The purpose of this review was to explore how vocal affect recognition deficits impact the psychosocial functioning of people with moderate to severe traumatic brain injury (TBI). A systematic review following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines was conducted, whereby six databases were searched, with additional hand searching of key journals also completed. The search identified 1847 records after duplicates were removed, and 1749 were excluded through title and abstract screening. After full text screening of 65 peer-reviewed articles published between January 1999 and August 2019, only five met inclusion criteria. The methodological quality of selected studies was assessed using the Mixed Methods Appraisal Tool (MMAT) Version 2018 with a fair level of agreement reached. A narrative synthesis of the results was completed, exploring vocal affect recognition and psychosocial functioning of people with moderate to severe TBI, including aspects of social cognition (i.e., empathy; Theory of Mind) and social behaviour. Results of the review were limited by a paucity of research in this area, a lack of high-level evidence, and wide variation in the outcome measures used. More rigorous study designs are required to establish more conclusive evidence regarding the degree and direction of the association between vocal affect recognition and aspects of psychosocial functioning. This review is registered with Prospero.

中文翻译：

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中度至重度创伤性脑损伤患者的声音影响识别与心理社会功能之间的关系：系统评价

本综述的目的是探讨声音影响识别缺陷如何影响中度至重度创伤性脑损伤 (TBI) 患者的心理社会功能。遵循系统评价和元分析的首选报告项目 (PRISMA) 指南进行了系统评价，其中搜索了六个数据库，还完成了对关键期刊的额外手动搜索。搜索在删除重复项后确定了 1847 条记录，并通过标题和摘要筛选排除了 1749 条记录。在对 1999 年 1 月至 2019 年 8 月期间发表的 65 篇同行评审文章进行全文筛选后，只有 5 篇符合纳入标准。使用混合方法评估工具 (MMAT) 2018 版评估选定研究的方法学质量，并达成了相当程度的一致。完成了对结果的叙述性综合，探索了中度至重度 TBI 患者的声音情感识别和社会心理功能，包括社会认知（即同理心；心智理论）和社会行为方面。由于该领域缺乏研究、缺乏高水平的证据以及所使用的结果测量方法存在很大差异，该评价的结果受到限制。需要更严格的研究设计来建立关于声音影响识别与心理社会功能方面之间关联程度和方向的更确凿证据。此评论已在 Prospero 注册。心理理论）和社会行为。由于该领域缺乏研究、缺乏高水平的证据以及所使用的结果测量方法存在很大差异，该评价的结果受到限制。需要更严格的研究设计来建立关于声音影响识别与心理社会功能方面之间关联程度和方向的更确凿证据。此评论已在 Prospero 注册。心理理论）和社会行为。由于该领域缺乏研究、缺乏高水平的证据以及所使用的结果测量方法存在很大差异，该评价的结果受到限制。需要更严格的研究设计来建立关于声音影响识别与心理社会功能方面之间关联程度和方向的更确凿证据。此评论已在 Prospero 注册。