학술논문

Enhanced positive emotional reactivity in frontotemporal dementia reflects left-lateralized atrophy in the temporal and frontal lobes
Document Type
article
Source
Subject
Biological Psychology
Psychology
Aphasia
Neurosciences
Rare Diseases
Dementia
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
Acquired Cognitive Impairment
Mind and Body
Brain Disorders
Mental Health
Alzheimer's Disease Related Dementias (ADRD)
Frontotemporal Dementia (FTD)
Neurodegenerative
Aging
Behavioral and Social Science
Clinical Research
Clinical Trials and Supportive Activities
Basic Behavioral and Social Science
Atrophy
Emotions
Frontal Lobe
Frontotemporal Dementia
Humans
Magnetic Resonance Imaging
Pick Disease of the Brain
Euphoria
Elation
Semantic dementia
Mood
Neurodegeneration
Cognitive Sciences
Experimental Psychology
Biological psychology
Cognitive and computational psychology
Language
Abstract
In frontotemporal dementia (FTD), left-lateralized atrophy patterns have been associated with elevations in certain positive emotions. Here, we investigated whether positive emotional reactivity was enhanced in semantic variant primary progressive aphasia (svPPA), an FTD syndrome that targets the left anterior temporal lobe. Sixty-one participants (16 people with svPPA, 24 people with behavioral variant FTD, and 21 healthy controls) viewed six 90-sec trials that were comprised of a series of photographs; each trial was designed to elicit a specific positive emotion, negative emotion, or no emotion. Participants rated their positive emotional experience after each trial, and their smiling behavior was coded with the Facial Action Coding System. Results indicated that positive emotional experience and smiling were elevated in svPPA in response to numerous affective and non-affective stimuli. Voxel-based morphometry analyses revealed that greater positive emotional experience and greater smiling in the patients were both associated with smaller gray matter volume in the left superior temporal gyrus (pFWE