Effectiveness of a Treatment for Impairments in Social Cognition and Emotion Regulation (T-ScEmo) After Traumatic Brain Injury: A Randomized Controlled Trial

Westerhof-Evers, Herma J.; Visser-Keizer, Annemarie C.; Fasotti, Luciano; Schönherr, Marleen C.; Vink, Martie; Naalt, Joukje van der; Spikman, Joke

doi:10.1097/htr.0000000000000332

Cited by 50 publications

(48 citation statements)

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“…Training of emotion perception appears to be an important component of effective social cognitive interventions, while addressing social functioning and providing sufficient practice opportunities in daily life are beneficial for generalization 21. Some well-described social cognitive interventions for various neuropsychiatric disorders include social cognition and interaction training,22 treatment of affect recognition,23 cognitive enhancement therapy,24 and treatment for impairments in social cognition and emotion regulation 25. Several social cognitive interventions exist for children with autism-spectrum disorder, but well-studied treatments for adults are scarce, although results seem promising 21,26.…”

Section: Introductionmentioning

confidence: 99%

<p>Social cognitive training for adults with Noonan syndrome: a feasibility study</p>

Roelofs¹,

Wingbermühle²,

Kessels³

et al. 2019

NDT

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Purpose Noonan syndrome (NS) is a genetic disorder that is associated with social cognitive problems. While treatment aimed at the improvement of social cognition is available for other neuropsychiatric disorders, no such interventions yet exist for NS patients. In this study, the development of the first social cognitive training for NS patients is described and its applicability and feasibility evaluated. Methods Eleven adult patients with NS participated in this controlled proof-of-principle study. Six patients were included in the treatment group and five in the control group. Neuropsychological testing was performed in both groups at baseline and posttreatment. Social cognition was a primary outcome measure and nonsocial cognition and psychopathology secondary outcome measures. Differences between pre- and posttest were investigated with Wilcoxon signed-rank tests, and a process evaluation was performed to aid interpretation of the results. Results Both groups were comparable with regard to age, estimated intelligence, and baseline performance. Although no significant differences were found between pre- and posttest scores on primary and secondary outcome measures in either group, a medium–large effect size was found on emotion recognition in the treatment group. Also, the process evaluation demonstrated the feasibility of the training. Conclusion This first social cognitive training for adult patients with NS has proven to be feasible for this population and showed some encouraging results regarding emotion recognition, although the training protocol could be optimized. Further investigation is required using a randomized controlled design in a larger sample, in order to substantiate the overall effectiveness of the training.

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Section: Introductionmentioning

confidence: 99%

<p>Social cognitive training for adults with Noonan syndrome: a feasibility study</p>

Roelofs¹,

Wingbermühle²,

Kessels³

et al. 2019

NDT

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“…Moreover, insight into the degree to which several social cognitive domains each predict restrictions in participation could further direct interventions aiming to improve participation outcomes. For example, studies in moderate to severe TBI patients suggest that ToM, in particular, should be assessed and targeted in rehabilitation, as ToM seems to be a stronger predictor for functioning and participation than emotion recognition (Ubukata et al, 2014;Westerhof-Evers et al, 2017). For stroke, it is not clear yet to what extent social cognitive impairments influence participation.…”

Section: Introductionmentioning

confidence: 99%

The relationship between social cognition and participation in the long term after stroke

Stiekema

Nijsse

Kort

et al. 2019

Neuropsychological Rehabilitation

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Social cognitive impairments may play a role in participation restrictions after stroke. Understanding their relationship could inform treatment approaches to improve participation. We investigated the relationship between social cognition and participation in the long term after stroke. Of 395 patients participating in a large prospective cohort study, cross-sectional data were available at 3-4 years post-stroke of 118 patients on tests for emotion recognition, theory of mind, empathy, and behaviour regulation. Participation was assessed with the Utrecht Scale for Evaluation of Rehabilitation -Participation (USER-P). Bivariate and multivariate regression analysis were used to examine the relationship between social cognitive domains and participation. The majority suffered from minor stroke (83.1% scored NIHSS 0-4). Only behaviour regulation was related to participation restrictions in bivariate analysis, but social cognitive impairments did not predict participation restrictions in multivariate regression in this group. To conclude, in a sample of minor stroke patients with mild impairments in theory of mind, emotion recognition and behavioural control, there were no associations with restrictions in participation. Research should examine whether a relationship is present in patients with more severe stroke. In addition, measuring ARTICLE HISTORY

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“…Also, when social cognition impairments are present, specific social cognitive treatment can be started, which has been proven effective in TBI patients. [46] Although this treatment may also be effective in stroke patients, this is a topic for further investigation.…”

Section: Discussionmentioning

confidence: 99%

Social cognition impairments are associated with behavioural changes in the long term after stroke

et al. 2019

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Background and purposeBehavioural changes after stroke might be explained by social cognition impairments. The aim of the present study was to investigate whether performances on social cognition tests (including emotion recognition, Theory of Mind (ToM), empathy and behaviour regulation) were associated with behavioural deficits (as measured by proxy ratings) in a group of patients with relatively mild stroke.MethodsProspective cohort study in which 119 patients underwent neuropsychological assessment with tests for social cognition (emotion recognition, ToM, empathy, and behaviour regulation) 3–4 years post stroke. Test scores were compared with scores of 50 healthy controls. Behavioural problems were assessed with the Dysexecutive Questionnaire (DEX) self rating and proxy rating scales. Pearson correlations were used to determine the relationship between the social cognition measures and DEX scores.ResultsPatients performed significantly worse on emotion recognition, ToM and behaviour regulation tests than controls. Mean DEX-self score did not differ significantly from the mean DEX-proxy score. DEX-proxy ratings correlated with tests for emotion recognition, empathy, and behavioural regulation (lower scores on these items were associated with more problems on the DEX-proxy scale).ConclusionsSocial cognition impairments are present in the long term after stroke, even in a group of mildly affected stroke patients. Most of these impairments also turned out to be associated with a broad range of behavioural problems as rated by proxies of the patients. This strengthens the proposal that social cognition impairments are part of the underlying mechanism of behavioural change. Since tests for social cognition can be administered in an early stage, this would allow for timely identification of patients at risk for behavioural problems in the long term.

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Effectiveness of a Treatment for Impairments in Social Cognition and Emotion Regulation (T-ScEmo) After Traumatic Brain Injury: A Randomized Controlled Trial

Cited by 50 publications

References 46 publications

<p>Social cognitive training for adults with Noonan syndrome: a feasibility study</p>

<p>Social cognitive training for adults with Noonan syndrome: a feasibility study</p>

The relationship between social cognition and participation in the long term after stroke

Social cognition impairments are associated with behavioural changes in the long term after stroke

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