Psychiatric Quarterly

, Volume 86, Issue 4, pp 533–543 | Cite as

The Influences of Whole Brain Radiotherapy on Social Cognition and Association with Hippocampal and Frontal Dosimetry

  • Erhan Yuksek
  • Seda Eroz
  • Ahmet Yassa
  • Dilara Akturk
  • Fagan Zakirov
  • Funda Engin Akcam
  • Murat Emul
Original Paper


The influence of brain radiotherapy on neurocognition is a major concern. Social cognition is a mental process in the meaning of social interaction and the recognition of facial emotion is a domain of social cognition. Thus, we aimed to investigate the early effect of whole brain radiotherapy on facial emotion recognition ability. Thirteen patients with various brain tumors in the study. Beck depression and anxiety inventory and the facial emotion recognition test by using a set of photographs were performed at the beginning and post radiotherapy. The severity of depression (16.40 ± 12.16 vs 04.00 ± 02.38 points) and anxiety (14.47 ± 11.96 vs 04.54 ± 03.30 points) were significantly higher in patients. The only significance according to facial emotion recognition rate between initial phase of patients and healthy controls was identifying neutral facial em otion (p = 0.002). The patients after brain radiotherapy had significantly better rate of recognizing fear facial emotions (p = 0.039). This study is the first that investigated the effects of cranial irradiation on facial emotion recognition ability and compares this ability with healthy controls. Interestingly, in the early phase the patients seem to be improved in fear facial emotion after brain radiotherapy without sparing cognition specific regions as hippocampus and frontal regions.


Brain radiotherapy Facial emotion recognition Hippocampus Cognition 


Conflict of interest

The authors report no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Erhan Yuksek
    • 1
  • Seda Eroz
    • 1
    • 2
  • Ahmet Yassa
    • 1
  • Dilara Akturk
    • 3
  • Fagan Zakirov
    • 1
  • Funda Engin Akcam
    • 3
  • Murat Emul
    • 1
  1. 1.Department of Psychiatry, Medical School of Cerrahpasaİstanbul UniversityIstanbulTurkey
  2. 2.Department of Radiation Oncology, Medical School of Cerrahpasaİstanbul UniversityIstanbulTurkey
  3. 3.Medical School of Cerrahpasaİstanbul UniversityIstanbulTurkey

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