“…Moreover, although this small magnitude interaction effect should be interpreted with caution until it is replicated in a larger sample, we found that group differences in vocal ER were particularly pronounced in younger participants. Struggling to identify the emotional intent of peer-aged speakers has been linked with poorer psychosocial outcomes in typically developing youth ( Maxim and Nowicki, 2003 , McClure and Nowicki, 2001 , Morningstar et al, 2019b , Nowicki and Carton, 1997 , Nowicki and Duke, 1992 , Rothman and Nowicki Jr., 2004 ); as such, this form of deficit may be contributing to social difficulties commonly experienced by children with epilepsy ( Camfield and Camfield, 2007 , Drewel and Caplan, 2007 , Sillanpää and Helen Cross, 2009 , Steiger and Jokeit, 2017 ). However, additional research will be needed to determine the functional consequences of vocal ER deficits in youth with epilepsy.…”