Hearts and Minds: Emotion Recognition and Mentalizing in Parkinson's Disease and Progressive Supranuclear Palsy

Arch Clin Neuropsychol. 2024 May 21;39(4):516-522. doi: 10.1093/arclin/acad081.

Abstract

Objective: There are scarce data comparing Parkinson's disease (PD) and Progressive Supranuclear Palsy (PSP) in social cognition (SC). We aimed to compare patients with PSP and PD in SC.

Methods: We included three groups: PD (n = 18), PSP (n = 20) and controls (n = 23). Participants underwent neuropsychological exams, including the mini-version of the Social and Emotional Assessment, which is composed of the facial emotion recognition test (FERT) and the modified faux-pas (mFP) test, which assesses Theory of Mind (ToM).

Results: Patients with PD scored lower than controls in the FERT, but not in the mFP test. Patients with PSP performed worse than controls in both the mFP and FERT. PD and PSP groups did not differ in the FERT, but PSP performed worse than PD in the mFP test. The mFP test distinguished PSP from PD with 89% accuracy.

Conclusion: The assessment of ToM may contribute to the differentiation between PD and PSP.

Keywords: Emotion recognition; Parkinson’s disease; Progressive supranuclear palsy; Richardson’ syndrome; Theory of mind.

MeSH terms

  • Aged
  • Emotions* / physiology
  • Facial Recognition / physiology
  • Female
  • Humans
  • Male
  • Mentalization / physiology
  • Middle Aged
  • Neuropsychological Tests
  • Parkinson Disease* / complications
  • Parkinson Disease* / psychology
  • Recognition, Psychology / physiology
  • Social Cognition
  • Supranuclear Palsy, Progressive* / psychology
  • Theory of Mind* / physiology