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New insights into facial emotion recognition in Parkinson's disease with and without mild cognitive impairment from visual scanning patterns. | LitMetric

AI Article Synopsis

  • Recognizing emotions on people's faces is important for socializing, but people with Parkinson's disease often have trouble doing this because of issues with their eyesight and thinking skills.
  • The study looked at how 24 Parkinson’s patients and 12 healthy people used their eyes to identify emotions in faces, like happiness or anger.
  • It found that patients with mild cognitive issues struggled to recognize emotions, especially anger, and looked at faces differently than healthy people, which may explain their difficulties.

Article Abstract

Background: Recognizing emotional facial expressions is crucial for social interactions. Cognitive impairment and oculomotor abnormalities are common features of Parkinson's disease (PD) which may contribute to the performance in facial emotion recognition (FER) in PD.

Objective: The aim of this study was to analyze eye movement behavior during a facial emotion recognition (FER) task with respect to cognitive state in PD patients and healthy controls.

Methods: Eye movements of 24 non-demented, non-depressed PD patients (12 with intact cognitive functions and 12 with Mild Cognitive Impairment (MCI) according to MDS task force criteria level 2), and 12 age-, sex and education-matched healthy controls were recorded during visual exploration of 28 emotional (happiness, surprise, disgust, anger, fear and sadness) and neutral faces. Participants were asked to identify the displayed emotion out of a sevenfold multiple choice question.

Results: PD-MCI patients showed reduced FER with specific impairment of anger recognition. Although the scanned area of PD patients with intact cognition was significantly restricted, they did not differ in FER from healthy subjects. While healthy subjects and cognitively intact PD patients scanned faces with preference for mouth and eyes, patients with PD-MCI tended to look at the center of the face and spent significantly less time fixating the mouth.

Conclusions: Ineffective visual exploration may contribute to impaired emotion recognition in PD. Visual scanning of emotional faces is altered in PD even in the absence of cognitive impairment. The progression to PD-MCI may result in further deterioration of scanning behavior and FER impairment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8288515PMC
http://dx.doi.org/10.1016/j.prdoa.2019.11.003DOI Listing

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