Two years after epilepsy surgery in children: Recognition of emotions expressed by faces

Braams, Olga; Meekes, Joost; Nieuwenhuizen, Onno van; Schappin, Renske; Rijen, Peter C. van; Veenstra, Wencke S.; Braun, Kees P.J.; Jennekens‐Schinkel, A.

doi:10.1016/j.yebeh.2015.07.002

Cited by 11 publications

(21 citation statements)

References 20 publications

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“…Using the four assess-ment times as a variable, surgery per se was shown to not have a significant effect on ToM-Q. This is in contrast to what we previously reported; the recognition of facially expressed emotions -although transiently expressed-was indeed affected by surgery in a group of younger (age <13 years) patients (Braams et al, 2015). The two tasks, recognizing facially expressed emotions and ToM, share the requirement to interpret pictured emotions.…”

Section: Surgical Treatment Does Not Affect Tom-qcontrasting

confidence: 98%

“…The controlled study with consecutive inclusion of patients was part of a countrywide project addressing cognitive, affective, and psychosocial functioning of children and adolescents after epilepsy surgery (Meekes et al, 2013(Meekes et al, , 2014Braams et al, 2015). The Institutional Review Board of the University Medical Center of Utrecht approved the study.…”

Section: Methodsmentioning

confidence: 99%

“…Effects of surgical treatment of epilepsy surgery on ToM in children remain to be established. From a previous study, we learnt that epilepsy surgery causes a transient decrease in recognition of facially expressed emotions, one of the abilities that underlies ToM (Blijd-Hoogewys and Geert, 2017), but only in children younger than 13 years at the time of surgery (Braams et al, 2015). Given the importance of ToM in social functioning, the question whether epilepsy surgery affects the development of ToM over and beyond the deficit inflicted by epilepsy per se is crucial for adequate pre-surgical counselling of parents and children.…”

Section: Theory Of Mind and Surgerymentioning

confidence: 99%

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Epilepsy surgery in children: no further threat to theory of mind

Braams

Meekes

Nieuwenhuizen

et al. 2019

Epileptic Disorders

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Aims . To investigate whether theory of mind (ToM), an important requirement for adaptive social functioning, is different between children with pharmacologically refractory epilepsy who undergo epilepsy surgery and healthy control children, whether ToM is affected by epilepsy surgery in these children, and whether ToM is associated with demographic or epilepsy variables. Methods . The “ToM storybooks”, a psychometrically sound ToM instrument designed for children, was administered shortly before and 0.5, one and two years after surgery as part of a neuropsychological assessment. Fifteen patients (mean age: 7.1 years) completed the ToM storybooks before and at least twice after surgery. Two sex‐ and age‐matched healthy control children were included per patient. Linear mixed models were used to analyse differences between patients and controls. The association between ToM and demographic, epilepsy and surgical variables was explored. Results . Patients had lower ToM scores than healthy control children, even when corrected for verbal intelligence quotient (VIQ). Epilepsy surgery had neither a harmful nor a favourable effect on ToM. Later epilepsy onset and temporal origin of epilepsy were associated with higher (better) ToM scores relative to earlier epilepsy onset and extra‐temporal epilepsy (including hemispherotomy in one case). Children in whom the amygdala was resected had worse ToM scores. Conclusion . Children with refractory epilepsy have a ToM deficit that may not be accounted for by lower VIQ. Epilepsy surgery does not affect ToM functioning. Younger age at epilepsy onset is associated with poorer ToM, and temporal epilepsy with better ToM. Finally, the amygdala is implicated in ToM deficit. Patients and their parents should be educated about the possible consequences of epilepsy with regards to the development of social cognition and should be guided in order to help improve ToM.

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Section: Surgical Treatment Does Not Affect Tom-qcontrasting

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Theory Of Mind and Surgerymentioning

confidence: 99%

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Epilepsy surgery in children: no further threat to theory of mind

Braams

Meekes

Nieuwenhuizen

et al. 2019

Epileptic Disorders

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“…Four studies (Braams et al, 2015;Hlobil et al, 2008;Meletti et al, 2009;Tanaka et al, 2013) reported no difference in facial emotion perception accuracy with respect to the gender of patients.…”

Section: Gendermentioning

confidence: 96%

“…Only three of thirty studies examined facial emotion perception in children with epilepsy (Braams et al, 2015;Golouboff et al, 2008;Pinabiaux et al, 2013). Braams and colleagues (2015) tested facial emotion perception in children who underwent epilepsy surgery (n = 41) at 24 months post-surgery.…”

Section: Children With Epilepsymentioning

confidence: 99%

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

Edwards

Stewart

Palermo

et al. 2017

Neuroscience & Biobehavioral Reviews

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Facial emotion perception is a fundamental social competency relying on a specialised, yet distributed, neural network. This review aimed to determine whether patients with epilepsy have facial emotion perception accuracy impairments overall, or for a subset of emotions (anger, disgust, happiness, sadness, fear, and surprise), and the relationship to epilepsy type, demographic/treatment variables, and brain organisation. Database searches used PRISMA guidelines with strict inclusion/exclusion criteria. Thirty included studies assessed patients with temporal lobe (TLE; n=709), frontocentral (FCE; n=22), and genetic generalised (GGE; n=48) epilepsy. Large deficits emerged in patients with epilepsy compared to controls (n=746; Hedges' g=0.908-1.076). Patients with TLE were significantly impaired on all emotions except surprise; patients with GGE were significantly impaired in anger, disgust, and fear perception. Meta-regression of patients with TLE revealed younger age at testing was associated with lower accuracy. This review provides evidence for marked global deficits of emotion perception in epilepsy, with differential emotion-specific impairment patterns in patients with TLE and GGE.

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