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Facial-Affect Recognition Deficit as a Predictor of Different Aspects of Social-Communication Impairment in Traumatic Brain Injury

机译:面部影响创伤性脑损伤社会沟通障碍不同方面的预测因素

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Objective: To examine the relationship between facial-affect recognition and different aspects of self-and proxy-reported social-communication impairment following moderate-severe traumatic brain injury (TBI). Method: Forty-six adults with chronic TBI (6 months postinjury) and 42 healthy comparison (HC) adults were administered the La Trobe Communication Questionnaire (LCQ) Self and Other forms to assess different aspects of communication competence and the Emotion Recognition Test (ERT) to measure their ability to recognize facial affects. Results: Individuals with TBI underperformed HC adults in the ERT and self-reported, as well as were reported by close others, as having more communication problems than did HC adults. TBI group ERT scores were significantly and negatively correlated with LCQ-Other (but not LCQ-Self) scores (i.e., participants with lower emotion-recognition scores were rated by close others as having more communication problems). Multivariate regression analysis revealed that adults with higher ERT scores self-reported more problems with disinhibition-impulsivity and partner sensitivity and had fewer other-reported problems with disinhibition-impulsivity and conversational effectiveness. Conclusions: Our findings support growing evidence that emotion-recognition deficits play a role in specific aspects of social-communication outcomes after TBI and should be considered in treatment planning.
机译:目的:探讨面部影响识别与自我和代理报告的社会沟通障碍的不同方面的关系,后严重的创伤性脑损伤(TBI)。方法:使用慢性TBI(& 6个月Postinjury)和42个健康比较(HC)成年人的四十六名成年人进行了洛杉矶Trowe通信调查问卷(LCQ)自我和其他形式,以评估沟通能力和情感认可测试的不同方面(ert)以衡量其识别面部影响的能力。结果:在ERT和自我报告的情况下,具有TBI表现不佳的HC成年人的个体,以及近距离报告的沟通问题与HC成年人有关。 TBI Group ERT分数与LCQ-Other(但不是LCQ-Self)分数有显着和呈负相关(即,通过关闭其他沟通问题,通过近距离判定较低的情绪识别分数的参与者)。多元回归分析显示,具有较高的成年人的成年人评分是自我报告的令人沮丧冲动和伴侣敏感性的更多问题,并具有较少的其他报告的问题,令人沮丧冲动和会话效果。结论:我们的调查结果支持越来越多的证据表明情感认可赤字在TBI后的社会通信结果的具体方面发挥作用,并且应该在治疗计划中考虑。

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