Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study

Background/Objectives: For those with comorbid mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD), deficits are common with regard to recognition of emotion expression in others. These deficits can cause isolation and suicidal ideation. For mTBI/PTSD, there is a dearth of informa...

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Main Authors: J. Kay Waid-Ebbs, Kristen Lewandowski, Yi Zhang, Samantha Graham, Janis J. Daly
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/15/7/728
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author J. Kay Waid-Ebbs
Kristen Lewandowski
Yi Zhang
Samantha Graham
Janis J. Daly
author_facet J. Kay Waid-Ebbs
Kristen Lewandowski
Yi Zhang
Samantha Graham
Janis J. Daly
author_sort J. Kay Waid-Ebbs
collection DOAJ
description Background/Objectives: For those with comorbid mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD), deficits are common with regard to recognition of emotion expression in others. These deficits can cause isolation and suicidal ideation. For mTBI/PTSD, there is a dearth of information regarding effective treatment. In pilot work, we developed and tested an innovative treatment to improve recognition of both affect (facial expression of emotion) and prosody (spoken expression of emotion). Methods: We enrolled eight Veterans with mTBI/PTSD and administered eight treatment sessions. Measures included the following: Florida Affect Battery (FAB), a test of emotion recognition of facial affect and spoken prosody; Attention Index of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS); and Emotion Recognition Test (ERT), a speed test of facial emotion recognition. Results: There was a significant treatment response according to the FAB (<i>p</i> = 0.01, effect size = 1.2); RBANS attention index (<i>p</i> = 0.04, effect size = 0.99); and trending toward significance for the ERT (0.17, effect size 0.75). Participants were able to engage actively in all eight sessions and provided qualitative evidence supporting generalization of the training to interpersonal relationships. Conclusions: Our data show promising clinical potential and warrant future research, given the importance of developing novel interventions to train and restore recognition of emotion in Veterans with mTBI/PTSD.
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spelling doaj-art-71d6caf0be3642aeb4801032b2ff624d2025-08-20T03:58:26ZengMDPI AGBrain Sciences2076-34252025-07-0115772810.3390/brainsci15070728Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot StudyJ. Kay Waid-Ebbs0Kristen Lewandowski1Yi Zhang2Samantha Graham3Janis J. Daly4Department of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL 32608, USADepartment of Speech, Language, and Hearing Sciences, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32611, USADepartment of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL 32608, USADepartment of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL 32608, USADepartment of Veterans Affairs (VA), Rehabilitation Research and Development, Brain Rehabilitation Research Center, Gainesville, FL 32608, USABackground/Objectives: For those with comorbid mild traumatic brain injury/post-traumatic stress disorder (mTBI/PTSD), deficits are common with regard to recognition of emotion expression in others. These deficits can cause isolation and suicidal ideation. For mTBI/PTSD, there is a dearth of information regarding effective treatment. In pilot work, we developed and tested an innovative treatment to improve recognition of both affect (facial expression of emotion) and prosody (spoken expression of emotion). Methods: We enrolled eight Veterans with mTBI/PTSD and administered eight treatment sessions. Measures included the following: Florida Affect Battery (FAB), a test of emotion recognition of facial affect and spoken prosody; Attention Index of the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS); and Emotion Recognition Test (ERT), a speed test of facial emotion recognition. Results: There was a significant treatment response according to the FAB (<i>p</i> = 0.01, effect size = 1.2); RBANS attention index (<i>p</i> = 0.04, effect size = 0.99); and trending toward significance for the ERT (0.17, effect size 0.75). Participants were able to engage actively in all eight sessions and provided qualitative evidence supporting generalization of the training to interpersonal relationships. Conclusions: Our data show promising clinical potential and warrant future research, given the importance of developing novel interventions to train and restore recognition of emotion in Veterans with mTBI/PTSD.https://www.mdpi.com/2076-3425/15/7/728traumatic brain injury (TBI)post-traumatic stress disorder (PTSD)emotion functionaffect recognitionprosody recognition
spellingShingle J. Kay Waid-Ebbs
Kristen Lewandowski
Yi Zhang
Samantha Graham
Janis J. Daly
Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
Brain Sciences
traumatic brain injury (TBI)
post-traumatic stress disorder (PTSD)
emotion function
affect recognition
prosody recognition
title Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
title_full Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
title_fullStr Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
title_full_unstemmed Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
title_short Response to Training in Emotion Recognition Function for Mild TBI/PTSD Survivors: Pilot Study
title_sort response to training in emotion recognition function for mild tbi ptsd survivors pilot study
topic traumatic brain injury (TBI)
post-traumatic stress disorder (PTSD)
emotion function
affect recognition
prosody recognition
url https://www.mdpi.com/2076-3425/15/7/728
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AT yizhang responsetotraininginemotionrecognitionfunctionformildtbiptsdsurvivorspilotstudy
AT samanthagraham responsetotraininginemotionrecognitionfunctionformildtbiptsdsurvivorspilotstudy
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