Are facial emotion recognition tasks adequate for assessing social cognition in older people? A review of the literature.

OBJECTIVE

Facial emotion recognition (FER) is a component of social cognition and important to interpersonal relations. Therefore, tasks have been developed to assess this skill in different population. Regarding older people, even healthy individuals have a poorer performance compared to rate of correct answers commonly used to assess such tasks. Perform a systematic review to analyze studies addressing the performance of healthy older adults on FER tasks compared to the 70% correct response rate commonly used for the creation of stimulus banks.

MATERIAL AND METHODS

Searches were conducted up to May 2019 in the Pubmed, PsycInfo, Web of Science, and Scopus databases using the keywords ("faces" OR "facial") AND ("recognition" OR "expression" OR "emotional") AND ("elderly" OR "older adults").

RESULTS

Twenty-seven articles were included in the present review. In 16 studies (59.2%), older people had correct response rates on FER lower than 70% on at least one of the emotions evaluated. Among the studies that evaluated each emotion specifically, 62.5% found correct response rates lower than 70% for the emotion fear, 50% for surprise, 50% for sadness, 37.5% for anger, 21.4% for disgust, and 5.9% for happiness. Moreover, the studies that evaluated the level of intensity of the emotions demonstrated a lower rate of correct responses when the intensity of the facial expression was low.

CONCLUSION

That studies employ methods and facial stimuli that may not be adequate for measuring this skill in older people. Thus, it is important to create adequate tasks for assessing the skill in this population.