Intact emotion recognition and experience but dysfunctional emotion regulation in idiopathic Parkinson's disease

Abstract

Our data indicate that problems with emotion regulation may appear already in earlier disease stages of PD. By contrast, PD patients showed appropriate emotion recognition and experience. However, data also point to a deterioration of emotion recognition capacity with the course of the disease. Compensatory mechanisms in PD patients with less advanced disease are discussed.

Facial emotion recognition in Parkinson's disease: A review and new hypotheses

“…Few studies used rating tasks,30, 32, 33, 56, 70, 71, 72 but all except one71 highlighted an FER deficit among patients. However, when intensity ratings were dichotomized as correct (when the scale corresponding to the target emotion had the highest intensity rating) versus incorrect, the deficit was not always reported 33, 72. Surprisingly, only Dujardin et al32 analyzed response patterns according to the intensity scores on each VAS.…”

“…Concomitant with depression, apathy and anxiety are also frequent in PD 3, 99. However, these mood disorders have been taken into account less often, although some studies have highlighted their influence on FER (anxiety: Clark et al13 and Ille et al33; apathy: Robert et al100 and Martínez‐Coral et al25). …”

“…Indeed, about 30% of the reviewed studies did not examine its effect on the recognition of specific emotions but calculated an overall score encompassing all the displayed emotions 4, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29. Moreover, authors did not manipulate the same set of stimuli, and some only used a small subset 23, 30, 31, 32, 33, 34, 35. At last, some authors who explicitly investigated the recognition of specific emotions showed that although recognition was impaired for all the emotions they tested, some were more poorly recognized than others 24, 32, 34, 36, 37, 38, 39.…”

“…4,14-29 Moreover, authors did not manipulate the same set of stimuli, and some only used a small subset. 23,[30][31][32][33][34][35] At last, some authors who explicitly investigated the recognition of specific emotions showed that although recognition was impaired for all the emotions they tested, some were more poorly recognized than others. 24,32,34,[36][37][38][39] Like Gray and Tickle-Degnen, 12 we noted that FER deficit in PD affected all the basic emotions but was greater for negative emotions (64% of studies highlighted a global deficit, 44% for anger, 27% for happiness; Table 1).…”

Comportamiento no verbal en personas con enfermedad de Parkinson como posibilidad de mejoramiento de la comunicación

“…Esta variedad de factores intervinientes posiblemente esté en juego cuando se observa la heterogeneidad en los resultados que los distintos estudios logran indagando el reconocimiento facial de emociones en personas con EP 27 , ya que se hallan desde investigaciones donde se señala la falta de evidencia de un déficit en las personas con Parkinson 10,22 , otras que indican déficits específicos vinculados al reconocimiento de emociones negativas 25 y otras que muestran déficits más generales de reconocimiento facial de emociones 23,26 . Por ejemplo, la importancia de factores como la medicación dopaminérgica en los resultados puede apreciarse al estudiar el reconocimiento de expresiones faciales en per- La expresión facial de emociones también ha sido indagada junto al reconocimiento 24,29 , concluyendo que puede haber una relación entre la expresividad alterada y el reconocimiento facial de emociones, aún en un contexto experiencial subjetivo de emociones normal 30 .…”