Calabria Marco, Cotelli Maria, Adenzato Mauro, Zanetti Orazio, Miniussi Carlo
IRCCS San Giovanni di Dio - Fatebenefratelli, Via Piastroni, 4 25125 Brescia, Italy.
Brain Cogn. 2009 Aug;70(3):247-52. doi: 10.1016/j.bandc.2009.02.009. Epub 2009 Mar 31.
Recent studies have demonstrated that patients suffering from frontotemporal lobar degeneration (FTLD) show impairments in empathy and emotional processing. In this study, we examined two different aspects of these abilities in a patient with semantic dementia (SD), a variant of FTLD. The first aspect was the assessment of the cognitive and emotional components of empathy through the Interpersonal Reactivity Index. The second was the naming and comprehension of emotions using the Ekman 60 Faces Test. The patient's emotion word knowledge was spared and the emotional aspects of empathy preserved. Conversely, the patient performed below average for all of the basic emotions when an emotion word had to be matched with a picture. When picture-to-picture matching was tested, however, the patient was able to recognize happiness. This case is a good example of a dissociation of covert and overt emotional functioning in SD. Results are discussed in terms of the impaired empathic behavior and emotional functioning in FTLD.
最近的研究表明，患有额颞叶变性（FTLD）的患者在同理心和情绪处理方面存在障碍。在本研究中，我们在一名患有语义性痴呆（SD）（FTLD的一种变体）的患者身上检查了这些能力的两个不同方面。第一个方面是通过人际反应指数评估同理心的认知和情感成分。第二个方面是使用艾克曼60张面孔测试对情绪进行命名和理解。患者的情绪词汇知识未受影响，同理心的情感方面也得以保留。相反，当必须将情绪词汇与图片匹配时，患者在所有基本情绪方面的表现均低于平均水平。然而，当测试图片与图片匹配时，患者能够识别出快乐。该病例是SD中隐性和显性情绪功能分离的一个很好的例子。我们根据FTLD中受损的共情行为和情绪功能对结果进行了讨论。
