Did depressive symptoms affect recognition of emotional prosody in Parkinson’s disease?

OBJECTIVE: Evaluate the influence of depressive symptoms on the recognition of emotional prosody in Parkinson’s disease (PD) patients, and identify types of emotion on spoken sentences. METHODS: Thirty-five PD patients and 65 normal participants were studied. Dementia was checked with the Mini Mental State Examination, Clinical Dementia Rating scale, and DSM IV. Recognition of emotional prosody was tested by asking subjects to listen to 12 recorded statements with neutral affective content that were read with a strong affective expression. Subjects had to recognize the correct emotion by one of four descriptors (angry, sad, cheerful, and neutral). The Beck Depression Inventory (BDI) was employed to rate depressive symptoms with the cutoff 14. RESULTS: Total ratings of emotions correctly recognized by participants below and above the BDI cutoff were similar among PD patients and normal individuals. PD patients who correctly identified neutral and anger inflections presented higher rates of depressive symptoms (p = 0.011 and 0.044, respectively). No significant differences were observed in the normal group. CONCLUSIONS: Depression may modify some modalities of emotional prosody perception in PD, by increasing the perception of non-pleasant emotions or lack of affection, such as anger or indifference.