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Updated: Feb 24, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Facial emotion decoding in patients with Parkinson's disease
Marco De Risi1, Giancarlo Di Gennaro1, Angelo Picardi2
1a I.R.C.C.S. Neuromed , Pozzilli (IS) , Italy.
Parkinson's disease patients show significant difficulties in recognizing facial emotions like sadness, anger, and fear. This emotional processing deficit is linked to dopaminergic depletion, impacting non-verbal communication.
Area of Science:
- Neuroscience
- Psychology
- Neurology
Background:
- Parkinson's disease (PD) is increasingly recognized for its non-motor symptoms, including disruptions in emotional processing.
- Facial emotion recognition is crucial for social interaction and can be affected in neurodegenerative conditions.
Purpose of the Study:
- To investigate facial emotion expression evaluation in Parkinson's disease patients without cognitive decline on antiparkinsonian drugs.
- To compare emotion recognition abilities between PD patients and healthy controls.
Main Methods:
- A cohort of 30 Parkinson's disease patients (on dopaminergic therapy) and 30 healthy controls were assessed.
- Participants completed various facial emotion evaluation tasks.
- Neuropsychological and psychological profiles were evaluated during medication-on condition.
Main Results:
- Parkinson's disease patients made significantly more errors in facial emotion recognition than controls (p < 0.001).
- Specific deficits were observed in identifying sadness (p < 0.001), anger (p = 0.01), and fear (p < 0.001).
- No significant differences were found in activation, valence, or intensity ratings, and emotion recognition differences were independent of depressive symptom severity.
Conclusions:
- Altered non-verbal emotional information processing is evident in Parkinson's disease.
- Nigrostriatal dopaminergic depletion likely contributes to emotional processing dysfunction in PD.
- The clinical impact of these emotional encoding disturbances requires further investigation.
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