The impairment of emotion recognition in Huntington’s disease extends to positive emotions

Patients with Huntington’s Disease are impaired in the recognition of emotional signals. However, the nature and extent of the impairment is controversial: It has variously been argued to be disgust-specific (Sprengelmeyer et al., 1996; 1997), general for negative emotions (Snowden, et al., 2008), or a consequence of item difficulty (Milders, Crawford, Lamb, & Simpson, 2003). Yet no study to date has included more than one positive stimulus category in emotion recognition tasks. We present a study of 14 Huntington’s patients and 15 control participants performing a forced-choice task with a range of negative and positive non-verbal emotional vocalizations. Participants were found to be impaired in emotion recognition across the emotion categories, including positive emotions such as amusement and sensual pleasure, and negative emotions, such as anger, disgust, and fear. These data complement previous work by demonstrating that impairments are found in the recognition of positive, as well as negative, emotions in Huntington’s disease. Our results point to a global deficit in the recognition of emotional signals in Huntington’s Disease