Developmental changes in the recognition and comprehension of facial expression: implications for frontal lobe function.

Children aged 6-15 years old and adults (over 18) were given three tests designed to test perception and comprehension of facial expression. In the first test subjects were given two composite symmetrical faces made from the left or right half of a normal face, the subjects' task being to indicate which composite more closely resembled the original face. In the second test the subjects matched a series of photographs from Life magazine with key photographs of one of six distinct emotions (sad, fear, happy, anger, disgust, surprise). In the third test the subjects chose a key photograph that was appropriate for the face of a faceless character in a cartoon. On the composite faces test the subjects in all groups exhibited a preference for the left visual field composite, implying that all age groups were processing the faces in a similar manner. The results of the other two tests showed that there was an improvement in the perception of facial expression between the ages of 6 and 8 years, little change until about 13 years, and then a second improvement to adult performance at about 14 years. The performance of the 8- to 13-year-old children was similar to that of adult patients with frontal lobe injuries, which could be taken as evidence that the regions of the frontal lobe involved in the performance of these tasks may not be mature until about 14 years of age.