The recognition of facial expressions of emotion in Alzheimer’s disease: a review of findings

McLellan, Tracey; Johnston, Lucy; Dalrymple‐Alford, John C.; Porter, Richard

doi:10.1111/j.1601-5215.2008.00315.x

Cited by 52 publications

(65 citation statements)

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“…O seu reconhecimento favorece o comportamento social humano (de Souza, Feitosa, Eifuku, Tamura, & Ono, 2008;Spikman et al, 2013) e a sua consequente adaptação (Darwin, 1872(Darwin, /2000Spikman et al, 2013). Dessa forma, ao discriminar as emoções, o indivíduo escolhe a melhor forma de interagir com o outro, promovendo uma comunicação interpessoal efi caz (Hargrave, Maddock, & Stone, 2002;McLellan, Johnston, Dalrymple-Alford, & Porter, 2008;Spikman et al, 2013;Weigelt, Koldewyn, & Kanwisher, 2011).…”

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“…Há evidências de que existem seis expressões emocionais universais: alegria, medo, raiva, nojo, surpresa e tristeza (Darwin, 1872(Darwin, /2000Ekman & Friesen, 1971, 1978. As principais estruturas relacionadas ao funcionamento de expressões faciais são a amígdala, o córtex pré-frontal medial e o córtex fusiforme (Haxby, Hoffman, & Gobbini, 2002;McLellan et al, 2008). O processamento emocional tem como substrato neural o sulco temporal superior (STS; de Souza et al, 2008;Haxby et al, 2002), o estriado ventral, o cíngulo anterior e a ínsula.…”

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“…O processamento emocional tem como substrato neural o sulco temporal superior (STS; de Souza et al, 2008;Haxby et al, 2002), o estriado ventral, o cíngulo anterior e a ínsula. Assim, a ativação do cíngulo anterior e do cíngulo subcaloso está associada à tristeza; a amígdala relaciona-se ao reconhecimento do medo e da alegria (Choleris, Kavaliers, & Pfaff, 2008;Haxby et al, 2002;Kipps, Duggins, McCusker, & Calder, 2007;Sato et al, 2002); os gânglios da base e a ínsula favorecem o reconhecimento do nojo (McLellan et al, 2008); o giro fusiforme, o giro temporal superior direito, o giro parahipocampal, o córtex cingulado e o cerebelo relacionam-se à expressão de surpresa (Yoshimura, Kawamura, Masaoka, & Homma, 2005); o córtex órbito-frontal (Blair & Cipolotti, 2000), o giro cingulado anterior e a amígdala (Haxby et al, 2002;Lee, Sun, Leung, Chu, & Keysers, 2013;Sato et al, 2002;Tessitore et al, 2002;Wright, Dickerson, Feczko, Negeira, & Williams, 2007) são responsáveis pelo processamento da raiva.…”

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“…No caso da Doença de Alzheimer (DA), estudos (Burnham & Hogervorst, 2004;Celone et al, 2006;de Souza et al, 2008;Drapeau, Gosselin, Gagnon, Peretz, & Lorrain, 2009;Guaita et al, 2009;Kohler et al, 2005;Lee et al, 2013;McLellan et al, 2008;Perry et al, 2001;Werheid & Clare, 2007) mostraram que a amígdala e o lobo temporal do cérebro são afetados, causando prejuízos nas memórias semântica e episódica e no reconhecimento facial e das expressões emocionais da face. Consequentemente, há uma diminuição nas interações sociais, predispondo o idoso com DA a um declínio funcional posterior (Lee et al, 2013).…”

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“…Acomete, inicialmente, a orientação temporal e as memórias de curto prazo e episódica. Em seguida, ocorrem défi cits na linguagem, nos distúrbios de planejamento e nas habilidades visuoespaciais (Caramelli & Barbosa, 2002), incluindo défi cit na percepção de faces emocionais (McLellan et al, 2008).…”

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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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Percepção de Expressões Faciais Emocionais em Idosos com Doença de Alzheimer

Ladislau¹,

Guimarães²,

Souza³

2015

Psicol. Reflex. Crit.

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Association Between Psychosis in Elderly Patients With Alzheimer Disease and Impaired Social Cognition

et al. 2018

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Symptoms of psychosis in patients with Alzheimer disease may be the expression of a pathological subtype associated with an accelerated cognitive and functional deterioration portending a hastened mortality. 1 The proposed National Institute of Mental Health Research Domain Criteria initiative provides a framework for conceptualizing the common neurobiological underpinnings of symptom domains such as psychosis that transcend individual diagnostic categories to facilitate translational research. 2 Gur et al 3 suggest that highly implementable tasks measuring facial affective processing can be used to assay social cognitive integrity in psychotic disorders within the National Institute of Mental Health Research Domain Criteria framework. Although McLellan et al 4 report that facial affective processing is degraded in Alzheimer disease, to our knowledge no published studies have investigated the association between this impairment and the psychotic phenotype. We report on facial affective processing performance in a longitudinal cohort of healthy elderly control individuals and participants with mild cognitive impairment (MCI) or Alzheimer disease at baseline, with and without symptoms of psychosis over the course of the study.

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Facial emotion recognition is associated with executive functions and depression scores, but not staging of dementia, in mild‐to‐moderate Alzheimer's disease

Buçgün,

Korkmaz,

Öyekçin

2024

Brain and Behavior

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BackgroundAlthough deficits in facial emotion recognition (FER) significantly affect interpersonal communication and social functioning, there is no consensus on how FER affects Alzheimer's disease (AD). In this study, we aimed to investigate the clinical and neuropsychological factors affecting the possible deficits in the FER abilities of patients with AD.MethodsThis cross‐sectional study included 37 patients with mild [clinical dementia rating (CDR) scale score = 1] or moderate (CDR = 2) AD, in whom vascular dementia and depression were excluded, and 24 cognitively normal (CDR = 0) subjects. FER ability was determined using the facial emotion identification test (FEIT) and facial emotion discrimination test (FEDT). All participants underwent mini‐mental state examination (MMSE), frontal assessment battery (FAB), and geriatric depression scale (GDS). The neuropsychiatric inventory‐clinician rating scale (NPI‐C), Katz index of independence in activities of daily living, and Lawton instrumental activities of daily living were also administered to patients with AD.ResultsThe FEIT and FEDT total scores showed that patients with mild and moderate AD had significant FER deficits compared to healthy controls. However, no significant difference was observed between patients with mild and moderate AD in the FEIT and FEDT total scores. FEIT and FEDT scores were not correlated with the MMSE and NPI‐C total and subscales scores in patients with AD. Linear regression indicated that FEIT and FEDT total scores were significantly related to age and FAB scores. The GDS score negatively moderated the relationship between FAB and FEDT.ConclusionsThis study demonstrated a decreased FER ability in patients with AD. The critical point in FER deficits is the presence of dementia, not the dementia stage, in AD. It has been determined that executive functions and depression (even at a subsyndromal level), which have limited knowledge, are associated with FER abilities.

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The recognition of facial expressions of emotion in Alzheimer’s disease: a review of findings

Cited by 52 publications

References 83 publications

Percepção de Expressões Faciais Emocionais em Idosos com Doença de Alzheimer

Percepção de Expressões Faciais Emocionais em Idosos com Doença de Alzheimer

Association Between Psychosis in Elderly Patients With Alzheimer Disease and Impaired Social Cognition

Facial emotion recognition is associated with executive functions and depression scores, but not staging of dementia, in mild‐to‐moderate Alzheimer's disease

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