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Perception of Affect in Patients With Dementia of the Alzheimer Type

Perception of Affect in Patients With Dementia of the Alzheimer Type Abstract • The ability to perceive affect was examined in 19 patients with Alzheimer's disease and in 19 control subjects. Nine tasks were given. All participants were asked to recognize facial emotion, to provide verbal labels of facial emotion, and to identify emotion portrayed in drawings or in verbal descriptions of emotional situations. The results indicate that there are significant differences between patients with Alzheimer's disease and control subjects on all of the tasks. However, when test scores were adjusted for the cognitive abilities of the subjects, few of the tests continue to differentiate the groups. These results suggest that the deficits of patients with Alzheimer's disease on perception of affect tasks are likely to be the result of their cognitive defects and not the result of a primary impairment in the perception of emotion. References 1. Etcoff NL. Perception and conceptual organization of facial emotions: hemispheric differences . Brain Cogn . 1984;3:385-412.Crossref 2. Ley RG, Bryden MP. Hemispheric difference in processing emotions and faces . Brain Lang . 1979;7:127-138.Crossref 3. Strauss S, Moscovitch M. Perception of facial expressions . Brain Lang . 1981;13:308-322.Crossref 4. Heilman KM, Bowers D, Speedie L, Coslett HB. Comprehension of affective and nonaffective prosody . Neurology . 1984;34:917-921.Crossref 5. Heilman KM, Scholes R, Watson RT. Auditory affective agnosia: disturbed comprehension of affective speech . J Neurol Neurosurg Psychiatry . 1975;38:69-72.Crossref 6. Ley RG, Bryden MP. A dissociation of right and left hemispheric effects for recognizing emotional tone and verbal content . Brain Cogn . 1982;1:3-9.Crossref 7. Ross ED. The aprosodias: functional-anatomical organization of the affective components of language in the right hemisphere . Arch Neurol . 1981;38:561-569.Crossref 8. Safer MA, Leventhal H. Ear differences in evaluating emotional tones of voice and verbal content . J Exp Psychol . 1977;3:75-82. 9. Borod JC, Koff E, Lorch M, Nicholas M. Channels of emotional expression in patients with unilateral brain damage . Arch Neurol . 1985;42:345-348.Crossref 10. Moscovitch M, Olds J. Asymmetries in spontaneous facial expressions and their possible relation to hemispheric specialization . Neuropsychologia . 1982;20:71-81.Crossref 11. Tucker DM, Watson RT, Heilman KM. Discrimination and evocation of affectively toned speech in patients with right parietal disease . Neurology . 1977;27:947-950.Crossref 12. Ahern GL, Schwartz GE. Differential lateralization for positive and negative emotion . Neuropsychologia . 1979;17:693-698.Crossref 13. Borod JC, Caron HS, Koff E. Asymmetries in positive and negative facial expressions: sex differences . Neuropsychologia . 1981;19:819-824.Crossref 14. Reuter-Lorenz P, Davidson R. Differential contributions of two cerebral hemispheres to the perception of happy and sad faces . Neuropsychologia . 1982;19:609-613.Crossref 15. Strauss E. Central representation of emotion . In: Blanck PD, Buck R, Rosenthal R, eds. Nonverbal Communication in the Clinical Context . University Park, Pa: Pennsylvania State University Press; 1986. 16. Hirschmann RS, Safer MA. Hemisphere differences in perceiving positive and negative emotions . Cortex . 1982;18:569-580.Crossref 17. Fried I, Mateer C, Ojemann G, Wohns R, Fedio P. Organization of visuospatial functions in human cortex . Brain . 1982;105:349-371.Crossref 18. Bowers D, Bauer RM, Coslett HB, Heilman KM. Processing of faces by patients with unilateral hemisphere lesions . Brain Cogn . 1985;4:258-272.Crossref 19. Friedland RP, Budinger TF, Ganz E, et al. Regional cerebral metabolic alterations in dementia of the Alzheimer type: positron emission tomography with ( F) fluorodeoxyglucose . J Comput Assist Tomogr . 1983;7:590-598.Crossref 20. Allender J, Kaszniak AW. Processing of emotional cues in patients with dementia of the Alzheimer's type . Int J Neurosci . 1989;46:147-155.Crossref 21. Brosgole L, Kurucz J, Plahovinsak T, Sprotte C, Haveliwala Y. Facial and postural affect recognition in senile elderly persons . Int J Neurosci . 1983;22:37-46.Crossref 22. Kurucz J, Feldmar G, Werner W. Prosopoaffective agnosia associated with chronic organic brain syndrome . J Am Geriatr Soc . 1979;27:91-95. 23. Hart RP, Kwentus JA, Harkins SW, Taylor JR. Rate of forgetting in mild Alzheimer's type dementia . Brain Cogn . 1988;7:31-38.Crossref 24. Moss M, Albert M, Butters N, Payne M. Differential patterns of memory loss among patients with Alzheimer's disease, Huntington's disease and alcoholic Korsakoff's syndrome . Arch Neurol . 1986;43:239-246.Crossref 25. Grady CL, Haxby JV, Horwitz B, et al. Longitudinal study of the early neuropsychological changes in dementia of the Alzheimer's type . J Clin Exp Neuropsychol . 1989;10:576-596.Crossref 26. Morris JC, Fulling K. Early Alzheimer's disease: diagnostic considerations . Arch Neurol . 1988;45:345-356.Crossref 27. Bayles KA. Language function in senile dementia . Brain Lang . 1982;16:265-280.Crossref 28. Rosen WG. Neuropsychological investigation of memory, visuoconstructional, visuoperceptual, and language abilities in senile dementia of the Alzheimer type . In: Mayeux R, Rosen WG, eds. The Dementias . New York, NY: Raven Press; 1983. 29. Kaszniak A. The neuropsychology of dementia . In: Grant I, Adams KM, eds. Neuropsychological Assessment of Neuropsychiatric Disorders . New York, NY: Oxford University Press Inc; 1986. 30. Korbel H, Domoto K, Nobel K, Harris T, Sullivan G, Albert M. Interdisciplinary Approach to the Development of a Cognitive Screening Test for the Institutionalized Elderly . San Francisco, Calif: Gerontological Society of America; 1983. 31. Mattis S. Dementia Rating Scale . In: Bellack R, Karasu B, eds. Geriatric Psychiatry . New York, NY: Grune & Stratton; 1976. 32. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan E. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force . Neurology . 1984;34:939-944.Crossref 33. Hachinski VC, Lassen NA, Marshall J. Multi-infarct dementia: a cause of mental deterioration in the elderly . Lancet . 1974;2:207-210.Crossref 34. Ekman P, Friesen WV. Pictures of Facial Affect . Palo Alto, Calif: Consulting Psychologists Press; 1975. 35. Cicone M, Wapner W, Gardner H. Sensitivity to emotional expressions and situations in organic patients . Cortex . 1980;16:145-158.Crossref 36. Wechsler D. A standardized memory scale for clinical use . J Psychol . 1945;19:87-95.Crossref 37. Kaplan E, Goodglass H, Weintraub S. The Boston Naming Test . Philadelphia, Pa: Lea & Febiger; 1982. 38. Wechsler D. Wechsler Adult Intelligence Scale . New York, NY: Psychological Corp; 1955. 39. Folstein MF, Folstein SE, McHugh PR. 'Mini-Mental State': a practical method for grading cognitive state of patients for the clinician . J Psychiatr Res . 1975;12:189-198.Crossref 40. Pocock SJ, Hughes MD, Lee RJ. Statistical problems in the reporting of clinical trials . N Engl J Med . 1987;317:426-432.Crossref 41. Bartol MA. Nonverbal communication in patients with Alzheimer's disease . J Gerontol Nurs . 1979;5:21-31.Crossref 42. Albert M, Milberg W. Semantic processing in patients with Alzheimer's disease . Brain Lang . 1989;37:163-171.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Perception of Affect in Patients With Dementia of the Alzheimer Type

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References (51)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1991.00530200027013
Publisher site
See Article on Publisher Site

Abstract

Abstract • The ability to perceive affect was examined in 19 patients with Alzheimer's disease and in 19 control subjects. Nine tasks were given. All participants were asked to recognize facial emotion, to provide verbal labels of facial emotion, and to identify emotion portrayed in drawings or in verbal descriptions of emotional situations. The results indicate that there are significant differences between patients with Alzheimer's disease and control subjects on all of the tasks. However, when test scores were adjusted for the cognitive abilities of the subjects, few of the tests continue to differentiate the groups. These results suggest that the deficits of patients with Alzheimer's disease on perception of affect tasks are likely to be the result of their cognitive defects and not the result of a primary impairment in the perception of emotion. References 1. Etcoff NL. Perception and conceptual organization of facial emotions: hemispheric differences . Brain Cogn . 1984;3:385-412.Crossref 2. Ley RG, Bryden MP. Hemispheric difference in processing emotions and faces . Brain Lang . 1979;7:127-138.Crossref 3. Strauss S, Moscovitch M. Perception of facial expressions . Brain Lang . 1981;13:308-322.Crossref 4. Heilman KM, Bowers D, Speedie L, Coslett HB. Comprehension of affective and nonaffective prosody . Neurology . 1984;34:917-921.Crossref 5. Heilman KM, Scholes R, Watson RT. Auditory affective agnosia: disturbed comprehension of affective speech . J Neurol Neurosurg Psychiatry . 1975;38:69-72.Crossref 6. Ley RG, Bryden MP. A dissociation of right and left hemispheric effects for recognizing emotional tone and verbal content . Brain Cogn . 1982;1:3-9.Crossref 7. Ross ED. The aprosodias: functional-anatomical organization of the affective components of language in the right hemisphere . Arch Neurol . 1981;38:561-569.Crossref 8. Safer MA, Leventhal H. Ear differences in evaluating emotional tones of voice and verbal content . J Exp Psychol . 1977;3:75-82. 9. Borod JC, Koff E, Lorch M, Nicholas M. Channels of emotional expression in patients with unilateral brain damage . Arch Neurol . 1985;42:345-348.Crossref 10. Moscovitch M, Olds J. Asymmetries in spontaneous facial expressions and their possible relation to hemispheric specialization . Neuropsychologia . 1982;20:71-81.Crossref 11. Tucker DM, Watson RT, Heilman KM. Discrimination and evocation of affectively toned speech in patients with right parietal disease . Neurology . 1977;27:947-950.Crossref 12. Ahern GL, Schwartz GE. Differential lateralization for positive and negative emotion . Neuropsychologia . 1979;17:693-698.Crossref 13. Borod JC, Caron HS, Koff E. Asymmetries in positive and negative facial expressions: sex differences . Neuropsychologia . 1981;19:819-824.Crossref 14. Reuter-Lorenz P, Davidson R. Differential contributions of two cerebral hemispheres to the perception of happy and sad faces . Neuropsychologia . 1982;19:609-613.Crossref 15. Strauss E. Central representation of emotion . In: Blanck PD, Buck R, Rosenthal R, eds. Nonverbal Communication in the Clinical Context . University Park, Pa: Pennsylvania State University Press; 1986. 16. Hirschmann RS, Safer MA. Hemisphere differences in perceiving positive and negative emotions . Cortex . 1982;18:569-580.Crossref 17. Fried I, Mateer C, Ojemann G, Wohns R, Fedio P. Organization of visuospatial functions in human cortex . Brain . 1982;105:349-371.Crossref 18. Bowers D, Bauer RM, Coslett HB, Heilman KM. Processing of faces by patients with unilateral hemisphere lesions . Brain Cogn . 1985;4:258-272.Crossref 19. Friedland RP, Budinger TF, Ganz E, et al. Regional cerebral metabolic alterations in dementia of the Alzheimer type: positron emission tomography with ( F) fluorodeoxyglucose . J Comput Assist Tomogr . 1983;7:590-598.Crossref 20. Allender J, Kaszniak AW. Processing of emotional cues in patients with dementia of the Alzheimer's type . Int J Neurosci . 1989;46:147-155.Crossref 21. Brosgole L, Kurucz J, Plahovinsak T, Sprotte C, Haveliwala Y. Facial and postural affect recognition in senile elderly persons . Int J Neurosci . 1983;22:37-46.Crossref 22. Kurucz J, Feldmar G, Werner W. Prosopoaffective agnosia associated with chronic organic brain syndrome . J Am Geriatr Soc . 1979;27:91-95. 23. Hart RP, Kwentus JA, Harkins SW, Taylor JR. Rate of forgetting in mild Alzheimer's type dementia . Brain Cogn . 1988;7:31-38.Crossref 24. Moss M, Albert M, Butters N, Payne M. Differential patterns of memory loss among patients with Alzheimer's disease, Huntington's disease and alcoholic Korsakoff's syndrome . Arch Neurol . 1986;43:239-246.Crossref 25. Grady CL, Haxby JV, Horwitz B, et al. Longitudinal study of the early neuropsychological changes in dementia of the Alzheimer's type . J Clin Exp Neuropsychol . 1989;10:576-596.Crossref 26. Morris JC, Fulling K. Early Alzheimer's disease: diagnostic considerations . Arch Neurol . 1988;45:345-356.Crossref 27. Bayles KA. Language function in senile dementia . Brain Lang . 1982;16:265-280.Crossref 28. Rosen WG. Neuropsychological investigation of memory, visuoconstructional, visuoperceptual, and language abilities in senile dementia of the Alzheimer type . In: Mayeux R, Rosen WG, eds. The Dementias . New York, NY: Raven Press; 1983. 29. Kaszniak A. The neuropsychology of dementia . In: Grant I, Adams KM, eds. Neuropsychological Assessment of Neuropsychiatric Disorders . New York, NY: Oxford University Press Inc; 1986. 30. Korbel H, Domoto K, Nobel K, Harris T, Sullivan G, Albert M. Interdisciplinary Approach to the Development of a Cognitive Screening Test for the Institutionalized Elderly . San Francisco, Calif: Gerontological Society of America; 1983. 31. Mattis S. Dementia Rating Scale . In: Bellack R, Karasu B, eds. Geriatric Psychiatry . New York, NY: Grune & Stratton; 1976. 32. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan E. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force . Neurology . 1984;34:939-944.Crossref 33. Hachinski VC, Lassen NA, Marshall J. Multi-infarct dementia: a cause of mental deterioration in the elderly . Lancet . 1974;2:207-210.Crossref 34. Ekman P, Friesen WV. Pictures of Facial Affect . Palo Alto, Calif: Consulting Psychologists Press; 1975. 35. Cicone M, Wapner W, Gardner H. Sensitivity to emotional expressions and situations in organic patients . Cortex . 1980;16:145-158.Crossref 36. Wechsler D. A standardized memory scale for clinical use . J Psychol . 1945;19:87-95.Crossref 37. Kaplan E, Goodglass H, Weintraub S. The Boston Naming Test . Philadelphia, Pa: Lea & Febiger; 1982. 38. Wechsler D. Wechsler Adult Intelligence Scale . New York, NY: Psychological Corp; 1955. 39. Folstein MF, Folstein SE, McHugh PR. 'Mini-Mental State': a practical method for grading cognitive state of patients for the clinician . J Psychiatr Res . 1975;12:189-198.Crossref 40. Pocock SJ, Hughes MD, Lee RJ. Statistical problems in the reporting of clinical trials . N Engl J Med . 1987;317:426-432.Crossref 41. Bartol MA. Nonverbal communication in patients with Alzheimer's disease . J Gerontol Nurs . 1979;5:21-31.Crossref 42. Albert M, Milberg W. Semantic processing in patients with Alzheimer's disease . Brain Lang . 1989;37:163-171.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Aug 1, 1991

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