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

JOURNAL OF THE NEUROLOGICAL SCIENCES

卷:361

Article

Ille, Rottraut¹  Wabnegger, Albert¹  Schwingenschuh, Petra²  Katschnig-Winter, Petra²  Koegl-Wallner, Mariella²  Wenzel, Karoline²  Schienle, Anne¹ 

[1] Graz Univ, Clin Psychol, A-8010 Graz, Austria

[2] Med Univ Graz, Dept Neurol, Auenbruggerpl 22A, A-8036 Graz, Austria

关键词: Affective traits;    Emotion experience;    Facial emotion recognition;    Emotion regulation;    Disease severity;    Compensatory mechanisms;    Parkinson's disease;   

DOI  :  10.1016/j.jns.2015.12.007

来源: Elsevier

【 摘 要 】

Background: A specific non-motor impairment in Parkinson's disease (PD) concerns difficulties to accurately identify facial emotions. Findings are numerous but very inconsistent, ranging from general discrimination deficits to problems for specific emotions up to no impairment at all. By contrast, only a few studies exist about emotion experience, altered affective traits and states in PD. Objective: To investigate the decoding capacity for affective facial expressions, affective experience of emotion eliciting images and affective personality traits in PD. Methods: The study sample included 25 patients with mild to moderate symptom intensity and 25 healthy controls (HC) of both sexes. The participants were shown pictures of facial expressions depicting disgust, fear, and anger as well as disgusting and fear-relevant scenes. Additionally, they answered self-report scales for the assessment of affective traits. Results: PD patients had more problems in controlling anger and disgust feelings than HC Higher disgust sensitivity in PD was associated with lower functioning in everyday life and lower capacity to recognize angry faces. Furthermore, patients reported less disgust towards poor hygiene and spoiled food and they stated elevated anxiety. However, the clinical group displayed intact facial emotion decoding and emotion experience. Everyday life functionality was lowered in PD and decreased with stronger motor impairment Furthermore, disease duration was negatively associated to correct classification of angry faces. Conclusions: 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. (C) 2015 The Authors. Published by Elsevier B.V.

【 授权许可】

Free