A meta-analysis of performance on emotion recognition tasks in Parkinson's disease

Individuals with Parkinson's disease (PD) have shown deficits in the ability to recognize emotion. However, these results have been inconsistent. In addition, questions remain about whether any deficit in PD is secondary to depression and broader cognitive impairments, and the effects of stimulus modality, task type, and specific emotion remain unclear. A meta-analysis of 34 comparisons, using data from 1,295 individual participants, was conducted to (a) provide a reliable estimate of the magnitude of the purported deficit in emotion recognition and (b) examine the influence of several potential moderators of emotion recognition abilities in PD. Results show a robust link between PD and specific deficits in recognizing emotion, from both the face and the voice (overall effect size g = 0.52). The deficit extends across stimulus modalities and task types and is particularly acute with respect to negative emotions. Although this deficit does not appear to be secondary to comorbid depression or visuospatial impairments, the potential role of working memory constraints warrants further investigation. We highlight the potential implications of these findings for communication abilities in PD.