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Updated: Jul 6, 2026

Exploring the Use of Isolated Expressions and Film Clips to Evaluate Emotion Recognition by People with Traumatic Brain Injury
Published on: May 15, 2016
Social functioning and facial expression recognition in survivors of pediatric brain tumors
Melanie J Bonner1, Kristina K Hardy, Victoria W Willard
1Department of Psychiatry, Duke University Medical Center, DUMC Box 3527, Durham, NC 27710, USA. bonne002@mc.duke.edu
Insights
Survivors of pediatric brain tumors (BT) show impaired social functioning and difficulty recognizing facial expressions compared to children with juvenile rheumatoid arthritis (JRA). These social deficits are significant and measurable.
Area of Science:
- Neuroscience
- Pediatric Oncology
- Developmental Psychology
Background:
- Pediatric brain tumors (BT) can impact cognitive and social development.
- Social functioning and facial expression recognition are crucial for peer interactions and overall well-being.
- Understanding these deficits in BT survivors is essential for targeted interventions.
Purpose of the Study:
- To compare social functioning and facial expression recognition skills in pediatric brain tumor survivors versus children with juvenile rheumatoid arthritis (JRA).
- To identify factors influencing facial expression recognition in pediatric brain tumor survivors.
Main Methods:
- Assessed 51 BT survivors and 31 JRA patients using a facial expression recognition task, social functioning questionnaires, and an IQ screener.
- Controlled for estimated IQ in the analysis of facial expression interpretation.
- Examined the predictive role of therapy history and diagnosis age on facial recognition performance.
Main Results:
- BT survivors made significantly more errors in interpreting adult facial expressions than JRA patients, even after controlling for IQ.
- Therapy history and age at diagnosis predicted performance on the child-specific facial recognition task.
- BT survivors exhibited significantly impaired social functioning across multiple measures compared to JRA patients.
Conclusions:
- Pediatric BT survivors demonstrate significant social functioning deficits relative to an illness comparison group (JRA).
- Facial expression recognition errors are a quantifiable indicator of social deficits in pediatric BT survivors.
- These findings highlight the need for interventions addressing social and emotional processing in pediatric brain tumor survivors.
Objective:
To assess social functioning and facial expression recognition skill in survivors of pediatric brain tumors (BT) as compared to children with juvenile rheumatoid arthritis (JRA).
Methods:
The social functioning of 51 survivors of BT and 31 children with JRA was assessed using a facial expression recognition task, questionnaire ratings of social functioning, and an IQ screener.
Results:
After controlling for estimated IQ, survivors of BT made significantly more errors interpreting adult facial expressions as compared to children with JRA. Additionally, history of therapy and diagnosis age predicted performance on the child portion of the facial recognition task. Finally, survivors of BT demonstrated significantly impaired social functioning across multiple measures when compared to children with JRA.
Conclusions:
Survivors of pediatric BT showed significant deficits in social functioning as compared to an illness comparison group. Errors in facial expression recognition represent another method for evaluating deficits that contribute to social outcomes.
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