Decreased Facial Emotion Recognition in Elderly Patients With Hearing Loss Reflects Diminished Social Cognition

2021 ◽  
pp. 000348942110400
Author(s):  
Özlem Saatci ◽  
Hakan Geden ◽  
Halide Güneş Çiftçi ◽  
Zafer Çiftçi ◽  
Özge Arıcı Düz ◽  
...  

Objective: The main objective of this research was to evaluate the correlation between the severity of hearing loss and the facial emotional recognition as a critical part of social cognition in elderly patients. Methods: The prospective study was comprised of 85 individuals. The participants were divided into 3 groups. The first group consisted of 30 subjects older than 65 years with a bilateral pure-tone average mean >30 dB HL. The second group consisted of 30 subjects older than 65 years with a PTA mean ≤30 dB HL. The third group consisted of 25 healthy subjects with ages ranging between 18 and 45 years and a PTA mean ≤25 dB HL. A Facial Emotion Identification Test and a Facial Emotion Discrimination Test were administered to all groups. Results: Elderly subjects with hearing loss performed significantly worse than the other 2 groups on the facial emotion identification and discrimination tests ( P < .05). Appealingly, they identified a positive emotion, “happiness,” more accurately in comparison to the other negative emotions. Conclusions: Our results suggest that increased age might be associated with decreased facial emotion identification and discrimination scores, which could be deteriorated in the presence of significant hearing loss.

1993 ◽  
Vol 36 (1) ◽  
pp. 168-177 ◽  
Author(s):  
Francis K. Kuk ◽  
Nonalee M. C. Pape

The purpose of this study was to compare everyday satisfaction with hearing aid frequency responses selected using a Simplex procedure and those selected using the National Acoustic Laboratories’ formula (NAL-R). Nineteen elderly subjects with impaired hearing selected their preferred frequency responses under six listening conditions. The conditions included syllable identification and discourse quality judgment in quiet, in moderate noise (65 dB SPL), and in loud noise (80 dB SPL) backgrounds. Subjects subsequently wore a multimemory hearing aid programmed with these frequency responses and compared their satisfaction with the various frequency responses in daily listening environments. Subjects showed differential preference across the available frequency responses. Subjects with sloping hearing losses did not show a difference in preference among the selected frequency responses, including that prescribed by NAL-R. On the other hand, subjects with a flat hearing loss showed a slight, but consistent, preference for frequency responses selected while listening to discourse passages in a moderate noise background. These observations suggest that the Simplex procedure may be useful for selecting preferred frequency responses for some hearing aid wearers.


2016 ◽  
Vol 33 (S1) ◽  
pp. S578-S578
Author(s):  
C. Gramaglia ◽  
E. Gattoni ◽  
G. Giovanna ◽  
S. Gili ◽  
A. Feggi ◽  
...  

BackgroundSchizophrenic patients show deficits in social cognition, functioning and in interpreting facial expressions. These disabilities contribute to global impairment in social and relational skills. Data started being collected in the context of the Italian Network of Research on Psychosis headed by Prof. Maj and Prof. Galderisi (Galderisi S et al. The influence of illness-related variables, personal resources and context-related factors on real-life functioning of people with schizophrenia. World Psychiatry 2014:275–87. Mucci A et al. The Specific Level of Functioning Scale: Construct validity, internal consistency and factor structure in a large Italian sample of people with schizophrenia living in the community. Schizophr Res 2014;159(1):144-50); collection in our centre went on also after the conclusion of the national project.AimsTo identify the correlations among social inference, facial emotion identification and clinical history and therapies in schizophrenic patients.Material and methodsWe recruited patients with Schizophrenia referring to our Psychiatry Ward, AOU Maggiore della Carità, Novara, Italy. Socio-demographic characteristics were gathered; assessment of patients included The Awareness of Social Inference Test (TASIT), the Facial Emotion Identification Test (FEIT), the Positive and Negative Syndrome Scale (PANSS) and the Brief Negative Symptom Scale (BNSS).ResultsData collection is still ongoing. In a previous study we pointed out that schizophrenic patients showed social skills deficits and difficulties in identifying facial emotions. These features underlie poor and limited social relationships proper to schizophrenia. Our preliminary results revealed thatidentification of facial emotions is influenced by psychopathological symptoms especially by avolition, blunted affect and alogia. Implication will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2008 ◽  
Vol 19 (03) ◽  
pp. 267-274 ◽  
Author(s):  
David B. Hawkins

A case report is presented of a 62-year-old software product manager who had normal hearing in one ear and a congenital profound hearing loss in the other ear and then sustained a sudden sensorineural hearing loss in the only hearing ear. The approach to amplification decisions, cochlear implant evaluation, and rehabilitation options are discussed. Providing aural rehabilitation and continually updating and providing new amplification options and accessories are described. Se presenta un reporte de caso de un gerente de productos de software de 62 años de edad quien tenía audición normal en un oído y un sordera congénita profunda en el otro, y quién súbitamente sufrió una sordera sensorineural súbita en el único oído con audición. Se discute el enfoque de decisiones de amplificación, la evaluación para implante coclear, y las opciones de rehabilitación. Se describen las pautas para proveer rehabilitación aural y para actualizar continuamente y aportar nuevas opciones de amplificación.


1985 ◽  
Vol 71 (3) ◽  
pp. 171-175
Author(s):  
C. D. T. Low

SummaryThis study was conducted to determine the extent to which elderly patients constitute a special problem in plastic surgery. In 1983 patients aged 60 years and over accounted for 3 7% of all admissions to the plastic surgery ward at the Dundee Royal Infirmary and 52% of all patient-days there; they tended to stay longer than other patients and cost the Health Service more than £130000. About one-third of admissions were as a direct result of accidents; of the other two-thirds, the majority was for the treatment of malignancies. In the study, special consideration was given to delayed healing after surgery and other problems arising while these patients were in hospital, and the reasons for prolonged stays. The study confirms that there is a problem which is stretching available resources.


1994 ◽  
Vol 37 (3) ◽  
pp. 662-670 ◽  
Author(s):  
Peter J. Fitzgibbons ◽  
Sandra Gordon-Salant

This study examined auditory temporal sensitivity in young adult and elderly listeners using psychophysical tasks that measured duration discrimination. Listeners in the experiments were divided into groups of young and elderly subjects with normal hearing sensitivity and with mild-to-moderate sloping sensorineural hearing loss. Temporal thresholds in all tasks were measured with an adaptive forced-choice procedure using tonal stimuli centered at 500 Hz and 4000 Hz. Difference limens for duration were measured for tone bursts (250 msec reference duration) and for silent intervals between tone bursts (250 msec and 6.4 msec reference durations). Results showed that the elderly listeners exhibited diminished duration discrimination for both tones and silent intervals when the reference duration was 250 msec. Hearing loss did not affect these results. Discrimination of the brief temporal gap (6.4 msec) was influenced by age and hearing loss, but these effects were not consistent across all listeners. Effects of stimulus frequency were not evident for most of the duration discrimination conditions.


1987 ◽  
Vol 64 (2) ◽  
pp. 635-638 ◽  
Author(s):  
Michael P. Rastatter ◽  
Richard A. Mc Guire ◽  
Laurel Bushong ◽  
Michele Loposky

The peak amplitude of EMG activity was measured from the orbicularis oris superior (OOS), orbicularis oris inferior (OOI), and masseter muscles for three normal, geriatric women (range 70 to 75 yr.) and compared with prior data for a group of normal, 4- and 8-yr.-old children and young adults (range 21 to 29 yr.) The elderly groups' variability across the three muscles paralleled that of the 4-yr.-olds, suggesting that speech-motor equivalence returns to an earlier level of operation in aging speakers. Also, the elderly subjects evidenced reduced levels of average peak EMG activity as compared to those of the other groups. This finding was interpreted as reflecting a loss of general muscle function, a possible concomitant of facial muscle atrophy that accompanies advanced age.


CNS Spectrums ◽  
2009 ◽  
Vol 14 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Dan J. Stein

ABSTRACTSocial cognition involves automatic and stimulus-driven processes; these may be important in mediating stereotypes in the community and schemas and transference in the clinic setting. Significant differences in self-related processing and other-related processing may also lead to important biases in our view of the other. The psychobiology of social cognition is gradually being delineated, and may be useful in understanding these phenomena, and in responding appropriately. In the clinic, schemas can be rigorously assessed, and schema-focused psychotherapy may be useful in a number of indications.


2017 ◽  
Vol 39 (2-3) ◽  
pp. 155-173
Author(s):  
Joona Taipale

SummaryThis article examines the foundations of social experience from a psychoanalytic perspective. In current developmental psychology, social cognition debate, and phenomenology of empathy, it is widely assumed that the self and the other are differentiated from the outset, and the basic challenge is accordingly taken to consist in explaining how the gap between the self and the other can be bridged. By contrast, in the psychoanalytic tradition, the central task is considered to lie in explaining how such a gap is established in the first place. My article develops this latter idea. I focus on the infant’s early experience of care, show how the presence of the caregiver can be interpreted in terms of an interoceptive experience, illustrate the gradual self/other differentiation from this perspective, and thus argue that the other is granted ‘otherness’ gradually. By emphasising this graduality, I challenge the assumption that self/other differentiation dominates the infant’s life from the outset. In this manner, I show how the psychoanalytic theory may be used in contesting one of the cornerstones of the current research paradigm.


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