Semin Speech Lang 2019; 40(01): 013-026
DOI: 10.1055/s-0038-1676364
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Disorders of Emotional Communication in Traumatic Brain Injury

Lisa Wauters
1   Department of Communication Sciences and Disorders, University of Texas, Austin, Texas
,
Thomas P. Marquardt
1   Department of Communication Sciences and Disorders, University of Texas, Austin, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
07 January 2019 (online)

Abstract

Traumatic brain injury (TBI) leads to a wide array of behavioral and cognitive deficits. Individuals with TBI often demonstrate difficulties with the recognition and expression of emotion communicated through multiple modalities including facial expression, vocal prosody, and linguistic content. Deficits in emotional communication contribute to a pattern of social pragmatic communication problems, leading to decreased psychosocial function. Growing evidence supports intervention targeting affective processing. This article summarizes the current evidence for evaluation and treatment of affective processing disorders in TBI.

Disclosures

The authors do not have any financial or personal disclosures.


 
  • References

  • 1 Faul M, Xu L, Wald M, Coronado V. Traumatic Brain Injury in the United States: Emergency Department Visits, Hospitalizations, and Deaths. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2011
  • 2 Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil 2006; 21 (05) 375-378
  • 3 Taylor CA, Bell JM, Breiding MJ, Xu L. Traumatic brain injury-related emergency department visits, hospitalizations, and deaths - united states, 2007 and 2013. MMWR Surveill Summ 2017; 66 (09) 1-16
  • 4 Grattan LM, Ghahramanlou M. The rehabilitation of neurologically based social disturbances. In: Eslinger PJ, ed. Neuropsychological Interventions: Clinical Research and Practice. New York, NY: Guilford Press; 2002: 267-293
  • 5 Hoofien D, Gilboa A, Vakil E, Donovick PJ. Traumatic brain injury (TBI) 10-20 years later: a comprehensive outcome study of psychiatric symptomatology, cognitive abilities and psychosocial functioning. Brain Inj 2001; 15 (03) 189-209
  • 6 Yates PJ. Psychological adjustment, social enablement and community integration following acquired brain injury. Neuropsychol Rehabil 2003; 13 (1–2): 291-306
  • 7 Menon DK, Schwab K, Wright DW, Maas AI. ; Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and Psychological Health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil 2010; 91 (11) 1637-1640
  • 8 Ghajar J. Traumatic brain injury. Lancet 2000; 356 (9233): 923-929
  • 9 Bigler E. Neuropathology of traumatic brain injury. In: Bigler E, ed. Traumatic Brain Injury. Austin, TX: PRO-ED; 1990: 13-49
  • 10 Dikmen SS, Corrigan JD, Levin HS, Machamer J, Stiers W, Weisskopf MG. Cognitive outcome following traumatic brain injury. J Head Trauma Rehabil 2009; 24 (06) 430-438
  • 11 Ylvisaker M, Gioia GA. Cognitive assessment. In: Yvilsaker M, ed. Traumatic Brain Injury Rehabilitation: Children and Adolescents. Boston, MA: Butterworth-Heineman; 1998: 159-179
  • 12 Schwartz R, Pell MD. Emotional speech processing at the intersection of prosody and semantics. PLoS One 2012; 7 (10) e47279
  • 13 Zupan B, Neumann D, Babbage DR, Willer B. The importance of vocal affect to bimodal processing of emotion: implications for individuals with traumatic brain injury. J Commun Disord 2009; 42 (01) 1-17
  • 14 Karow CM, Connors EC. Affective communication in normal and brain-damaged adults: an overview. Semin Speech Lang 2003; 24 (02) 69-91
  • 15 Schirmer A. Emotion. Los Angeles, CA: SAGE Publications; 2014
  • 16 Aday J, Rizer W, Carlson JM. Neural mechanisms of emotions and affect. In: Jeon M, ed. Emotions and Affect in Human Factors and Human-Computer Interaction. Elsevier; 2017: 27-87
  • 17 Adolphs R, Damasio H, Tranel D. Neural systems for recognition of emotional prosody: a 3-D lesion study. Emotion 2002; 2 (01) 23-51
  • 18 Pell MD. Cerebral mechanisms for understanding emotional prosody in speech. Brain Lang 2006; 96 (02) 221-234
  • 19 Kucharska-Pietura K, Phillips ML, Gernand W, David AS. Perception of emotions from faces and voices following unilateral brain damage. Neuropsychologia 2003; 41 (08) 1082-1090
  • 20 Lindquist KA, Wager TD, Kober H, Bliss-Moreau E, Barrett LF. The brain basis of emotion: a meta-analytic review. Behav Brain Sci 2012; 35 (03) 121-143
  • 21 Ekman P. Are there basic emotions?. Psychol Rev 1992; 99 (03) 550-553
  • 22 Bradley MM, Cuthbert BN, Lang PJ. Picture media and emotion: effects of a sustained affective context. Psychophysiology 1996; 33 (06) 662-670
  • 23 Green RE, Turner GR, Thompson WF. Deficits in facial emotion perception in adults with recent traumatic brain injury. Neuropsychologia 2004; 42 (02) 133-141
  • 24 Jackson HF, Moffat NJ. Impaired emotional recognition following severe head injury. Cortex 1987; 23 (02) 293-300
  • 25 Milders M, Fuchs S, Crawford JR. Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury. J Clin Exp Neuropsychol 2003; 25 (02) 157-172
  • 26 Watts A, Douglas J. Interpreting facial expression and communication competence following severe traumatic brain injury. Aphasiology 2006; 20: 707-722
  • 27 Croker V, McDonald S. Recognition of emotion from facial expression following traumatic brain injury. Brain Inj 2005; 19 (10) 787-799
  • 28 Turkstra LS, Kraning SG, Riedeman SK, Mutlu B, Duff M, VanDenHeuvel S. Labelling facial affect in context in adults with and without TBI. Brain Impair 2017; 18 (01) 49-61
  • 29 Marquardt TP, Rios-Brown M, Richburg T, Seibert LK, Cannito MP. Comprehension and expression of affective sentences in traumatic brain injury. Aphasiology 2001; 15: 1091-1101
  • 30 Prigatano GP, Pribram KH. Perception and memory of facial affect following brain injury. Percept Mot Skills 1982; 54 (03) 859-869
  • 31 Spell LA, Frank E. Recognition of nonverbal communication of affect following traumatic brain injury. J Nonverbal Behav 2000; 24: 285-300
  • 32 Dimoska A, McDonald S, Pell MC, Tate RL, James CM. Recognizing vocal expressions of emotion in patients with social skills deficits following traumatic brain injury. J Int Neuropsychol Soc 2010; 16 (02) 369-382
  • 33 Knox L, Douglas J. Long-term ability to interpret facial expression after traumatic brain injury and its relation to social integration. Brain Cogn 2009; 69 (02) 442-449
  • 34 Czimskey N, Marquardt T. Recall of emotional and neutral words and paragraphs in traumatic brain damage. Aphasiology 2018 Doi: 10.1080/02687038.2018.1512079
  • 35 Cahill L, McGaugh JL. A novel demonstration of enhanced memory associated with emotional arousal. Conscious Cogn 1995; 4 (04) 410-421
  • 36 Kensinger EA, Anderson A, Growdon JH, Corkin S. Effects of Alzheimer disease on memory for verbal emotional information. Neuropsychologia 2004; 42 (06) 791-800
  • 37 Nieuwenhuis-Mark RE, Schalk K, de Graaf N. Free recall and learning of emotional word lists in very elderly people with and without dementia. Am J Alzheimers Dis Other Demen 2009; 24 (02) 155-162
  • 38 Borgaro SR, Prigatano GP, Kwasnica C, Rexer JL. Cognitive and affective sequelae in complicated and uncomplicated mild traumatic brain injury. Brain Inj 2003; 17 (03) 189-198
  • 39 Prigatano GP, Amin K, Rosenstein LD. Administration and Scoring Manual for the BNI Screen for Higher Cerebral Functions. Phoenix, AZ: Barrow Neurological Institute; 1995
  • 40 Byom LJ, Turkstra L. Effects of social cognitive demand on Theory of Mind in conversations of adults with traumatic brain injury. Int J Lang Commun Disord 2012; 47 (03) 310-321
  • 41 Neumann D, Babbage DR, Zupan B, Willer B. A randomized controlled trial of emotion recognition training after traumatic brain injury. J Head Trauma Rehabil 2015; 30 (03) E12-E23
  • 42 Williams C, Wood RL. Impairment in the recognition of emotion across different media following traumatic brain injury. J Clin Exp Neuropsychol 2010; 32 (02) 113-122
  • 43 Douglas J. So that's the way it is for me—always being left out. Acquired pragmatic language impairment and social functioning following traumatic brain injury. Brain Impair 2017; 18 (03) 321-331
  • 44 Bibby H, McDonald S. Theory of mind after traumatic brain injury. Neuropsychologia 2005; 43 (01) 99-114
  • 45 Prigatano GP. Personality disturbances associated with traumatic brain injury. J Consult Clin Psychol 1992; 60 (03) 360-368
  • 46 Kendall E. Psychosocial adjustment following closed head injury: a model for understanding individual differences and predicting outcome. Neuropsychol Rehabil 1996; 6: 102-132
  • 47 Brooks N, McKinlay W, Symington C, Beattie A, Campsie L. Return to work within the first seven years of severe head injury. Brain Inj 1987; 1 (01) 5-19
  • 48 Babbage DR, Yim J, Zupan B, Neumann D, Tomita MR, Willer B. Meta-analysis of facial affect recognition difficulties after traumatic brain injury. Neuropsychology 2011; 25 (03) 277-285
  • 49 Turkstra LS, Coelho C, Ylvisaker M. The use of standardized tests for individuals with cognitive-communication disorders. Semin Speech Lang 2005; 26 (04) 215-222
  • 50 Coelho C, Ylvisaker M, Turkstra LS. Nonstandardized assessment approaches for individuals with traumatic brain injuries. Semin Speech Lang 2005; 26 (04) 223-241
  • 51 Constantinidou F, Kennedy M. Traumatic brain injury in adults. In: Papathanasiou I, Coppens P, Potagas C, eds. Aphasia and Related Neurogenic Communication Disorders. Burlington, MA: JB Learning; 2013: 365-396
  • 52 Frith M, Togher L, Ferguson A, Levick W, Docking K. Assessment practices of speech-language pathologists for cognitive communication disorders following traumatic brain injury in adults: an international survey. Brain Inj 2014; 28 (13–14): 1657-1666
  • 53 Payne J, Ommaya A. Traumatic brain injury in the older adult. In: Payne J, ed. Adult Neurogenic Language Disorders: Assessment and Treatment. San Diego, CA: Singular; 1997: 365-396
  • 54 Bowers D, Blonder LX, Heilman KM. Florida Affect Battery. Gainesville, FL: University of Florida; 1999
  • 55 Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure. J Psychosom Res 1994; 38 (01) 23-32
  • 56 Nowicki S, Duke MP. Individual differences in the nonverbal communication of affect: The Diagnostic Analysis of Nonverbal Accuracy Scale. J Nonverbal Behav 1994; 18 (01) 9-35
  • 57 Froming K, Levy M, Schaffer S, Ekman P. The Comprehensive Affect Testing System. Psychology Software, Inc.; 2006
  • 58 McDonald S, Flanagan S, Rollins J, Kinch J. TASIT: A new clinical tool for assessing social perception after traumatic brain injury. J Head Trauma Rehabil 2003; 18 (03) 219-238
  • 59 Ben-David BM, van Lieshout PH, Leszcz T. A resource of validated affective and neutral sentences to assess identification of emotion in spoken language after a brain injury. Brain Inj 2011; 25 (02) 206-220
  • 60 Zupan B, Neumann D, Babbage DR, Willer B. Exploration of a new tool for assessing emotional inferencing after traumatic brain injury. Brain Inj 2015; 29 (7–8): 877-887
  • 61 Sass K, Fetz K, Oetken S, Habel U, Heim S. Emotional verbal fluency: a new task on emotion and executive function interaction. Behav Sci (Basel) 2013; 3 (03) 372-387
  • 62 Bornhofen C, Mcdonald S. Treating deficits in emotion perception following traumatic brain injury. Neuropsychol Rehabil 2008; 18 (01) 22-44
  • 63 Radice-Neumann D, Zupan B, Babbage DR, Willer B. Overview of impaired facial affect recognition in persons with traumatic brain injury. Brain Inj 2007; 21 (08) 807-816
  • 64 Bornhofen C, McDonald S. Emotion perception deficits following traumatic brain injury: a review of the evidence and rationale for intervention. J Int Neuropsychol Soc 2008; 14 (04) 511-525
  • 65 Bornhofen C, McDonald S. Comparing strategies for treating emotion perception deficits in traumatic brain injury. J Head Trauma Rehabil 2008; 23 (02) 103-115
  • 66 McDonald S, Saunders JC. Differential impairment in recognition of emotion across different media in people with severe traumatic brain injury. J Int Neuropsychol Soc 2005; 11 (04) 392-399
  • 67 Ibáñez A, Petroni A, Urquina H. , et al. Cortical deficits of emotional face processing in adults with ADHD: its relation to social cognition and executive function. Soc Neurosci 2011; 6 (5–6): 464-481
  • 68 Kennedy MR, Coelho C, Turkstra L. , et al. Intervention for executive functions after traumatic brain injury: a systematic review, meta-analysis and clinical recommendations. Neuropsychol Rehabil 2008; 18 (03) 257-299
  • 69 Cicerone K, Levin H, Malec J, Stuss D, Whyte J. Cognitive rehabilitation interventions for executive function: moving from bench to bedside in patients with traumatic brain injury. J Cogn Neurosci 2006; 18 (07) 1212-1222
  • 70 Ylvisaker M, Turkstra LS, Coelho C. Behavioral and social interventions for individuals with traumatic brain injury: a summary of the research with clinical implications. Semin Speech Lang 2005; 26 (04) 256-267
  • 71 Togher L, Power E, Rietdijk R, McDonald S, Tate R. An exploration of participant experience of a communication training program for people with traumatic brain injury and their communication partners. Disabil Rehabil 2012; 34 (18) 1562-1574
  • 72 Douglas JM, Knox L, De Maio C, Bridge H. Improving communication-specific coping after traumatic brain injury: Evaluation of a new treatment using single-case experimental design. Brain Impair 2014; 15 (03) 190-201
  • 73 Wiltshire GE, Ehrlich C. Is conversation partner training effective in assisting individuals with a traumatic brain injury to display improved communication outcomes?. J Soc Incl 2014; 15: 9-26