Facial emotion perception in patients with epilepsy: A systematic review with meta-analysis

Edwards, Michelle; Stewart, Edward T.; Palermo, Romina; Lah, Sunčica

doi:10.1016/j.neubiorev.2017.10.013

Cited by 38 publications

(30 citation statements)

References 95 publications

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“…Similarly to the findings in our study, one report found no difference in empathy and ER tasks between TLE and GGE, and another presented post hoc results revealing worse performance among PWE with focal epilepsies as opposed to HC or patients with GGE [4,6]. Overall, no difference is found in facial emotion perception between the two epilepsy subgroups [6,[22][23][24]. Investigations of SC in focal epilepsies alone are more frequent-authors of a recent review of 42 studies concluded that no significant variation exists between patients with TLE and ETE in ER and ToM tasks, which is in line with our findings [25].…”

Section: Relationships and Quality Of Lifesupporting

confidence: 88%

The Impact of Social Cognition on the Real-Life of People with Epilepsy

2021

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Background. Previous research has demonstrated the impairment of social cognition (SC) in people with epilepsy. It is associated with worse social functioning and quality of life; however, the influence on real-life outcomes is unknown. The purpose of this study was to investigate how SC is associated with epilepsy variables and real-life outcomes (education, employment and relationships) among patients with epilepsy (PWE). Methods. Eighty-one PWE completed tasks of theory of mind (ToM) (faux pas recognition (FPRT) and Happé Strange Stories test (HST)) and emotion recognition (ER) (Reading of the Mind in the Eyes (RMET)). Variables reflecting their education, employment and relationship status were treated as endpoints in search of association with SC. Data from a matched group (n = 30) of healthy controls (HCs) were used for comparison of ToM abilities. Results. ToM scores were lower among PWE as compared to HCs (U = 1816.0, p < 0.0001 (HST), U = 1564.5, p = 0.020 (FPRT)). All SC tests were associated with the level of education (OR = 1.22, 95% confidence interval (CI) = 1.09 to 1.36 (RMET), OR = 1.20, 95% CI = 1.02 to 1.40 (HST), OR = 0.93, 95% CI = 0.87 to 1.00 (FPRT)). The results of ToM and ER testing were not associated with employment (χ2 = 33.423, p < 0.0001) if adjusted for the level of education (B = 0.804, OR = 2.23 (95% CI = 1.33 to 3.76), p = 0.002). SC abilities did not differ between PWE who were single and those in a relationship (U = 858.5, p = 0.541 (HST)), t= −1.236, p = 0.220 (RMET), U = 909.5, p = 0.271 (FPRT)). Conclusion. Better social cognition skills are linked to a higher level of education among PWE. SC probably has less influence on professional achievements and interpersonal relationships.

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Section: Relationships and Quality Of Lifesupporting

confidence: 88%

The Impact of Social Cognition on the Real-Life of People with Epilepsy

2021

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“…It is also observed how the presence of certain pathologies such as ADHD, BPD, epilepsy, depression, alcoholism, schizophrenia, psychopathy, etc., influence the recognition of emotions through facial expressions, the authors conclude that regardless of the disease that the person analysed in this article is suffering from, their level of assertiveness and interpretation is lower compared to a healthy person (Cortez et al, 2017;Domes et al, 2009;Edwards et al, 2017& Pham, 2010.…”

Section: Discussionmentioning

confidence: 90%

Recognition of emotions through facial expression analysis

Salinas¹,

Ortiz²,

Martínez-Suárez³

2021

S. F. J. of Dev.

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The possibility of recognizing what emotion one of our peers is experiencing has been the subject of study by various researchers over the years, Paul Ekman being the one who has delved most deeply into this subject, the most viable and simple way to achieve this would be through the analysis of people's facial expressions. The search for information was carried out using rigorous exclusion criteria such as studies corresponding to grizzly data and letters to the editor, and inclusion criteria such as studies published only in high impact journals such as PubMed, Elsevier, Taylor & Francis, ScienceDirect, APA PsycNet and Springer, PRISMA guidelines and AMSTAR check-list were used. The main objective of this systematic review was to determine whether there is sufficient scientific literature evidence to clarify whether it is possible to accurately identify the six basic universal emotions "happiness, surprise, sadness, anger, fear and disgust" proposed by Paul Ekman through facial expressions. After the analysis of the articles collected and based on the main findings, it is concluded that the recognition of emotions through facial expressions is a subject that still needs to be studied in greater depth, as suggested by the results obtained.

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“…Four prior meta-analyses evaluated theory of mind and emotion recognition among patients with epilepsy and outcomes slightly differ depending on the groups of patients studied or the outcome measures. Overall, these studies reveal several findings: (a) theory of mind ability was mostly affected among patients with focal seizure such as frontal lobe epilepsy (FLE) and temporal lobe epilepsy (TLE), but not outside these areas (extra-TLE/FLE; Stewart et al, 2016); (b) deficient recognition of fear, followed by sadness and disgust, among patients with epilepsy across both visual and auditory modalities have been reported (Edwards et al, 2017; Monti et al, 2015); (c) the right-sided TLE patients exhibited more significant impairments recognizing fear, disgust, and sadness compared to left-sided TLE (Bora et al, 2016); (d) and lastly, surgery did not change the social cognitive outcomes (emotion recognition and theory of mind) relative to the groups who did not undergo surgery (Bora et al, 2016).…”

Section: Introductionmentioning

confidence: 90%

Social Cognition in Temporal and Frontal Lobe Epilepsy: Systematic review, Meta-analysis, and Clinical Recommendations

Ziaei

Arnold

Thompson

et al. 2021

Preprint

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Despite the importance of social cognitive functions to mental health and social adjustment, assessment of these functions is absent in routine epilepsy patients' examinations. Hence, there is a clear need for developing a clinical and practical assessment which is a critical step towards designing new interventions. To do so, we first need to gain a nuanced understanding of the difficulties patients face in different domains of social cognition, including emotion recognition, empathy, the theory of mind, and social adjustment. The aim of this paper is, thus, to provide a comprehensive overview of the existing literature on social cognitive functions and changes among epileptic patients: frontal and temporal lobe epilepsy. Papers from 1990-2021 were reviewed and examined for inclusion in this study and after the deduplication process, 44 papers (out of 6181 numbers that were first identified) were included in the systematic review and 40 papers in the meta-analysis. Our results indicated that first, all patients, both frontal and temporal lobe epilepsy, have difficulties in all aspects of social cognition relative to non-clinical controls. However, the effect sizes were larger for theory of mind (TOM) relative to emotion domain, suggesting sensitivity of the TOM for assessing social cognitive functions among this population. Additionally, right temporal lobe epilepsy patients performed more poorly than non-clinical control relative to left side seizure focus patients, specifically in the TOM domain. Results from the empathy and social behavior domains need to be considered cautiously as these two domains are the least studied and more research is warranted in these domains of social cognition. Finally, we suggest a step-by-step pipeline for the assessment of impairments in social cognition that can be integrated into standard clinical practices for epilepsy treatment.

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Facial emotion perception in patients with epilepsy: A systematic review with meta-analysis

Cited by 38 publications

References 95 publications

The Impact of Social Cognition on the Real-Life of People with Epilepsy

The Impact of Social Cognition on the Real-Life of People with Epilepsy

Recognition of emotions through facial expression analysis

Social Cognition in Temporal and Frontal Lobe Epilepsy: Systematic review, Meta-analysis, and Clinical Recommendations

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