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| DOI | 10.1093/BRAIN/AWY002 | ||||
| Año | 2018 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
The importance of assessing social cognition to characterize dementia syndromes is increasingly recognized, with lower social cognition capacity associated with reduced functional independence and greater carer burden. Emotion recognition is impaired in both behavioural-variant frontotemporal dementia and semantic dementia, yet the social and behavioural changes observed in these syndromes in everyday situations varies. To date, most studies have investigated isolated, context-free stimuli indexing recognition of facial emotions only. Here, we aimed to investigate how contextual information (i.e. emotional body language) influences emotion recognition, within the framework of the Social Context Network Model. Thirty-one patients with frontotemporal dementia (19 behavioural-variant frontotemporal dementia; 12 semantic dementia) and 20 healthy age-and education-matched controls were assessed on three tasks which varied contextual cues: (i) face alone; (ii) context alone; and (iii) face embedded in context. Voxel-based morphometry was used to identify neural correlates of task performance. Our results demonstrated that both behavioural-variant frontotemporal dementia and semantic dementia patients performed worse than controls in recognizing emotions from face alone and context alone. Importantly, performance differed when faces were presented in context. While both behavioural-variant frontotemporal dementia and semantic dementia patients performed similarly to controls on congruent items (i.e. face emotion and body emotion are the same) (P-values > 0.05), patients with behavioural-variant frontotemporal dementia performed worse than both controls (P < 0.001) and patients with semantic dementia (P = 0.044) for incongruent items (i.e. face emotion and body emotion are different). Neuroimaging analyses revealed that abnormal contextual influence was associated with lower integrity of the right parahippocampal gyrus/amygdala and left precentral gyrus. Together, these results indicate that patients with behavioural-variant frontotemporal dementia are over-reliant on external contextual information. Conversely, in semantic dementia and controls, contextual influence varies, with the degree of contextual influence appearing to be mediated, at least in part, by the facial expression depicted. The profile in behavioural-variant frontotemporal dementia is reminiscent of the 'environmental dependency syndrome' described in frontal lesion patients. It also converges with recent evidence of abnormal face perception in this group. From a theoretical perspective, our findings demonstrate that the capacity to incorporate contextual body language is dependent on the integrity of both contextual association brain regions (i.e. parahippocampal gyrus), as well as regions necessary for processing dynamic body movements. Clinically, these results open new avenues for rehabilitation of social impairments in dementia.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Kumfor, Fiona | Mujer |
UNIV SYDNEY - Australia
ARC Ctr Excellence Cognit & Its Disorders - Australia The University of Sydney - Australia ARC Centre of Excellence in Cognition and its Disorders - Australia |
| 2 | LEGAZ, AGUSTINA | Mujer |
ARC Ctr Excellence Cognit & Its Disorders - Australia
Natl Sci & Tech Res Council CONICET - Argentina Univ Autonoma Caribe - Colombia Universidad Favaloro - Argentina Universidad Adolfo Ibáñez - Chile ARC Centre of Excellence in Cognition and its Disorders - Australia Consejo Nacional de Investigaciones Científicas y Técnicas - Argentina Universidad Autónoma del Caribe - Colombia Favaloro Univ - Argentina |
| 3 | Hutchings, Rosalind | Mujer |
UNIV SYDNEY - Australia
ARC Ctr Excellence Cognit & Its Disorders - Australia The University of Sydney - Australia ARC Centre of Excellence in Cognition and its Disorders - Australia |
| 4 | Hazelton, Jessica L. | Mujer |
UNIV SYDNEY - Australia
The University of Sydney - Australia |
| 5 | Hodges, John | Hombre |
UNIV SYDNEY - Australia
The University of Sydney - Australia |
| 6 | Piguet, Olivier | Hombre |
UNIV SYDNEY - Australia
ARC Ctr Excellence Cognit & Its Disorders - Australia The University of Sydney - Australia ARC Centre of Excellence in Cognition and its Disorders - Australia |
| Fuente |
|---|
| Consejo Nacional de Investigaciones Científicas y Técnicas |
| CONICET |
| FONCyT-PICT |
| FONDAP |
| Ministerio de Economía y Competitividad |
| Fondo Nacional de Desarrollo Científico y Tecnológico |
| Comisión Nacional de Investigación Científica y Tecnológica |
| Fondo de Fomento al Desarrollo Científico y Tecnológico |
| Australian Research Council |
| INECO Foundation |
| Comisión Nacional de Investigación CientÃfica y Tecnológica |
| Fondo de Financiamiento de Centros de Investigación en Áreas Prioritarias |
| CONICYT/Fondecyt Regular |
| National Health and Medical Research Council |
| Fondo Nacional de Desarrollo CientÃfico, Tecnológico y de Innovación Tecnológica |
| Consejo Nacional de Investigaciones CientÃficas y Técnicas |
| Agricultural Research Council |
| National Health and Medical Research Council (NHMRC) |
| Australian Research Council (ARC) Centre of Excellence in Cognition |
| NHMRC-ARC Dementia Research Development Fellowship |
| Australian Research Council (ARC) Centre of Excellence in Cognition, Disorders Memory Program |
| NHMRC Senior Research Fellowship |
| Fundacion INECO |
| ARC Centre of Excellence in Cognition and its Disorders |
| Fondo de Cooperación Internacional en Ciencia y Tecnología |
| NHMRC-ARC |
| Centre of Excellence in Cognition and its Disorders Memory Program |
| Agradecimiento |
|---|
| This work was supported by funding to ForeFront, a collaborative research group dedicated to the study of frontotemporal dementia and motor neuron disease, from the National Health and Medical Research Council (NHMRC) (APP1037746) and the Australian Research Council (ARC) Centre of Excellence in Cognition and its Disorders Memory Program (CE11000102). F.K. is supported by an NHMRC-ARC Dementia Research Development Fellowship (APP1097026). A. I. is partially supported by grants from CONICET, CONICYT/FONDECYT Regular (1170010), FONCyT-PICT 2012-0412, FONCyT-PICT 2012-1309, FONDAP 15150012, and INECO Foundation. O. P. is supported by an NHMRC Senior Research Fellowship (APP1103258). |
| This work was supported by funding to ForeFront, a collaborative research group dedicated to the study of frontotemporal dementia and motor neuron disease, from the National Health and Medical Research Council (NHMRC) (APP1037746) and the Australian Research Council (ARC) Centre of Excellence in Cognition and its Disorders Memory Program (CE11000102). F.K. is supported by an NHMRC-ARC Dementia Research Development Fellowship (APP1097026). A.I. is partially supported by grants from CONICET, CONICYT/ FONDECYT Regular (1170010), FONCyT-PICT 2012-0412, FONCyT-PICT 2012-1309, FONDAP 15150012, and INECO Foundation. O.P. is supported by an NHMRC Senior Research Fellowship (APP1103258). |