Meta-Analysis of Facial Affect Recognition Difficulties After Traumatic Brain Injury
Meta-Analysis of Facial Affect Recognition Difficulties After Traumatic Brain Injury
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DOI：
10.1037/a0021908
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发表时间：
2011-05-01
期刊：
影响因子：
2.4
通讯作者：
Willer, Barry
中科院分区：
文献类型：
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作者：
Babbage, Duncan R.;Yim, Jackki;Willer, Barry
沟通和社会关系方面的困难对许多创伤性脑损伤 (TBI) 后的人来说是一个巨大的挑战。这些困难可能部分归因于情绪感知问题。越来越多的证据表明，创伤性脑损伤后，面部表情识别变得特别困难。然而，尚未尝试系统地估计该问题的严重程度或其发生的频率。方法：进行荟萃分析，检查 TBI 后面部情感识别困难的程度。据此，可以估计 TBI 人群中这些损伤的频率。效应大小是根据 13 项研究计算得出的，这些研究将患有中度至重度 TBI 的成年人与匹配的健康对照者在面部情感识别的静态测量方面进行比较。结果：这些研究共同提供了 296 名患有 TBI 的成年人和 296 名匹配对照者的数据。 13 项研究的总体加权平均效应大小为 -1.11，表明 TBI 患者在面部情感识别测量方面的平均表现比健康同龄人低约 1.1 SD。根据 TBI 总体标准差的估计和可能分布形状的建模，估计 13% 至 39% 的中度至重度 TBI 患者可能在面部表情识别方面存在显着困难，具体取决于所使用的截止标准。结论：这显然是一个值得关注的领域，特别是检查修复这些缺陷的技术。
Difficulties in communication and social relationships present a formidable challenge for many people after traumatic brain injury (TBI). These difficulties are likely to be partially attributable to problems with emotion perception. Mounting evidence shows facial affect recognition to be particularly difficult after TBI. However, no attempt has been made to systematically estimate the magnitude of this problem or the frequency with which it occurs. Method: A meta-analysis is presented examining the magnitude of facial affect recognition difficulties after TBI. From this, the frequency of these impairments in the TBI population is estimated. Effect sizes were calculated from 13 studies that compared adults with moderate to severe TBI to matched healthy controls on static measures of facial affect recognition. Results: The studies collectively presented data from 296 adults with TBI and 296 matched controls. The overall weighted mean effect size for the 13 studies was -1.11, indicating people with TBI on average perform about 1.1 SD below healthy peers on measures of facial affect recognition. Based on estimation of the TBI population standard deviation and modeling of likely distribution shape, it is estimated that between 13% and 39% of people with moderate to severe TBI may have significant difficulties with facial affect recognition, depending on the cut-off criterion used. Conclusion: This is clearly an area that warrants attention, particularly examining techniques for the rehabilitation of these deficits.