Bases neurales del reconocimiento de emociones faciales en personas con trastornos del espectro de la esquizofrenia: una revisión sistemática
Resumen
RESUMEN
Introducción: Estudios en pacientes con trastornos del espectro de la esquizofrenia han determinado dificultades en su área social causados por alteraciones en su cognición social. Se han encontrado déficits en el procesamiento y reconocimiento de expresiones emocionales faciales (REEF) que es un dominio de la cognición social. Sin embargo, hasta la actualidad se tratan de describir sus mecanismos neuronales para buscar tratamientos que les permitan mejorar sus condiciones de vida. Objetivo: Determinar las bases neurales implicadas en la alteración del reconocimiento de expresiones emocionales faciales en personas con trastornos del espectro de la esquizofrenia. Método: Se ha realizado una revisión sistemática entre el 22 al 27 de noviembre, eligiendo 9 artículos científicos publicados PudMed, Web of Science, Scopus y Psyinfo. Resultados: Seis investigaciones refieren tanto disminución del volumen de materia gris, como menor activación neuronal en estructuras frontales, temporales y parietales. Finalmente, 3 investigaciones encontraron alteraciones en el área occipital asociada al procesamiento visual. Conclusiones: Áreas frontales (corteza prefrontal derecha, la corteza orbitofrontal, scACC) junto a áreas temporales (la amígdala, el giro fusiforme facial, el hipocampo) y áreas occipitales de procesamiento visual, están implicadas en la dificultad para REEF e interactuar adecuadamente.
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