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Updated: Sep 13, 2025

Exploring the Use of Isolated Expressions and Film Clips to Evaluate Emotion Recognition by People with Traumatic Brain Injury
Published on: May 15, 2016
Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study.
J Kay Waid-Ebbs1, Kristen Lewandowski2, Yi Zhang1
1Department of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL 32608, USA.
This study shows a new treatment significantly improved emotion recognition in Veterans with mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD), offering hope for better social functioning.
Area of Science:
- Neuroscience
- Psychology
- Clinical Research
Background:
- Comorbid mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD) often leads to impaired emotion recognition.
- These deficits can negatively impact social interactions, leading to isolation and suicidal ideation.
- There is a critical need for effective treatments for mTBI/PTSD-related emotion recognition deficits.
Purpose of the Study:
- To develop and pilot an innovative treatment to enhance emotion recognition in Veterans with mTBI/PTSD.
- To assess the treatment's efficacy in improving the recognition of both facial affect and spoken prosody.
- To evaluate the treatment's impact on attention and the generalization of skills to interpersonal relationships.
Main Methods:
- Eight Veterans diagnosed with mTBI/PTSD participated in an eight-session treatment program.
- Emotion recognition was assessed using the Florida Affect Battery (FAB) and the Emotion Recognition Test (ERT).
- Neuropsychological status, including the Attention Index of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), was also measured.
Main Results:
- Significant improvements were observed in FAB scores (p=0.01, effect size=1.2) and RBANS attention index (p=0.04, effect size=0.99).
- The Emotion Recognition Test (ERT) showed a trending toward significance (effect size=0.75).
- Participants actively engaged in all sessions, with qualitative data suggesting generalization of training to real-world relationships.
Conclusions:
- The developed treatment demonstrates promising clinical potential for restoring emotion recognition in Veterans with mTBI/PTSD.
- These findings underscore the importance of novel interventions for this population.
- Further research is warranted to validate and expand upon these preliminary results.
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