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Facial and Bodily Emotion Recognition in Multiple Sclerosis: The Role of Alexithymia and Other Characteristics of the Disease

Published online by Cambridge University Press:  06 November 2014

Cinzia Cecchetto*
Affiliation:
Cognitive Neuroscience Sector, SISSA, Trieste, Italy, Udine, Italy
Marilena Aiello
Affiliation:
Cognitive Neuroscience Sector, SISSA, Trieste, Italy, Udine, Italy
Delia D’Amico
Affiliation:
S.O.C. Neurologia, Azienda Ospedaliero Universitaria “Santa Maria della Misericordia”
Daniela Cutuli
Affiliation:
S.O.C. Neurologia, Azienda Ospedaliero Universitaria “Santa Maria della Misericordia”
Daniela Cargnelutti
Affiliation:
S.O.C. Neurologia, Azienda Ospedaliero Universitaria “Santa Maria della Misericordia”
Roberto Eleopra
Affiliation:
S.O.C. Neurologia, Azienda Ospedaliero Universitaria “Santa Maria della Misericordia”
Raffaella Ida Rumiati
Affiliation:
Cognitive Neuroscience Sector, SISSA, Trieste, Italy, Udine, Italy
*
Correspondence and reprint requests to: Cinzia Cecchetto, Neuroscience and Society Lab, SISSA - International School for Advanced Studies, via Bonomea 265, 34100 Trieste Italy. E-mail: [email protected]

Abstract

Multiple sclerosis (MS) may be associated with impaired perception of facial emotions. However, emotion recognition mediated by bodily postures has never been examined in these patients. Moreover, several studies have suggested a relation between emotion recognition impairments and alexithymia. This is in line with the idea that the ability to recognize emotions requires the individuals to be able to understand their own emotions. Despite a deficit in emotion recognition has been observed in MS patients, the association between impaired emotion recognition and alexithymia has received little attention. The aim of this study was, first, to investigate MS patient’s abilities to recognize emotions mediated by both facial and bodily expressions and, second, to examine whether any observed deficits in emotions recognition could be explained by the presence of alexithymia. Thirty patients with MS and 30 healthy matched controls performed experimental tasks assessing emotion discrimination and recognition of facial expressions and bodily postures. Moreover, they completed questionnaires evaluating alexithymia, depression, and fatigue. First, facial emotion recognition and, to a lesser extent, bodily emotion recognition can be impaired in MS patients. In particular, patients with higher disability showed an impairment in emotion recognition compared with patients with lower disability and controls. Second, their deficit in emotion recognition was not predicted by alexithymia. Instead, the disease’s characteristics and the performance on some cognitive tasks significantly correlated with emotion recognition. Impaired facial emotion recognition is a cognitive signature of MS that is not dependent on alexithymia. (JINS, 2014, 19, 1–11)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2014 

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