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Relative preservation of the recognition of positive facial expression “happiness” in Alzheimer disease

Published online by Cambridge University Press:  24 August 2012

Yohko Maki ,
Hiroshi Yoshida ,
Tomoharu Yamaguchi  and
Haruyasu Yamaguchi
Yohko Maki
Affiliation:
Gunma University School of Health Sciences, Gunma, Japan Geriatrics Research Institute and Hospital, Gunma, Japan
Hiroshi Yoshida
Affiliation:
Department of Social & Clinical Psychology, Hijiyama University, Hiroshima, Japan
Tomoharu Yamaguchi
Affiliation:
Gunma University School of Health Sciences, Gunma, Japan Department of Rehabilitation, Gunma University of Health and Welfare, Gunma, Japan
Haruyasu Yamaguchi*
Affiliation:
Gunma University School of Health Sciences, Gunma, Japan
*
Correspondence should be addressed to: Haruyasu Yamaguchi, Gunma University School of Health Sciences, 3-39-15 Showa-machi, Maebashi, 371-8514 Gunma, Japan. Phone: + 81-27-220-8946; Fax: + 81-27-220-8946. Email: [email protected].
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Abstract

Background: Positivity recognition bias has been reported for facial expression as well as memory and visual stimuli in aged individuals, whereas emotional facial recognition in Alzheimer disease (AD) patients is controversial, with possible involvement of confounding factors such as deficits in spatial processing of non-emotional facial features and in verbal processing to express emotions. Thus, we examined whether recognition of positive facial expressions was preserved in AD patients, by adapting a new method that eliminated the influences of these confounding factors.

Methods: Sensitivity of six basic facial expressions (happiness, sadness, surprise, anger, disgust, and fear) was evaluated in 12 outpatients with mild AD, 17 aged normal controls (ANC), and 25 young normal controls (YNC). To eliminate the factors related to non-emotional facial features, averaged faces were prepared as stimuli. To eliminate the factors related to verbal processing, the participants were required to match the images of stimulus and answer, avoiding the use of verbal labels.

Results: In recognition of happiness, there was no difference in sensitivity between YNC and ANC, and between ANC and AD patients. AD patients were less sensitive than ANC in recognition of sadness, surprise, and anger. ANC were less sensitive than YNC in recognition of surprise, anger, and disgust. Within the AD patient group, sensitivity of happiness was significantly higher than those of the other five expressions.

Conclusions: In AD patient, recognition of happiness was relatively preserved; recognition of happiness was most sensitive and was preserved against the influences of age and disease.

Keywords

dementiaAlzheimer diseaseemotional face recognitionpositivity biasaginghappinesssocial interactionmorphing technology
Type
Research Article
Information
International Psychogeriatrics , Volume 25 , Issue 1 , January 2013 , pp. 105 - 110
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Bediou, B.et al. (2009). Impaired social cognition in mild Alzheimer disease. Journal of Geriatric Psychiatry and Neurology, 22, 130–140.CrossRefGoogle ScholarPubMed
Brassen, S., Gamer, M. and Buchel, C. (2011). Anterior cingulate activation is related to a positivity bias and emotional stability in successful aging. Biological Psychiatry, 70, 131–137.CrossRefGoogle ScholarPubMed
Bucks, R. S. and Radford, S. A. (2004). Emotion processing in Alzheimer's disease. Aging & Mental Health, 8, 222–232.CrossRefGoogle ScholarPubMed
Burnham, H. and Hogervorst, E. (2004). Recognition of facial expressions of emotion by patients with dementia of the Alzheimer type. Dementia and Geriatric Cognitive Disorders, 18, 75–79.CrossRefGoogle ScholarPubMed
Cadieux, N. L. and Greve, K. W. (1997). Emotion processing in Alzheimer's disease. Journal of the International Neuropsychological Society, 3, 411–419.CrossRefGoogle ScholarPubMed
Carstensen, L. L., Isaacowitz, D. M. and Charles, S. T. (1999). Taking time seriously. A theory of socioemotional selectivity. The American Psychologist, 54, 165–181.CrossRefGoogle ScholarPubMed
Donaldson, C., Tarrier, N. and Burns, A. (1998). Determinants of carer stress in Alzheimer's disease. International Journal of Geriatric Psychiatry, 13, 248–256.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
Drapeau, J., Gosselin, N., Gagnon, L., Peretz, I. and Lorrain, D. (2009). Emotional recognition from face, voice, and music in dementia of the Alzheimer type. Annals of the New York Academy of Sciences, 1169, 342–345.CrossRefGoogle ScholarPubMed
Dubois, B.et al. (2007). Research criteria for the diagnosis of Alzheimer's disease: revising the NINCDS-ADRDA criteria. Lancet Neurology, 6, 734–746.CrossRefGoogle ScholarPubMed
Ekman, P. and Friesen, W. V. (1971). Constants across cultures in the face and emotion. Journal of Personality and Social Psychology, 17, 124–129.CrossRefGoogle ScholarPubMed
Ekman, P.et al. (1987). Universals and cultural differences in the judgments of facial expressions of emotion. Journal of Personality and Social Psychology, 53, 712–717.CrossRefGoogle ScholarPubMed
Goeleven, E. De Raedt, R. and Dierckx, E. (2010). The positivity effect in older adults: the role of affective interference and inhibition. Aging & Mental Health, 14, 129–137.CrossRefGoogle ScholarPubMed
Guaita, A.et al. (2009). Impaired facial emotion recognition and preserved reactivity to facial expressions in people with severe dementia. Archives of Gerontology and Geriatrics, 49, 135–146.CrossRefGoogle ScholarPubMed
Hargrave, R., Maddock, R. J. and Stone, V. (2002). Impaired recognition of facial expressions of emotion in Alzheimer's disease. The Journal of Neuropsychiatry and Clinical Neurosciences, 14, 64–71.CrossRefGoogle ScholarPubMed
Kapucu, A., Rotello, C. M., Ready, R. E. and Seidl, K. N. (2008). Response bias in “remembering” emotional stimuli: a new perspective on age differences. Journal of Experimental Psychology. Learning, Memory, and Cognition, 34, 703–711.CrossRefGoogle ScholarPubMed
Luzzi, S., Piccirilli, M. and Provinciali, L. (2007). Perception of emotions on happy/sad chimeric faces in Alzheimer disease: relationship with cognitive functions. Alzheimer Disease and Associated Disorders, 21, 130–135.CrossRefGoogle ScholarPubMed
Mather, M. and Carstensen, L. L. (2003). Aging and attentional biases for emotional faces. Psychological Science, 14, 409–415.CrossRefGoogle ScholarPubMed
Mather, M. and Carstensen, L. L. (2005). Aging and motivated cognition: the positivity effect in attention and memory. Trends in Cognitive Sciences, 9, 496–502.CrossRefGoogle ScholarPubMed
Mather, M. and Knight, M. (2005). Goal-directed memory: the role of cognitive control in older adults’ emotional memory. Psychology and Aging, 20, 554–570.CrossRefGoogle ScholarPubMed
Murphy, N. A. and Isaacowitz, D. M. (2008). Preferences for emotional information in older and younger adults: a meta-analysis of memory and attention tasks. Psychology and Aging, 23, 263–286.CrossRefGoogle ScholarPubMed
Ruffman, T., Henry, J. D., Livingstone, V. and Phillips, L. H. (2008). A meta-analytic review of emotion recognition and aging: implications for neuropsychological models of aging. Neuroscience and Biobehavioral Reviews, 32, 863–881.CrossRefGoogle ScholarPubMed
Shioiri, T., Someya, T., Helmeste, D. and Tang, S. W. (1999). Misinterpretation of facial expression: a cross-cultural study. Psychiatry and Clinical Neurosciences, 53, 45–50.CrossRefGoogle ScholarPubMed
Spaniol, J., Voss, A. and Grady, C. L. (2008). Aging and emotional memory: cognitive mechanisms underlying the positivity effect. Psychology and Aging, 23, 859–872.CrossRefGoogle ScholarPubMed
Spoletini, I.et al. (2008). Facial emotion recognition deficit in amnestic mild cognitive impairment and Alzheimer disease. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 16, 389–398.CrossRefGoogle ScholarPubMed
Yamaguchi, T., Maki, Y. and Yamaguchi, H. (2012). Yamaguchi facial expression-making task in Alzheimer's disease: a novel and enjoyable make-a-face game. Dementia and Geriatric Cognitive Disorders Extra, 2, 248–257.CrossRefGoogle ScholarPubMed
Yesavage, J. A., Brink, , Rose, T. L. and , T. L. (1982). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar