Impairments in emotion recognition and risk-taking behavior after isolated, cerebellar stroke

Nils S. van den Berg*, Rients B. Huitema, Jacoba M. Spikman, Gert Jan Luijckx, Edward H. F. De Haan

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)
49 Downloads (Pure)

Abstract

An increasing amount of research has shown a cerebellar involvement in higher order cognitive functions, including emotional processing and decision-making. However, it has not been investigated whether impairments in facial emotion recognition, which could be a marker of impaired emotional experiences, are related to risky decision-making in these patients. Therefore, we aimed to investigate facial emotion recognition and risky decision-making in these patients as well as to investigate a relationship between these constructs. Thirteen patients with a discrete, isolated, cerebellar lesion as a consequence of a stroke were included in the study. Emotion recognition was assessed with the Facial Expressions of Emotions—Stimuli and Test (FEEST). Risk-taking behavior was assessed with the Action Selection Test (AST). Furthermore, 106 matched healthy controls performed the FEEST and 20 matched healthy controls performed the AST. Compared with healthy controls, patients were significantly worse in the recognition of emotional expressions and they took significantly more risks. In addition, a worse ability to recognize fearful facial expressions was strongly related to an increase in risky decisions in the AST. Therefore, we suggest that tests of emotion recognition should be incorporated into the neuropsychological assessment after cerebellar stroke to boost detection and treatment of these impairments in these patients.
Original languageEnglish
Pages (from-to)419-425
Number of pages7
JournalCerebellum
Volume19
Issue number3
Early online date27-Feb-2020
DOIs
Publication statusPublished - Jun-2020

Keywords

  • Cerebellum
  • Social cognition
  • Facial emotion recognition
  • Risky decision-making
  • Cerebellar stroke
  • SOCIAL COGNITION
  • DECISION-MAKING
  • DAMAGE
  • METAANALYSIS
  • DYSMETRIA

Cite this