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1.
Cerebellum ; 2024 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-39276299

RESUMO

The emotional and cognitive cerebellum has been explored by several studies in the past years. Recent evidence suggested the possible contribution of the cerebellum in processing emotional prosody, namely the ability to comprehend the emotional content of a given vocal utterance, likely mediated by anatomical and functional cerebello-prefrontal connections. In the present study, the involvement of a functional cerebello-prefrontal network in recognising emotional prosody was assessed by combining non-invasive anodal transcranial direct current stimulation (tDCS) over the right or the left cerebellum and functional Near Infrared Spectroscopy of the prefrontal cortex, in a double-blind within-subject experimental design on healthy participants. The results showed that right and, to a less extent, left cerebellar tDCS (as compared to sham stimulation) reduced neural activation in the prefrontal cortex while accuracy and reaction times at the vocal recognition task remained unchanged. These findings highlight functional properties of the cerebello-frontal connections and the psychophysiological effects of cerebellar brain stimulation, with possible clinical applications in psychiatric and neurological conditions.

2.
Artigo em Inglês | MEDLINE | ID: mdl-39300012

RESUMO

Previous research has identified regions of the brain that are sensitive to emotional intensity in faces, with some evidence for developmental differences in this pattern of response. However, comparable understanding of how the brain tracks linear variations in emotional prosody is limited-especially in youth samples. The current study used novel stimuli (morphing emotional prosody from neutral to anger/happiness in linear increments) to investigate whether neural response to vocal emotion was parametrically modulated by emotional intensity and whether there were age-related changes in this effect. Participants aged 8-21 years (n = 56, 52% female) completed a vocal emotion recognition task, in which they identified the intended emotion in morphed recordings of vocal prosody, while undergoing functional magnetic resonance imaging. Parametric analyses of whole-brain response to morphed stimuli found that activation in the bilateral superior temporal gyrus (STG) scaled to emotional intensity in angry (but not happy) voices. Multivariate region-of-interest analyses revealed the same pattern in the right amygdala. Sensitivity to emotional intensity did not vary by participants' age. These findings provide evidence for the linear parameterization of emotional intensity in angry vocal prosody within the bilateral STG and right amygdala. Although findings should be replicated, the current results also suggest that this pattern of neural sensitivity may not be subject to strong developmental influences.

3.
J Voice ; 2024 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-39122578

RESUMO

Unilateral vocal fold paralysis (UVFP) has a known impact on patients' quality of life. One of the potentially affected domains that has not been studied yet is emotional prosody. To produce and transmit an efficient emotional prosody, several vocal parameters are modulated by the speaker, principally the fundamental frequency, the speech rate, and the voice intensity. We retrieved 300 sentences produced by 10 patients suffering from UVFP, equally in neutral, anger, and sadness. A jury of six health care voice experts was asked to hear these sentences and choose an emotion for each vocalization, between neutral, anger, and sadness. The jury mainly considered the heard sentences as being in a neutral emotion. Vocal parameters analysis of the anger and sadness sentences that were mistaken as neutral showed the absence of significant difference in their fundamental frequencies and speech rates. By being unable to modulate their vocal parameters as needed to produce emotional prosody, specifically the fundamental frequency and speech rate, patients with UVFP suffer from limitations in their capacity to produce the emotional prosody wanted, making the emotions they feel hardly transmitted to their entourage, which can explain the social barriers these patients complain of.

4.
J Psycholinguist Res ; 53(5): 68, 2024 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-39180569

RESUMO

Age, babble noise, and working memory have been found to affect the recognition of emotional prosody based on non-tonal languages, yet little is known about how exactly they influence tone-language-speaking children's recognition of emotional prosody. In virtue of the tectonic theory of Stroop effects and the Ease of Language Understanding (ELU) model, this study aimed to explore the effects of age, babble noise, and working memory on Mandarin-speaking children's understanding of emotional prosody. Sixty Mandarin-speaking children aged three to eight years and 20 Mandarin-speaking adults participated in this study. They were asked to recognize the happy or sad prosody of short sentences with different semantics (negative, neutral, or positive) produced by a male speaker. The results revealed that the prosody-semantics congruity played a bigger role in children than in adults for accurate recognition of emotional prosody in quiet, but a less important role in children compared with adults in noise. Furthermore, concerning the recognition accuracy of emotional prosody, the effect of working memory on children was trivial despite the listening conditions. But for adults, it was very prominent in babble noise. The findings partially supported the tectonic theory of Stroop effects which highlights the perceptual enhancement generated by cross-channel congruity, and the ELU model which underlines the importance of working memory in speech processing in noise. These results suggested that the development of emotional prosody recognition is a complex process influenced by the interplay among age, background noise, and working memory.


Assuntos
Emoções , Memória de Curto Prazo , Percepção da Fala , Humanos , Memória de Curto Prazo/fisiologia , Masculino , Criança , Feminino , Emoções/fisiologia , Pré-Escolar , Percepção da Fala/fisiologia , Adulto , Fatores Etários , Ruído , Idioma , Reconhecimento Psicológico/fisiologia , Adulto Jovem , China , Semântica
5.
Artigo em Inglês | MEDLINE | ID: mdl-39137279

RESUMO

BACKGROUND: Emotional prosody is the reflection of emotion types such as happiness, sadness, fear and anger in the speaker's tone of voice. Accurately perceiving, interpreting and expressing emotional prosody is an inseparable part of successful communication and social interaction. There are few studies on emotional prosody, which is crucial for communication, and the results of these studies have inconsistent information regarding age and gender. AIMS: The primary aim of this study is to assess the perception of emotional prosody in healthy ageing. The other aim is to examine the effects of variables such as age, gender, language and neurocognitive capacity on the prediction of emotional prosody recognition skills. METHODS AND PROCEDURES: Sixty-nine participants between the ages of 18-75 were included in the study. Participants were grouped as the young group aged 18-35 (n = 26), the middle-aged group aged 36-55 (n = 24) and the elderly group aged 56-75 (n = 19). Perceptual emotional prosody test, motor response time test, and neuropsychological test batteries were administered to the participants. Participants were asked to recognise the emotion in the sentences played on the computer. Natural (neutral, containing neither positive nor negative emotion), happy, angry, surprised and panic emotions were evaluated with sentences composed of pseudoword stimuli. RESULTS AND OUTCOMES: It was observed that the elderly group performed worse in recognising angry, panic, natural and happy emotions and in total recognition, which gives the correct recognition performance in recognition of all emotions. There was no age-related difference in recognition of the emotion of surprise. The women were more successful in recognising angry, panic, happy and total emotions compared to men. Age and Motor Reaction Time Test scores were found to be significant predictors in the emotional response time regression model. Age, language, attention and gender variables were found to have a significant effect on the regression model created for the success of total recognition of emotions (p < 0.05). CONCLUSIONS AND IMPLICATIONS: This was a novel study in which emotional prosody was assessed in the elderly by eliminating lexical-semantic cues related to emotional prosody and associating emotional prosody results with neuropsychiatric tests. All our findings revealed the importance of age for the perception of emotional prosody. In addition, the effects of cognitive functions such as attention, which decline with age, were found to be important. Therefore, it should not be forgotten that many factors contribute to the success of recognising emotional prosody correctly. In this context, clinicians should consider variables such as cognitive health and education when assessing the perception of emotional prosody in elderly individuals. WHAT THIS PAPER ADDS: What is already known on the subject Most of the studies compare young and old groups, and these studies evaluate the perception of emotional prosody by using sentences formed by observing the speech sounds, syllables, words and grammar rules in the vocabulary of the language. It has been reported that the perception of emotional prosody is lower, mostly in the elderly group, but there is inconsistent information in terms of age and gender. What this paper adds to existing knowledge Perceptual Prosody Recognition was evaluated with an experimental design in which sentence structures consisting of lexemes were used as stimuli and neurocognitive tests were included, taking into account the phonological and syntactic rules of language. This study was a novel study in diagnosing emotional prosody in terms of comparing different age groups and determining the factors affecting multidimensional emotional prosody, including neuropsychiatric features. What are the clinical implications of this work? All our findings revealed the importance of age for the perception of emotional prosody. In addition, it was determined that the effects of cognitive functions such as attention were important with age.

6.
Cogn Emot ; : 1-11, 2024 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-38973172

RESUMO

While previous research has found an in-group advantage (IGA) favouring native speakers in emotional prosody perception over non-native speakers, the effects of semantics on emotional prosody perception remain unclear. This study investigated the effects of semantics on emotional prosody perception in Chinese words and sentences for native and non-native Chinese speakers. The critical manipulation was the congruence of prosodic (positive, negative) and semantic (positive, negative, and neutral) valence. Participants listened to a series of audio clips and judged whether the emotional prosody was positive or negative for each utterance. The results revealed an IGA effect: native speakers perceived emotional prosody more accurately and quickly than non-native speakers in Chinese words and sentences. Furthermore, a semantic congruence effect was observed in Chinese words, where both native and non-native speakers recognised emotional prosody more accurately in the semantic-prosody congruent condition than in the incongruent condition. However, in Chinese sentences, this congruence effect was only present for non-native speakers. Additionally, the IGA effect and semantic congruence effect on emotional prosody perception were influenced by prosody valence. These findings illuminate the role of semantics in emotional prosody perception, highlighting perceptual differences between native and non-native Chinese speakers.

7.
J Commun Disord ; 110: 106430, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38754316

RESUMO

INTRODUCTION: Parkinson's disease (PD) is a progressive neurodegenerative disorder that affects approximately 1%-2% of individuals aged 60 and above. Communication disorders in PD can significantly impact the overall quality of life. As prosody plays a vital role in verbal communication, the present study examines Persian prosody perception in PD, focusing on linguistic and emotional aspects of prosody. METHODS: This cross-sectional study aimed to compare the perception of linguistic and emotional prosody in three groups: middle-aged adults (n = 22; mean age = 50.40 years), healthy older adults (n = 22; mean age = 68.31 years), and individuals with Parkinson's disease (n = 22; mean age = 65years). All individuals with PD were classified in stages 1; 1.5; 2; 2.5, and 3 of the disease using the Hoehn and Yahr scale. All participants had an MMSE score of 24 or above. The Florida Affect Battery (FAB) was used to evaluate prosody perception. This Battery was validated in the Persian language and its reliability and validity were reported as 94 % and 100 % respectively. RESULTS: Participants with PD presented significantly lower scores than the older adults in all subtests of the FAB (p < 0.05), while healthy older adults were significantly different only in linguistic discrimination (ß = -2.14; -3.68 to -0.61), and linguistic naming of prosody (ß = 1.25; 0.17 to 2.33) compared to middle-aged adults. CONCLUSIONS: The present study sheds light on the influence of PD on Persian prosody perception. Given the crucial role of prosody in verbal communication, these findings enhance our understanding of communication disorders in PD and could bring attention to consider prosody perception, among other aspects, when assessing individuals affected by PD.


Assuntos
Doença de Parkinson , Percepção da Fala , Humanos , Doença de Parkinson/psicologia , Doença de Parkinson/complicações , Masculino , Pessoa de Meia-Idade , Feminino , Estudos Transversais , Idoso , Emoções , Qualidade de Vida/psicologia , Irã (Geográfico)
8.
Int J Psychophysiol ; 199: 112338, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38552908

RESUMO

Interference by distractors has been associated multiple times with diminished visual and auditory working memory (WM) performance. Negative emotional distractors in particular lead to detrimental effects on WM. However, these associations have only been seen when distractors and items to maintain in WM are from the same sensory modality. In this study, we investigate cross-modal interference on WM. We invited 20 participants to complete a visual change-detection task, assessing visual WM (VWM), while hearing emotional (fearful) and neutral auditory distractors. Electrophysiological activity was recorded to measure contralateral delay activity (CDA) and auditory P2 event-related potentials (ERP), indexing WM maintenance and distractor salience respectively. At the behavioral level, fearful prosody didn't decrease significantly working memory accuracy, compared to neutral prosody. Regarding ERPs, fearful distractors evoked a greater P2 amplitude than neutral distractors. Correlations between the two ERP potentials indicated that P2 amplitude difference between the two types of prosody was associated with the difference in CDA amplitude for fearful and neutral trials. This association suggests that cognitive resources required to process fearful prosody detrimentally impact VWM maintenance. That result provides a piece of additional evidence that negative emotional stimuli produce greater interference than neutral stimuli and that the cognitive resources used to process stimuli from different modalities come from a common pool.


Assuntos
Medo , Memória de Curto Prazo , Humanos , Memória de Curto Prazo/fisiologia , Medo/fisiologia , Potenciais Evocados/fisiologia , Emoções/fisiologia , Audição , Percepção Visual/fisiologia , Eletroencefalografia
9.
CoDAS ; 36(5): e20240009, 2024. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1564378

RESUMO

ABSTRACT Purpose The study aimed to identify (1) whether the age and gender of listeners and the length of vocal stimuli affect emotion discrimination accuracy in voice; and (2) whether the determined level of expression of perceived affective emotions is age and gender-dependent. Methods Thirty-two age-matched listeners listened to 270 semantically neutral voice samples produced in neutral, happy, and angry intonation by ten professional actors. The participants were required to categorize the auditory stimulus based on three options and judge the intensity of emotional expression in the sample using a customized tablet web interface. Results The discrimination accuracy of happy and angry emotions decreased with age, while accuracy in discriminating neutral emotions increased with age. Females rated the intensity level of perceived affective emotions higher than males across all linguistic units. These were: for angry emotions in words (z = -3.599, p < .001), phrases (z = -3.218, p = .001), and texts (z = -2.272, p = .023), for happy emotions in words (z = -5.799, p < .001), phrases (z = -4.706, p < .001), and texts (z = -2.699, p = .007). Conclusion Accuracy in perceiving vocal expressions of emotions varies according to age and gender. Young adults are better at distinguishing happy and angry emotions than middle-aged adults, while middle-aged adults tend to categorize perceived affective emotions as neutral. Gender also plays a role, with females rating expressions of affective emotions in voices higher than males. Additionally, the length of voice stimuli impacts emotion discrimination accuracy.

10.
Behav Sci (Basel) ; 13(10)2023 Sep 26.
Artigo em Inglês | MEDLINE | ID: mdl-37887450

RESUMO

How people recognize linguistic and emotional prosody in different listening conditions is essential for understanding the complex interplay between social context, cognition, and communication. The perception of both lexical tones and emotional prosody depends on prosodic features including pitch, intensity, duration, and voice quality. However, it is unclear which aspect of prosody is perceptually more salient and resistant to noise. This study aimed to investigate the relative perceptual salience of emotional prosody and lexical tone recognition in quiet and in the presence of multi-talker babble noise. Forty young adults randomly sampled from a pool of native Mandarin Chinese with normal hearing listened to monosyllables either with or without background babble noise and completed two identification tasks, one for emotion recognition and the other for lexical tone recognition. Accuracy and speed were recorded and analyzed using generalized linear mixed-effects models. Compared with emotional prosody, lexical tones were more perceptually salient in multi-talker babble noise. Native Mandarin Chinese participants identified lexical tones more accurately and quickly than vocal emotions at the same signal-to-noise ratio. Acoustic and cognitive dissimilarities between linguistic prosody and emotional prosody may have led to the phenomenon, which calls for further explorations into the underlying psychobiological and neurophysiological mechanisms.

11.
Front Psychol ; 14: 1170276, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36949924

RESUMO

[This corrects the article DOI: 10.3389/fpsyg.2022.1061930.].

12.
Dev Cogn Neurosci ; 59: 101194, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36634500

RESUMO

Changes in gonadal hormones during puberty are thought to potentiate adolescents' social re-orientation away from caregivers and towards peers. This study investigated the effect of testosterone on neural processing of emotional (vocal) stimuli by unfamiliar peers vs. parents, in transgender boys receiving exogenous testosterone as a gender-affirming hormone (GAH+) or not (GAH-). During fMRI, youth heard angry and happy vocal expressions spoken by their caregiver and an unfamiliar teenager. Youth also self-reported on closeness with friends and parents. Whole-brain analyses (controlling for age) revealed that GAH+ youth showed blunted neural response to caregivers' angry voices-and heightened response to unfamiliar teenage angry voices-in the anterior cingulate cortex. This pattern was reversed in GAH- youth, who also showed greater response to happy unfamiliar teenager vs. happy caregiver voices in this region. Blunted ACC response to angry caregiver voices-a pattern characteristic of GAH+ youth-was associated with greater relative closeness with friends over parents, which could index more "advanced" social re-orientation. Consistent with models of adolescent neurodevelopment, increases in testosterone during adolescence may shift the valuation of caregiver vs. peer emotional cues in a brain region associated with processing affective information.


Assuntos
Pessoas Transgênero , Voz , Masculino , Humanos , Adolescente , Cuidadores , Testosterona , Emoções/fisiologia , Ira/fisiologia
13.
Front Psychol ; 13: 1061930, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36571062

RESUMO

Introduction: Emotional prosody is defined as suprasegmental and segmental changes in the human voice and related acoustic parameters that can inform the listener about the emotional state of the speaker. While the processing of emotional prosody is well represented in the literature, the mechanism of embodied cognition in emotional voice perception is very little studied. This study aimed to investigate the influence of induced bodily vibrations-through a vibrator placed close to the vocal cords-in the perception of emotional vocalizations. The main hypothesis was that induced body vibrations would constitute a potential interoceptive feedback that can influence the auditory perception of emotions. It was also expected that these effects would be greater for stimuli that are more ambiguous. Methods: Participants were presented with emotional vocalizations expressing joy or anger which varied from low-intensity vocalizations, considered as ambiguous, to high-intensity ones, considered as non-ambiguous. Vibrations were induced simultaneously in half of the trials and expressed joy or anger congruently with the voice stimuli. Participants had to evaluate each voice stimulus using four visual analog scales (joy, anger, and surprise, sadness as control scales). Results: A significant effect of the vibrations was observed on the three behavioral indexes-discrimination, confusion and accuracy-with vibrations confusing rather than facilitating vocal emotion processing. Conclusion: Over all, this study brings new light on a poorly documented topic, namely the potential use of vocal cords vibrations as an interoceptive feedback allowing humans to modulate voice production and perception during social interactions.

14.
J Cult Cogn Sci ; 6(3): 251-268, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35996660

RESUMO

This study investigated the universality of emotional prosody in perception of discrete emotions when semantics is not available. In two experiments the perception of emotional prosody in Hebrew and German by listeners who speak one of the languages but not the other was investigated. Having a parallel tool in both languages allowed to conduct controlled comparisons. In Experiment 1, 39 native German speakers with no knowledge of Hebrew and 80 native Israeli speakers rated Hebrew sentences spoken with four different emotional prosodies (anger, fear, happiness, sadness) or neutral. The Hebrew version of the Test for Rating of Emotions in Speech (T-RES) was used for this purpose. Ratings indicated participants' agreement on how much the sentence conveyed each of four discrete emotions (anger, fear, happiness and sadness). In Experient 2, 30 native speakers of German, and 24 Israeli native speakers of Hebrew who had no knowledge of German rated sentences of the German version of the T-RES. Based only on the prosody, German-speaking participants were able to accurately identify the emotions in the Hebrew sentences and Hebrew-speaking participants were able to identify the emotions in the German sentences. In both experiments ratings between the groups were similar. These findings show that individuals are able to identify emotions in a foreign language even if they do not have access to semantics. This ability goes beyond identification of target emotion; similarities between languages exist even for "wrong" perception. This adds to accumulating evidence in the literature on the universality of emotional prosody. Supplementary Information: The online version contains supplementary material available at 10.1007/s41809-022-00107-x.

15.
Adv Exp Med Biol ; 1378: 13-24, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35902462

RESUMO

Affective neurosciences have largely contributed to the elaboration of theoretical and neuroanatomical models through research conducted in non-primate animals and human beings. However, for methodological and historical reasons, knowledge has developed by focusing mainly on the cerebral cortex, resulting in a lack of investigations of the functional aspects of subcortical structures such as the cerebellum and the basal ganglia. The close anatomical connections revealed between these two structures, as well as their reciprocal connections with the cerebral cortex, lead to a vertically organized model of the brain. Both the cerebellum and the basal ganglia are involved in the different components required during an emotional episode. Their respective specificity in the analysis of temporal patterns contributes to the optimal processing of emotional signals such as those that can be conveyed by the voice (emotional prosody). Internal temporally structured event representation, built from the salient modulation extractions performed by the cerebellum, is used by the basal ganglia to recruit and synchronize the activity of the cortical and subcortical structures required for the relevant processes.


Assuntos
Gânglios da Base , Encéfalo , Animais , Cerebelo , Córtex Cerebral , Emoções , Humanos , Vias Neurais
16.
Adv Exp Med Biol ; 1378: 125-140, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35902469

RESUMO

There is growing evidence of the cerebellum's contribution to emotion processing from neuroimaging studies of healthy function and clinical studies of cerebellar patients. As demonstrated initially in the motor domain, one of the cerebellum's functions is to construct internal models of an individual's state and make predictions about how future behaviors will impact that state. By utilizing widespread connections with neocortex and subcortical regions such as the basal ganglia, the cerebellum can monitor and modulate precisely timed patterns of events using prediction and reward-based error feedback in a diverse range of tasks including auditory emotion prosody recognition. In coordination with a broader affective network, the cerebellum helps to select and refine emotional responses that are the most rewarded in a particular context, strengthening neural activity in relevant regions to form a representational chunk. This chunked set of affective stimuli, cognitive evaluations, and physiological responses subsequently can be enacted as a unitary response (i.e., an emotional habit) more quickly and with less attentional control than for a novel stimulus or goal-oriented action. Such emotional habits can allow for efficient, automatic, stimulus-triggered responses while maintaining the flexibility to adapt output when prediction errors signal a renewed need for cerebellar modification of cortical activity, or, conversely, may lead to behavioral or mood disorders when habitual responses persist despite negative consequences.


Assuntos
Cerebelo , Emoções , Atenção , Cerebelo/fisiologia , Emoções/fisiologia , Hábitos , Humanos , Recompensa
17.
Front Pediatr ; 10: 861432, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35664869

RESUMO

Gestational diabetes mellitus (GDM) is one of the most common complications of pregnancy. Hyperglycemia of pregnancy is a risk not only for later obesity of the offspring but also do harm to their neurodevelopment from fetus. An ERP research has shown that children with autism spectrum disorder (ASD) was characterized by impaired semantic processing. In this study, we used event-related potential (ERP) to assess the procession of different emotional prosodies (happy, fearful, and angry) in neonates of diabetic mothers, compared to the healthy term infants. And to explore whether the ERP measure has potential value for the evaluation of neurodevelopmental outcome in later childhood. A total of 43 full-term neonates were recruited from the neonatology department of Peking University First Hospital from December 1, 2017 to April 30, 2019. They were assigned to infants of diabetic mothers (IDM) group (n = 23) or control group (n = 20) according to their mother's oral glucose tolerance test's (OGTT) result during pregnancy. Using an oddball paradigm, ERP data were recorded while subjects listened to deviation stimulus (20%, happy/fearful/angry prosodies) and standard stimulus (80%, neutral prosody) to evaluate the potential prognostic value of ERP indexes for neurodevelopment at 24 months of age. Results showed that 1) mismatch response (MMR) amplitudes in IDM group were lower than the control; 2) lower MMR amplitude to fearful prosody at frontal lobe was a high risk for increased Modified Checklist for Autism in Toddlers (M-CHAT) scores at 24 months. These findings suggests that hyperglycemia of pregnancy may influence the ability to process emotional prosodies in neonatal brain; it could be reflected by decreased MMR amplitude in response to fearful prosody. Moreover, the decreased MMR amplitude at the frontal lobe may indicated an increased risk of ASD.

18.
Neurotherapeutics ; 19(1): 99-116, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-35013934

RESUMO

Alzheimer's disease is associated with impairments in emotional communication including comprehension and production of facial emotional expressions, comprehension of affective prosody, and alexithymia. It is also associated with disorders of emotional experience including mood disorders (depression and anxiety), agitation/aggression, and psychosis. Agitation/aggression and psychosis are particularly disruptive, are associated with earlier institutionalization, and pose a major challenge to institutional management. Treatment of disorders of emotional experience has been primarily pharmacologic (reviewed here in detail) and has relied heavily on antipsychotic medications despite the small effect sizes demonstrated in a large number of randomized controlled trials and the prevalence of serious side effects associated with these drugs. Recent studies suggest that treatment with pimavanserin, an antipsychotic without activity at dopamine receptors, may represent an important advance for treatment of psychotic manifestations, even as the drug appears to pose significant risk. Dextromethorphan/quinidine may represent an important advance in the treatment of agitation/aggression. There is also compelling evidence that sleep disorders, which are common among patients with Alzheimer's disease and are readily treatable, may potentiate psychotic manifestations and agitation/aggression, but further studies are needed.


Assuntos
Doença de Alzheimer , Antipsicóticos , Transtornos Psicóticos , Agressão , Doença de Alzheimer/complicações , Doença de Alzheimer/tratamento farmacológico , Doença de Alzheimer/psicologia , Antipsicóticos/uso terapêutico , Humanos , Transtornos Psicóticos/complicações , Transtornos Psicóticos/tratamento farmacológico
19.
J Int Neuropsychol Soc ; 28(10): 1075-1090, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-34989666

RESUMO

OBJECTIVES: The aim of this systematic review was to identify the presence and nature of relationships between specific forms of aprosodia (i.e., expressive and receptive emotional and linguistic prosodic deficits) and other cognitive-communication deficits and disorders in individuals with right hemisphere damage (RHD) due to stroke. METHODS: One hundred and ninety articles from 1970 to February 2020 investigating receptive and expressive prosody in patients with relatively focal right hemisphere brain damage were identified via database searches. RESULTS: Fourteen articles were identified that met inclusion criteria, passed quality reviews, and included sufficient information about prosody and potential co-occurring deficits. Twelve articles investigated receptive emotional aprosodia, and two articles investigated receptive linguistic aprosodia. Across the included studies, receptive emotional prosody was not systematically associated with hemispatial neglect, but did co-occur with deficits in emotional facial recognition, interpersonal interactions, or emotional semantics. Receptive linguistic processing was reported to co-occur with amusia and hemispatial neglect. No studies were found that investigated the co-occurrence of expressive emotional or linguistic prosodic deficits with other cognitive-communication impairments. CONCLUSIONS: This systematic review revealed significant gaps in the research literature regarding the co-occurrence of common right hemisphere disorders with prosodic deficits. More rigorous empirical inquiry is required to identify specific patient profiles based on clusters of deficits associated with right hemisphere stroke. Future research may determine whether the co-occurrences identified are due to shared cognitive-linguistic processes, and may inform the development of evidence-based assessment and treatment recommendations for individuals with cognitive-communication deficits subsequent to RHD.


Assuntos
Transtornos da Percepção , Acidente Vascular Cerebral , Humanos , Distúrbios da Fala , Emoções , Linguística , Acidente Vascular Cerebral/complicações , Transtornos da Percepção/etiologia
20.
Br J Dev Psychol ; 40(1): 112-129, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34467548

RESUMO

This study examined the role of early visual experience and age in the recognition of emotional prosody among students with visual impairments in China. A total of 75 primary and junior high school students participated in the study. The ability of participants to recognize the prosody of four basic emotions (sadness, anger, happiness, and neutrality) was explored. The findings were as follows. (1) Early visual experience had a significant effect on the recognition of emotional prosody. The accuracy rate of students with congenital blindness was lower than that of students with adventitious blindness, and the performance of students with congenital blindness was lower than that of sighted students. The students with congenital blindness exhibited the slowest recognition speeds. (2) Age had a significant effect on the emotional prosody recognition accuracy of the sighted students, but it had no effect on the students with blindness.


Assuntos
Emoções , Reconhecimento Psicológico , Cegueira , Felicidade , Humanos , Estudantes
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