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. 2018 Jul 2;13(7):e0199886.
doi: 10.1371/journal.pone.0199886. eCollection 2018.

Emotional cues from expressive behavior of women and men with Parkinson's disease

Shu-Mei Wang  1 , Linda Tickle-Degnen  2
Affiliations

Emotional cues from expressive behavior of women and men with Parkinson's disease

Shu-Mei Wang et al. PLoS One. .

Abstract

Objective: Emotional experience of people with Parkinson's disease is prone to being misunderstood by observers and even healthcare practitioners, which affects treatment effectiveness and makes clients suffer distress in their social lives. This study was designed to identify reliable emotional cues from expressive behavior in women and men with Parkinson's disease.

Method: Videotaped expressive behavior of 96 participants during an interview of discussing enjoyable events was rated using the Interpersonal Communication Rating Protocol. Indices from emotional measures were represented in three components. Correlational analyses between expressive behavior domains and emotional components were conducted for the total sample and by gender separately.

Results: More gross motor expressivity and smiling/laughing indicated more positive affect in the total sample. Less conversational engagement indicated more negative affect in women. However, women with more negative affect and depression appeared to smile and laugh more.

Conclusion: This study identified reliable cues from expressive behavior that could be used for assessment of emotional experience in people with Parkinson's disease. For women, because smiling/laughing may convey two possible meanings, that is, more positive and more negative affect, this cue needs to be interpreted cautiously and be used for detecting the intensity, not the type, of emotional experience. Healthcare practitioners should be sensitive to valid cues to make an accurate evaluation of emotion in people with Parkinson's disease.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Correlation between Positive Affect and Expressive Activation in the total sample.
Fig 2
Fig 2. Correlation between Positive Affect and Gross Motor Expressivity in the total sample.
Fig 3
Fig 3. Correlation between Positive Affect and Smile-Laugh in the total sample.
Fig 4
Fig 4. Correlation between Positive Affect and Expressive Activation in women.
Fig 5
Fig 5. Correlation between Positive Affect and Gross Motor Expressivity in women.
Fig 6
Fig 6. Correlation between Positive Affect and Smile-Laugh in women.
Fig 7
Fig 7. Correlation between Negative Affect and Smile-Laugh in women.
Fig 8
Fig 8. Correlation between Negative Affect and Confident Expressivity in men.
Fig 9
Fig 9. Correlation between Negative Affect and Conversational Engagement in women.
Fig 10
Fig 10. Correlation between Depression and Smile-Laugh in women.
See this image and copyright information in PMC

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