Emotion identification appears to decline with age, and deficient visual scanning may contribute to this effect. Eye movements of 20 older adults (OAs) and 20 younger adults (YAs) with normal saccades were recorded while viewing facial expressions. OAs made fewer fixations overall, and they made a higher proportion of fixations to the lower halves of faces. Topographical distribution of fixations predicted better OA accuracy for identifying disgust than other negative emotions. Impaired OA accuracy for fear and anger was specific to vision, with normal identification of these emotions in the auditory domain. Age-related frontal-lobe atrophy may affect the integrity of the frontal eye fields, with consequent scanning abnormalities that contribute to difficulties in identifying certain emotions.

Studies investigating the ability to recognize emotional facial expressions in non-demented individuals with Parkinson's disease (PD) have yielded equivocal findings. A possible reason for this variability may lie in the confounding of emotion recognition with cognitive task requirements, a confound arising from the lack of a control condition using non-emotional stimuli. The present study examined emotional facial expression recognition abilities in 20 non-demented patients with PD and 23 control participants relative to their performances on a non-emotional landscape categorization test with comparable task requirements. We found that PD participants were normal on the control task but exhibited selective impairments in the recognition of facial emotion, specifically for anger (driven by those with right hemisphere pathology) and surprise (driven by those with left hemisphere pathology), even when controlling for depression level. Male but not female PD participants further displayed specific deficits in the recognition of fearful expressions. We suggest that the neural substrates that may subserve these impairments include the ventral striatum, amygdala, and prefrontal cortices. Finally, we observed that in PD participants, deficiencies in facial emotion recognition correlated with higher levels of interpersonal distress, which calls attention to the significant psychosocial impact that facial emotion recognition impairments may have on individuals with PD.

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