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Facial emotion processing in schizophrenia: a non-specific neuropsychological deficit?

  • E. Pomarol-Clotet (a1), F. Hynes (a2), C. Ashwin (a3), E. T. Bullmore (a4), P. J. McKenna (a1) and K. R. Laws (a5)...
Abstract
Background

Identification of facial emotions has been found to be impaired in schizophrenia but there are uncertainties about the neuropsychological specificity of the finding.

Method

Twenty-two patients with schizophrenia and 20 healthy controls were given tests requiring identification of facial emotion, judgement of the intensity of emotional expressions without identification, familiar face recognition and the Benton Facial Recognition Test (BFRT). The schizophrenia patients were selected to be relatively intellectually preserved.

Results

The patients with schizophrenia showed no deficit in identifying facial emotion, although they were slower than the controls. They were, however, impaired on judging the intensity of emotional expression without identification. They showed impairment in recognizing familiar faces but not on the BFRT.

Conclusions

When steps are taken to reduce the effects of general intellectual impairment, there is no deficit in identifying facial emotions in schizophrenia. There may, however, be a deficit in judging emotional intensity. The impairment found in naming familiar faces is consistent with other evidence of semantic memory impairment in the disorder.

Copyright
Corresponding author
*Address for correspondence: Dr E. Pomarol-Clotet, Benito Menni Complex Assistencial en Salut Mental, Germanes Hospitalàries del Sagrat Cor de Jesús, C/Doctor Antoni Pujades 38-C, 08830 Sant Boi de Llobregat, Barcelona, Spain. (Email: edith.pomarol@gmail.com)
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J Archer , DC Hay , AW Young (1992). Face processing in psychiatric conditions. British Journal of Psychiatry 31, 4561.

J Archer , DC Hay , AW Young (1994). Movement, face processing and schizophrenia: evidence of a differential deficit in expression analysis. British Journal of Clinical Psychology 33, 517528.

B Bediou , F Asri , J Brunelin , P Krolak-Salmon , T D'Amato , M Saoud , I Tazi (2007). Emotion recognition and genetic vulnerability to schizophrenia. British Journal of Psychiatry 191, 126130.

B Bediou , N Franck , M Saoud , JY Baudouin , G Tiberghien , J Dalery , T d'Amato (2005 a). Effects of emotion and identity on facial affect processing in schizophrenia. Psychiatry Research 133, 149157.

AS Bellack , JJ Blanchard , KT Mueser (1996). Cue availability and affect perception in schizophrenia. Schizophrenia Bulletin 22, 535544.

AL Benton , AB Sivan , KD Hamsher (1994). Contributions to Neuropsychological Assessment: A Clinical Manual. Oxford University Press: Oxford.

FA Bernard , ET Bullmore , KS Graham , SA Thompson , JR Hodges , PC Fletcher (2004). The hippocampal region is involved in successful recognition of both remote and recent famous faces. Neuroimage 22, 17041714.

NO Bigelow , S Paradiso , R Adolphs , DJ Moser , S Arndt , A Heberlein , P Nopoulos , NC Andreasen (2006). Perception of socially relevant stimuli in schizophrenia. Schizophrenia Research 83, 257267.

M Brune (2005 a). Emotion recognition, ‘theory of mind,’ and social behavior in schizophrenia. Psychiatry Research 133, 135147.

M Brune (2005 b). ‘Theory of mind’ in schizophrenia: a review of the literature. Schizophrenia Bulletin 31, 2142.

J Endicott , RL Spitzer , JL Fleiss , J Cohen (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. Archives of General Psychiatry 33, 766771.

VS Gabrovska , KR Laws , J Sinclair , PJ McKenna (2003). Visual object processing in schizophrenia: evidence for an associative agnosic deficit. Schizophrenia Research 59, 277286.

J Hall , HC Whalley , JW McKirdy , L Romaniuk , D McGonigle , AM McIntosh , BJ Baig , VE Gounto una , DE Job , DI Donaldson , R Sprengelmeyer , AW Young , EC Johnstone , SM Lawrie (2008). Overactivation of fear systems to neutral faces in schizophrenia. Biological Psychiatry 64, 7073.

A Hofer , C Benecke , M Edlinger , R Huber , G Kemmler , MA Rettenbacher , G Schleich , WW Fleischhacker (2009). Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia. European Psychiatry 24, 2732.

PJ Johnston , M Katsikitis , VJ Carr (2001). A generalised deficit can account for problems in facial emotion recognition in schizophrenia. Biological Psychology 58, 203227.

SL Kerr , JM Neale (1993). Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance? Journal of Abnormal Psychology 102, 312318.

CG Kohler , W Bilker , M Hagendoorn , RE Gur , RC Gur (2000). Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biological Psychiatry 48, 127136.

K Kucharska-Pietura , AS David , M Masiak , ML Phillips (2005). Perception of facial and vocal affect by people with schizophrenia in early and late stages of illness. British Journal of Psychiatry 187, 523528.

K Laws , PJ McKenna , RA McCarthy (1996). Reconsidering the gospel according to group studies: a neuropsychological case study approach to schizophrenia. Cognitive Neuropsychiatry 1, 319343.

MK Mandal , R Pandey , AB Prasad (1998). Facial expressions of emotions and schizophrenia: a review. Schizophrenia Bulletin 24, 399412.

K Marwick , J Hall (2008). Social cognition in schizophrenia: a review of face processing. British Medical Bulletin 88, 4358.

C Namiki , K Hirao , M Yamada , T Hanakawa , H Fukuyama , T Hayashi , T Murai (2007). Impaired facial emotion recognition and reduced amygdalar volume in schizophrenia. Psychiatry Research 156, 2332.

J Novic , DJ Luchins , R Perline (1984). Facial affect recognition in schizophrenia. Is there a differential deficit? British Journal of Psychiatry 144, 533537.

M Reske , U Habel , T Kellermann , V Backes , N Jon Shah , M von Wilmsdorff , W Gaebel , K Zilles , F Schneider (2009). Differential brain activation during facial emotion discrimination in first-episode schizophrenia. Journal of Psychiatric Research 43, 592599.

G Sachs , D Steger-Wuchse , I Kryspin-Exner , RC Gur , H Katschnig (2004). Facial recognition deficits and cognition in schizophrenia. Schizophrenia Research 68, 2735.

J Schatz (1998). Cognitive processing efficiency in schizophrenia: generalized vs domain specific deficits. Schizophrenia Research 30, 4149.

F Schneider , RC Gur , RE Gur , DL Shtasel (1995). Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology. Schizophrenia Research 17, 6775.

F Schneider , RC Gur , K Koch , V Backes , K Amunts , NJ Shah , W Bilker , RE Gur , U Habel (2006). Impairment in the specificity of emotion processing in schizophrenia. American Journal of Psychiatry 163, 442447.

M Sprong , P Schothorst , E Vos , J Hox , H van Engeland (2007). Theory of mind in schizophrenia: meta-analysis. British Journal of Psychiatry 191, 513.

JK Wynn , J Lee , WP Horan , MF Green (2008). Using event related potentials to explore stages of facial affect recognition deficits in schizophrenia. Schizophrenia Bulletin 34, 679687.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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