Emotion perception and alexithymia in people with severe traumatic brain injury: One disorder or two? a preliminary investigation

Brain Impairment

Volumn 12, Issue 3, 2011, Pages 165-178

  McDonald, Skye ^a   Rosenfeld, Julia ^a   Henry, Julie D ^a   Togher, Leanne ^a   Tate, Robyn ^a   Bornhofen, Cristina ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Alexithymia; Emotion perception; Traumatic brain injury

Indexed keywords

ADULT; ALEXITHYMIA; ARTICLE; CLINICAL ARTICLE; CLINICAL EXAMINATION; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DISEASE ASSOCIATION; EMOTIONAL DISORDER; EMOTIONALITY; FACIAL EXPRESSION; FEAR; FEMALE; HUMAN; MALE; POSTTRAUMATIC STRESS DISORDER; TRAUMATIC BRAIN INJURY;

EID: 84555208275     PISSN: 14439646     EISSN: 18395252     Source Type: Journal    
DOI: 10.1375/brim.12.3.165     Document Type: Article

References (88)

1. Adams, J.H., Doyle, D., Ford, I., Gennarelli, T.A., Graham, D.I., & McLellan, D.R. (1989). Diffuse axonal injury in head injury: Definition, diagnosis and grading. Histopathology, 15(1), 49-59.
2. Adolphs, R. (2002). Neural systems for recognizing emotion. Current Opinion in Neurobiology, 12(2), 169-177.
3. Allerdings, M.D., & Alfano, D.P. (2001). Alexithymia and impaired affective behavior following traumatic brain injury. Brain and Cognition, 47, 304-306.
4. Badura, A.S. (2003). Theoretical and empirical exploration of the similarities between emotional numbing in posttraumatic stress disorder and alexithymia. Journal of Anxiety Disorders, 17(3), 349-360.
5. Bagby, R.M., Parker, J.D.A., & Taylor, G.J. (1994). The 20-item Toronto Alexithymia Scale: Item selection and cross validation of the item structure. Journal of Psychosomatic Research, 38, 23-32.
6. Becerra, R.A.A., & Jongenelis, S. (2002). Organic alexithymia: A study of acquired emotional blindness. Brain Injury, 16(7), 633-645.
7. Berenbaum, H., & Prince, J.D. (1994). Alexithymia and the interpretation of emotion-relevant information. Cognition & Emotion, 8(3), 231-244.
8. Berthoz, S., Artiges, E., Van de Moortele, P.-F., Poline, J.-B., Rouquette, S.C., Silla, M., & Martinot, J.-L. (2002). Effect of impaired recognition and expression of emotions on frontocingulate cortices: An fMRI study of men with alexithymia. American Journal of Psychiatry, 159(6), 961-967
9. Bird, K., Hadzi-Pavlovic, D., & Isaac, A. (2001). PSY: A program for contrast analysis. Sydney, Australia: University of New South Wales.
10. Bombardier, C.H., Fann, J.R., Temkin, N., Esselman, P.C., Pelzer, E., Keough, M., & Dikmen, S. (2006). Posttraumatic stress disorder symptoms during the first six months after traumatic brain injury. Journal of Neuropsychiatry & Clinical Neurosciences, 18(4), 501-508
11. Brooks, D.N., & McKinlay, W. (1983). Personality and behavioural change after severe blunt head injury - a relative's view. Journal of Neurology, Neurosurgery & Psychiatry, 46(4), 336-344.
12. Bryant, R.A., Marosszeky, J.E., Crooks, J., & Gurka, J.A. (2000). Posttraumatic stress disorder after severe traumatic brain injury. American Journal of Psychiatry, 157(4), 629-631.
13. Cohen, J. (1988). Statistical power analyses for the behavioural sciences. Hillsdale, NJ: Lawrence Erlbaum.
14. Connelly, M., & Denney, D.R. (2007). Regulation of emotions during experimental stress in alexithymia. Journal of Psychosomatic Research, 62(6), 649-656.
15. Courville, C.B. (1945). Pathology of the nervous system (2nd ed.). Mountain View, CA: California Pacific Press.
16. Croker, V., & McDonald, S. (2005). Recognition of emotion from facial expression following traumatic brain injury. Brain Injury, 19, 787-789.
17. Eizaguirre, A., de Cabezón, A.O., Alda, I.O., de Olariaga, L.J., & Juaniz, M. (2004). Alexithymia and its relationships with anxiety and depression in eating disorders. Personality and Individual Differences, 36(2), 321-331
18. Ekman, P., & Freisen, W.V. (1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychological Press.
19. Felmingham, K.L., Bryant, R.A., & Gordon, E. (2003). Processing angry and neutral faces in post-traumatic stress disorder: An event-related potentials study. Neuroreport: For Rapid Communication of Neuroscience Research, 14(5), 777-780
20. Foa, E.B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder. The Posttraumatic Diagnostic Scale. Psychological Assessment, 19, 445-451.
21. Frewen, P.A., Lanius, R.A., Dozois, D.J.A., Neufeld, R.W.J., Pain, C., Hopper, J.W., Stevens, T.K. (2008). Clinical and neural correlates of alexithymia in posttraumatic stress disorder. Journal of Abnormal Psychology, 117(1), 171-181.
22. Gentry, L.R., Godersky, J.C., & Thompson, B. (1988). MR imaging of head trauma: Review of the distribution and radiopathologic features of traumatic lesions. American Journal of Roentgenology, 150, 663-672.
23. Green, R.E.A., Turner, G.R., & Thompson, W.F. (2004). Deficits in facial emotion perception in adults with recent traumatic brain injury. Neuropsychologia, 42, 133-141.
24. Greenspan, A.I., Stringer, A.Y., Phillips, V.L., Hammond, F.M., & Goldstein, F.C. (2006). Symptoms of post-traumatic stress: Intrusion and avoidance 6 and 12 months after TBI. Brain Injury, 20(7), 733-742
25. Gur, R.C., Erwin, R.J., Gur, R.E., Zwil, A.S., Heimberg, C., & Kraemer, H.C. (1992). Facial emotion discrimination: II. Behavioral findings in depression. Psychiatry Research, 42(3), 241-251
26. Hadley, D.M., Teasdale, G.M., Jenkins, A., Condon, B., MacPherson, P., Patterson, J., & Rowan, J.O. (1988). Magnetic resonance imaging in acute head injury. [Comparative Study Research Support, Non- U.S. Govt]. Clinical Radiology, 39(2), 131-139.
27. Hale, W.W., Janson, J.H.C., Bouhuys, A.L., & van der Hoofdakker, R.H. (1998). The judgement of facial expressions by depressed patients, their partners and controls. Journal of Affective Disorders, 47, 63-70.
28. Harris, R.J. (1994). ANOVA: An analysis of variance primer. Itasca, IL: Peacock.
29. Haviland, M.G., & Reise, S.P. (1996). A California Qset alexithymia prototype and its relationship to ego-control and ego-resiliency. Journal of Psychosomatic Research., 41, 597-608.
30. Henry, J.D., Phillips, L.H., Crawford, J.R., Theodorou, G., & Summers, F. (2006). Cognitive and psychosocial correlates of alexithymia following traumatic brain injury. Neuropsychologia, 44, 62-72.
31. Hintikka, J., Honkalampi, K., Lehtonen, J., & Viinamäki, H. (2001). Are alexithymia and depression distinct or overlapping constructs? A study in a general population. Comprehensive Psychiatry, 42(3), 234-239.
32. Honkalampi, K., Koivumaa-Honkanen, H., Tanskanen, A., Hintikka, J., Lehtonen, J., & Viinamäki, H. (2001). Why do alexithymic features appear to be stable? Psychotherapy and Psychosomatics, 70(5), 247-253.
33. Hopkins, M.J., Dywan, J., & Segalowitz, S.J. (2002). Altered electrodermal response to facial expression after closed head injury. Brain Injury, 16, 245-257.
34. Hornak, J., Rolls, E., & Wade, D. (1996). Face and voice expression identification in patients with emotional and behavioural changes following ventral frontal lobe damage. Neuropsychologia, 34(4), 247-261.
35. Ietswaart, M., Milders, M., Crawford, J.R., Currie, D., & Scott, C.L. (2008). Longitudinal aspects of emotion recognition in patients with traumatic brain injury. Neuropsychologia, 46(1), 148-159.
36. Jackson, H.F., & Moffat, N.J. (1987). Impaired emotional recognition following severe head injury. Cortex, 23, 293-300.
37. Kinsella, G., Moran, C., Ford B., & Ponsford, J. (1988). Emotional disorder and its assessment within the severe head-injured population. Psychological Medicine, 18, 57-63.
38. Koponen, S., Taiminen, T., Honkalampi, K., Joukamaa, M., Viinamäki, H., Kurki, T... Tenovuo, O. (2005). Alexithymia after traumatic brain injury: its relation to magnetic resonance imaging findings and psychiatric disorders. Psychosomatic Medicine, 67(5), 807-812
39. Lane, R.D., Ahern, G.L., Schwartz, G.E., & Kaszniak, A.W. (1997). Is alexithymia the emotional equivalent of blindsight? Biological Psychiatry, 42, 834-844.
40. Lane, R.D., Sechrest, L., Riedel, R., Shapiro, D.E., & Kaszniak, A.W. (2000). Pervasive emotion recognition deficit common to alexithymia and the repressive coping style. Psychosomatic Medicine, 62(4), 492-501.
41. Lane, R.D., Sechrest, L., Reidel, R., Weldon, V., Kaszniak, A.W., & Schwartz, E. (1996). Impaired verbal and nonverbal emotion recognition in alexithymia. Psychosomatic Medicine, 58(3), 203-210.
42. Larsen, J.K., Brand, N., Bermond, B., & Hijman, R. (2003). Cognitive and emotional characteristics of alexithymia: A review of neurobiological studies. Journal of Psychosomatic Research, 54(6), 533-541.
43. Lezak, M.D. (1987). Relationships between personality disorders, social disturbances, and physical disability following traumatic brain injury. Journal of Head Trauma Rehabilitation, 2, 57-69.
44. Mandal, M.K., & Bhattacharya, B.B. (1985). Recognition of facial affect in depression. Perceptual and Motor Skills, 61(1), 13-14.
45. Mayer, J.D., DiPaolo, M., & Salovey, P. (1990). Perceiving affective content in ambiguous visual stimuli: A component of emotional intelligence. Journal of Personality Assessment, 54, 772-781.
46. McDonald, P.W., & Prkachin, K.M. (1990). The expression and perception of facial emotion in alexithymia: A pilot study. Psychosomatic Medicine, 52, 199-210.
47. McDonald, S., Bornhofen, C., Shum, D., Long, E., Saunders, C., & Neulinger, K. (2006). Reliability and validity of 'The Awareness of Social Inference Test' (TASIT): A clinical test of social perception. Disability and Rehabilitation, 28, 1529-1542.
48. McDonald, S., & Flanagan, S. (2004). Social perception deficits after traumatic brain injury: interaction between emotion recognition, mentalizing ability, and social communication. Neuropsychology, 18(3), 572-579.
49. McDonald, S., Flanagan, S., & Rollins, J. (2011) The Awareness of Social Inference Test-Revised (TASIT-R). Sydney: Pearson Assessment.
50. McDonald, S., Flanagan, S., Rollins, J., & Kinch, J. (2003). TASIT: A new clinical tool for assessing social perception after traumatic brain injury. Journal of Head Trauma Rehabilitation, 18, 219-238.
51. McDonald, S., Li, S., de Sousa, A., Rushby, J., James, C., & Tate, R.L. (2011). Impaired mimicry response to angry faces following severe traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 33, 17-29.
52. McDonald, S., Rushby, J., Li, S., de Sousa, A., Dimoska, A., James, C... Togher, L. (2011). The influence of attention and arousal on emotion perception in people with severe traumatic brain injury. International Journal of Psychophysiology.
53. McDonald, S., & Saunders, J.C. (2005). Differential impairment in recognition of emotion across different media in people with severe traumatic brain injury. Journal of the International Neuropsychological Society, 11(4), 392-399.
54. Meythaler, J.M., Peduzzi, J.D., Eleftheriou, E., & Novack, T.A. (2001). Current concepts: Diffuse axonal injury-associated traumatic brain injury. Archives of Physical Medicine & Rehabilitation, 82(10), 1461-1471.
55. Milders, M., Fuchs, S., & Crawford, J.R. (2003). Neuropsychological impairments and changes in emotional and social behaviour following severe traumatic brain injury. Journal of Clinical & Experimental Neuropsychology, 25(2), 157-172.
56. Milders, M., Ietswaart, M., Crawford, J.R., & Currie, D. (2008). Social behavior following traumatic brain injury and its association with emotion recognition, understanding of intentions, and cognitive flexibility. Journal of the International Neuropsychological Society, 14(2), 318-326.
57. Monson, C.M., Price, J.L., Rodriguez, B.F., Ripley, M.P., & Warner, R.A. (2004). Emotional deficits in military-related PTSD: An investigation of content and process disturbances. Journal of Traumatic Stress, 17(3), 275-279.
58. Nauta, W.J. (1971). The problem of the frontal lobe: A reinterpretation. Journal of Psychiatric Research., 8(3-4), 167-187.
59. O'Donnell, M.L., Creamer, M., & Pattison, P. (2004). Posttraumatic stress disorder and depression following trauma: Understanding comorbidity. American Journal of Psychiatry, 161(8), 1390-1396.
60. Oddy, M., Humphrey, M., & Uttley, D. (1978). Stresses upon the relatives of head-injured patients. British Journal of Psychiatry, 133, 507-513.
61. Ohry, A., Rattok, J., & Solomon, Z. (1996). Post-traumatic stress disorder in brain injury patients. Brain Injury, 10(9), 687-695.
62. Pasini, A., Chiale, D., & Serpia, S. (1992). Alexithymia as related to sex, age and educational level: Results of the Toronto Alexithymic Scale in 417 normal subjects. Comprehensive Psychiatry, 33, 42-46.
63. Phillips, M.L., Drevets, W.C., Rauch, S.L., & Lane, R. (2003). Neurobiology of emotion perception I: Theneural basis of normal emotion perception. Society of Biological Psychiatry, 54, 504-514.
64. Råstam, M., Gillberg, C., Gillberg, I.C., & Johansson, M. (1997). Alexithymia in anorexia nervosa: A controlled study using the 20-item Toronto Alexithymia Scale. Acta Psychiatrica Scandinavica, 95(5), 385-388.
65. Rosenthal, R., Rosnow, R.L., & Rubin, D.B. (2000). Contrasts and effect sizes in behavioural research: A correlational approach. England: Cambridge University Press.
66. Saunders, J.C., McDonald, S., & Richardson, R. (2006). Loss of emotional experience after traumatic brain injury: Findings with the startle probe procedure. Neuropsychology, 20(2), 224-231.
67. Sheeran, T., & Zimmerman, M. (2002). Screening for posttraumatic stress disorder in a general psychiatric outpatient setting. Journal of Consulting and Clinical Psychology, 70, 961-966.
68. Sifneos, P.E. (1973). The prevalence of 'alexithymic' characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22, 255-262.
69. Spell, L.A., & Frank, E. (2000). Recognition of nonverbal communication of affect following traumatic brain injury. Journal of Nonverbal Behavior, 24(4), 285-300.
70. Spitzer, R.L., Williams, J.B.W., Gibbon, M., & First, M.B. (1990). Structured clinical interview for DSMIII- R [Patient Edition]. (with Psychotic Screen; SCID-P). Washington, DC: American Psychiatric Press.
71. Sta. Maria, N., Lorenzo (2002). Facial affect recognition in post-traumatic stress disorder (Doctoral dissertation). Retrieved from ProQuest Information & Learning (AAT 3058274).
72. Sumpter, R.E., & McMillan, T.M. (2006). Errors in selfreport of post-traumatic stress disorder after severe traumatic brain injury. Brain Injury, 20(1), 93-99
73. Surguladze, S.A., Young, A.W., Senior, C., Brébion, G., Travis, M.J., & Phillips, M.L. (2004). Recognition accuracy and response bias to happy and sad facial expressions in patients with major depression. Neuropsychology, 18(2), 212-218.
74. Taylor, G.J. (2000). Recent developments in alexithymia theory and research. Canadian Journal of Psychiatry, 45, 134-142.
75. Taylor, G.J., & Bagby, R.M. (2004). New trends in alexithymia research. Psychotherapy and Psychosomatics, 73(2), 68-77
76. Taylor, G.J., Bagby, R.M., & Parker, J.D.A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness. New York, NY: Cambridge University Press.
77. Taylor, G.J., Parker, J.D.A., Bagby, R.M. l., & Bourke, M.P. (1996). Relationships between alexithymia and psychological characteristics associated with eating disorders. Journal of Psychosomatic Research, 41(6), 561-568.
78. Thomsen, I.V. (1984). Late outcome of very severe blunt head trauma: A 10-15 year second follow-up. Journal of Neurology, Neurosurgery & Psychiatry, 47(3), 260-268.
79. Vorst, H.C.M., & Bermond, B. (2001). Validity and reliability of the Bermond-Vorst Alexithymia Questionnaire. Personality and Individual Differences, 30, 413-434.
80. Williams, C., & Wood, R.L. (2010). Alexithymia and emotional empathy following traumatic brain injury. Journal of Clinical and Experimental Neuropsychology, 32(3), 259-267.
81. Williams, K.R., Galas, J., Light, D., Pepper, C., Ryan, C., Kleinmann, A.E,... Donovik, P. (2001). Head injury and alexithymia: Implications for family practice care. Brain Injury, 15(4), 349-356
82. Williams, W., Evans, J., Wilson, B., & Needham, P. (2002). Prevalence of post-traumatic stress disorder symptoms after severe traumatic brain injury in a representative community sample. Brain Injury, 16(8), 673-679.
83. Wood, R.L., & Williams, C. (2007). Neuropsychological correlates of organic alexithymia. Journal of the International Neuropsychological Society, 13, 471-479.
84. Wood, R.L., Williams, C., & Kalyani, T. (2009). The impact of alexithymia on somatization after traumatic brain injury. Brain Injury, 23(7-8), 649-654.
85. Wood, R.L., Williams, C., & Lewis, R. (2010). Role of alexithymia in suicide ideation after traumatic brain injury. Journal of the International Neuropsychological Society, 16(6), 1108-1114.
86. Zech, E., Luminer, O., Rime, B., & Wagner, H. (1999). Alexithymia and its measurement: confirmatory factor analysis of the 20-item Toronto Alexithymia Scale and the Bermond-Vorst Alexithymia Questionnaire. European Journal of Personality, 13, 511-532.
87. Zeitlin, S.B., & McNally, R.J. (1993). Alexithymia and anxiety sensitivity in panic disorder and obsessivecompulsive disorder. American Journal of Psychiatry, 60, 150-658.
88. Zlotnick, C., Mattia, J.I., & Zimmerman, M. (2001). The relationship between posttraumatic stress disorder, childhood trauma and alexithymia in an outpatient sample. Journal of Traumatic Stress, 14, 177-188.