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Bora E, Velakoulis D, Walterfang M. Meta-Analysis of Facial Emotion Recognition in Behavioral Variant Frontotemporal Dementia: Comparison With Alzheimer Disease and Healthy Controls. J Geriatr Psychiatry Neurol 2016; 29:205-11. [PMID: 27056068 DOI: 10.1177/0891988716640375] [Citation(s) in RCA: 66] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Accepted: 02/02/2016] [Indexed: 12/24/2022]
Abstract
Behavioral disturbances and lack of empathy are distinctive clinical features of behavioral variant frontotemporal dementia (bvFTD) in comparison to Alzheimer disease (AD). The aim of this meta-analytic review was to compare facial emotion recognition performances of bvFTD with healthy controls and AD. The current meta-analysis included a total of 19 studies and involved comparisons of 288 individuals with bvFTD and 329 healthy controls and 162 bvFTD and 147 patients with AD. Facial emotion recognition was significantly impaired in bvFTD in comparison to the healthy controls (d = 1.81) and AD (d = 1.23). In bvFTD, recognition of negative emotions, especially anger (d = 1.48) and disgust (d = 1.41), were severely impaired. Emotion recognition was significantly impaired in bvFTD in comparison to AD in all emotions other than happiness. Impairment of emotion recognition is a relatively specific feature of bvFTD. Routine assessment of social-cognitive abilities including emotion recognition can be helpful in better differentiating between cortical dementias such as bvFTD and AD.
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Affiliation(s)
- Emre Bora
- Department of Psychiatry, Melbourne Neuropsychiatry Centre, University of Melbourne and Melbourne Health, Carlton South, Victoria, Australia
| | - Dennis Velakoulis
- Department of Psychiatry, Melbourne Neuropsychiatry Centre, University of Melbourne and Melbourne Health, Carlton South, Victoria, Australia Neuropsychiatry Unit, ROYAL MELBOURNE Hospital, VIC, Australia
| | - Mark Walterfang
- Department of Psychiatry, Melbourne Neuropsychiatry Centre, University of Melbourne and Melbourne Health, Carlton South, Victoria, Australia Neuropsychiatry Unit, ROYAL MELBOURNE Hospital, VIC, Australia
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Boutoleau-Bretonnière C, Bretonnière C, Evrard C, Rocher L, Mazzietti A, Koenig O, Vercelletto M, Derkinderen P, Thomas-Antérion C. Ugly aesthetic perception associated with emotional changes in experience of art by behavioural variant of frontotemporal dementia patients. Neuropsychologia 2016; 89:96-104. [PMID: 27265766 DOI: 10.1016/j.neuropsychologia.2016.06.001] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2016] [Revised: 05/22/2016] [Accepted: 06/01/2016] [Indexed: 11/26/2022]
Abstract
The aesthetic experience through art is a window into the study of emotions. Patients with behavioural variant of frontotemporal dementia (bvFTD) have early alteration of emotional processing. A new appreciation of art has been reported in some of these patients. We designed a computerized task using 32 abstract paintings that allowed us to investigate the integrity of patients' emotions when viewing the artwork. We evaluated both conscious and explicit appraisal of emotions [aesthetic judgment (beautiful/ugly), emotional relevance (affected or not by the painting), emotional valence (pleasant/unpleasant), emotional reaction (adjective choice) and arousal] and unconscious processing. Fifteen bvFTD patients and 15 healthy controls were included. BvFTD patients reported that they were "little touched" by the paintings. Aesthetic judgment was very different between the two groups: the paintings were considered ugly (negative aesthetic bias) and unpleasant (negative emotional bias) more often by the patients than by controls. Valence and aesthetic judgments correlated in both groups. In addition, there was a positive bias in the implicit task and for explicit emotional responses. Patients frequently chose the word "sad" and rarely expressed themselves with such adjectives as "happy". Our results suggest that bvFTD patients can give an aesthetic judgment, but present abstraction difficulties, as spectators, resulting from impairments in the cognitive processes involved. They also have difficulties in terms of emotional processes with the loss of the ability to feel the emotion per se (i.e., to feel an emotion faced with art) linked to behaviour assessment. This cognitive approach allows us to better understand which spectators are bvFTD patients and to show interactions between emotions and behavioural disorders.
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Affiliation(s)
- Claire Boutoleau-Bretonnière
- CHU Nantes, Centre Mémoire Ressource et Recherche (CMRR), Département de Neurologie, France; Inserm CIC 04, Nantes, France; Laboratoire d'études des mécanismes cognitifs, EA 3082, Université Lyon 2, Bron F-69500, France.
| | | | - Christelle Evrard
- CHU Nantes, Centre Mémoire Ressource et Recherche (CMRR), Département de Neurologie, France; Inserm CIC 04, Nantes, France; Laboratoire de Psychologie des Pays de la Loire, UPRES EA 4638, France
| | - Laetitia Rocher
- CHU Nantes, Centre Mémoire Ressource et Recherche (CMRR), Département de Neurologie, France; Inserm CIC 04, Nantes, France
| | - Audric Mazzietti
- Laboratoire d'études des mécanismes cognitifs, EA 3082, Université Lyon 2, Bron F-69500, France; Distance Learning University (Unidistance), Switzerland
| | - Olivier Koenig
- Laboratoire d'études des mécanismes cognitifs, EA 3082, Université Lyon 2, Bron F-69500, France
| | - Martine Vercelletto
- CHU Nantes, Centre Mémoire Ressource et Recherche (CMRR), Département de Neurologie, France; Inserm CIC 04, Nantes, France
| | - Pascal Derkinderen
- CHU Nantes, Centre Mémoire Ressource et Recherche (CMRR), Département de Neurologie, France; Inserm CIC 04, Nantes, France; Inserm, UMR 913, Nantes, France
| | - Catherine Thomas-Antérion
- Laboratoire d'études des mécanismes cognitifs, EA 3082, Université Lyon 2, Bron F-69500, France; Plein ciel, 75, Rue Bataille, 69008 Lyon, France
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