Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-10T06:33:36.476Z Has data issue: false hasContentIssue false
  • English
  • Français

Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia

Published online by Cambridge University Press:  16 April 2020

Alex Hofer ,
Cord Benecke ,
Monika Edlinger ,
Regina Huber ,
Georg Kemmler ,
Maria A. Rettenbacher ,
Gerald Schleich  and
W. Wolfgang Fleischhacker
Alex Hofer*
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Cord Benecke
Affiliation:
Institute for Psychology, University of Innsbruck, Innrain 52, A-6020Innsbruck, Austria
Monika Edlinger
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Regina Huber
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Georg Kemmler
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Maria A. Rettenbacher
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Gerald Schleich
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria Institute for Psychology, University of Innsbruck, Innrain 52, A-6020Innsbruck, Austria
W. Wolfgang Fleischhacker
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
*
*Corresponding author. Tel.:+43 512 504 23669; fax:+43 512 504 25267. a.hofer@i-med.ac.at
Get access

Abstract

Outcome in schizophrenia is multidimensional and consists of clinical and psychosocial domains. Difficulties in affect recognition are a hallmark of schizophrenia, but there is little research investigating the consequences of this deficit on patients’ psychosocial status. This cross-sectional study examined the relationship of facial affect recognition and treatment outcomes in terms of psychopathology, quality of life (QOL), and psychosocial functioning.

We investigated 40 regular attendees of a specialized schizophrenia outpatient clinic who had been stable both from a symptomatic and a medication perspective for a minimum of 6 months and 40 healthy volunteers who were chosen to match patients in age, sex, and education. Affect recognition was positively associated with patients’ level of education and negatively with increasing age. Deficits in this area corresponded to the severity of negative and affective symptoms as well as to poor work and global functioning. These findings suggest that affect recognition is an important aspect of psychosocial functioning in stable outpatients with schizophrenia.

Keywords

SchizophreniaEmotion perceptionAffect recognitionPsychosocial outcome
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 1 , 2009 , pp. 27 - 32
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Addington, J., Saeedi, H., Addington, D.Facial affect recognition: a mediator between cognitive and social functioning in psychosis?. Schizophr Res 2006;85:142–150CrossRefGoogle ScholarPubMed
Aghevli, M.A., Blanchard, J.J., Horan, W.P.The expression and experience of emotion in schizophrenia: a study of social interactions. Psychiatry Res 2003;119:261–270CrossRefGoogle ScholarPubMed
American Psychiatric Association, Diagnostic and statistical manual of mental disorders (DSM-IV) 4th ed.Washington, DCAPA; 1994Google Scholar
Archer, J., Hay, D., Young, A.Face processing in psychiatric conditions. Br J Clin Psychol 1992;31:45–61CrossRefGoogle ScholarPubMed
Brekke, J.S., Levin, S., Wolkon, G., Sobel, G., Slade, B.Psychosocial functioning and subjective experience in schizophrenia. Schizophr Bull 1993;19:599–608CrossRefGoogle Scholar
Calder, J., Keane, T., Manly, R., Sprengelmeyer, R., Scott, S., Nimmo-Smith, I.et al.Facial expression recognition across the adult life span. Neuropsychologia 2003;41:195–202CrossRefGoogle ScholarPubMed
Chadwick, P., Trower, P.To defend or not to defend: a comparison of paranoia to depression. J Cognit Psychother 1997;11:63–71CrossRefGoogle Scholar
Edwards, J., Jackson, H.J., Pattison, P.E.Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review. Clin Psychol Rev 2002;22:789–832CrossRefGoogle ScholarPubMed
Gilboa-Schechtman, E., Erhard-Weiss, D., Jeczemien, P.Interpersonal deficits meet cognitive biases: memory for facial expressions in depressed and anxious men and women. Psychiatry Res 2002;113:279–293CrossRefGoogle ScholarPubMed
Hofer, A., Baumgartner, S., Bodner, T., Edlinger, M., Hummer, M., Kemmler, G.et al.Patient outcomes in schizophrenia II: the impact of cognition. Eur Psychiatry 2005;20:395–402CrossRefGoogle ScholarPubMed
Hooker, C., Park, S.Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Res 2002;112:41–50CrossRefGoogle ScholarPubMed
Johnston, P.J., Devir, H., Karayanidis, F.Facial emotion processing in schizophrenia: no evidence for a deficit specific to negative emotions in a differential deficit design. Psychiatry Res 2006;143:51–61CrossRefGoogle Scholar
Kay, S.R., Fiszbein, A., Opler, L.A.The Positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261–276CrossRefGoogle Scholar
Kee, K.S., Green, M.F., Mintz, J., Brekke, J.S.Is emotion processing a predictor of functional outcome in schizophrenia?. Schizophr Bull 2003;29:487–497CrossRefGoogle Scholar
Kee, K.S., Horan, W.P., Mintz, J., Green, M.F.Do the siblings of schizophrenia patients demonstrate affect perception deficits?. Schizophr Res 2004;67:87–94CrossRefGoogle ScholarPubMed
Kemmler, G., Holzner, B., Neudorfer, C., Meise, U., Hinterhuber, H.General life satisfaction and domain-specific quality of life in chronic schizophrenic patients. Qual Life Res 1997;6:265–273CrossRefGoogle ScholarPubMed
Kessler, H., Bayerl, P., Deighton, R.M., Traue, H.C.Facially expressed emotion labelling (FFEL): PC-gestützter Test zur Emotionserkennung. Verhaltenstherapie Verhaltensmedizin 2002;23:297–306Google Scholar
Kohler, C.G., Bilker, W., Hagendoorn, M., Gur, R.E., Gur, R.C.Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biol Psychiatry 2000;48:127–136CrossRefGoogle ScholarPubMed
Kohler, C.G., Turner, T.H., Bilker, W.B., Brensinger, C.M., Siegel, S.J., Kanes, S.J.et al.Facial emotion recognition in schizophrenia: intensity effects and error pattern. Am J Psychiatry 2003;160:1768–1774CrossRefGoogle ScholarPubMed
Lehrl, S. Manual zum MWT-B. Erlangen, Verlag Dr. med. D. Straube; 1977.Google Scholar
Leppänen, J.M., Niehaus, D.J.H., Koen, L., Du Toit, E., Shoeman, R.et al.Emotional face processing deficit in schizophrenia: a replication study in a South African Xhosa population. Schizophr Res 2006;84:323–330CrossRefGoogle Scholar
Lindenmayer, J.P., Bernstein-Hyman, R., Grochowski, S.Five-factor model of schizophrenia. J Nerv Ment Disease 1994;182:631–638CrossRefGoogle ScholarPubMed
Lindenmayer, J.P., Grochowski, S., Hyman, R.B.Five factor model of schizophrenia: replication across samples. Schizophr Res 1995;14:229–234CrossRefGoogle ScholarPubMed
Mandal, M.K., Pandey, R., Prasad, A.B.Facial expressions of emotions and schizophrenia: a review. Schizophr Bull 1998;24:399–412CrossRefGoogle ScholarPubMed
McGurk, S.R., Mueser, K.T.Cognitive functioning and employment in severe mental illness. J Nerv Ment Dis 2003;191:789–798CrossRefGoogle ScholarPubMed
Mueser, K.T.Cognitive functioning, social adjustment, and long-term outcome in schizophreniaSharma, T., Harvey, P.Cognition in schizophrenia New YorkOxford University Press; 2000 157–177Google Scholar
Mujica-Parodi, L.R., Malaspina, D., Sackeim, H.A.Logical processing, affect, and delusional thought in schizophrenia. Harv Rev Psychiatry 2000;8:73–83CrossRefGoogle Scholar
Phillips, M.L., Drevets, W.C., Rauch, S.L., Lane, R.Neurobiology of emotion perception: II. Implications for major psychiatric disorders. Biol Psychiatry 2003;54:515–528CrossRefGoogle ScholarPubMed
Pinkham, A.E., Penn, D.L., Perkins, D.O., Graham, K.A., Siegel, M.Emotion perception and social skill over the course of psychosis: a comparison of individuals “at-risk” for psychosis and individuals with early and chronic schizophrenia spectrum illness. Cognit Neuropsychiatry 2007;12:198–212CrossRefGoogle ScholarPubMed
Pinkham, A.E., Penn, D.L., Perkins, D.O., Lieberman, J.Implications for the neural basis of social cognition for the study of schizophrenia. Am J Psychiatry 2003;160:815–824CrossRefGoogle Scholar
Salem, J.E., Kring, A.M., Kerr, S.L.More evidence for generalized poor performance in facial emotion perception in schizophrenia. J Abnorm Psychol 1996;105:480–483CrossRefGoogle Scholar
Schneider, F., Gur, R.C., Gur, R.E., Shtasel, D.L.Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology. Schizophr Res 1995;17:67–75CrossRefGoogle ScholarPubMed
The WHOQOL Group Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychol Med 1998;28:551–558CrossRefGoogle Scholar
Trémeau, F.A review of emotion deficits in schizophrenia. Dialogues Clin Neurosci 2006;8:59–70Google Scholar
Weiss, E.M., Kohler, C.G., Brensinger, C.M., Bilker, W.B., Loughead, J., Delazer, M.et al.Gender differences in facial emotion recognition in persons with chronic schizophrenia. Eur Psychiatry 2006;22:116–122CrossRefGoogle ScholarPubMed
Young, H.F., Bentall, R.P.Probabilistic reasoning in deluded, depressed and normal subjects: effects of task difficulty and meaningful versus non-meaningful material. Psychol Med 1997;27:455–465CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.