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Cited by 32Dementia and Cognitive Impairment ResearchFace Recognition and PerceptionHistorical and Modern Theater Studies

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Facial Emotion Recognition Performance Differentiates Between Behavioral Variant Frontotemporal Dementia and Major Depressive Disorder

Chiu, Isabelle, Piguet, Olivier, Diehl-Schmid, Janine, Riedl, Lina, Beck, Johannes, Leyhe, Thomas, Holsboer-Trachsler, Edith, Kressig, Reto W., Berres, Manfred, Monsch, Andreas U., Sollberger, Marc·2018·The Journal of Clinical Psychiatry
DOI 10.4088/jcp.16m11342
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Abstract

Objective Misdiagnosis of early behavioral variant frontotemporal dementia (bvFTD) with major depressive disorder (MDD) is not uncommon due to overlapping symptoms. The aim of this study was to improve the discrimination between these disorders using a novel facial emotion perception task. Method In this prospective cohort study (July 2013-March 2016), we compared 25 patients meeting Rascovsky diagnostic criteria for bvFTD, 20 patients meeting DSM-IV criteria for MDD, 21 patients meeting McKhann diagnostic criteria for Alzheimer's disease dementia, and 31 healthy participants on a novel emotion intensity rating task comprising morphed low-intensity facial stimuli. Participants were asked to rate the intensity of morphed faces on the congruent basic emotion (eg, rating on sadness when sad face is shown) and on the 5 incongruent basic emotions (eg, rating on each of the other basic emotions when sad face is shown). Results While bvFTD patients underrated congruent emotions (P Conclusions Our congruent and incongruent facial emotion intensity rating task allows a detailed assessment of facial emotion perception in patient populations. By using this simple task, we achieved an almost complete discrimination between bvFTD and MDD, potentially helping improve the diagnostic certainty in early bvFTD.

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  • Recent evidence suggests a reduced perception of the intensity for negative emotions in bvFTD, but an increased perception for these emotions in patients with major depressive disorder.

    “Recent evidence suggests a reduced perception of the intensity for negative emotions in bvFTD, but an increased perception for these emotions in patients with major depressive disorder (Chiu et al. , 2018).”

    From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Chiu et al. , 2018

  • Several studies have found that emotion recognition may discriminate bvFTD from late-life depression.

    “Accordingly, several studies have found that emotion recognition may discriminate bvFTD from late-life depression (Bertoux et al. , 2012; Chiu et al. , 2018).”

    From Recommendations to distinguish behavioural variant frontotemporal dementia from psychiatric disorders (2020) · cites this paper as Chiu et al. , 2018

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Authors
Chiu, I., Piguet, O., Diehl-Schmid, J., Riedl, L., Beck, J., Leyhe, T., Holsboer-Trachsler, E., Kressig, R. W., Berres, M., Monsch, A. U., & Sollberger, M.
Affiliations
  • University of Basel (CH)
  • UNSW Sydney (AU)
  • Technical University of Munich (DE)
  • Koblenz University of Applied Sciences (DE)
Corresponding author
Sollberger, Marc
ORCID
Venue
The Journal of Clinical Psychiatry
Publisher
Physicians Postgraduate Press, Inc
Published
2018-02-21
Volume
79
Issue
1
Pages
16m11342
ISSN
0160-6689 (ISSN-L)
DOI
10.4088/jcp.16m11342
OpenAlex
W2783871779
Cited by
31
References
0
Citations by year
2026: 4 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 3
FWCI
2.93
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Clinical Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
  • Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
Keywords
behavioral variant frontotemporal dementia, major depressive disorder, facial emotion recognition, misdiagnosis, Alzheimer's dementia, diagnostic discrimination
MeSH terms
Aged, Alzheimer Disease, Major Depressive Disorder, Diagnosis, Differential, Facial Expression, Female, Humans, Male, Middle Aged, Photic Stimulation, Prospective Studies, Case-Control Studies, Recognition, Psychology, Frontotemporal Dementia

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