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Emotional Expression and Socially Modulated Emotive Communication in Children with Traumatic Brain Injury

Published online by Cambridge University Press:  19 November 2012

Maureen Dennis*
Affiliation:
Program in Neuroscience & Mental Health, The Hospital for Sick Children, Toronto, Ontario Department of Surgery, University of Toronto, Ontario
Alba Agostino
Affiliation:
Department of Psychology, Ryerson University, Toronto, Ontario
H.Gerry Taylor
Affiliation:
Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio Department of Pediatrics, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio
Erin D. Bigler
Affiliation:
Department of Psychology, Brigham Young University, Provo, Utah Department of Psychiatry, University of Utah, Salt Lake City, Utah
Kenneth Rubin
Affiliation:
Department of Psychology, University of Maryland, College Park, Maryland
Kathryn Vannatta
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Cynthia A. Gerhardt
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
Terry Stancin
Affiliation:
Department of Pediatrics, Rainbow Babies and Children's Hospital, University Hospitals Case Medical Center, Cleveland, Ohio Department of Pediatrics, MetroHealth Medical Center, Cleveland, Ohio
Keith Owen Yeates
Affiliation:
Department of Pediatrics, The Ohio State University, Columbus, Ohio Center for Biobehavioral Health, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio
*
Correspondence and reprint requests to: Maureen Dennis, Department of Psychology, The Hospital for Sick Children, 555 University Avenue, Toronto, ON. Canada, M5G 1X8. E-mail: maureen.dennis@sickkids.ca

Abstract

Facial emotion expresses feelings, but is also a vehicle for social communication. Using five basic emotions (happiness, sadness, fear, disgust, and anger) in a comprehension paradigm, we studied how facial expression reflects inner feelings (emotional expression) but may be socially modulated to communicate a different emotion from the inner feeling (emotive communication, a form of affective theory of mind). Participants were 8- to 12-year-old children with TBI (n = 78) and peers with orthopedic injuries (n = 56). Children with mild–moderate or severe TBI performed more poorly than the OI group, and chose less cognitively sophisticated strategies for emotive communication. Compared to the OI and mild–moderate TBI groups, children with severe TBI had more deficits in anger, fear, and sadness; neutralized emotions less often; produced socially inappropriate responses; and failed to differentiate the core emotional dimension of arousal. Children with TBI have difficulty understanding the dual role of facial emotions in expressing feelings and communicating socially relevant but deceptive emotions, and these difficulties likely contribute to their social problems. (JINS, 2013, 18, 1–10)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2012

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References

Adams, R.B. Jr., Ambady, N., Macrae, C.N., Kleck, R.E. (2006). Emotional expressions forecast approach-avoidance behavior. Motivation and Emotion, 30, 179188.CrossRefGoogle Scholar
Bennett, D.S. (2002). Facial expressivity at 4 months: A context by expression analysis. Infancy, 3, 97113.CrossRefGoogle ScholarPubMed
Berkman, E.T., Lieberman, M.D. (2009). Using neuroscience to broaden emotion regulation: Theoretical and methodological considerations. Social and Personality Psychology Compass, 3, 475493.CrossRefGoogle ScholarPubMed
Bornhofen, C., McDonald, S. (2008). Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention. Journal of the International Neuropsychological Society, 14, 511525.CrossRefGoogle ScholarPubMed
Brown, R.L. (2010). Epidemiology of injury and the impact of health disparities. Current Opinion in Pediatrics, 22, 321325.CrossRefGoogle ScholarPubMed
Chapman, S.B., Sparks, G., Levin, H.S., Dennis, M., Roncadin, C., Zhang, L., Song, J. (2004). Discourse macrolevel processing after severe pediatric traumatic brain injury. Developmental Neuropsychology, 25, 3760.CrossRefGoogle ScholarPubMed
Croker, V., McDonald, S. (2005). Recognition of emotion from facial expression following traumatic brain injury. Brain Injury, 19, 787789.CrossRefGoogle ScholarPubMed
Cunningham, W.A., Johnson, M.K. (2007). Attitudes and evaluation: Toward a component process framework. In E. Harmon-Jones & P. Winkielman (Eds.), Social neuroscience: Integrating biological and psychological explanations of social behavior (pp. 227245). New York: The Guilford Press.Google Scholar
Davidson, R.J. (1992). Anterior cerebral asymmetry and the nature of emotion. Brain and Cognition, 20(1), 125151.CrossRefGoogle ScholarPubMed
Dennis, M., Barnes, M.A. (2000). Speech acts after mild or severe childhood head injury. Aphasiology, 14, 391405.CrossRefGoogle Scholar
Dennis, M., Barnes, M.A. (2001). Comparison of literal, inferential, and intentional text comprehension in children with mild or severe closed head injury. Journal of Head Trauma Rehabilitation, 16, 114.CrossRefGoogle ScholarPubMed
Dennis, M., Barnes, M.A., Wilkinson, M., Humphreys, R.P. (1998). How children with head injury represent real and deceptive emotion in short narratives. Brain and Language, 61, 450483.CrossRefGoogle ScholarPubMed
Dennis, M., Francis, D.J., Cirino, P.T., Schachar, R., Barnes, M.A., Fletcher, J.M. (2009). Why IQ is not a covariate in cognitive studies of neurodevelopmental disorders. Journal of the International Neuropsychological Society, 15, 331343.CrossRefGoogle Scholar
Dennis, M., Purvis, K., Barnes, M.A., Wilkinson, M., Winner, E. (2001). Understanding of literal truth, ironic criticism, and deceptive praise following childhood head injury. Brain and Language, 78, 116.CrossRefGoogle ScholarPubMed
Gray, J.A. (1990). Brain systems that mediate both emotion and cognition. Cognition and Emotion, 4, 269288.CrossRefGoogle Scholar
Green, M.J., Williams, L.M., Davidson, D. (2003). In the face of danger: Specific viewing strategies for facial expressions of threat? Cognition and Emotion, 17, 779786.CrossRefGoogle Scholar
Green, R.E., Turner, G.R., Thompson, W.F. (2004). Deficits in facial emotion perception in adults with recent traumatic brain injury. Neuropsychologia, 42, 133141.CrossRefGoogle ScholarPubMed
Hauser, R.M., Warren, J.R. (1997). Socioeconomic indexes for occupations: A review, update, and critique. Sociological Methodology, 27, 177298.CrossRefGoogle Scholar
Hein, G., Singer, T. (2008). I feel how you feel but not always: The empathic brain and its modulation. Current Opinion in Neurobiology, 18, 153158.CrossRefGoogle Scholar
Howard, I., Joseph, J.G., Natale, J.E. (2005). Pediatric traumatic brain injury: Do racial/ethnic disparities exist in brain injury severity, mortality, or medical disposition? Ethnicity & Disease, 15(4, Suppl. 5), 5156.Google ScholarPubMed
Huang, L., Galinsky, A.D. (2011). Mind-body dissonance: Conflict between the senses expands the mind's horizon. Social Psychological and Personality Science, 2, 351359.CrossRefGoogle Scholar
Ietswaart, M., Milders, M., Crawford, J., Currie, D., Scott, C.L. (2008). Longitudinal aspects of emotion recognition in patients with traumatic brain injury. Neuropsychologia, 46, 148159.CrossRefGoogle ScholarPubMed
Langlois, J.A., Rutland-Brown, W., Thomas, K.E. (2005). The incidence of traumatic brain injury among children in the United States: Differences by race. Journal of Head Trauma Rehabilitation, 20, 229238.CrossRefGoogle ScholarPubMed
Leblanc, N., Chen, S., Swank, P., Ewing-Cobbs, L., Barnes, M., Dennis, M., Schachar, R. (2005). Response inhibition after traumatic brain injury (TBI) in children: Impairment and recovery. Developmental Neuropsychology, 28, 829848.CrossRefGoogle ScholarPubMed
McKinlay, A., Kyonka, E.G.E., Grace, R.C., Horwood, L.J., Fergusson, D.M., MacFarlane, M.R. (2010). An investigation of the pre-injury risk factors associated with children who experience traumatic brain injury. Injury Prevention, 16, 3135.CrossRefGoogle ScholarPubMed
Parslow, R.C., Morris, K.P., Tasker, R.C., Forsyth, R.J., Hawley, C.A. (2005). Epidemiology of traumatic brain injury in children receiving intensive care in the UK. Archives of Disease in Childhood, 90, 11821187.CrossRefGoogle ScholarPubMed
Pessoa, L. (2008). On the relationship between emotion and cognition. Nature Reviews Neuroscience, 9, 148158.CrossRefGoogle ScholarPubMed
Roncadin, C., Guger, S., Archibald, J., Barnes, M., Dennis, M. (2004). Working memory after mild, moderate, or severe childhood head injury. Developmental Neuropsychology, 25, 2136.CrossRefGoogle ScholarPubMed
Russell, J.A. (1979). Affective space is bipolar. Journal of Personality and Social Psychology, 37, 345356.CrossRefGoogle Scholar
Saarni, C. (1984). An observational study of children's attempts to monitor their expressive behavior. Child Development, 55, 15041513.CrossRefGoogle Scholar
Satpute, A.B., Lieberman, M.D. (2006). Integrating automatic and controlled processes into neurocognitive models of social cognition. Brain Research, 1, 8697.CrossRefGoogle Scholar
Schmidt, A.T., Hanten, G.R., Li, X., Orsten, K.D., Levin, H.S. (2010). Emotion recognition following pediatric traumatic brain injury: Longitudinal analysis of emotional prosody and facial emotion recognition. Neuropsychologia, 48, 28692877.CrossRefGoogle ScholarPubMed
Schrammel, F., Pannasch, S., Graupner, S., Mojzisch, A., Velichkoysky, B.M. (2009). Virtual friend or threat? The effects of facial expression and gaze interaction on psychophysiological responses and emotional experience. Psychophysiology, 46, 922931.CrossRefGoogle ScholarPubMed
Shackman, A.J., Salomons, T.V., Slagter, H.A., Fox, A.S., Winter, J.J., Davidson, R.J. (2011). The integration of negative affect, pain and cognitive control in the cingulate cortex. Nature Reviews Neuroscience, 12, 154167.CrossRefGoogle ScholarPubMed
Sinopoli, K.J., Dennis, M. (2012). Inhibitory control after traumatic brain injury in children. International Journal of Developmental Neuroscience, 30, 207215. doi:10.1016/j.ijdevneu.2011.08.006CrossRefGoogle ScholarPubMed
Sinopoli, K.J., Schachar, R.S., Dennis, M. (2011). Traumatic brain injury and secondary attention-deficit/hyperactivity disorder in children and adolescents: The effect of reward on inhibitory control. Journal of Clinical and Experimental Neuropsychology, 33, 805819.CrossRefGoogle ScholarPubMed
Spell, L., Frank, E. (2000). Recognition of nonverbal communication of affect following traumatic brain injury. Journal of Nonverbal Behavior, 24, 285300.CrossRefGoogle Scholar
Teasdale, G., Jennett, B. (1974). Assessment of coma and impaired consciousness. A practical scale. Lancet, 2, 8184.CrossRefGoogle ScholarPubMed
Tlustos, S.J., Chiu, C.Y.P., Walz, N.C., Taylor, H.G., Yeates, K.O., Wade, S.L. (2011). Emotion labeling and socio-emotional outcomes 18 months after early childhood traumatic brain injury. Journal of the International Neuropsychological Society, 17, 11321142.CrossRefGoogle ScholarPubMed
Tonks, J., Williams, W.H., Frampton, I., Yates, P., Slater, A. (2007). Assessing emotion recognition in 9–15-years olds: Preliminary analysis of abilities in reading emotion from faces, voices and eyes. Brain Injury, 21, 623629.CrossRefGoogle ScholarPubMed
Tonks, J., Williams, W.H., Frampton, I., Yates, P., Wall, S.E., Slater, A. (2008). Reading emotions after childhood brain injury: Case series evidence of dissociation between cognitive abilities and emotional expression processing skills. Brain Injury, 22, 325332.CrossRefGoogle ScholarPubMed
Wechsler, D. (1999). Wechsler abbreviated scale of intelligence (WASI). New York: Pearson.Google Scholar
Yates, P.J., Williams, W.H., Harris, A., Round, A., Jenkins, R. (2006). An epidemiological study of head injuries in a UK population attending an emergency department. Journal of Neurology, Neurosurgery, & Psychiatry, 77, 699701.CrossRefGoogle Scholar
Yeates, K.O., Bigler, E.D., Dennis, M., Gerhardt, C.A., Rubin, K.H., Stancin, T., Vannatta, K. (2007). Social outcomes in childhood brain disorder: A heuristic integration of social neuroscience and developmental psychology. Psychological Bulletin, 133, 535556.CrossRefGoogle ScholarPubMed
Yeates, K.O., Taylor, G.H., Rusin, J., Bangert, B., Dietrich, A., Nuss, K., Jones, B.L. (2009). Longitudinal trajectories of postconcussive symptoms in children with mild traumatic brain injuries and their relationship to acute clinical status. Pediatrics, 121, 735743.CrossRefGoogle Scholar