Sex Differences in Emotion Recognition and Emotional Inferencing Following Severe Traumatic Brain Injury

The primary objective of the current study was to determine if men and women with traumatic brain injury (TBI) differ in their emotion recognition and emotional inferencing abilities. In addition to overall accuracy, we explored whether differences were contingent upon the target emotion for each task, or upon high- and low-intensity facial and vocal emotion expressions. A total of 160 participants (116 men) with severe TBI completed three tasks – a task measuring facial emotion recognition (DANVA-Faces), vocal emotion recognition (DANVA-Voices) and one measuring emotional inferencing (emotional inference from stories test (EIST)). Results showed that women with TBI were significantly more accurate in their recognition of vocal emotion expressions and also for emotional inferencing. Further analyses of task performance showed that women were significantly better than men at recognising fearful facial expressions and also facial emotion expressions high in intensity. Women also displayed increased response accuracy for sad vocal expressions and low-intensity vocal emotion expressions. Analysis of the EIST task showed that women were more accurate than men at emotional inferencing in sad and fearful stories. A similar proportion of women and men with TBI were impaired (≥ 2 SDs when compared to normative means) at facial emotion perception, χ2 = 1.45, p = 0.228, but a larger proportion of men was impaired at vocal emotion recognition, χ2 = 7.13, p = 0.008, and emotional inferencing, χ2 = 7.51, p = 0.006.

[1]  Bilge Mutlu,et al.  The female advantage: sex as a possible protective factor against emotion recognition impairment following traumatic brain injury , 2016, Cognitive, Affective, & Behavioral Neuroscience.

[2]  C. Bottari,et al.  Sentinel Events During the Transition From Hospital to Home: A Longitudinal Study of Women With Traumatic Brain Injury. , 2016, Archives of physical medicine and rehabilitation.

[3]  Barbra Zupan,et al.  Exploration of a new tool for assessing emotional inferencing after traumatic brain injury , 2015, Brain injury.

[4]  Barbra Zupan,et al.  A Randomized Controlled Trial of Emotion Recognition Training After Traumatic Brain Injury , 2015, The Journal of head trauma rehabilitation.

[5]  Skye McDonald,et al.  Facial Emotion Recognition Deficits following Moderate–Severe Traumatic Brain Injury (TBI): Re-examining the Valence Effect and the Role of Emotion Intensity , 2014, Journal of the International Neuropsychological Society.

[6]  A. E. Thompson,et al.  Sex differences in the ability to recognise non-verbal displays of emotion: A meta-analysis , 2014, Cognition & emotion.

[7]  Barbra Zupan,et al.  Affect Recognition in Traumatic Brain Injury: Responses to Unimodal and Multimodal Media , 2014, The Journal of head trauma rehabilitation.

[8]  Barbra Zupan,et al.  Recognition of facial and vocal affect following traumatic brain injury , 2014, Brain injury.

[9]  D. Perrett,et al.  Assessment of perception of morphed facial expressions using the Emotion Recognition Task: normative data from healthy participants aged 8-75. , 2014, Journal of neuropsychology.

[10]  J. Malec,et al.  Relationships Between Alexithymia, Affect Recognition, and Empathy After Traumatic Brain Injury , 2014, The Journal of head trauma rehabilitation.

[11]  I. J. Gill,et al.  Psychosocial and psychological factors associated with post-traumatic stress disorder following traumatic brain injury in adult civilian populations: A systematic review , 2014, Brain injury.

[12]  Barbra Zupan,et al.  The relationship between facial affect recognition and cognitive functioning after traumatic brain injury , 2013, Brain injury.

[13]  Alexander J. Radnovich,et al.  Affect recognition, empathy, and dysosmia after traumatic brain injury. , 2012, Archives of physical medicine and rehabilitation.

[14]  B. Mesquita,et al.  Context in Emotion Perception , 2011 .

[15]  M. Tomita,et al.  Meta-analysis of facial affect recognition difficulties after traumatic brain injury. , 2011, Neuropsychology.

[16]  H. Kessler,et al.  Expression intensity, gender and facial emotion recognition: Women recognize only subtle facial emotions better than men. , 2010, Acta psychologica.

[17]  A. Colantonio,et al.  Women's health outcomes after traumatic brain injury. , 2010, Journal of women's health.

[18]  M. Wald,et al.  Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths, 2002-2006 , 2010 .

[19]  F. Lepore,et al.  Women process multisensory emotion expressions more efficiently than men , 2010, Neuropsychologia.

[20]  C. Wallraven,et al.  Dynamic information for the recognition of conversational expressions. , 2009, Journal of vision.

[21]  F. Scharnowski,et al.  Long-lasting modulation of feature integration by transcranial magnetic stimulation. , 2009, Journal of vision.

[22]  S. Krach,et al.  Are women better mindreaders? Sex differences in neural correlates of mentalizing detected with functional MRI , 2009, BMC Neuroscience.

[23]  M. Ietswaart,et al.  Longitudinal aspects of emotion recognition in patients with traumatic brain injury , 2008, Neuropsychologia.

[24]  F. Gosselin,et al.  Audio-visual integration of emotion expression , 2008, Brain Research.

[25]  S. McDonald,et al.  Emotion perception deficits following traumatic brain injury: A review of the evidence and rationale for intervention , 2008, Journal of the International Neuropsychological Society.

[26]  Chongde Lin,et al.  The neural mechanism underlying the female advantage in identifying negative emotions: An event-related potential study , 2008, NeuroImage.

[27]  L. Turkstra.  Conversation-based assessment of social cognition in adults with traumatic brain injury , 2008, Brain injury.

[28]  Barbra Zupan,et al.  Overview of impaired facial affect recognition in persons with traumatic brain injury , 2007, Brain injury.

[29]  Lucy I Mullin,et al.  A female advantage in the recognition of emotional facial expressions: test of an evolutionary hypothesis , 2006 .

[30]  M. Ietswaart,et al.  Impairments in theory of mind shortly after traumatic brain injury and at 1-year follow-up. , 2006, Neuropsychology.

[31]  Stephen Camarata,et al.  Sex differences in processing speed: Developmental effects in males and females , 2006 .

[32]  S. McDonald,et al.  Theory of mind after traumatic brain injury , 2005, Neuropsychologia.

[33]  David I. Perrett,et al.  Sex differences in the perception of affective facial expressions: Do men really lack emotional sensitivity? , 2005, Cognitive Processing.

[34]  Evelyn C. Ferstl,et al.  Emotional and Temporal Aspects of Situation Model Processing during Text Comprehension: An Event-Related fMRI Study , 2005, Journal of Cognitive Neuroscience.

[35]  Angela D. Friederici,et al.  Sex differences in the preattentive processing of vocal emotional expressions , 2005, Neuroreport.

[36]  Judith A. Hall,et al.  KNOWLEDGE OF NONVERBAL CUES, GENDER, AND NONVERBAL DECODING ACCURACY , 2004 .

[37]  R Bruyer,et al.  Human gender differences in an emotional visual oddball task: an event-related potentials study , 2004, Neuroscience Letters.

[38]  Skye McDonald,et al.  Social perception deficits after traumatic brain injury: interaction between emotion recognition, mentalizing ability, and social communication. , 2004, Neuropsychology.

[39]  Judith A. Hall,et al.  Gender differences in judgments of multiple emotions from facial expressions. , 2004, Emotion.

[40]  S. Baron-Cohen,et al.  The Empathy Quotient: An Investigation of Adults with Asperger Syndrome or High Functioning Autism, and Normal Sex Differences , 2004, Journal of autism and developmental disorders.

[41]  J. Russell,et al.  Facial and vocal expressions of emotion. , 2003, Annual review of psychology.

[42]  S. Kotz,et al.  ERP Evidence for a Sex-Specific Stroop Effect in Emotional Speech , 2003, Journal of Cognitive Neuroscience.

[43]  Skye McDonald,et al.  Weak coherence, no theory of mind, or executive dysfunction? Solving the puzzle of pragmatic language disorders , 2003, Brain and Language.

[44]  R. Adolphs,et al.  Dissociable neural systems for recognizing emotions , 2003, Brain and Cognition.

[45]  J. Whyte,et al.  Gender and traumatic brain injury: Do the sexes fare differently? , 2003, Brain injury.

[46]  M. Milders,et al.  Neuropsychological Impairments and Changes in Emotional and Social Behaviour Following Severe Traumatic Brain Injury , 2003, Journal of clinical and experimental neuropsychology.

[47]  M L Phillips,et al.  Understanding the neurobiology of emotion perception: implications for psychiatry , 2003, British Journal of Psychiatry.

[48]  Simon Baron-Cohen,et al.  The systemizing quotient: an investigation of adults with Asperger syndrome or high-functioning autism, and normal sex differences. , 2003, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[49]  Chetwyn C. H. Chan,et al.  Gender differences in neural correlates of recognition of happy and sad faces in humans assessed by functional magnetic resonance imaging , 2002, Neuroscience Letters.

[50]  A. Friederici,et al.  Sex differentiates the role of emotional prosody during word processing. , 2002, Brain research. Cognitive brain research.

[51]  M. Erb,et al.  Dynamic Brain Activation during Processing of Emotional Intonation: Influence of Acoustic Parameters, Emotional Valence, and Sex , 2002, NeuroImage.

[52]  R. Adolphs.  Recognizing emotion from facial expressions: psychological and neurological mechanisms. , 2002, Behavioral and cognitive neuroscience reviews.

[53]  William D S Killgore,et al.  Sex-specific developmental changes in amygdala responses to affective faces , 2001, Neuroreport.

[54]  E. Frank,et al.  Recognition of Nonverbal Communication of Affect Following Traumatic Brain Injury , 2000 .

[55]  J F Thayer,et al.  Sex differences in judgement of facial affect: a multivariate analysis of recognition errors. , 2000, Scandinavian journal of psychology.

[56]  S. Nowicki,et al.  Accuracy in identifying affect in child and adult faces and voices and social competence in preschool children. , 1998, Genetic, social, and general psychology monographs.

[57]  Terri L. Bonebright,et al.  Gender stereotypes in the expression and perception of vocal affect , 1996 .

[58]  S. Nowicki,et al.  The measurement of emotional intensity from facial expressions. , 1993, The Journal of social psychology.

[59]  L. F. Barrett,et al.  Handbook of Emotions , 1993 .

[60]  S. Nowicki,et al.  The association of children's nonverbal decoding abilities with their popularity, locus of control, and academic achievement. , 1992 .

[61]  K. Scherer,et al.  Cues and channels in emotion recognition. , 1986 .

[62]  N. Ellemers.  Gender Stereotypes. , 2018, Annual review of psychology.

[63]  A. Freitas-Magalhães.  Facial Expression of Emotion , 2012 .

[64]  Duncan R Babbage,et al.  The importance of vocal affect to bimodal processing of emotion: implications for individuals with traumatic brain injury. , 2009, Journal of communication disorders.

[65]  J. Langlois,et al.  Traumatic brain injury in the United States; emergency department visits, hospitalizations, and deaths , 2006 .

[66]  M. Frank,et al.  The forced-choice paradigm and the perception of facial expressions of emotion. , 2001, Journal of personality and social psychology.

[67]  Johannes Schultz,et al.  Citation for Published Item: Publisher's Copyright Statement: Use Policy Neural Correlates of Facial Motion Perception 1 Natural Facial Motion Enhances Cortical Responses to Faces , 2022 .

[68]  K. LaBar,et al.  Functional Magnetic Resonance Imaging (fmri) Was Used to Compare Brain Activation to Static Facial Displays versus Dynamic Changes in Facial Identity or Emotional Expression. Static Images Depicted Prototypical Fearful, Angry and Neutral Expressions. Identity Morphs Depicted Identity Changes from On , 2022 .