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The perception of emotional facial expressions in stroke patients with and without depression

Published online by Cambridge University Press:  24 June 2014

Barbara Montagne ,
Gudrun M. S. Nys ,
Martine J. E van Zandvoort ,
L. Jaap Kappelle ,
Edward H. F de Haan  and
Roy P. C. Kessels
Barbara Montagne
Affiliation:
Department of Psychiatry, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
Gudrun M. S. Nys
Affiliation:
Laboratory for Neuropsychology, Department of Internal Medicine – Section Neurology, Ghent University, Ghent, Belgium
Martine J. E van Zandvoort
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands Helmholtz Instituut, Department of Experimental Psychology, Utrecht University, Utrecht, The Netherlands
L. Jaap Kappelle
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands
Edward H. F de Haan
Affiliation:
Department of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands Helmholtz Instituut, Department of Experimental Psychology, Utrecht University, Utrecht, The Netherlands
Roy P. C. Kessels*
Affiliation:
Departments of Geriatric Medicine Medical Psychology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands Nijmegen Institute for Cognition and Information, Radboud University Nijmegen, Nijmegen, The Netherlands
*
Dr Roy P. C. Kessels, NICI/Biological Psychology & Neuropsychology, PO Box 9104, 6500 HE Nijmegen, The Netherlands. Tel: +3124 3612541; Fax: +3124 3616066; E-mail: [email protected]
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Abstract

Background:

Emotion perception may be impaired after stroke. No study on emotion perception after stroke has taken the influence of post-stroke depressive symptoms into account, although depressive symptoms themselves may hamper emotion perception.

Objective:

To compare the perception of emotional facial expressions in stroke patients with and without depressive symptoms.

Methods:

Twenty-two stroke patients participated whose depressive symptoms were classified using the Montgomery-Åsberg Depression Rating Scale (cutoff = 10) and who were compared with healthy controls. Emotion recognition was measured using morphed images of facial expressions.

Results:

Patients with depressive symptoms performed worse than controls on all emotions; patients without depressive symptoms performed at control level. Patients with depressive symptoms were less sensitive to the emotions anger, happiness and sadness compared with patients without depressive symptoms.

Conclusions:

Post-stroke depressive symptoms impair emotion perception. This extends findings in bipolar disorder indicating that emotion perception deficits are strongly related to the level of depression.

Keywords

depressionemotionfacial expressionsneuropsychologystroke
Type
Research Article
Information
Acta Neuropsychiatrica , Volume 19 , Issue 5 , October 2007 , pp. 279 - 283
Copyright
Copyright © 2007 Blackwell Munksgaard

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