Evidence map›Paper›PMID 42186116›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Empathy in primary progressive aphasia: Neural signatures and longitudinal trajectories.

Natacha Cordonier, Sophie Matis, Her Teng, James Carrick, Yun Hwang, Rebekah M Ahmed, Ramón Landin-Romero, Olivier Piguet

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Natacha CordonierBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.ORCID https://orcid.org/0000-0002-2991-6317
Sophie MatisBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
Her TengBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
James CarrickBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
Yun HwangBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
Rebekah M AhmedSchool of Medical Sciences, The University of Sydney, Camperdown, NSW, Australia.
Ramón Landin-RomeroBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.
Olivier PiguetBrain and Mind Centre, The University of Sydney, Camperdown, NSW, Australia.

Funding

Australian Research Council (ARC) Centre of Excellence in Cognition and its Disorders Memory Program CE11000102National Health and Medical Research Council (NHMRC) GNT1037746National Health and Medical Research Council of Australia Investigator Grant GNT2008020National Health and Medical Research Council of Australia Investigator Grant GNT2010064Swiss National Science Foundation P500PS_222034
6 · The paper itself

Abstract

introductionEmpathy is increasingly recognised as compromised in neurodegenerative disorders. However, its profile and neural bases in the nonfluent (nfvPPA) and logopenic (lvPPA) variants of primary progressive aphasia remain unclear. We aimed to characterize empathy at onset, examine its longitudinal course, and identify neural correlates in nfvPPA and lvPPA.

methodsThirty-four nfvPPA, 38 lvPPA, and 45 control subjects completed neuropsychological and MRI assessment, with follow-up up to 9 years. Empathy was measured using the Interpersonal Reactivity Index (Perspective Taking, Empathic Concern).

resultsAt baseline, both PPA groups showed reduced cognitive empathy but preserved affective empathy. Lower empathy correlated with broader cognitive deficits in nfvPPA and predicted greater caregiver burden. Longitudinally, empathy remained stable in nfvPPA but declined in lvPPA. Brain-behavior analyses implicated temporo-parietal and frontal-insular regions, with progressive frontal atrophy predicting cognitive empathy decline in lvPPA. DISCUSSION: Findings demonstrate early empathy deficits in both variants, distinct trajectories, and syndrome-specific neural substrates, with important clinical implications.

Indexed as

Aphasia, Primary ProgressiveBrainEmpathyAgedDisease ProgressionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological Testscortical thicknessempathylogopenic primary progressive aphasialongitudinal assessmentnonfluent primary progressive aphasia

Identifiers

PMID42186116
PMCPMC13240075

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.