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Future work requires a deeper investigation of this capability as those avatars showing positive facial dynamics were females, indicating a potential gender influence on the processing of emotional facial expressions [ 9 ]. In step 2, we wanted to investigate which of the facial descriptors are not only capable of differentiating between non-painful and painful conditions step 1 but can also predict self-reported pain intensity of the observed person step 2. For sure, we did not intend to simulate everyday conditions of pain care because we liked to see what the standardized observation of facial responses might achieve under best possible conditions. Pain Manag Nurs. To test for such potential biases, we compared nurses with longstanding work experience and laypersons. There will be video- and computer-based systems available in the future, which might assist or substitute the FACS coder and allow for online coding of facial expressions in clinical care settings [ 12 ].
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