Zarotti Nicolò, Fletcher Ian, Simpson Jane
Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Arch Clin Neuropsychol. 2019 Jul 26;34(5):610-624. doi: 10.1093/arclin/acy085.
Emotion regulation and emotional body language (EBL) recognition represent two fundamental components of emotional processing that have recently seen a considerable surge in research interest, in part due to the role they play in optimizing mental health. This appears to be particularly true for clinical conditions that can profoundly affect emotional functioning. Among these is Huntington's disease (HD), a neurodegenerative disorder that is associated with several psychological difficulties and cognitive impairments, including well-established deficits in facial emotion recognition. However, although the theoretical case for impairments is strong, the current evidence in HD on other components such as emotion regulation and EBL recognition is sparse.
In this study, it was hypothesized that emotion regulation and recognition of EBL are impaired in people with symptomatic HD, and that these impairments significantly and positively correlate with each other. A between-subjects design was adopted to compare 13 people with symptomatic HD with 12 non-affected controls matched for age and education.
The results showed that emotion regulation and EBL recognition were significantly impaired in individuals with HD. Moreover, a significant positive correlation was observed between facial and EBL recognition impairments, whereas EBL performance was negatively related to the disease stage. However, emotion regulation and recognition performances were not significantly correlated.
This investigation represents the first evidence of a deficit of emotion regulation and EBL recognition in individuals with HD. The clinical implications of these findings are explored, and indications for future research are proposed.
情绪调节和情绪肢体语言(EBL)识别是情绪加工的两个基本组成部分,最近研究兴趣大幅增加,部分原因是它们在优化心理健康方面所起的作用。对于可能深刻影响情绪功能的临床病症而言,情况似乎尤其如此。其中包括亨廷顿舞蹈症(HD),这是一种神经退行性疾病,与多种心理困难和认知障碍相关,包括面部情绪识别方面公认的缺陷。然而,尽管存在损伤的理论依据很充分,但目前关于HD患者在情绪调节和EBL识别等其他组成部分的证据却很少。
在本研究中,假设症状性HD患者存在情绪调节和EBL识别受损的情况,并且这些损伤之间存在显著的正相关。采用组间设计,将13名症状性HD患者与12名年龄和教育程度匹配的未受影响的对照组进行比较。
结果表明,HD患者的情绪调节和EBL识别显著受损。此外,面部和EBL识别损伤之间观察到显著的正相关,而EBL表现与疾病阶段呈负相关。然而,情绪调节和识别表现之间没有显著相关性。
本研究首次证明了HD患者存在情绪调节和EBL识别缺陷。探讨了这些发现的临床意义,并提出了未来研究的方向。