Hostname: page-component-5d59c44645-jb2ch Total loading time: 0 Render date: 2024-03-04T09:44:00.140Z Has data issue: false hasContentIssue false

The perception of emotional facial expressions in stroke patients with and without depression

Published online by Cambridge University Press:  24 June 2014

Barbara Montagne
Affiliation:
Department of Psychiatry, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
Gudrun M. S. Nys
Affiliation:
Laboratory for Neuropsychology, Department of Internal Medicine – Section Neurology, Ghent University, Ghent, Belgium
Martine J. E van Zandvoort
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands Helmholtz Instituut, Department of Experimental Psychology, Utrecht University, Utrecht, The Netherlands
L. Jaap Kappelle
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands
Edward H. F de Haan
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands Helmholtz Instituut, Department of Experimental Psychology, Utrecht University, Utrecht, The Netherlands
Roy P. C. Kessels*
Affiliation:
Departments of Geriatric Medicine Medical Psychology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands Nijmegen Institute for Cognition and Information, Radboud University Nijmegen, Nijmegen, The Netherlands
*
Dr Roy P. C. Kessels, NICI/Biological Psychology & Neuropsychology, PO Box 9104, 6500 HE Nijmegen, The Netherlands. Tel: +3124 3612541; Fax: +3124 3616066; E-mail: r.kessels@ger.umcn.nl

Abstract

Background:

Emotion perception may be impaired after stroke. No study on emotion perception after stroke has taken the influence of post-stroke depressive symptoms into account, although depressive symptoms themselves may hamper emotion perception.

Objective:

To compare the perception of emotional facial expressions in stroke patients with and without depressive symptoms.

Methods:

Twenty-two stroke patients participated whose depressive symptoms were classified using the Montgomery-Åsberg Depression Rating Scale (cutoff = 10) and who were compared with healthy controls. Emotion recognition was measured using morphed images of facial expressions.

Results:

Patients with depressive symptoms performed worse than controls on all emotions; patients without depressive symptoms performed at control level. Patients with depressive symptoms were less sensitive to the emotions anger, happiness and sadness compared with patients without depressive symptoms.

Conclusions:

Post-stroke depressive symptoms impair emotion perception. This extends findings in bipolar disorder indicating that emotion perception deficits are strongly related to the level of depression.

Type
Research Article
Copyright
Copyright © 2007 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Carota, A, Staub, F, Bogousslavsky, J. Emotions, behaviours and mood changes in stroke. Curr Opin Neurol 2002;15:5769. CrossRefGoogle ScholarPubMed
Nys, GMS, van Zandvoort, MJE, van Der Worp, HB, de Haan, EHF, de Kort, PLM, Kappelle, LJ. Early depressive symptoms after stroke: neuropsychological correlates and lesion characteristics. J Neurol Sci 2005;228:2733. CrossRefGoogle ScholarPubMed
Chemerinsky, E, Robinson, RG, Kosier, JT. Improved recovery in activities of daily living associated with remission of poststroke depression. Stroke 2001;32:113117. CrossRefGoogle Scholar
Leppänen, JM. Emotional information processing in mood disorders: a review of behavioral and neuroimaging findings. Curr Opin Psychiatry 2006;19:3449. CrossRefGoogle ScholarPubMed
Kucharska-Pietura, K. Disordered emotional processing in schizophrenia and one-sided brain damage. Prog Brain Res 2006;156:467479. CrossRefGoogle ScholarPubMed
Montgomery, SA, ÅSberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979;134:382389. CrossRefGoogle ScholarPubMed
Zimmerman, M, Chelminski, I, Posternak, M. A review of studies of the Montgomery-Asberg Depression Rating Scale in controls: implications for the definition of remission in treatment studies of depression. Int Clin Psychopharmacol 2004;19:17. CrossRefGoogle ScholarPubMed
Benton, AL, Sivan, AB, Des Hamsher, K, Varney, NR, Spreen, O. Contributions to neuropsychological assessment: a clinical manual, 2nd ed. New York: Oxford University Press, 1994. Google Scholar
Montagne, B, Kessels, RPC, de Haan, EHF, Perrett, DI. The Emotion Recognition Task: a paradigm to measure the perception of facial emotional expressions at different intensities. Percept Mot Skills 2007;104:589598. CrossRefGoogle ScholarPubMed
Karparova, SP, Kersting, A, Suslow, T. Disengagement of attention from facial emotion in unipolar depression. Psychiatry Clin Neurosci 2005;59:723729. CrossRefGoogle ScholarPubMed
Gray, J, Venn, H, Montagne, Bet al. Bipolar patients show mood-congruent biases in sensitivity to facial expressions of emotion when exhibiting depressed symptoms, but not when exhibiting manic symptoms. Cognit Neuropsychiatry 2006;11:505520. CrossRefGoogle Scholar
Venn, HR, Gray, JM, Montagne, Bet al. Perception of facial expressions of emotion in bipolar disorder. Bipolar Disord 2004;6:286293. CrossRefGoogle ScholarPubMed
Green, MJ, Malhi, GS. Neural mechanisms of the cognitive control of emotions. Acta Neuropsychiatrica 2006;18:144153. CrossRefGoogle Scholar
Braun, M, Traue, HC, Frisch, S, Deighton, RM, Kessler, H. Emotion recognition in stroke patients with left and right hemispheric lesion: results with a new instrument: the FEEL Test. Brain Cogn 2005;58:193201. CrossRefGoogle ScholarPubMed
Silberman, CD, Laks, J, Capitao, CF, Rodrigues, CS, Moreira, I, Engelhardt, E. Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale. Arq Neuropsiquiatr 2006;64:407411. CrossRefGoogle ScholarPubMed
Rasquin, SM, Verhey, FR, Lousberg, R, Winkens, I, Lodder, J. Vascular cognitive disorders: memory, mental speed and cognitive flexibility after stroke. J Neurol Sci 2002;203-204:115119. CrossRefGoogle ScholarPubMed
Haldane, M, Frangou, S. Functional neuroimaging studies in mood disorders. Acta Neuropsychiatrica 2006;18:8899. CrossRefGoogle ScholarPubMed
Berntsen, EM, Rasmussen, I-A, Samuelsen, Pet al. Putting the brain in Jeopardy: a novel comprehensive and expressive language task? Acta Neuropsychiatrica 2006;18:115119. CrossRefGoogle ScholarPubMed