Social motivation in individuals with isolated cleft lip and palate

Ellen van der Plas; Timothy R Koscik; Amy L Conrad; David J Moser; Peg Nopoulos

doi:10.1080/13803395.2013.789828

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Social motivation in individuals with isolated cleft lip and palate

Journal article

Open access

Peer reviewed

Social motivation in individuals with isolated cleft lip and palate

Ellen van der Plas, Timothy R Koscik, Amy L Conrad, David J Moser and Peg Nopoulos

Journal of clinical and experimental neuropsychology, Vol.35(5), pp.489-500

06/01/2013

DOI: 10.1080/13803395.2013.789828

PMCID: PMC3674185

PMID: 23634967

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Abstract

Social isolation is common among individuals with isolated cleft lip and palate (ICLP), but the available data on why this may be are mixed. We present a novel theory relating to reduced social motivation in ICLP, called the social abulia hypothesis. Based on this hypothesis, we predicted that reduced social motivation would lead to reduced responsiveness to negative social feedback, in terms of both explicit responses and noncontrolled, psychophysiological responses. Twenty males with ICLP and 20 normal comparison males between 13 and 25 years old participated in the study. Social motivation was examined by measuring participants' response to negative social feedback (social exclusion). Additionally, psychophysiological reactivity to positive and negative social stimuli was measured. In order to rule out other potential contributors to social isolation, we tested basic social perception, emotion recognition, and social anxiety. In line with the social abulia hypothesis, we show that negative social feedback had less of an effect on males with ICLP than on healthy male peers, which was evident in explicit responses and noncontrolled, psychophysiological responses to negative social feedback. Our results could not be attributed to problems in social perception, a lack of understanding facial expressions, or increased social anxiety, as groups did not differ on these constructs. This study suggests that current views on social isolation in ICLP may need to be reconsidered to include the possibility that isolation in this population may be the direct result of reduced social motivation.

Isolated cleft lip and palate

Social exclusion

Social motivation

Social isolation

Social feedback

Details

Title: Subtitle: Social motivation in individuals with isolated cleft lip and palate
Creators: Ellen van der Plas - Department of Psychiatry , The Hospital for Sick Children
Timothy R Koscik - Department of Psychology , University of Toronto
Amy L Conrad - Department of Psychiatry , University of Iowa Hospital and Clinics
David J Moser - Department of Psychiatry , University of Iowa Hospital and Clinics
Peg Nopoulos - Department of Psychiatry , University of Iowa Hospital and Clinics
Resource Type: Journal article
Publication Details: Journal of clinical and experimental neuropsychology, Vol.35(5), pp.489-500
DOI: 10.1080/13803395.2013.789828
PMID: 23634967
PMCID: PMC3674185
NLM abbreviation: J Clin Exp Neuropsychol
ISSN: 1380-3395
eISSN: 1744-411X
Publisher: Taylor & Francis Group
Language: English
Date published: 06/01/2013
Academic Unit: Neurology; Psychiatry; Pediatric Psychology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Craniofacial Anomalies Research Center; Medicine Administration
Record Identifier: 9984003983002771

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