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    Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24004


    Title: The effect of facial expression intensity on emotion recognition and psychosocial performance in patients with frontal or temporal lobe epilepsy
    Authors: Lin, YH;Hsin, YL;Li, RH;Liu, CK;Wang, RY;Wang, WH
    Keywords: Temporal lobe epilepsy;Frontal lobe epilepsy;Theory of mind;Facial expression intensity;Emotion recognition
    Date: 2021
    Issue Date: 2022-08-05T09:46:18Z (UTC)
    Publisher: ACADEMIC PRESS INC ELSEVIER SCIENCE
    ISSN: 1525-5050
    Abstract: ABSTR A C T Purpose: No studies have examined the relationship between the intensity of facial emotion expression and theory of mind (ToM) ability in people with epilepsy. This study aimed to explore facial emotion recognition in a group of patients with frontal (FLE) or temporal lobe epilepsy (TLE) and its relationship with the intensities of perceived facial emotion expressions, ToM, and social functioning. Methods: Twenty-six patients with FLE or TLE and 30 matched controls were included in the study. All participants completed the facial emotion recognition test, Faux Pas Recognition (FPR) test measuring advanced ToM, Symptom Checklist-90-Revised, Social and Occupational Functioning Scale for Epilepsy (SOFSE), and background neuropsychological tests. Results: The patient group was significantly worse than the control group in recognizing facial expres-sions of negative emotions, particularly for medium-intensity facial expression of fear. There was no sig-nificant difference between the groups in recognizing high-intensity fear facial expressions. The scores of FPR (overall and affective ToMs) in the patient group were significantly lower than those in the control group. Additionally, the facial emotion recognition was significantly associated with the total score of FPR, and the FPR total score remarkably correlated with the Communication subscale score of the SOFSE. Conclusions: Patients with FLE or TLE had impaired ability to recognize medium-intensity facial expres-sions of fear. Moreover, patients' ToM deficit significantly correlated not only with their emotion recog-nition problem but also with their social-communicative competence. Nevertheless, we also found that increasing the intensity of expression can improve the accuracy of emotion recognition in patients with epilepsy. These findings may provide considerations for further longitudinal studies and interventions on the social difficulties of people with epilepsy. (c) 2021 Elsevier Inc. All rights reserved.
    URI: http://dx.doi.org/10.1016/j.yebeh.2021.108462
    https://www.webofscience.com/wos/woscc/full-record/WOS:000743391500033
    https://ir.csmu.edu.tw:8080/handle/310902500/24004
    Relation: EPILEPSY & BEHAVIOR ,2022,v126
    Appears in Collections:[中山醫學大學研究成果] 期刊論文

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