{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T05:18:46Z","timestamp":1787635126195,"version":"build-2736575974"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emotion recognition from speech prosody is a complex cognitive ability that depends on the functional integrity of a distributed neuronal network and may be shaped by demographic, clinical and lifestyle factors. The Terrapino mobile application was developed as a tool to promote cognitive health, but its digital infrastructure and methodologically rigorous design also render it suitable for research purposes including a comprehensive battery to assess Alzheimer\u2019s disease risk factors, as well as measures of perceived stress, metamemory, and prosody recognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed data from 2,858 adult Terrapino users aged 18\u2013103 years (median = 60 years) to identify correlates of emotional prosody recognition across a demographically, clinically and lifestyle-diverse population. Participants completed an emotion prosody recognition test comprising 25 audio recordings in which professional actors conveyed one of five basic emotions (fear, sadness, anger, disgust and happiness) solely through vocal intonation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consistent with previous research, age, sex, education, hearing problems, subjective cognitive complaints and the number of comorbidities were associated with performance, with several predictors significant in at least one age group. However, other hypothesized factors, such as alcohol consumption, depression, perceived stress, average hours of sleep, or living alone, did not show significant associations with performance in prosody recognition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Together, these findings identify the main demographic and health factors associated with emotional prosody recognition across the adult lifespan and indicate that, in this large appbased cohort, performance is associated with age and health-related factors rather than with the lifestyle variables examined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1900291","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:23:39Z","timestamp":1787631819000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Demographic and clinical influences on emotion prosody recognition"],"prefix":"10.3389","volume":"17","author":[{"given":"Martin","family":"Simcik","sequence":"first","affiliation":[{"name":"Department of Neurology, Second Faculty of Medicine, Charles University, Motol and Homolka University Hospital (Motol University Hospital is a Full Member of ERN EpiCARE)","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Andel","sequence":"additional","affiliation":[{"name":"Department of Neurology, Second Faculty of Medicine, Charles University, Motol and Homolka University Hospital (Motol University Hospital is a Full Member of ERN EpiCARE)","place":["Prague, Czechia"]},{"name":"Edson College of Nursing and Health Innovation, Arizona State University","place":["Phoenix, AZ, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Pavlik","sequence":"additional","affiliation":[{"name":"AlzheimerChain Foundation","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petr","family":"Marusic","sequence":"additional","affiliation":[{"name":"Department of Neurology, Second Faculty of Medicine, Charles University, Motol and Homolka University Hospital (Motol University Hospital is a Full Member of ERN EpiCARE)","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Amlerova","sequence":"additional","affiliation":[{"name":"Department of Neurology, Second Faculty of Medicine, Charles University, Motol and Homolka University Hospital (Motol University Hospital is a Full Member of ERN EpiCARE)","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Hort","sequence":"additional","affiliation":[{"name":"Department of Neurology, Second Faculty of Medicine, Charles University, Motol and Homolka University Hospital (Motol University Hospital is a Full Member of ERN EpiCARE)","place":["Prague, Czechia"]},{"name":"AlzheimerChain Foundation","place":["Prague, Czechia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"10(OCT)","DOI":"10.3389\/FPSYG.2019.02371","article-title":"Age and gender differences in emotion recognition","volume":"10","author":"Abbruzzese","year":"2019","journal-title":"Front. Psychol."},{"key":"ref2","volume-title":"Terrapino","year":"2022"},{"key":"ref3","volume-title":"Diagn Stat Man Ment Disord","year":"2013"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1186\/s13195-022-00989-7","article-title":"Emotional prosody recognition is impaired in Alzheimer\u2019s disease","volume":"14","author":"Amlerova","year":"2022","journal-title":"Alzheimer's Res. Ther."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"110906","DOI":"10.1016\/j.yebeh.2026.110906","article-title":"Emotion recognition deficits in temporal lobe epilepsy are non-lateralized and independent of surgery","volume":"176","author":"Amlerova","year":"2026","journal-title":"Epilepsy Behav."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"e45694","DOI":"10.2196\/45694","article-title":"Sustainable development for Mobile health apps using the human-centered design process","volume":"7","author":"An","year":"2023","journal-title":"JMIR Form Res."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1007\/s10072-008-0971-9","article-title":"Recognition of emotions from visual and prosodic cues in Parkinson\u2019s disease","volume":"29","author":"Ariatti","year":"2008","journal-title":"Neurol. Sci."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1037\/0022-3514.70.3.614","article-title":"Acoustic profiles in vocal emotion expression","volume":"70","author":"Banse","year":"1996","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1097\/AUD.0000000000000694","article-title":"Effects of age and hearing loss on the recognition of emotions in speech","volume":"40","author":"Christensen","year":"2019","journal-title":"Ear Hear."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"4748","DOI":"10.1523\/JNEUROSCI.14-08-04748.1994","article-title":"Sex differences in aging of the human frontal and temporal lobes","volume":"14","author":"Cowell","year":"1994","journal-title":"J. Neurosci."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1186\/s12888-025-06568-y","article-title":"Predictors of subjective memory functioning in young adults","volume":"25","author":"Cs\u00e1bi","year":"2025","journal-title":"BMC Psychiatry"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1017\/S0033291714002591","article-title":"Meta-analysis of emotion recognition deficits in major depressive disorder","volume":"45","author":"Dalili","year":"2014","journal-title":"Psychol. Med."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.3233\/JAD-210094","article-title":"Association of Stress with risk of dementia and mild cognitive impairment: a systematic review and Meta-analysis","volume":"82","author":"Franks","year":"2021","journal-title":"J Alzheimers Dis JAD."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1541","DOI":"10.1111\/acer.13802","article-title":"Emotion recognition biases in alcohol use disorder","volume":"42","author":"Freeman","year":"2018","journal-title":"Alcohol. Clin. Exp. Res."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"R724","DOI":"10.1016\/J.CUB.2007.05.068","article-title":"Social cognition in humans","volume":"17","author":"Frith","year":"2007","journal-title":"Curr. Biol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1007\/s10919-009-0070-5","article-title":"Psychosocial correlates of interpersonal sensitivity: a meta-analysis","volume":"33","author":"Hall","year":"2009","journal-title":"J. Nonverbal Behav."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"709","DOI":"10.3758\/BF03192961","article-title":"Using heteroskedasticity-consistent standard error estimators in OLS regression: An introduction and software implementation","volume":"39","author":"Hayes","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1017\/S0144686X03001491","article-title":"The communication and psychosocial perceptions of older adults with sensory loss: a qualitative study","volume":"24","author":"Heine","year":"2004","journal-title":"Ageing Soc."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1037\/a0020528","article-title":"Effects of age on cross-modal emotion perception","volume":"25","author":"Hunter","year":"2010","journal-title":"Psychol. Aging"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1231","DOI":"10.3233\/JAD-200882","article-title":"Distinct profile differences in subjective cognitive decline in the general public are associated with metacognition, negative affective symptoms, neuroticism, stress, and poor quality of life","volume":"80","author":"Jenkins","year":"2025","journal-title":"J. Alzheimer's Dis"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1975","DOI":"10.1016\/J.CUB.2012.08.045","article-title":"Brain structure links loneliness to social perception","volume":"22","author":"Kanai","year":"2012","journal-title":"Curr. Biol."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1080\/02699931.2013.837378","article-title":"Gender differences in emotion recognition: impact of sensory modality and emotional category","volume":"28","author":"Lambrecht","year":"2014","journal-title":"Cogn Emot."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1177\/17456916231217722","article-title":"The sound of emotional prosody: nearly 3 decades of research and future directions","volume":"20","author":"Larrouy-Maestri","year":"2025","journal-title":"Perspect. Psychol. Sci."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.jad.2019.08.082","article-title":"Effect of poor sleep quality on subjective cognitive decline (SCD) or SCD-related functional difficulties: results from 220,000 nationwide general populations without dementia","volume":"260","author":"Lee","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref26","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/S0140-6736(24)01296-0","article-title":"Dementia prevention, intervention, and care: 2024 report of the lancet standing commission","volume":"404","author":"Livingston","year":"2024","journal-title":"Lancet"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1111\/BJOP.12131","article-title":"Loneliness and the social monitoring system: emotion recognition and eye gaze in a real-life conversation","volume":"107","author":"Lodder","year":"2016","journal-title":"Br. J. Psychol."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1002\/hbm.20187","article-title":"Gender effects on cortical thickness and the influence of scaling","volume":"27","author":"Luders","year":"2006","journal-title":"Hum. Brain Mapp."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e29512","DOI":"10.2196\/29512","article-title":"Human-centered Design of Mobile Health Apps for older adults: systematic review and narrative synthesis","volume":"10","author":"Nimmanterdwong","year":"2022","journal-title":"JMIR Mhealth Uhealth"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1080\/02699931.2018.1454403","article-title":"Sex differences in facial emotion perception ability across the lifespan","volume":"33","author":"Olderbak","year":"2019","journal-title":"Cogn Emot."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1016\/j.neurobiolaging.2014.08.031","article-title":"Greater cortical thinning in normal older adults predicts later cognitive impairment","volume":"36","author":"Pacheco","year":"2015","journal-title":"Neurobiol. Aging"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"S144","DOI":"10.1093\/geronb\/gbu102","article-title":"Sensory function: insights from wave 2 of the National Social Life, health, and aging project","volume":"69","author":"Pinto","year":"2014","journal-title":"J. Gerontol. Ser. B."},{"key":"ref33","volume-title":"R: A Language and Environment for Statistical Computing","year":"2024"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"61","DOI":"10.4103\/AIP.AIP_136_20","article-title":"A comparative study of facial emotion recognition pattern and its determinants in patients of alcohol dependence syndrome versus matching controls","volume":"5","author":"Rajesh","year":"2021","journal-title":"Ann. Indian Psychiatry"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1212\/WNL.54.3.575","article-title":"Fear recognition deficits after focal brain damage: a cautionary note","volume":"54","author":"Rapcsak","year":"2000","journal-title":"Neurology"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1676","DOI":"10.1093\/cercor\/bhi044","article-title":"Regional brain changes in aging healthy adults: general trends, individual differences and modifiers","volume":"15","author":"Raz","year":"2005","journal-title":"Cereb. Cortex"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1016\/J.NEUBIOREV.2008.01.001","article-title":"A meta-analytic review of emotion recognition and aging: implications for neuropsychological models of aging","volume":"32","author":"Ruffman","year":"2008","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"16","DOI":"10.3389\/fict.2016.00016","article-title":"How major depressive disorder affects the ability to decode multimodal dynamic emotional stimuli","volume":"3","author":"Scibelli","year":"2016","journal-title":"Front. ICT"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1016\/j.mehy.2017.10.022","article-title":"The protected survivor model: using resistant successful cognitive aging to identify protection in the very old","volume":"110","author":"Silverman","year":"2018","journal-title":"Med. Hypotheses"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"1006","DOI":"10.1016\/S1474-4422(12)70191-6","article-title":"Cognitive reserve in ageing and Alzheimer\u2019s disease","volume":"11","author":"Stern","year":"2012","journal-title":"Lancet Neurol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1164","DOI":"10.1080\/02699931.2013.875889","article-title":"Sex differences in the ability to recognise non-verbal displays of emotion: a meta-analysis","volume":"28","author":"Thompson","year":"2014","journal-title":"Cogn Emot."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"425","DOI":"10.2307\/30036540","article-title":"User acceptance of information technology: toward a unified view","volume":"27","author":"Venkatesh","year":"2003","journal-title":"MIS Q."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"512","DOI":"10.3238\/arztebl.m2021.0212","article-title":"Sensory dysfunction in old age","volume":"118","author":"V\u00f6lter","year":"2021","journal-title":"Dtsch. Arztebl. Int."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"e0254623","DOI":"10.1371\/JOURNAL.PONE.0254623","article-title":"Volume of the right supramarginal gyrus is associated with a maintenance of emotion recognition ability","volume":"16","author":"Wada","year":"2021","journal-title":"PLoS One"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1080\/01690961003589492","article-title":"Experimental and theoretical advances in prosody: a review","volume":"25","author":"Wagner","year":"2010","journal-title":"Lang. Cogn. Process."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"119958","DOI":"10.1016\/j.jad.2025.119958","article-title":"Association between multimorbidity trajectories and subsequent cognitive decline: evidence from two nationwide longitudinal cohorts","volume":"391","author":"Wang","year":"2025","journal-title":"J. Affect. Disord."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"277","DOI":"10.14283\/jpad.2021.27","article-title":"Association of subjective cognitive decline with risk of cognitive impairment and dementia: a systematic review and meta-analysis of prospective longitudinal studies","volume":"8","author":"Wang","year":"2021","journal-title":"J. Prev Alzheimers Dis."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"1206","DOI":"10.1093\/gerona\/glz147","article-title":"Multimorbidity and cognitive decline over 14 years in older Americans","volume":"75","author":"Wei","year":"2020","journal-title":"J Gerontol Ser A."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"2497","DOI":"10.1111\/1460-6984.13097","article-title":"Assessing the perception of emotional prosody in healthy ageing","volume":"59","author":"Y\u0131ld\u0131r\u0131m","year":"2024","journal-title":"Int. J. Lang. Commun. Disord."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"100164","DOI":"10.1016\/j.tjpad.2025.100164","article-title":"Multimorbidity and risk of dementia: a systematic review and meta-analysis of longitudinal cohort studies","volume":"12","author":"Zhou","year":"2025","journal-title":"J. Prev Alzheimers Dis."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1080\/00223980.2011.574746","article-title":"Loneliness and emotional intelligence","volume":"146","author":"Zysberg","year":"2012","journal-title":"J. Psychol."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1900291\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:23:41Z","timestamp":1787631821000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1900291\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":51,"alternative-id":["10.3389\/fpsyg.2026.1900291"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1900291","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"article-number":"1900291"}}