Emotional and nonemotional facial expressions in people with Parkinson's disease

2004 ◽  
Vol 10 (4) ◽  
pp. 521-535 ◽  
Author(s):  
GWENDA SIMONS ◽  
MARCIA C. SMITH PASQUALINI ◽  
VASUDEVI REDDY ◽  
JULIA WOOD
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Facial Expressions ◽  
Rating Scales ◽  
Emotional Experience ◽  
Self Report ◽  
Subjective Rating ◽  
Emotional Facial Expressions ◽  
Facial Movements ◽  
Facial Expressivity

We investigated facial expressivity in 19 people with Parkinson's disease (PD; 14 men and 5 women) and 26 healthy controls (13 men and 13 women). Participants engaged in experimental situations that were designed to evoke emotional facial expressions, including watching video clips and holding conversations, and were asked to pose emotions and imitate nonemotional facial movements. Expressivity was measured with subjective rating scales, objective facial measurements (Facial Action Coding System), and self-report questionnaires. As expected, PD participants showed reduced spontaneous facial expressivity across experimental situations. PD participants also had more difficulty than controls posing emotional expressions and imitating nonemotional facial movements. Despite these difficulties, however, PD participants' overall level of expressivity was still tied to emotional experience and social context. (JINS, 2004, 10, 521–535.)

Spontaneous and posed facial expression in Parkinson's Disease

1996 ◽  
Vol 2 (5) ◽  
pp. 383-391 ◽  
Author(s):  
Marcia C. Smith ◽  
Melissa K. Smith ◽  
Heiner Ellgring
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Facial Expression ◽  
Emotional Experience ◽  
Severe Disease ◽  
Coding System ◽  
Emotional Facial Expressions ◽  
Facial Movements ◽  
Video Clips ◽  
Facial Activity

AbstractSpontaneous and posed emotional facial expressions in individuals with Parkinson's disease (PD, n – 12) were compared with those of healthy age-matched controls (n = 12). The intensity and amount of facial expression in PD patients were expected to be reduced for spontaneous but not posed expressions. Emotional stimuli were video clips selected from films, 2–5 min in duration, designed to elicit feelings of happiness, sadness, fear, disgust, or anger. Facial movements were coded using Ekman and Friesen's (1978) Facial Action Coding System (FACS). In addition, participants rated their emotional experience on 9-point Likert scales. The PD group showed significantly less overall facial reactivity than did controls when viewing the films. The predicted Group X Condition (spontaneous vs. posed) interaction effect on smile intensity was found when PD participants with more severe disease were compared with those with milder disease and with controls. In contrast, ratings of emotional experience were similar for both groups. Depression was positively associated with emotion ratings, but not with measures of facial activity. Spontaneous facial expression appears to be selectively affected in PD, whereas posed expression and emotional experience remain relatively intact. (JINS, 1996, 2, 383–391.)

Effects of the Lee Silverman Voice Treatment (LSVT® LOUD) on Hypomimia in Parkinson's Disease

2014 ◽  
Vol 20 (3) ◽  
pp. 302-312 ◽  
Author(s):  
Aleksey I. Dumer ◽  
Harriet Oster ◽  
David McCabe ◽  
Laura A. Rabin ◽  
Jennifer L. Spielman ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Facial Expressions ◽  
Psychosocial Problems ◽  
Coding System ◽  
Emotional Experiences ◽  
Facial Movement ◽  
Lee Silverman Voice Treatment ◽  
Voice Treatment ◽  
Facial Expressivity

AbstractGiven associations between facial movement and voice, the potential of the Lee Silverman Voice Treatment (LSVT) to alleviate decreased facial expressivity, termed hypomimia, in Parkinson's disease (PD) was examined. Fifty-six participants—16 PD participants who underwent LSVT, 12 PD participants who underwent articulation treatment (ARTIC), 17 untreated PD participants, and 11 controls without PD—produced monologues about happy emotional experiences at pre- and post-treatment timepoints (“T1” and “T2,” respectively), 1 month apart. The groups of LSVT, ARTIC, and untreated PD participants were matched on demographic and health status variables. The frequency and variability of facial expressions (Frequency and Variability) observable on 1-min monologue videorecordings were measured using the Facial Action Coding System (FACS). At T1, the Frequency and Variability of participants with PD were significantly lower than those of controls. Frequency and Variability increases of LSVT participants from T1 to T2 were significantly greater than those of ARTIC or untreated participants. Whereas the Frequency and Variability of ARTIC participants at T2 were significantly lower than those of controls, LSVT participants did not significantly differ from controls on these variables at T2. The implications of these findings, which suggest that LSVT reduces parkinsonian hypomimia, for PD-related psychosocial problems are considered. (JINS, 2014, 20, 1–11)

Impaired recognition of prosody and subtle emotional facial expressions in Parkinson's disease.

2013 ◽  
Vol 127 (2) ◽  
pp. 193-203 ◽  
Author(s):  
Sharon L. Buxton ◽  
Lorraine MacDonald ◽  
Lynette J. Tippett
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Facial Expressions ◽  
Emotional Facial Expressions

Cognitive Rehabilitation for Individuals With Parkinson's Disease: Developing and Piloting an External Aids Treatment Program

2020 ◽  
Vol 29 (1) ◽  
pp. 1-19
Author(s):  
Kristie A. Spencer ◽  
Jennifer Paul ◽  
Katherine A. Brown ◽  
Taylor Ellerbrock ◽  
McKay Moore Sohlberg
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Treatment Program ◽  
Cognitive Deficits ◽  
Goal Attainment ◽  
Primary Outcome ◽  
Rating Scales ◽  
Self Report ◽  
Goal Attainment Scaling ◽  
Patient Centered

Purpose Cognitive deficits are common in Parkinson's disease (PD) and can have a detrimental effect on daily activities. To date, most cognitive treatments have had an impairment-based focus with primary outcome measures of formal neuropsychological test scores. Few, if any, studies have focused on functional improvement or patient-centered goals. Method Three individuals with idiopathic PD participated in an 8-week pilot treatment program to train for the use of compensatory external aids to achieve personalized goals. Goal attainment scaling was the primary outcome measure, which was independently judged by multiple raters at baseline, postintervention, and 1 month posttreatment and analyzed via T -score analysis. Descriptive measures, including self-report and spouse-report rating scales of cognitive functioning, were employed. Results All 3 participants improved in the majority of their laboratory and home goals posttreatment, as measured by goal attainment scaling, and maintained gains for the majority of goals 1 month posttreatment. Conclusions This is the 1st known study to implement an external aids treatment program with patient-centered goals for individuals with cognitive deficits from PD. Positive outcomes were likely influenced by 3 factors: (a) a theoretically motivated focus on external aids; (b) a well-documented, systematic approach to instruction; and (c) the personalization of goals. Supplemental Material https://doi.org/10.23641/asha.10093493

Effects of Emotional Facial Expression on Time Perception in Patients with Parkinson’s Disease

2015 ◽  
Vol 22 (9) ◽  
pp. 890-899 ◽  
Author(s):  
Giovanna Mioni ◽  
Lucia Meligrana ◽  
Simon Grondin ◽  
Francesco Perini ◽  
Luigi Bartolomei ◽  
...  
Keyword(s):  
Older Adults ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Facial Expression ◽  
Facial Expressions ◽  
Time Perception ◽  
Emotional Facial Expression ◽  
Emotional Facial Expressions ◽  
Healthy Older Adults ◽  
Temporal Intervals

AbstractPrevious studies have demonstrated that emotional facial expressions alter temporal judgments. Moreover, while some studies conducted with Parkinson's disease (PD) patients suggest dysfunction in the recognition of emotional facial expression, others have shown a dysfunction in time perception. In the present study, we investigate the magnitude of temporal distortions caused by the presentation of emotional facial expressions (anger, shame, and neutral) in PD patients and controls. Twenty-five older adults with PD and 17 healthy older adults took part in the present study. PD patients were divided into two sub-groups, with and without mild cognitive impairment (MCI), based on their neuropsychological performance. Participants were tested with a time bisection task with standard intervals lasting 400 ms and 1600 ms. The effect of facial emotional stimuli on time perception was evident in all participants, yet the effect was greater for PD-MCI patients. Furthermore, PD-MCI patients were more likely to underestimate long and overestimate short temporal intervals than PD-non-MCI patients and controls. Temporal impairment in PD-MCI patients seem to be mainly caused by a memory dysfunction. (JINS, 2016, 22, 890–899)

scholarly journals Degraded Impairment of Emotion Recognition in Parkinson’s Disease Extends from Negative to Positive Emotions

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Chia-Yao Lin ◽  
Yi-Min Tien ◽  
Jong-Tsun Huang ◽  
Chon-Haw Tsai ◽  
Li-Chuan Hsu
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Emotion Recognition ◽  
Facial Expressions ◽  
Positive Emotions ◽  
Motor Dysfunction ◽  
Control Group ◽  
Emotional Facial Expressions ◽  
Dopaminergic Neurodegeneration ◽  
Motor Problems

Because of dopaminergic neurodegeneration, patients with Parkinson’s disease (PD) show impairment in the recognition of negative facial expressions. In the present study, we aimed to determine whether PD patients with more advanced motor problems would show a much greater deficit in recognition of emotional facial expressions than a control group and whether impairment of emotion recognition would extend to positive emotions. Twenty-nine PD patients and 29 age-matched healthy controls were recruited. Participants were asked to discriminate emotions in Experiment  1 and identify gender in Experiment  2. In Experiment  1, PD patients demonstrated a recognition deficit for negative (sadness and anger) and positive faces. Further analysis showed that only PD patients with high motor dysfunction performed poorly in recognition of happy faces. In Experiment  2, PD patients showed an intact ability for gender identification, and the results eliminated possible abilities in the functions measured in Experiment  2 as alternative explanations for the results of Experiment  1. We concluded that patients’ ability to recognize emotions deteriorated as the disease progressed. Recognition of negative emotions was impaired first, and then the impairment extended to positive emotions.

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