Skip to main content
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 3
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Kessels, Roy P.C. Montagne, Barbara Hendriks, Angelique W. Perrett, David I. and de Haan, Edward H.F. 2014. Assessment of perception of morphed facial expressions using the Emotion Recognition Task: Normative data from healthy participants aged 8-75. Journal of Neuropsychology, Vol. 8, Issue. 1, p. 75.

    Rashid, Naheed Clarke, Chris and Rogish, Miles 2013. Post-stroke depression and expressed emotion. Brain Injury, Vol. 27, Issue. 2, p. 223.

    Scott, Clare L Phillips, Louise H Johnston, Marie Whyte, Maggie M and MacLeod, Mary J 2012. Emotion processing and social participation following stroke: study protocol. BMC Neurology, Vol. 12, Issue. 1,


The perception of emotional facial expressions in stroke patients with and without depression

  • Barbara Montagne (a1), Gudrun M. S. Nys (a2), Martine J. E van Zandvoort (a3) (a4), L. Jaap Kappelle (a3), Edward H. F de Haan (a3) (a4) and Roy P. C. Kessels (a5) (a6) (a7)
  • DOI:
  • Published online: 01 June 2014
<span class='bold'>Background:</span>

Emotion perception may be impaired after stroke. No study on emotion perception after stroke has taken the influence of post-stroke depressive symptoms into account, although depressive symptoms themselves may hamper emotion perception.

<span class='bold'>Objective:</span>

To compare the perception of emotional facial expressions in stroke patients with and without depressive symptoms.

<span class='bold'>Methods:</span>

Twenty-two stroke patients participated whose depressive symptoms were classified using the Montgomery-Åsberg Depression Rating Scale (cutoff = 10) and who were compared with healthy controls. Emotion recognition was measured using morphed images of facial expressions.

<span class='bold'>Results:</span>

Patients with depressive symptoms performed worse than controls on all emotions; patients without depressive symptoms performed at control level. Patients with depressive symptoms were less sensitive to the emotions anger, happiness and sadness compared with patients without depressive symptoms.

<span class='bold'>Conclusions:</span>

Post-stroke depressive symptoms impair emotion perception. This extends findings in bipolar disorder indicating that emotion perception deficits are strongly related to the level of depression.

Corresponding author
Dr Roy P. C. Kessels, NICI/Biological Psychology & Neuropsychology, PO Box 9104, 6500 HE Nijmegen, The Netherlands. Tel: +3124 3612541; Fax: +3124 3616066; E-mail:
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

GMS Nys , MJE van Zandvoort , HB van Der Worp , EHF de Haan , PLM de Kort , LJ Kappelle . Early depressive symptoms after stroke: neuropsychological correlates and lesion characteristics. J Neurol Sci 2005;228:2733.

E Chemerinsky , RG Robinson , JT Kosier . Improved recovery in activities of daily living associated with remission of poststroke depression. Stroke 2001;32:113117.

JM Leppänen . Emotional information processing in mood disorders: a review of behavioral and neuroimaging findings. Curr Opin Psychiatry 2006;19:3449.

K Kucharska-Pietura . Disordered emotional processing in schizophrenia and one-sided brain damage. Prog Brain Res 2006;156:467479.

SA Montgomery , M ÅSberg . A new depression scale designed to be sensitive to change. Br J Psychiatry 1979;134:382389.

M Zimmerman , I Chelminski , M Posternak . A review of studies of the Montgomery-Asberg Depression Rating Scale in controls: implications for the definition of remission in treatment studies of depression. Int Clin Psychopharmacol 2004;19:17.

AL Benton , AB Sivan , K Des Hamsher , NR Varney , O Spreen . Contributions to neuropsychological assessment: a clinical manual, 2nd ed. New York: Oxford University Press, 1994.

B Montagne , RPC Kessels , EHF de Haan , DI Perrett . The Emotion Recognition Task: a paradigm to measure the perception of facial emotional expressions at different intensities. Percept Mot Skills 2007;104:589598.

SP Karparova , A Kersting , T Suslow . Disengagement of attention from facial emotion in unipolar depression. Psychiatry Clin Neurosci 2005;59:723729.

J Gray , H Venn , B Montagne et al. Bipolar patients show mood-congruent biases in sensitivity to facial expressions of emotion when exhibiting depressed symptoms, but not when exhibiting manic symptoms. Cognit Neuropsychiatry 2006;11:505520.

HR Venn , JM Gray , B Montagne et al. Perception of facial expressions of emotion in bipolar disorder. Bipolar Disord 2004;6:286293.

M Braun , HC Traue , S Frisch , RM Deighton , H Kessler . Emotion recognition in stroke patients with left and right hemispheric lesion: results with a new instrument: the FEEL Test. Brain Cogn 2005;58:193201.

CD Silberman , J Laks , CF Capitao , CS Rodrigues , I Moreira , E Engelhardt . Recognizing depression in patients with Parkinson’s disease: accuracy and specificity of two depression rating scale. Arq Neuropsiquiatr 2006;64:407411.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Acta Neuropsychiatrica
  • ISSN: 0924-2708
  • EISSN: 1601-5215
  • URL: /core/journals/acta-neuropsychiatrica
Please enter your name
Please enter a valid email address
Who would you like to send this to? *