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Community Integration in Traumatic Brain Injury: The Contributing Factor of Affect Recognition Deficits

Published online by Cambridge University Press:  10 June 2019

Allison S. Binder ,
Katie Lancaster Open the ORCID record for Katie Lancaster [Opens in a new window] ,
Jean Lengenfelder ,
Nancy D. Chiaravalloti  and
Helen M. Genova
Allison S. Binder
Affiliation:
Goodwill Industries of Central Texas, Austin, TX, USA
Katie Lancaster*
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Jean Lengenfelder
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Nancy D. Chiaravalloti
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
Helen M. Genova*
Affiliation:
Kessler Foundation, West Orange, NJ, USA Rutgers-NJ Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ, USA
*
Correspondence and reprint requests to: Helen M. Genova, 120 Eagle Rock Avenue, Suite 100, East Hanover, NJ, USA. E-mail: hgenova@KesslerFoundation.org
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Abstract

Objective: Individuals with traumatic brain injury (TBI) can experience social isolation, which is damaging to well-being and counterproductive to successful rehabilitation. It has been proposed that social cognitive deficits that commonly result from TBI may contribute to weakened social integration. However, the consequences of specific social cognitive deficits in TBI are still being delineated. The current work sought to better characterize the relationship between community integration and facial affect recognition (FAR) in TBI. Participants and Methods: A total of 27 participants with moderate to severe TBI and 30 healthy controls (HCs) completed two tests of FAR, which employed either static photographic stimuli or dynamic video stimuli (The Awareness of Social Inference Test). The Community Integration Questionnaire was also administered to participants. Results: Participants with TBI were significantly impaired on both the static and dynamic FAR measures, yet the deficits were most pronounced within the dynamic task. Furthermore, participants with TBI reported lower community integration compared with HCs. FAR was positively associated with community integration in both groups, such that participants with proficient affect recognition skills were better integrated into their communities. Conclusions: FAR deficits may contribute to the lack of community integration often observed in TBI; thus, interventions designed to improve FAR may be beneficial to this population’s ability to successfully reintegrate into society.

Keywords

TBITraumatic brain injuryFacial affect recognitionEmotion recognitionTASITCommunity integrationSocial integrationSocial cognition
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 8 , September 2019 , pp. 890 - 895
Copyright
Copyright © INS. Published by Cambridge University Press, 2019. 

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Footnotes

†

Equally contributing authors.

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