Social attention in children with epilepsy

Lunn, Judith, Donovan, Tim ORCID logo ORCID: , Litchfield, Damien, Lewis, Charlie, Davies, Robert and Crawford, Trevor (2017) Social attention in children with epilepsy. Brain and Cognition, 113 . pp. 76-84.

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Children with epilepsy may be vulnerable to impaired social attention given the increased risk of neurobehavioural comorbidities. Social attentional orienting and the potential modulatory role of attentional control on the perceptual processing of gaze and emotion cues have not been examined in childhood onset epilepsies. Social attention mechanisms were investigated in patients with epilepsy (n = 25) aged 8–18 years old and performance compared to healthy controls (n = 30). Dynamic gaze and emotion facial stimuli were integrated into an antisaccade eye-tracking paradigm. The time to orient attention and execute a horizontal saccade toward (prosaccade) or away (antisaccade) from a peripheral target measured processing speed of social signals under conditions of low or high attentional control. Patients with epilepsy had impaired processing speed compared to healthy controls under conditions of high attentional control only when gaze and emotions were combined meaningfully to signal motivational intent of approach (happy or anger with a direct gaze) or avoidance (fear or sad with an averted gaze). Group differences were larger in older adolescent patients. Analyses of the discrete gaze emotion combinations found independent effects of epilepsy-related, cognitive and behavioural problems. A delayed disengagement from fearful gaze was also found under low attentional control that was linked to epilepsy developmental factors and was similarly observed in patients with higher reported anxiety problems. Overall, findings indicate increased perceptual processing of developmentally relevant social motivations during increased cognitive control, and the possibility of a persistent fear-related attentional bias. This was not limited to patients with chronic epilepsy, lower IQ or reported behavioural problems and has implications for social and emotional development in individuals with childhood onset epilepsies beyond remission.

Item Type: Article
Journal / Publication Title: Brain and Cognition
Publisher: Elsevier
ISSN: 1090-2147
Departments: Academic Departments > Medical & Sport Sciences (MSS) > Health and Medical Sciences
Additional Information: Dr Tim Donovan is the research lead for Medical Imaging at the University of Cumbria.
Depositing User: Anna Lupton
Date Deposited: 07 Feb 2017 09:47
Last Modified: 12 Jan 2024 17:15


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