Advertisement
Research Article| Volume 357, ISSUE 1-2, P222-228, October 15, 2015

Download started.

Ok

Emotional processing in patients with mild cognitive impairment: The influence of the valence and intensity of emotional stimuli

The valence and intensity of emotional stimuli influence emotional processing in patients with mild cognitive impairment

      Highlights

      • Elderly with MCI have a diminished ability to discriminate facial emotions.
      • Elderly with MCI process EFEs worse than healthy individuals.
      • EFEs's valence and intensity seem to play a prominent role in emotional processing.
      • MCI individuals seem to be affected emotional processing neurological substrates.
      • Emotional processing seems to be crucial in attentional resource intervention.

      Abstract

      We studied the ability of individuals with mild cognitive impairment (MCI) to process emotional facial expressions (EFEs). To date, no systematic study has addressed how variation in intensity affects recognition of the different type of EFEs in such subjects.

      Design

      Two groups of 50 elderly subjects, 50 healthy individuals and 50 with MCI, completed a task that involved identifying 180 EFEs prepared using virtual models. Two features of the EFEs were contemplated, their valence (operationalized in six basic emotions) and five levels of intensity.

      Results

      At all levels of intensity, elderly individuals with MCI were significantly worse at identifying each EFE than healthy subjects. Some emotions were easier to identify than others, with happiness proving to be the easiest to identify and disgust the hardest, and intensity influenced the identification of the EFEs (the stronger the intensity, the greater the number of correct identifications). Overall, elderly individuals with MCI had a poorer capacity to process EFEs, suggesting that cognitive ability modulates the processing of emotions, where features of such stimuli also seem to play a prominent role (e.g., valence and intensity). Thus, the neurological substrates involved in emotional processing appear to be affected by MCI.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Neurological Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Petersen R.C.
        • Roberts R.O.
        • Knopman D.
        • Boeve B.
        • Geda Y.
        • Ivnik R.J.
        • Smith G.E.
        • Jack Jr., D.
        Mild cognitive impairment: ten years later.
        Arch. Neurol. 2009; 66: 1447-1455https://doi.org/10.1001/archneurol.2009.266
        • Farias S.T.
        • Mungas D.
        • Reed B.R.
        • Harvey D.
        • DeCarli C.
        Progression of mild cognitive impairment to dementia in clinic- vs community-based cohorts.
        Arch. Neurol. 2009; 66: 1151-1157
        • Roberts R.O.
        • Geda Y.E.
        • Knopman D.
        • et al.
        The mayo clinic study of aging: design and sampling, participation, baseline measures and sample characteristics.
        Neuroepidemiology. 2008; 30: 58-69
        • Landau S.M.
        • Harvey D.
        • Madison C.M.
        • Foster N.L.
        • Aisen P.S.
        • Petersen R.C.
        • Shaw L.M.
        • Trojanowski J.Q.
        • Jack C.R.
        • Weiner M.W.
        • Jaugust W.J.
        Comparing predictors of conversion and decline in mild cognitive impairment.
        Neurology. 2010; 75: 230-238
        • Mattsson N.
        • Zetterberg H.
        • Hansson O.
        • et al.
        CSF biomarkers and incipient Alzheimer disease in patients with mild cognitive impairment.
        JAMA. 2009; 302: 385-393
        • Abner E.L.
        • Kryscio R.J.
        • Cooper G.E.
        • Fardo D.
        • Jicha G.A.
        • Mendiondo M.
        • Nelson P.
        • Smith C.
        • Van Eldik L.
        • Wan L.
        • Schmitt F.
        Mild cognitive impairment: statistical models of transition using longitudinal clinical data.
        Int. J. Alzheimers Dis. 2012; (ID 291920)https://doi.org/10.1155/2012/291920
        • Albertemail S.
        • DeKosky S.T.
        • Dickson D.
        • Dubois B.
        • Feldman H.H.
        • Fox N.
        • Gamst A.
        • Holtzman D.
        • Jagust W.
        • Petersen R.
        • Snyder P.
        • Carrillo M.
        • Thies B.
        • Phelps C.
        The diagnosis of mild cognitive impairment due to Alzheimer's disease: recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease.
        Alzheimer's Dement. J. Alzheimer's Assoc. 2011; 7: 270-279
        • Kemp J.
        • Després O.
        • Sellal F.
        • Dufour A.
        Theory of mind in normal ageing and neurodegenerative pathologies.
        Ageing Res. Rev. 2012; 11: 199-219
        • Petersen R.C.
        • Smith G.E.
        • Waring S.C.
        • Ivnik R.J.
        • Tangalos E.G.
        • Kokmen E.
        Mild cognitive impairment: clinical characterization and outcome.
        Arch. Neurol. 1999; 56: 303-308
        • Henry J.D.
        • Thompson C.
        • Rendell P.G.
        • Phillips L.H.
        • Carbert J.
        • Sachdev P.
        • Brodaty H.
        Perception of biological motion and emotion in mild cognitive impairment and dementia.
        J. Int. Neuropsychol. Soc. 2012; 18: 866-873
        • McCade D.
        • Savage G.
        • Naismith S.L.
        Review of emotion recognition in mild cognitive impairment.
        Dement. Geriatr. Cogn. Disord. 2012; 32: 257-266
        • Malatesta C.Z.
        • Izard C.E.
        • Culver C.
        • Nicolich M.
        Emotion communication-skills in young, middle-aged, and older women.
        Psychol. Aging. 1978; 2: 193-203
        • Sullivan S.
        • Ruffman T.
        Emotion recognition deficits in the elderly.
        Int. J. Neurosci. 2004; 114: 403-432
        • García-Rodríguez B.
        • Fusari A.
        • Fernández-Guinea S.
        • Frank A.
        • Molina J.A.
        • Ellgring H.
        Decline of executive processes affects identification of emotional facial expressions in aging.
        Curr. Aging Sci. 2011; 4: 70-75
        • Mienaltowski A.
        • Johnson E.R.
        • Wittman R.
        • Wilson A.T.
        • Sturycz C.
        • Farley Norman J.
        The visual discrimination of negative facial expressions by younger and older adults.
        Vis. Res. 2013; 81: 12-17
        • West J.T.
        • Horning S.M.
        • Klebe K.J.
        • Foster S.M.
        • Cornwell R.E.
        • Perrett D.
        • Davis H.P.
        Age effects on emotion recognition in facial displays: from 20 to 89 years of age.
        Exp. Aging Res. 2012; 38: 146-168
        • Anderson A.K.
        • Phelps E.A.
        Lesions of the human amygdala impair enhanced perception of emotionally salient events.
        Nature. 2001; 411: 305-309
        • Varjassyová A.
        • Hořínek D.
        • Andel R.
        • Amlerova J.
        • Laczó J.
        • Sheardová K.
        • Magerová H.
        • Holmerová I.
        • Vyhnálek M.
        • Bradáč O.
        • Geda Y.E.
        • Hort J.
        Recognition of facial emotional expression in amnestic mild cognitive impairment.
        J. Alzheimers Dis. 2013; 33: 273-280
        • McCade D.
        • Savage G.
        • Guastella A.
        • Hickie I.B.
        • Lewis S.J.
        • Naismith S.L.
        Emotion recognition in mild cognitive impairment relationship to psychosocial disability and caregiver burden.
        J. Geriatr. Psychiatry Neurol. 2013; 26: 165-173https://doi.org/10.1177/0891988713491832
        • Weiss E.M.
        • Kohler C.G.
        • Vonbank J.
        • Stadelmann A.
        • Kemmler G.
        • Hinterbuber H.
        • Hinterbuber H.
        • Marksteiner J.
        Impairment in emotion recognition abilities in patients with mild cognitive impairment, early and moderate Alzheimer disease compared with healthy comparison subjects.
        Am. J. Geriatr. Psychiatr. 2008; 16: 974-980
        • Fujie S.
        • Namiki C.
        • Nishi H.
        • Yamada M.
        • Miyata J.
        • Sakata D.
        • Sawamoto N.
        • Fukuyama H.
        • Hayashi T.
        • Murai T.
        The role of the uncinated fasciculus in memory and emotional recognition in amnestic mild cognitive impairment.
        Dement. Geriatr. Cogn. Disord. 2008; 26: 432-439
        • Lavenú I.
        • Pasquier F.
        Perception of emotion on faces in frontotemporal dementia and Alzheimer's disease: a longitudinal study.
        Dement. Geriatr. Cogn. Disord. 2005; 19: 37-41
        • Miller L.A.
        • Hsieh S.
        • Lah S.
        • Savage S.
        • Hodges J.R.
        • Piguet O.
        One size does not fit all: face emotion processing impairments in semantic dementia, behavioural-variant frontotemporal dementia and Alzheimer's disease are mediated by distinct cognitive deficits.
        Behav. Neurol. 2012; 25: 53-60
        • Henry J.D.
        • Ruffman T.
        • McDonald S.
        • Peek O'Leary M.-A.
        • Phillips L.H.
        • Brodaty H.
        • Rendell P.G.
        Recognition of disgust is selectively preserved in Alzheimer's disease.
        Neuropsychologia. 2008; 46: 1363-1370
        • Bediou B.
        • Ryff I.
        • Mercier B.
        • Milliery M.
        • Hénaff M.-A.
        • D'Amato T.
        • Bonnefoy M.
        • Vighetto A.
        • Krolak-Salmon P.
        Impaired social cognition in mild Alzheimer disease.
        J. Geriatr. Psychiatry Neurol. 2009; 22: 130-140
        • Schenk F.
        • Baenziger T.
        • von Gunten A.
        An exploratory study on facial emotion recognition capacity in beginning Alzheimer's disease.
        Eur. Neurol. 2011; 65: 361-367
        • Saavedra C.
        • Iglesias J.
        • Olivares E.I.
        Event-related potentials elicited by face identity processing in elderly adults with cognitive impairment.
        Exp. Aging Res. 2012; 38: 220-245
        • Spoletini I.
        • Marra C.
        • Di Iulio F.
        • Gianni W.
        • Sancesario G.
        • Giubilei F.
        • Trequattrini A.
        • Bria P.
        • Caltagirone C.
        • Spalletta G.
        Facial emotion recognition deficit in amnesic mild cognitive impairment and Alzheimer disease.
        Am. J. Geriatr. Psychiatr. 2008; 16: 389-398
        • Adolphs R.
        • Tranel D.
        • Damasio H.
        • Damasio A.
        Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala.
        Nature. 1994; 372: 669-672
        • Broks P.
        • Young A.W.
        • Maratos E.J.
        • Coffey P.J.
        • Calder A.J.
        • Isaac C.L.
        • Mayes A.R.
        • Hodges J.R.
        • Montaldi D.
        • Cezayirli E.
        • Roberts N.
        • Hadley D.
        Face processing impairments after encephalitis–amygdala damage and recognition of fear.
        Neuropsychologia. 1998; 36: 59-70
        • Sato W.
        • Kubota Y.
        • Okada T.
        • Murai T.
        • Yoshikawa S.
        • Sengoku A.
        Seeing happy emotion in fearful and angry faces-qualitative analysis of facial expression recognition in a bilateral amygdala-damaged patient.
        Cortex. 2002; 38: 727-742
        • Yoshimura N.
        • Kawamura M.
        • Masaoka Y.
        • Homma I.
        The amygdala of patients with Parkinson's disease is silent in response to fearful facial expressions.
        Neuroscience. 2005; 131: 523-534
        • Adolphs R.
        • Tranel D.
        Impaired judgments of sadness but not happiness following bilateral amygdala damage.
        J. Cogn. Neurosci. 2004; 16: 453-462
        • Hargrave R.
        • Maddock R.J.
        • Stone V.
        Impaired recognition of facial expressions of emotion in Alzheimer's disease.
        J. Neuropsychiatry Clin. Neurosci. 2002; 14: 64-71
        • García-Rodríguez B.
        • Fusari A.
        • Ellgring H.
        Procesamiento emocional de las expresiones faciales en el envejecimiento normal y patológico.
        Rev. Neurol. 2008; 46: 609-617
        • García-Rodríguez B.
        • Ellgring H.
        • Fusari A.
        • Frank A.
        The role of interference in identification of emotional facial expressions in normal aging and dementia.
        Eur. J. Cogn. Psychol. 2009; 21 (Special Issue on Aging, Cognition and Neuroscience.): 428-444
        • Beaudry O.
        • Roy-Charland A.
        • Perron M.
        • Cormier I.
        • Tapp R.
        Featural processing in recognition of emotional facial expressions.
        Cogn. Emotion. 2013; (ahead-of-print): 1-17
        • Yamaguchi T.
        • Maki Y.
        • Yamaguchi H.
        Yamaguchi facial expression-making task in Alzheimer's disease: a novel and enhappinessable make-a-face game.
        Dement. Geriatr. Cogn. Disord. Extra. 2012; 2: 248-257
        • García-Rodríguez B.
        • Vincent C.
        • Casares-Guillén C.
        • Ellgring H.
        • Frank A.
        The effects of different attentional demands in the identification of emotional facial expressions in Alzheimer's disease.
        Am. J. Alzheimers Dis. 2012; 27: 530-536
        • Cremers H.R.
        • Demenescu L.R.
        • Aleman A.
        • Renken R.
        • van Tol M.J.
        • van der Wee N.J.
        • Veltman D.J.
        • Roelofs K.
        Neuroticism modulates amygdala—prefrontal connectivity in response to negative emotional facial expressions.
        Neuroimage. 2010; 49: 963-970
        • Ekman P.
        • Friesen W.V.
        The Facial Action Coding System.
        Consult Psychology Press, Palo Alto. California1978
        • Ekman P.
        • Friesen W.V.
        • Hager J.C.
        Facial action coding system.
        in: Research Nexus Division of Network Information Research Corporation, A Salk Lake City, UT2002
        • Ekman P.
        • Friesen W.V.
        Constants across cultures in the face and emotion.
        J. Pers. Soc. Psychol. 1971; 17: 124-129
        • Ortega V.
        • Phillips L.H.
        Effects of age and emotional intensity on the recognition of facial emotion.
        Exp. Aging Res. 2008; 34: 63-79
        • Tatham E.L.
        • Schmidt L.A.
        • Beaton E.A.
        • Schulkin J.
        • Hall G.B.
        Processing of affective faces varying in valence and intensity in shy adults: an event-related fMRI study.
        Psychol. Neurosci. 2013; 6: 57-65
        • Viinikainen M.
        • Jääskeläinen I.P.
        • Balk M.H.
        • Autti T.
        • Sams M.
        Neural processing of emotional valence of facial expressions.
        Open J. Neurosci. 2012; 2
        • Yoon K.L.
        • Joormann J.
        • Gotlib I.H.
        Judging the intensity of facial expressions of emotion: depression-related biases in the processing of positive affect.
        J. Abnorm. Psychol. 2009; 118: 223
        • Weyers P.
        • Mühlberger A.
        • Hefele C.
        • Pauli P.
        Electromyographic responses to static and dynamic avatar emotional facial expressions.
        Psychophysiology. 2006; 43: 450-453
        • Costafreda S.G.
        • Brammer M.J.
        • David A.S.
        • Fu C.
        Predictors of amygdala activation during the processing of emotional stimuli: a meta-analysis of 385 PET and fMRI studies.
        Brain Res. Rev. 2008; 58: 57-70
        • Bechara A.
        • Damasio H.
        • Damasio A.
        Emotion, decision making and the orbitofrontal cortex.
        Cereb. Cortex. 2000; 10: 295-307