Journal of Nonverbal Behavior

, Volume 24, Issue 4, pp 285–300

Recognition of Nonverbal Communication of Affect Following Traumatic Brain Injury

  • Leigh Ann Spell
  • Elaine Frank


Recognition of facial expressions and vocal prosody was examined using the Diagnostic Assessment of Nonverbal Accuracy 2 (DANVA-2) and the Carolina Older Adult Test of Nonverbal Communication (COAT-NC) for 24 individuals with traumatic brain injury (TBI) and 24 matched controls. Results demonstrated that participants without TBI scored significantly higher than participants with TBI when presented with adult photo and voice stimuli. No significant group difference was noted with child photo and voice stimuli. Both groups scored significantly higher on photo subtests than on voice subtests for child and younger adult stimuli. For older adult stimuli, both groups scored significantly higher on the voice subtest than on the photo subtest. For the subjects with TBI, a significant relationship was found between scores on the voice subtests and a functional measure of cognition and communication.

nonverbal communication facial expression vocal prosody traumatic brain injury affect 


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  1. Benowitz, L.I., Bear, D.M., Rosenthal, R., Mesulam, M.M., Zaidel, E., & Sperry, R.W. (1983). Hemispheric specialization in nonverbal communication. Cortex, 19, 5–11.Google Scholar
  2. Blonder, L.X., Bowers, D. & Heilman, K.M. (1991). The role of the right hemisphere in emotional communication. Brain, 114, 1115–1127.Google Scholar
  3. Bowers, D., Blonder, L.X., Feinberg, T., & Heilman, K.M. (1991). Differential impact of right and left hemisphere lesions on facial emotion and object imagery. Brain, 114, 2593–2609.Google Scholar
  4. DeKotsky, S.T., Heilman, K.M., Bowers, D., & Valenstein, E. (1980). Recognition and discrimination of emotional faces and pictures. Brain and Language, 9, 206–214.Google Scholar
  5. Dixon, W.J. (1988). BMDP statistical software manual. Berkeley, CA: University of California Press.Google Scholar
  6. Feldman, R.S., Philippot, P., & Custrini, R.J. (1991). Social competence and nonverbal behavior. In R.S. Feldman & B. Rime (Eds.), Fundamentals of nonverbal behavior (pp. 329-350). Cambridge: Cambridge University Press.Google Scholar
  7. Frattali, C.M., Thompson, C.K., Holland, A.L., Wohl, C.B., & Ferketic, M.M. (1995). Functional Assessment of Communication Skills for Adults: ASHA-FACS. Rockville, MD: American Speech-Language-Hearing Association.Google Scholar
  8. Hagan, C., Malkmus, D., & Durham, P. (1979). Levels of cognitive functioning. In Rehabilitation of the Head Injured Adult: Comprehensive Physical Management. Downey, CA: Professional Staff Association of Rancho Los Amigos Hospital.Google Scholar
  9. Helm-Estabrooks, N. & Hotz, G. (1990). Brief Test of Head Injury. Chicago: Riverside.Google Scholar
  10. Jackson, H.F. & Moffat, N.J. (1987). Impaired emotional recognition following severe head injury. Cortex, 23, 293–300.Google Scholar
  11. Jennett, B. & Bond, M. (1974). Assessment of a coma: A practical scale. Lancet, 1, 81–84.Google Scholar
  12. Kertesz, A. (1982). Western Aphasia Battery. New York: Grune & Stratton.Google Scholar
  13. Kowner, R. (1996). Facial asymmetry and attractiveness judgment in developmental perspective. Journal of Experimental Psychology: Human Perception and Performance, 22(3), 662–675.Google Scholar
  14. Lalande, S., Braun, C.M.J., Charlebois, N. & Whitaker, H.A. (1992). Effects of right and left hemisphere cerebrovascular lesions on discrimination of prosodic and semantic aspects of affect in sentences. Brain and Language, 42, 165–186.Google Scholar
  15. Lehiste, I. (1970). Suprasegmentals. Cambridge, MA: MIT Press.Google Scholar
  16. McCutcheon, E.P. & Selassie, A.W. (1992). Summary of traumatic head injury and traumatic spinal cord injury data for S.C. and the U.S. The Head & Spinal Cord Injury Task Force Report. South Carolina Developmental Disabilities Council.Google Scholar
  17. Meredith, W.M. (1967). Basic mathematical and statistical tables for psychology and education. New York. McGraw-Hill, Inc.Google Scholar
  18. Nowicki, S. & Carton, J. (1993). The measurement of emotional intensity from facial expressions. Journal of Social Psychology, 133 (5), 749–750.Google Scholar
  19. Nowicki, S. & Duke, M.P. (1994). Individual differences in the nonverbal communication of affect: The diagnostic analysis of nonverbal accuracy. Journal of Nonverbal Behavior, 18(1), 9–35.Google Scholar
  20. Pazgan, A. & Wooddy, H. (1996). Gender differences in the nonverbal communication of Affect. Unpublished master's thesis, University of South Carolina, Columbia.Google Scholar
  21. Prigatano, G.P. & Pribram, K.H. (1982). Perception and memory of facial affect following brain injury. Perceptual and Motor Skills, 54, 859–869.Google Scholar
  22. Shaver, M. (1996). Age differences in the nonverbal communication of affect. Unpublished master's thesis, University of South Carolina, Columbia.Google Scholar
  23. Sohlberg, M.M. & Mateer, C.A. (1989). Introduction to cognitive rehabilitation: Theory and Practice. New York: Guilford Press.Google Scholar
  24. State University of New York at Buffalo Research Foundation (1993). Guide for use of the Uniform Data Set for Medical Rehabilitation: Functional Independence Measure. Buffalo: Author.Google Scholar
  25. Thomsen, I.V. (1984). Late outcome of very severe blunt head trauma: A 10-15 year second follow-up. Journal of Neurology, Neurosurgery, and Psychiatry, 47, 260–268.Google Scholar
  26. Weathers, M. (1996). Race differences in the nonverbal communication of affect. Unpublished master's thesis, University of South Carolina, Columbia.Google Scholar
  27. Ylvisaker, M. & Gobble, E.M.R. (Eds.). (1987). Community re-entry for head injured adults. Boston: College Hill Press.Google Scholar

Copyright information

© Human Sciences Press, Inc. 2000

Authors and Affiliations

  • Leigh Ann Spell
    • 1
    • 2
  • Elaine Frank
    • 1
  1. 1.Department of Speech-Language Pathology and AudiologyUniversity of South CarolinaUSA
  2. 2.Education DepartmentColumbia CollegeColumbia

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