Facial emotion recognition in Parkinson's disease: methodological, clinical, and pathophysiological factors

Risi, Marco De; Olivola, Enrica; Gennaro, Giancarlo Di; Modugno, Nicola

doi:10.1016/b978-0-12-815946-0.00006-5

Diagnosis and Management in Parkinson's Disease 2020

DOI: 10.1016/b978-0-12-815946-0.00006-5

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Facial emotion recognition in Parkinson's disease: methodological, clinical, and pathophysiological factors

Marco De Risi

Enrica Olivola

Giancarlo Di Gennaro

et al.

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2022

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“…Additional structures such as the orbitofrontal cortex (OFC) and the anterior cingulate cortex (ACC), also affected by PD pathology, have been implicated in emotion processing (Baggio et al, 2012; Ibarretxe-Bilbao et al, 2009). Overall, depletion of dopamine in the OFC or ACC may produce cognitive and emotional manifestations in PD (De Risi et al, 2020). However, it is not fully established whether emotion recognition deficits in PD should be considered as a primary nonmotor symptom due to the dopaminergic deficit or as dependent on the executive deficits and affective disturbances commonly present in these patients.…”

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confidence: 99%

Facial emotion recognition in Parkinson’s disease: The role of executive and affective domains.

Siquier¹,

Andrés²

2022

Neuropsychology

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Objective: The ability to recognize emotions from facial expression (FER) may be impaired in Parkinson's disease (PD). We aimed to explore FER in PD patients by using a dynamic presentation of emotions across different intensities and to examine the extent to which executive and affective alterations contributed to FER deficits. Method: Fifteen PD patients and 15 healthy controls were assessed on the emotion recognition task (ERT). We also explored how clinical and executive factors could have contributed to ERT accuracy. Results: PD patients showed poorer performance on the ERT, specifically on angry expressions, but they benefited from increased intensity as much as controls did. Differences were also found for apathy, depression, and executive tests, especially in the inhibition domain. Importantly, differences between groups on the ERT disappeared when controlling for inhibition and the affective symptoms. A significant effect of inhibition dysfunction was also observed on the ERT performance. Conclusions: Our findings demonstrate the presence of emotion recognition deficits of morphed facial expressions in patients with PD. Moreover, they suggest that inhibition dysfunctions may act as an important factor negatively influencing FER. The present study highlights the complex nature of emotion processing and its relation with emotionalaffective and cognitive aspects to provide a better understanding of FER deficits in PD. Key PointsQuestion: How do executive and affective dysfunctions contribute to facial emotion recognition (FER) deficits in Parkinson's disease (PD)? Findings: Inhibition dysfunction acts as a relevant contributor to FER deficits in PD. Importance: Our results show a close link between emotional-affective and cognitive levels. Next Steps: Future research examining the complex nature of emotion processing would help to provide a richer understanding of FER in PD.

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confidence: 99%

Facial emotion recognition in Parkinson’s disease: The role of executive and affective domains.

Siquier¹,

Andrés²

2022

Neuropsychology

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Facial emotion recognition in Parkinson's disease: methodological, clinical, and pathophysiological factors

Cited by 1 publication

References 54 publications

Facial emotion recognition in Parkinson’s disease: The role of executive and affective domains.

Facial emotion recognition in Parkinson’s disease: The role of executive and affective domains.

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