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Cited by 16Traumatic Brain Injury ResearchFace Recognition and PerceptionCognitive Functions and Memory

Behaviors of Concern after Acquired Brain Injury: The Role of Negative Emotion Recognition and Anger Misattribution

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Jorna, Lieke S., Westerhof-Evers, Herma J., Khosdelazad, Sara, Rakers, Sandra E., van der Naalt, Joukje, Groen, Rob J.M., Buunk, Anne M., Spikman, Jacoba M.·2021·Journal of the International Neuropsychological Society
DOI 10.1017/s135561772000140x
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Abstract

Objective: Behavioral changes are common after acquired brain injury (ABI) and may be caused by social cognition impairments. We investigated whether impaired emotion recognition, specifically Negative Emotion Recognition (NER) and Anger Misattribution (AM), after ABI was related to behavioral problems, so-called Behaviors of Concern (BoC). Method: The study included 139 participants with ABI and 129 healthy controls. BoC was measured using four scales of the Brock Adaptive Functioning Questionnaire (BAFQ): Impulsivity, Aggression, Social Monitoring, and Empathy. Both self-ratings and informant ratings of BoC were obtained. Emotion recognition was measured with the Ekman 60 Faces Test (FEEST). A NER score was composed of the summed scores on Anger, Disgust, Fear, and Sadness. An AM score was composed of the number of facial expressions wrongly recognized as Anger. Results: Total FEEST scores in ABI participants were significantly worse than in healthy controls. The effect size is moderate. Informants rated significantly more problems in Social Monitoring and Empathy than participants. Effect sizes were small. Scores on FEEST total, NER, and AM were significantly correlated to informant ratings of Social Monitoring. Correlations were weak to moderate. Conclusions: Worse NER and more profound AM were related to more informant-rated problems in social monitoring. In addition, informants rated more problems in social monitoring and empathy than participants. This strongly suggests problems in self-awareness in ABI participants. Consequently, social cognition tests and informant ratings should be used in clinical practice to improve the detection and treatment of BoC after ABI.

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Authors
Jorna, L. S., Westerhof-Evers, H. J., Khosdelazad, S., Rakers, S. E., van der Naalt, J., Groen, R. J. M., Buunk, A. M., & Spikman, J. M.
Affiliations
University Medical Center Groningen (NL)
Corresponding author
Jorna, Lieke S.
ORCID
Venue
Journal of the International Neuropsychological Society
Publisher
Cambridge University Press (CUP)
Published
2021-01-14
Volume
27
Issue
10
Pages
1015-1023
ISSN
  • 1355-6177 (ISSN-L)
  • 1469-7661
DOI
10.1017/s135561772000140x
OpenAlex
W3118585429
Cited by
16
References
4
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 5 · 2021: 4
FWCI
1.99
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of the International Neuropsychological Society (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords
acquired brain injury, negative emotion recognition, emotion recognition, social cognition, social monitoring, empathy, impulsivity, aggression, self-awareness, informant ratings
MeSH terms
Problem Behavior, Anger, Brain Injuries, Facial Expression, Humans, Neuropsychological Tests

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