Social Cognition Impairments in Relation to General Cognitive Deficits, Injury Severity, and Prefrontal Lesions in Traumatic Brain Injury Patients
| Autor: | Wencke S. Veenstra, Joukje van der Naalt, Jacoba M. Spikman, Marieke E. Timmerman, Maarten Valentijn Milders |
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| Přispěvatelé: | Clinical Neuropsychology, Psychometrics and Statistics |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Traumatic brain injury POSTTRAUMATIC AMNESIA Amnesia Poison control Prefrontal Cortex social cognition Neuropsychological Tests EMOTION PERCEPTION DEFICITS WORKING-MEMORY Social cognition emotion recognition medicine CEREBRAL CONTUSIONS Humans Psychiatry MIND IMPAIRMENTS CONSTRUCT-VALIDITY traumatic brain injury EXECUTIVE FUNCTIONS Neuropsychology Social Behavior Disorders Cognition medicine.disease Executive functions Magnetic Resonance Imaging DIFFUSE AXONAL INJURY prefrontal lesions Brain Injuries Closed head injury injury severity Female Neurology (clinical) medicine.symptom Psychology Cognition Disorders CLOSED-HEAD INJURY GLASGOW COMA SCALE Clinical psychology |
| Zdroj: | Journal of Neurotrauma, 29(1), 101-111. MARY ANN LIEBERT, INC |
| ISSN: | 0897-7151 |
| Popis: | Impairments in social behavior are frequently found in moderate to severe traumatic brain injury (TBI) patients and are associated with an unfavorable outcome with regard to return to work and social reintegration. Neuropsychological tests measuring aspects of social cognition are thought to be sensitive to these problems. However, little is known about the effect of general cognitive problems on these tests, nor about their sensitivity to injury severity and frontal lesions. In the present study 28 chronic TBI patients with a moderate to severe TBI were assessed with tests for social cognition (emotion recognition, Theory of Mind, and empathy), and for general, non-social cognition (memory, mental speed, attention, and executive function). The patients performed significantly worse than healthy controls on all measures, with the highest effect size for the emotion recognition test, the Facial Expressions of Emotion-Stimuli and Tests (FEEST). Correlation analyses yielded no significant (partial) correlations between social and non-social cognition tests. Consequently, poor performance on social cognition tests was not due to general cognitive deficits. In addition, the emotion recognition test was the only measure that was significantly related to post-traumatic amnesia (PTA) duration, Glasgow Coma Scale (GCS) score, and the presence of prefrontal lesions. Hence, we conclude that social cognition tests are a valuable supplement to a standard neuropsychological examination, and we strongly recommend the incorporation of measurements of social cognition in clinical practice. Preferably, a broader range of social cognition tests would be applied, since our study demonstrated that each of the measures represents a unique aspect of social cognition, but if capacity is limited, at least a test for emotion recognition should be included. |
| Databáze: | OpenAIRE |
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