scholarly journals Clinical correlates of social cognition after an ischemic stroke: preliminary findings

2021 ◽  
Vol 15 (2) ◽  
pp. 223-229
Author(s):  
Maria de Fátima Dias de Souza ◽  
Maíra Glória de Freitas Cardoso ◽  
Érica Leandro Marciano Vieira ◽  
Natália Pessoa Rocha ◽  
Talita Hélen Ferreira e Vieira ◽  
...  

ABSTRACT. The co-occurrence of post-stroke behavioral disorders and cognitive impairment has been extensively investigated. However, studies usually do not include social cognition among the assessed cognitive domains. Objective: To investigate the potential association between facial emotion recognition, a measure of social cognition, and behavioral and cognitive symptoms in the subacute phase of ischemic stroke. Methods: Patients admitted to a Stroke Unit with ischemic stroke were followed up to 60 days. At this time point, they were evaluated with the following tools: Mini-Mental State Examination (MMSE); Frontal Assessment Battery (FAB); Visual Memory Test of the Brief Cognitive Battery (VMT); Phonemic Verbal Fluency (F-A-S Test); Digit Span; Facial Emotion Recognition Test (FERT) and Hospital Anxiety and Depression Scale (HADS). A control group composed of 21 healthy individuals also underwent the same evaluation. Results: Eighteen patients with ischemic stroke were enrolled in this study. They had similar age, sex and schooling years compared to controls. Depression symptoms and episodic memory deficits were significantly more frequent in patients compared to controls. The recognition of sadness expression positively correlated with the levels of anxiety and depression, while and the recognition of fear expression negatively correlated with depression in the stroke group. Conclusions: After an ischemic stroke, patients exhibit impairment in social cognition skills, specifically facial emotion recognition, in association with behavioral symptoms.

2015 ◽  
Vol 16 (3) ◽  
pp. 158-172 ◽  
Author(s):  
A. Henry ◽  
S. Bakchine ◽  
A. Maarouf ◽  
M. P. Chaunu ◽  
L. Rumbach ◽  
...  

Multiple sclerosis (MS) is an inflammatory disease of the central nervous system leading to physical and cognitive disability. The impact of the disease on social cognition has only come to light quite recently. The aim of this study was to evaluate the social cognition abilities of MS patients and their links with characteristics of the disease, such as physical disability, cognitive impairment and disease duration.The performances of a group of 64 MS patients were compared with that of 30 matched healthy individuals in facial emotion recognition and Faux Pas tasks as well as on a battery of standardized neuropsychological tests.The MS patients performed worse than the control group in the recognition of the expressions of fear and anger and in the interpretation of faux pas. The impairment in social cognition increased with overall disease course. Executive impairment did not correlate with the performance in the social cognition tests.Our results show that emotional impairment is observed at early stages of the disease in the absence of cognitive dysfunction, even if social cognition abilities worsen with the progression of MS. These data highlight the need to attempt to identify these impairments in clinical practice.


2021 ◽  
Author(s):  
Nils S. Berg ◽  
Edward H. F. Haan ◽  
Rients B. Huitema ◽  
Jacoba M. Spikman ◽  
Frank Erik Leeuw ◽  
...  

2011 ◽  
Vol 42 (2) ◽  
pp. 419-426 ◽  
Author(s):  
E. Wingbermühle ◽  
J. I. M. Egger ◽  
W. M. A. Verhoeven ◽  
I. van der Burgt ◽  
R. P. C. Kessels

BackgroundNoonan syndrome (NS) is a common genetic disorder, characterized by short stature, facial dysmorphia, congenital heart defects and a mildly lowered IQ. Impairments in psychosocial functioning have often been suggested, without, however, systematic investigation in a clinical group. In this study, different aspects of affective processing, social cognition and behaviour, in addition to personal well-being, were assessed in a large group of patients with NS.MethodForty adult patients with NS were compared with 40 healthy controls, matched with respect to age, sex, intelligence and education level. Facial emotion recognition was measured with the Emotion Recognition Task (ERT), alexithymia with both the 20-item Toronto Alexithymia Scale (TAS-20) and the Bermond–Vorst Alexithymia Questionnaire (BVAQ), and mentalizing with the Theory of Mind (ToM) test. The Symptom Checklist-90 Revised (SCL-90-R) and the Scale for Interpersonal Behaviour (SIB) were used to record aspects of psychological well-being and social interaction.ResultsPatients showed higher levels of cognitive alexithymia than controls. They also experienced more social distress, but the frequency of engaging in social situations did not differ. Facial emotion recognition was only slightly impaired.ConclusionsHigher levels of alexithymia and social discomfort are part of the behavioural phenotype of NS. However, patients with NS have relatively intact perception of emotions in others and unimpaired mentalizing. These results provide insight into the underlying mechanisms of social daily life functioning in this patient group.


Author(s):  
Qi Zhao ◽  
Hui He ◽  
Huang Gu ◽  
Junfeng Zhao ◽  
Peilian Chi ◽  
...  

Existing behavioral studies have suggested that individuals with early life stress usually show abnormal emotional processing. However, limited event-related brain potentials (ERPs) evidence was available to explore the emotional processes in children orphaned by parental HIV/AIDS (“AIDS orphans”). The current study aims to investigate whether there are behavioral and neurological obstacles in the recognition of emotional faces in AIDS orphans and also to further explore the processing stage at which the difference in facial emotion recognition exists. A total of 81 AIDS orphans and 60 non-orphan children were recruited through the local communities and school systems in Henan, China. Participants completed a computer version of the rapid serial visual presentation (RSVP) task while recording ERPs. Behavioral results showed that orphans displayed higher response accuracy and shorter reaction time than the control (ps < 0.05). As for the ERPs analysis, the attenuated amplitude of N170 (i.e., an early component sensitive to facial configuration) was observed in AIDS orphans compared to the non-orphan control with happy and neutral faces; P300 (i.e., an endogenous component for affective valence evaluation in emotional processing) also showed significant differences in parietal lobe between groups, the non-orphan control group produced larger P300 amplitudes than orphans (p < 0.05). The results suggested that compared to the control group, AIDS orphans showed impaired facial emotion recognition ability with reduced brain activation.


CNS Spectrums ◽  
2013 ◽  
Vol 21 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Guillermo Lahera ◽  
Salvador Ruiz-Murugarren ◽  
Alberto Fernández-Liria ◽  
Jerónimo Saiz-Ruiz ◽  
Benjamin E. Buck ◽  
...  

Objective/IntroductionThere is a close functional and neuroanatomical relationship between olfactory ability and emotional processing. The present study seeks to explore the association between olfactory ability and social cognition, especially facial emotion perception, in euthymic bipolar patients.MethodsThirty-nine euthymic outpatients meeting DSM-IV-TR criteria for bipolar disorder and 40 healthy volunteers matched on socio-demographic criteria were recruited. Both groups were assessed at one time point with the University of Pennsylvania Smell Identification Test (UPSIT), the Emotion Recognition Test, and The Faux Pas Recognition Test, as well as measures of general cognition and functioning.ResultsThe bipolar patients showed a significant impairment in olfactory identification (UPSIT) and social cognition measures compared to healthy controls. Analyses revealed significant relationships between olfactory identification and facial emotion recognition, theory of mind, general cognition, and a trend-level relationship with functioning. Controlling for age and cigarettes smoked, relationships remained significant between olfactory function and facial emotion recognition.ConclusionThere is a deficit of olfactory identification in euthymic patients with bipolar disorder that is correlated with a deficit in both verbal and non-verbal measures of social cognition.


2021 ◽  
Author(s):  
Rafael Arantes Oliveira ◽  
Aline Mansueto Mourão ◽  
Aline Silva de Miranda ◽  
Emanuelle Lamas Rocha ◽  
Ester Cristina Pascoal Gomes ◽  
...  

Background: Ischemic strokes (IS) patients usually present cognitive deficits and psychiatric disorders. Studies describe this coexistence in the chronic phase, although alterations may relate with acute damage to emotion and cognition circuits Objectives: Assess cognitive and psychiatric symptoms during the subacute phase of IS. Design and setting: A prospective study, screening patients admitted in the Stroke Unit of Hospital Municipal Odilon Behrens, in Belo Horizonte, Minas Gerais, Brazil. Methods: Adults with acute IS and healthy controls were submitted to neuropsychological tests between 30 and 60 days after the event. Incidental, immediate and working memory, learning, late recall, recognition, phonemic verbal fluency, attention and facial emotion recognition were evaluated. Results: Eighteen patients were evaluated in the subacute phase, and twenty-one participants composed the control group, showing no socioeconomic differences between them. There was significant difference in immediate memory (p <0,01), late recall (p<0,05) and recognition (p<0,03) tests from the Brief Cognitive Screening Battery, and in the depression subscale from Hospital Anxiety and Depression Scale (p <0,04). Although there was no significant difference in Facial Emotion Recognition Test (p=0,745), the expression of sadness positively correlated with levels of anxiety (rho=0,587, p<0,05) and depression (rho=0,598, p<0,01), while the expression of fear negatively correlated with depressive symptoms (rho=0,481, p<0,05). Conclusion: Cognitive deficits and psychiatric symptoms in the subacute phase of IS are probably associated with memory impairments. Furthermore, depression and anxiety symptoms may influence the emotion recognition.


2019 ◽  
Vol 34 (2) ◽  
pp. 254-263
Author(s):  
Gill Terrett ◽  
Kimberly Mercuri ◽  
Elizabeth Pizarro-Campagna ◽  
Laila Hugrass ◽  
H Valerie Curran ◽  
...  

Background: Long-term opiate users experience pervasive social difficulties, but there has been surprisingly limited research focused on social-cognitive functioning in this population. Aim: The aim of this study was to investigate whether three important aspects of social cognition (facial emotion recognition, theory of mind (ToM) and rapid facial mimicry) differ between long-term opiate users and healthy controls. Methods: The participants were 25 long-term opiate users who were enrolled in opiate substitution programmes, and 25 healthy controls. Facial emotion recognition accuracy was indexed by responses to 60 photographs of faces depicting the six basic emotions (happiness, sadness, anger, fear, surprise and disgust). ToM was assessed using the Reading the Mind in the Eyes task, which requires participants to infer mental states of others from partial facial cues. Rapid facial mimicry was assessed by recording activity in the zygomaticus major and corrugator supercilii muscle regions while participants passively viewed images of happy and angry facial expressions. Results: Relative to the control group, the opiate user group exhibited deficits in both facial emotion recognition and ToM. Moreover, only control participants exhibited typical rapid facial mimicry responses to happy facial expressions. Conclusions: These data indicate that long-term opiate users exhibit abnormalities in three distinct areas of social-cognitive processing, pointing to the need for additional work to establish how social-cognitive functioning relates to functional outcomes in this group. Such work may ultimately inform the development of interventions aimed at improving treatment outcomes for long-term opiate users.


2021 ◽  
Author(s):  
Michael J. Spilka ◽  
William R. Keller ◽  
Robert W. Buchanan ◽  
james gold ◽  
James I. Koenig ◽  
...  

Objective: Difficulties in social cognition are common in individuals with schizophrenia (SZ) and are not ameliorated by antipsychotic treatment. Intranasal oxytocin (OT) administration has been explored as a potential intervention to improve social cognition; however, results are inconsistent, suggesting potential individual difference variables that may influence treatment response. Less is known about the relationship between endogenous OT and social cognition in SZ, knowledge of which may improve the development of OT-focused therapies. We examined plasma OT in relationship to facial emotion recognition and visual attention to salient facial features in SZ and controls. Methods: Forty-two individuals with SZ and 23 healthy controls viewed photographs of facial expressions of varying emotional intensity and identified the emotional expression displayed. Participants’ gaze behavior during the task was recorded via eye tracking. Plasma oxytocin concentrations were determined by radioimmunoassay. Results: SZ were less accurate than controls at identifying high intensity fearful facial expressions and low intensity sad expressions. Lower facial emotion recognition accuracy was associated with lower plasma OT levels in SZ but not controls. SZ had reduced visual attention to the nose region compared to controls; however, OT was not associated with gaze behavior. Conclusion: Individual differences in endogenous OT predict facial emotion recognition ability in SZ but are not associated with visual attention to salient facial features. Increased understanding of the association between endogenous OT and social cognitive abilities in SZ may help improve the design and interpretation of OT-focused clinical trials in SZ.


Sign in / Sign up

Export Citation Format

Share Document