Recognizing facial emotion from others is important for interpersonal communication and control for meaningful social behaviors. In the case of patients with dementia, most studies found that they had selective impairments of facial emotion recognition, whereas other studies disagreed. This study investigated the impairment of facial emotion recognition by declined cognitive function for the normal elderly and patients with dementia. Participants took two rating tasks of emotion-dimension and emotion-distinction. For the rating task of emotion-dimension, both the normal elderly and patients with dementia rated disgust, anger, fear, sadness, surprise; and neutral negatively in order, and rated happiness positively. Patients with dementia rated fear, anger, and sadness more negatively and happiness less positively compared to the normal elderly. For the rating task of emotion-distinction, both the normal elderly and patients with dementia showed a high rate of accuracy of happiness, surprise, neutral, anger, sadness, disgust, and fear in order. However, patients with dementia demonstrated a lower rate of accuracy of fear, sadness, disgust, and neutral compared to the normal elderly. The results imply that selective impairments of facial emotion recognition were caused by declined cognitive function. A better understanding of facial emotion recognition for patients with dementia will help design a therapeutic rehabilitation program that is necessary for social interaction with their remaining ability.
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