Facial Emotion Recognition Deficit in Amnestic Mild Cognitive Impairment and Alzheimer Disease

Spoletini, Ilaria; Marra, Camillo; Iulio, Fulvia Di; Gianni, Walter; Sancesario, Giuseppe; Giubilei, Franco; Trequattrini, Alberto; Bria, Pietro; Caltagirone, Carlo; Spalletta, Gianfranco

doi:10.1097/jgp.0b013e318165dbce

Cited by 127 publications

(168 citation statements)

References 48 publications

(60 reference statements)

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“…MMSE 28.76 (1.1) [26][27][28][29][30] 25.17 (2.5) [20][21][22][23][24][25][26][27][28][29] [75][76][77][78][79][80] 74.39 (4.5) [63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80] p < 0.01 Verbal fluency "P" in 2 min 23.96 (7.7) 14.78 (4.6) [6][7][8][9][10][11][12][13][14][15][16][17][18]…”

Section: General Cognitive Functioningunclassified

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A Qualitative Impairment in Face Perception in Alzheimer’s Disease: Evidence from a Reduced Face Inversion Effect

Lavallée

Gandini

Rouleau

et al. 2016

JAD

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Short title (running head): face inversion effect in Alzheimer's disease © 2 AbstractPrevalent face recognition difficulties in Alzheimer disease have typically been attributed to the underlying episodic and semantic memory impairment. The aim of the current study was to determine if AD patients are also impaired at the perceptual level for faces, more specifically at extracting a visual representation of an individual face. To address this question, we investigated the matching of simultaneously presented individual faces and of other nonface familiar shapes (cars), at both upright and inverted orientation, in a group of mild AD patients and in a group of healthy older controls matched for age and education. AD patients showed a reduced inversion effect (i.e. larger performance for upright than inverted stimuli) for faces, but not for cars, both in terms of error rates and response times. While healthy participants showed a much larger decrease in performance for faces than for cars with inversion, the inversion effect did not differ significantly for faces and cars in AD. This abnormal inversion effect for faces was observed in a large subset of individual patients with AD. These results suggest that AD patients have deficits in higher-level visual processes, more specifically at perceiving individual faces, a function that relies on holistic representations specific to upright face stimuli. These deficits, combined with their memory impairment, may contribute to the difficulties in recognizing familiar people that are often reported in patients suffering from the disease and by their caregivers.3

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Section: General Cognitive Functioningunclassified

“…One line of evidence comes from studies which have demonstrated difficulties in the categorization of facial emotions in AD [17][18][19][20][21][22]. Another line of evidence involves studies that have shown deficits in the processing of non-emotional features of faces such as age estimation [23] and mental rotation of faces [24].…”

Section: Introductionmentioning

confidence: 99%

A Qualitative Impairment in Face Perception in Alzheimer’s Disease: Evidence from a Reduced Face Inversion Effect

Lavallée

Gandini

Rouleau

et al. 2016

JAD

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“…O baixo desempenho no reconhecimento da expressão emocional facial em idosos com DA parece estar relacionado à progressão da demência (Lavenu & Pasquier, 2005;Lee et al, 2013;Spoletini et al, 2008). Na progressão, há o acometimento de algumas estruturas relacionadas ao processamento das emoções (McLellan et al, 2008), como a amígdala (Wright et al, 2007), o córtex temporal anterior e o córtex frontal orbital (Mclellan et al, 2008).…”

Section: Qiunclassified

“…Idosos com DA podem apresentar défi cit no reconhecimento das faces emocionais (Abrisqueta-Gomez, Bueno, Oliveira, & Bertolucci, 2002;Hargrave et al, 2002;Lee et al, 2013;Luzzi, Piccirilli, & Provinciali, 2007;Spoletini et al, 2008) e na memória emocional, embora a capacidade de atribuir conteúdo afetivo a fotos de faces emocionais possa permanecer preservada inicialmente (Burnham & Hogervorst, 2004;Schultz, 2003).…”

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Percepção de Expressões Faciais Emocionais em Idosos com Doença de Alzheimer

Ladislau¹,

Guimarães²,

Souza³

2015

Psicol. Reflex. Crit.

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ResumoA literatura vem discutindo acerca da percepção de emoções faciais evidentes em idosos com Doença de Alzheimer (DA). Alguns autores sugerem que os défi cits apresentados são decorrentes de problemas visuoespaciais; outros sugerem que são por difi culdades no processamento das emoções; e há os que defendem que esse défi cit perceptivo é secundário à evolução da demência. Esta pesquisa buscou investigar os aspectos neuropsicológicos da expressão emocional facial, por meio da aplicação da Escala de Inteligência Wechsler para Adultos-III (WAIS-III) e de um programa de computador desenvolvido pelo Laboratório de Psicobiologia denominado Teste de Percepção de Expressões Faciais (TEPEF), que avalia a percepção de faces emocionais em idosos. Os resultados sugerem que o WAIS-III foi sensível para a diferenciação entre os grupos experimental e controle, mas apresentou pouca especifi cidade. O TEPEF apresentou consistência para avaliar as expressões faciais de alegria, tristeza, nojo, surpresa e raiva. Além disso, ele mostrou que a percepção de alegria em idosos com DA em fase moderada está relativamente preservada. Conclui-se, portanto, que os prejuízos relacionam-se às emoções negativas evidenciadas pela percepção das faces emocionais, demandando supervisão continuada para os idosos com essas alterações. Palavras-chave: Doença de Alzheimer, face, percepção visual. AbstractLiterature has been discussing the perception of emotional facial expressions in elderly suffering from Alzheimer's Disease (AD). Some authors suggest that defi cits occur due to visuospatial problems; others suggest that the diffi culty is related to emotional processing; still others argue that this perceptive defi cit is secondary to dementia evolution. This study aimed to investigate the neuropsychological aspects of the perception of facial emotional expression by applying the Wechsler Adult Intelligence Scale-III (WAIS-III) test, as well as a software named Perception Test of Facial Emotional Expressions (TEPEF), which analyzes the perception of emotional faces by the elderly. The results suggest that WAIS-III was sensible in discriminating the differences between experimental and control groups, but presented little specifi city. The TEPEF presented consistency to evaluate facial expressions of happiness, sadness, disgust, surprise and anger. Furthermore, it showed that the perception of happiness in the elderly with mild AD is relatively preserved. The expressions more easily perceived -such as happiness and sadness -had correlations with few WAIS-III subtests. Therefore, the study concluded that the losses are related to negative emotions evidenced by the perception of emotional faces, which requires continued supervision for the elderly with these changes.

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“…Other studies [12][13][14] indicate that patients with AD have an impaired capacity to process the facial expressions of emotion, probably due to the characteristic cognitive deterioration associated with the disease, especially in the attention and memory processes of the amygdala [11] and other brain structures that modulate emotional processing [15].…”

Section: Emotions Aging and Dementiamentioning

confidence: 99%

Behavior and Emotion in Dementia

Rodríguez¹,

Sales²,

RedondoFlores³

et al. 2016

Update on Dementia

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During the course of disease, the patient and caregiver face emotional and behavioral problems that may occur. Therefore, it is important to knowing how emotions and the perception of them are modified and thus to know the impact they have on mood and behavior of the patient and caregiver. Publicizing the type of pathology, both emotional and behavioral levels, in a patient with dementia can help in the development of nonpharmacological interventions that could slow the symptoms and improve the quality of life of patients.

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Facial Emotion Recognition Deficit in Amnestic Mild Cognitive Impairment and Alzheimer Disease

Cited by 127 publications

References 48 publications

A Qualitative Impairment in Face Perception in Alzheimer’s Disease: Evidence from a Reduced Face Inversion Effect

A Qualitative Impairment in Face Perception in Alzheimer’s Disease: Evidence from a Reduced Face Inversion Effect

Percepção de Expressões Faciais Emocionais em Idosos com Doença de Alzheimer

Behavior and Emotion in Dementia

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