjust to the physical and social environment. Furthermore, mental disorders such as anxiety have been linked to attentional biases in the processing of this type of information. Nevertheless, there are still contradictory results that might be due to the methodology used and to individual differences in the manifestation of anxiety. Our research goal was to use 24 facial priming sequences to analyse attentional biases in the detection of facial expressions of fear, considering the levels and the ways in which individuals express anxiety. With higher levels of cognitive anxiety and general trait anxiety, those sequences that began in the upper half (vs. lower half) elicited a speedier response in the detection of fear. The results are discussed within the context of other techniques and disorders that prompt a deficit in the processing of facial information.
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Affiliation(s)
- Fernando Gordillo
- Departamento de Psicología Básica, Psicobiología y Metodología de las Ciencias del Comportamiento, Universidad de Salamanca, Avda. de La Merced, 109-131, 37005, Salamanca, Spain.
| | - José M Arana
- Departamento de Psicología Básica, Psicobiología y Metodología de las Ciencias del Comportamiento, Universidad de Salamanca, Avda. de La Merced, 109-131, 37005, Salamanca, Spain
| | - Beatriz Lamas
- Departmento de Psicología, Universidad Camilo José Cela, Castillo de Alarcón nº 49, 28692-Villafranca del Castillo, Madrid, Spain
| | - Miguel Ángel Pérez
- Departmento de Psicología, Universidad Camilo José Cela, Castillo de Alarcón nº 49, 28692-Villafranca del Castillo, Madrid, Spain
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3
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Vutakuri N. Detection of emotional and behavioural changes after traumatic brain injury: A comprehensive survey. COGNITIVE COMPUTATION AND SYSTEMS 2023. [DOI: 10.1049/ccs2.12075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2023] Open
Affiliation(s)
- Neha Vutakuri
- Department of Psychology & Neuroscience Duke University Durham North Carolina USA
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4
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Vassallo S, Douglas J. Visual scanpath training to emotional faces following severe traumatic brain injury: A single case design. J Eye Mov Res 2021; 14. [PMID: 34760060 PMCID: PMC8575428 DOI: 10.16910/jemr.14.4.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The visual scanpath to emotional facial expressions was recorded in BR, a 35-year-old male with chronic severe traumatic brain injury (TBI), both before and after he underwent intervention. The novel intervention paradigm combined visual scanpath training with verbal feedback and was implemented over a 3-month period using a single case design (AB) with one follow up session. At baseline BR's scanpath was restricted, characterised by gaze allocation primarily to salient facial features on the right side of the face stimulus. Following intervention his visual scanpath became more lateralised, although he continued to demonstrate an attentional bias to the right side of the face stimulus. This study is the first to demonstrate change in both the pattern and the position of the visual scanpath to emotional faces following intervention in a person with chronic severe TBI. In addition, these findings extend upon our previous work to suggest that modification of the visual scanpath through targeted facial feature training can support improved facial recognition performance in a person with severe TBI.
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Affiliation(s)
- Suzane Vassallo
- La Trobe University, Melbourne, Australia.,University of Technology, Sydney, Australia
| | - Jacinta Douglas
- La Trobe University, Melbourne, Australia.,Summer Foundation, Melbourne, Australia
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5
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Emotion Recognition and Traumatic Brain Injury: a Systematic Review and Meta-Analysis. Neuropsychol Rev 2021; 32:520-536. [PMID: 34131885 DOI: 10.1007/s11065-021-09510-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2019] [Accepted: 05/17/2021] [Indexed: 10/21/2022]
Abstract
Traumatic brain injury (TBI) can lead to impairments in emotion recognition that can present considerable challenges to social communication and the maintenance of interpersonal relationships. This review aimed to estimate the magnitude of emotion recognition impairments in TBI patients overall, and at the emotion category level, and to determine if the magnitude of observed impairments were moderated by modality (e.g., face, voice, multi-modal) of emotional expression, and severity of injury. Searches of PubMed, Scopus, PsycINFO, and Medline databases identified 17 studies which satisfied strict inclusion and exclusion criteria for the systematic review (comparing TBI patients to matched controls). Of these studies, 15 were included in the meta-analysis (NTBI = 474; NControl = 461). Moderate/large average deficits emerged for TBI patients relative to controls (Hedges' g = 0.79, 95% CI: 0.61 - 0.96, p < .001; Q = 22.53, p = .068, τ2 = 0.04, I2 = 37.84; indicating low heterogeneity). TBI patients were impaired across all emotion categories, with moderate/large effect sizes observed for fear and anger, moderate effect sizes for disgust, neutral and sadness, while effect sizes for happiness and surprise were small. The magnitude of impairment for individuals with TBI severity classified as moderate/severe TBI was moderate, whereas severe TBI was large. Moderate/large effect sizes were observed across the different modalities of presentation. This meta-analysis provides evidence for marked global impairments in emotion recognition, with the magnitude of impairment greatest for negative emotions (i.e., anger and fear). This meta-analysis provided no evidence to suggest that the magnitude of impairment is influenced by injury severity or modality of stimulus presentation. Recommendations for future research are discussed.
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Vassallo S, Douglas J. A novel combined visual scanning and verbal cuing intervention improves facial affect recognition after chronic severe traumatic brain injury: A single case design. Neuropsychol Rehabil 2020; 31:863-888. [PMID: 32188336 DOI: 10.1080/09602011.2020.1742744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A single case design (AB with follow up) was used to determine the effect of a combined visual scanning and verbal cuing intervention technique in improving facial affect recognition after traumatic brain injury (TBI). A 35-year-old male (BR) with impaired ability to recognize facial emotions as a result of severe TBI participated in the study over a 3-month duration. BR's mean accuracy across six universal static facial expressions of emotion improved significantly during intervention and was maintained at follow up. BR was most impaired in labelling negative (sad, angry, disgusted, anxious) versus positive facial expressions (surprised, happy). BR's accuracy to negative facial affect significantly improved during intervention. No further improvement was possible for positive expressions because a ceiling effect was observed at baseline. Overall BR's mean response times across emotions was reduced at baseline but increased significantly during intervention. This was also recorded for both positive and negative expressions, respectively. This novel combined intervention has potential to improve facial affect recognition after TBI. Further evaluation using a multiple-baseline design is recommended. Additional research is needed to determine whether improved facial affect recognition following training translates to improvements in social function and communication in people with TBI.
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Affiliation(s)
- Suzane Vassallo
- Living with Disability Research Centre, La Trobe University, Melbourne, Australia.,Discipline of Orthoptics, School of Allied Health, Human Services & Sport, La Trobe University, Melbourne, Australia
| | - Jacinta Douglas
- Living with Disability Research Centre, La Trobe University, Melbourne, Australia.,Summer Foundation, Melbourne, Australia.,Moving Ahead Centre of Research Excellence in Brain Recovery, Australia
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Abbruzzese L, Magnani N, Robertson IH, Mancuso M. Age and Gender Differences in Emotion Recognition. Front Psychol 2019; 10:2371. [PMID: 31708832 PMCID: PMC6819430 DOI: 10.3389/fpsyg.2019.02371] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Accepted: 10/04/2019] [Indexed: 12/19/2022] Open
Abstract
Background Existing literature suggests that age affects recognition of affective facial expressions. Eye-tracking studies highlighted that age-related differences in recognition of emotions could be explained by different face exploration patterns due to attentional impairment. Gender also seems to play a role in recognition of emotions. Unfortunately, little is known about the differences in emotion perception abilities across lifespans for men and women, even if females show more ability from infancy. Objective The present study aimed to examine the role of age and gender on facial emotion recognition in relation to neuropsychological functions and face exploration strategies. We also aimed to explore the associations between emotion recognition and quality of life. Methods 60 healthy people were consecutively enrolled in the study and divided into two groups: Younger Adults and Older Adults. Participants were assessed for: emotion recognition, attention abilities, frontal functioning, memory functioning and quality of life satisfaction. During the execution of the emotion recognition test using the Pictures of Facial Affects (PoFA) and a modified version of PoFA (M-PoFA), subject’s eye movements were recorded with an Eye Tracker. Results Significant differences between younger and older adults were detected for fear recognition when adjusted for cognitive functioning and eye-gaze fixations characteristics. Adjusted means of fear recognition were significantly higher in the younger group than in the older group. With regard to gender’s effects, old females recognized identical pairs of emotions better than old males. Considering the Satisfaction Profile (SAT-P) we detected negative correlations between some dimensions (Physical functioning, Sleep/feeding/free time) and emotion recognition (i.e., sadness, and disgust). Conclusion The current study provided novel insights into the specific mechanisms that may explain differences in emotion recognition, examining how age and gender differences can be outlined by cognitive functioning and face exploration strategies.
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Affiliation(s)
| | - Nadia Magnani
- Adult Mental Health Service, NHS-USL Tuscany South-Est, Grosseto, Italy
| | - Ian H Robertson
- Global Brain Health Institute, Trinity College Institute of Neuroscience, Trinity College Dublin, The University of Dublin, Dublin, Ireland
| | - Mauro Mancuso
- Tuscany Rehabilitation Clinic, Montevarchi, Italy.,Physical and Rehabilitative Medicine Unit, NHS-USL Tuscany South-Est, Grosseto, Italy
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Moxon-Emre I, Farb NAS, Oyefiade AA, Bouffet E, Laughlin S, Skocic J, de Medeiros CB, Mabbott DJ. Facial emotion recognition in children treated for posterior fossa tumours and typically developing children: A divergence of predictors. NEUROIMAGE-CLINICAL 2019; 23:101886. [PMID: 31254938 PMCID: PMC6603305 DOI: 10.1016/j.nicl.2019.101886] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 05/09/2019] [Accepted: 05/28/2019] [Indexed: 11/26/2022]
Abstract
Facial emotion recognition (FER) deficits are evident and pervasive across neurodevelopmental, psychiatric, and acquired brain disorders in children, including children treated for brain tumours. Such deficits are thought to perpetuate challenges with social relationships and decrease quality of life. The present study combined eye-tracking, neuroimaging and cognitive assessments to evaluate if visual attention, brain structure, and general cognitive function contribute to FER in children treated for posterior fossa (PF) tumours (patients: n = 36) and typically developing children (controls: n = 18). To assess FER, all participants completed the Diagnostic Analysis of Nonverbal Accuracy (DANVA2), a computerized task that measures FER using photographs, while their eye-movements were recorded. Patients made more FER errors than controls (p < .01). Although we detected subtle deficits in visual attention and general cognitive function in patients, we found no associations with FER. Compared to controls, patients had evidence of white matter (WM) damage, (i.e., lower fractional anisotropy [FA] and higher radial diffusivity [RD]), in multiple regions throughout the brain (all p < .05), but not in specific WM tracts associated with FER. Despite the distributed WM differences between groups, WM predicted FER in controls only. In patients, factors associated with their disease and treatment predicted FER. Our study provides insight into predictors of FER that may be unique to children treated for PF tumours, and highlights a divergence in associations between brain structure and behavioural outcomes in clinical and typically developing populations; a concept that may be broadly applicable to other neurodevelopmental and clinical populations that experience FER deficits. Children treated for brain tumours have difficultly recognizing facial emotions. White matter predicts facial emotion recognition (FER) in typical development. Medical factors predict FER deficits in children treated for brain tumours. Brain-behaviour relations can diverge in the typical and atypical developing brain.
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Affiliation(s)
- Iska Moxon-Emre
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; University of Toronto, Toronto, ON M5S 3G3, Canada; Pediatric Oncology Group of Ontario, Toronto, ON M5G 1V2, Canada
| | | | - Adeoye A Oyefiade
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; University of Toronto, Toronto, ON M5S 3G3, Canada
| | - Eric Bouffet
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; University of Toronto, Toronto, ON M5S 3G3, Canada
| | - Suzanne Laughlin
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; University of Toronto, Toronto, ON M5S 3G3, Canada
| | - Jovanka Skocic
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
| | | | - Donald J Mabbott
- The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada; University of Toronto, Toronto, ON M5S 3G3, Canada.
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Drapeau J, Gosselin N, Peretz I, McKerral M. Electrophysiological Responses to Emotional Facial Expressions Following a Mild Traumatic Brain Injury. Brain Sci 2019; 9:E142. [PMID: 31216634 PMCID: PMC6627801 DOI: 10.3390/brainsci9060142] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Revised: 06/11/2019] [Accepted: 06/17/2019] [Indexed: 11/16/2022] Open
Abstract
The present study aimed to measure neural information processing underlying emotional recognition from facial expressions in adults having sustained a mild traumatic brain injury (mTBI) as compared to healthy individuals. We thus measured early (N1, N170) and later (N2) event-related potential (ERP) components during presentation of fearful, neutral, and happy facial expressions in 10 adults with mTBI and 11 control participants. Findings indicated significant differences between groups, irrespective of emotional expression, in the early attentional stage (N1), which was altered in mTBI. The two groups showed similar perceptual integration of facial features (N170), with greater amplitude for fearful facial expressions in the right hemisphere. At a higher-level emotional discrimination stage (N2), both groups demonstrated preferential processing for fear as compared to happiness and neutrality. These findings suggest a reduced early selective attentional processing following mTBI, but no impact on the perceptual and higher-level cognitive processes stages. This study contributes to further improving our comprehension of attentional versus emotional recognition following a mild TBI.
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Affiliation(s)
- Joanie Drapeau
- Centre for Interdisciplinary Research in Rehabilitation (CRIR), IURDPM, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC H3S 2J4, Canada.
- Departement of Psychology, Université de Montréal, Montreal, QC H3C 3J7, Canada.
- International Laboratory for Brain, Music and Sound Research (BRAMS), Montreal, QC H3C 3J7, Canada.
| | - Nathalie Gosselin
- Departement of Psychology, Université de Montréal, Montreal, QC H3C 3J7, Canada.
- International Laboratory for Brain, Music and Sound Research (BRAMS), Montreal, QC H3C 3J7, Canada.
| | - Isabelle Peretz
- Departement of Psychology, Université de Montréal, Montreal, QC H3C 3J7, Canada.
- International Laboratory for Brain, Music and Sound Research (BRAMS), Montreal, QC H3C 3J7, Canada.
| | - Michelle McKerral
- Centre for Interdisciplinary Research in Rehabilitation (CRIR), IURDPM, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, QC H3S 2J4, Canada.
- Departement of Psychology, Université de Montréal, Montreal, QC H3C 3J7, Canada.
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Rochat L, Manolov R, Aboulafia-Brakha T, Berner-Burkard C, Van der Linden M. Reducing anger outbursts after a severe TBI: a single-case study. Neuropsychol Rehabil 2016; 29:107-130. [PMID: 28007000 DOI: 10.1080/09602011.2016.1270837] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Anger outbursts constitute a frequent behavioural issue after a traumatic brain injury (TBI) and have a strong negative impact on the social outcomes resulting from the TBI. However, few studies have examined the efficacy of specific intervention strategies to reduce the frequency and intensity of anger outbursts. We therefore performed a single-case study on this topic by administering two successive and complementary psychological interventions with an AB design with maintenance (first intervention) and an AC design with maintenance plus a one-month follow-up (second intervention) to a patient with a severe TBI. Whereas the first intervention focused on improving the recognition and expression of basic emotions, the second consisted of a self-regulation programme, including various features such as psychoeducation about self-control strategies, relaxation and assertiveness training that aimed to establish adequate behaviours, which were further promoted by an implementation intentions strategy in the patient's daily life. The results indicated that all interventions resulted in a reduced frequency and intensity of anger outbursts, and the data upheld the specificity of these effects. In addition, a meta-analytic integration of the effects of both interventions on the outcomes indicated a medium effect size. Further research is needed on other patients who experience long-standing anger outbursts to examine whether the observed gains can be replicated, sustained on a longer-term basis and improved.
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Affiliation(s)
- Lucien Rochat
- a Cognitive Psychopathology and Neuropsychology Unit , University of Geneva , Geneva , Switzerland.,b Swiss Centre for Affective Sciences , University of Geneva , Geneva , Switzerland
| | - Rumen Manolov
- c Department of Behavioural Sciences Methods , University of Barcelona , Barcelona , Spain.,d Institute for Brain, Cognition and Behavior (IR3C), University of Barcelona , Barcelona , Spain
| | - Tatiana Aboulafia-Brakha
- e Division of Neurorehabilitation, Department of Clinical Neurosciences , Geneva University Hospitals , Geneva , Switzerland
| | - Christina Berner-Burkard
- a Cognitive Psychopathology and Neuropsychology Unit , University of Geneva , Geneva , Switzerland.,f Neuropsychology and Speech Therapy Unit , Institution of Lavigny , Geneva , Switzerland
| | - Martial Van der Linden
- a Cognitive Psychopathology and Neuropsychology Unit , University of Geneva , Geneva , Switzerland.,b Swiss Centre for Affective Sciences , University of Geneva , Geneva , Switzerland.,g Cognitive Psychopathology Unit , University of Liège , Liège , Belgium
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Lawrence K, Campbell R, Skuse D. Age, gender, and puberty influence the development of facial emotion recognition. Front Psychol 2015; 6:761. [PMID: 26136697 PMCID: PMC4468868 DOI: 10.3389/fpsyg.2015.00761] [Citation(s) in RCA: 150] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 05/22/2015] [Indexed: 11/13/2022] Open
Abstract
Our ability to differentiate between simple facial expressions of emotion develops between infancy and early adulthood, yet few studies have explored the developmental trajectory of emotion recognition using a single methodology across a wide age-range. We investigated the development of emotion recognition abilities through childhood and adolescence, testing the hypothesis that children's ability to recognize simple emotions is modulated by chronological age, pubertal stage and gender. In order to establish norms, we assessed 478 children aged 6-16 years, using the Ekman-Friesen Pictures of Facial Affect. We then modeled these cross-sectional data in terms of competence in accurate recognition of the six emotions studied, when the positive correlation between emotion recognition and IQ was controlled. Significant linear trends were seen in children's ability to recognize facial expressions of happiness, surprise, fear, and disgust; there was improvement with increasing age. In contrast, for sad and angry expressions there is little or no change in accuracy over the age range 6-16 years; near-adult levels of competence are established by middle-childhood. In a sampled subset, pubertal status influenced the ability to recognize facial expressions of disgust and anger; there was an increase in competence from mid to late puberty, which occurred independently of age. A small female advantage was found in the recognition of some facial expressions. The normative data provided in this study will aid clinicians and researchers in assessing the emotion recognition abilities of children and will facilitate the identification of abnormalities in a skill that is often impaired in neurodevelopmental disorders. If emotion recognition abilities are a good model with which to understand adolescent development, then these results could have implications for the education, mental health provision and legal treatment of teenagers.
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Affiliation(s)
- Kate Lawrence
- Department of Psychology, St Mary's University, Twickenham, London UK
| | - Ruth Campbell
- Deafness Cognition and Language Centre, University College London London, UK
| | - David Skuse
- Behavioural and Brain Sciences Unit, UCL Institute of Child Health, London UK
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