Social contacts and loneliness affect the own age bias for emotional faces

The TIE-93: a Facial Emotion Recognition Test Adapted for Culturally, Linguistically, and Educationally Diverse Alzheimer's Dementia Patients in France

OBJECTIVE

Emotion recognition tests are essential for differential diagnostics when assessing patients with Alzheimer's disease (AD) dementia. However, there remains a lack of emotion recognition tests appropriate for culturally and educationally diverse populations. The aim of this study was to develop an emotion recognition test (the TIE-93) appropriate for these populations. We then examined whether the TIE-93 could reduce emotion recognition performance differences between populations with a native French versus a culturally and educationally diverse background (participants who had immigrated to France). This was assessed by comparing performance between controls of each cultural group. We also assessed the effect of demographic variables on TIE-93 test performance and whether performance in an AD patient group was consistent with the research literature.

METHODS

Fifty-seven patients with AD dementia and 240 healthy controls, from native French and culturally and educationally diverse backgrounds, were included in the study. The TIE-93 is composed of eight panels with photos of actors displaying six basic emotions. Participants were asked to identify which of the six facial expressions displayed matched an oral description of a context.

RESULTS

When comparing French and culturally and educationally diverse controls, Quade's ANCOVA revealed that there remained an effect of culture and education on TIE-93 test performance. Nonetheless, while controlling for years of education, age, sex, and cultural group, patients with AD dementia scored significantly more poorly than controls, specifically for most negative emotions.

CONCLUSION

The TIE-93 represents a first step toward developing appropriate emotion recognition tests for culturally and educationally diverse populations.

Preserved learning of implicit regularities with predictive social cues in older adults

Introduction

With ageing there are changes in the ability to orient attention, which affect more endogenous than exogenous orienting. However, orienting attention by the gaze direction of others shares characteristics of both exogenous and endogenous attention and it is unclear how it is affected by ageing. Being able to orient attention by the gaze direction of others is important to establish successful social interactions (i.e., joint attention), and when gaze direction predicts where in the environment salient events occur, it helps to successfully navigate the environment.

Methods

Here we investigated whether older individuals learn implicit regularities between the direction of eye gaze and a spatial location where salient events occur. We also assessed the association between orienting attention by the gaze of others and loneliness. Seventy older individuals completed the three-items UCLA loneliness scale and the gaze cueing task, in which gaze cues were non-predictive of target location (block 1), but unbeknownst to participants became predictive of the spatial location where the target appeared (block 2) and then, returned to being non-predictive (block 3).

Results

Findings clearly show that older individuals are less able to orient attention by non-predictive gaze cues, but they successfully learn from environmental regularities implemented with direction of eye gaze. This learning biases attention as it enhances the gaze cueing effect even when the regularities are not present. Importantly, gaze cueing was not affected by self-reported loneliness.

Discussion

These findings point to a training strategy to improve joint attention in older individuals.

Exploring the relationship between perceived loneliness and subjective cognitive decline in older individuals

OBJECTIVE

Loneliness has been associated to a greater risk of cognitive decline and dementia in older individuals. However, evidence on whether this association also exists for older individuals who complain of cognitive problems is limited. We conducted a survey to examine the association between subjective cognitive decline in the working memory domain, perceived loneliness, depression, anxiety, and stress in older individuals with different profiles.

METHODS

A total of 302 healthy, old individuals completed 3 questionnaires to assess subjective cognitive problems in attention, executive functions, storage, depression, anxiety, stress, and perceived loneliness.

RESULTS

We conducted a cluster analysis and 3 clusters of individuals with different profiles emerged. Individuals with greater subjective cognitive problems (cluster 1) in the attention and storage domains, reported higher perceived loneliness and stress but not depression. In contrast, individuals with the least subjective cognitive problems (cluster 3) in the storage domain, reported lower perceived loneliness.

CONCLUSIONS

Individuals with higher subjective cognitive decline also report higher levels of perceived loneliness but not more depression than their peers. However, this correlation is present only for individuals with mild subjective cognitive decline (cluster 2). The implications for future research and interventions are discussed.