Emotion recognition in patients with schizophreniaThe role of sex

  1. Mar Fernández-Modamio 1
  2. David Gil-Sanz 2
  3. Marta Arrieta-Rodríguez 2
  4. Juan Gómez de Tojeiro-Roce 2
  5. Rosario Bengochea-Seco 2
  6. Eduardo González-Fraile 3
  1. 1 Instituto de Investigación Sanitaria IDIVAL
  2. 2 Centro Hospitalario Padre Menni
  3. 3 Universidad Internacional de La Rioja
    info

    Universidad Internacional de La Rioja

    Logroño, España

    ROR https://ror.org/029gnnp81

Revista:
Psicothema

ISSN: 0214-9915 1886-144X

Año de publicación: 2020

Volumen: 32

Número: 2

Páginas: 197-203

Tipo: Artículo

DOI: 10.7334/PSICOTHEMA2019.310 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Background: Despite the abundant research on emotion recognition in schizophrenia, there are still some issues about which there is no conclusive data. The present study examined one these issues: the role that sex plays in emotion recognition. Method: The sample consisted of 440 participants, 220 patients with schizophrenia and 220 controls. Measures of the six basic emotions, psychopathology, and cognitive functioning were taken. The data were analyzed by repeated measures analysis of variance. Results: Controls perceived all emotions, except happiness, better than patients. In the patient group three main results were obtained: 1) men recognized disgust and neutral expressions better than women; 2) happiness and sadness were better recognized on female faces, while disgust and neutral expressions were better recognized on male faces; and 3) a significant interaction was seen between the stimulus sex and the participant sex only for the fear emotion. Conclusions: The results obtained support the hypothesis that deficits in the recognition of emotions is a core feature of schizophrenia that affects both men and women to the same extent. There is no clear pattern of interaction between the sex of the perceiver and the sex of the photograph used as a stimulus

Referencias bibliográficas

  • Amminger, C. M., Schäfer, M. R., Klier, C. M., Schlögelhofer, M., Mossaheb, N., Thompson, A., … Nelson, B. (2012). Facial and vocal affect perception in people at ultra-high risk of psychosis, first-episode schizophrenia and healthy controls. Early Intervention in Psychiatry, 6(4), 450-454. doi:10.1111/j.1751-7893.2012.00362.x
  • Bell, M., Milstein, R., & Beam-Goulet, J. (1992). The positive and negative syndrome scale and the Brief Psychiatric Rating Scale: Reliability, comparability, and predictive validity. Journal of Nervous and Mental Disease, 180, 723-728. doi:10.1097/00005053-199211000-00007
  • Calvo, M. G., & Lundqvist, D. (2008). Facial expressions of emotion (KDEF): Identification under different display-duration conditions. Behavior Research Methods, 40(1), 109-115. doi:10.3758/ brm.40.1.109
  • Chan, R. C., Li, H., Cheung, E. F., & Gong, Q. (2010). Impaired facial emotion perception in schizophrenia: A meta-analysis. Psychiatry Research, 178(2), 381-390. doi:10.1016/j.psychres.2009.03.035
  • Deckler, E., Hodgins, G. E., Pinkham, A. E., Penn, D. L., & Harvey, P. (2018). Social cognition and neurocognition in schizophrenia and healthy controls: Intercorrelations of performance and effects of manipulations aimed at increasing task difficulty. Frontiers in Psychiatry, 9, 356. doi:10.1016/j.psychres.2009.03.035
  • Erol, A., Putgul, G., Kosger, F., & Ersoy, B. (2013). Facial emotion recognition in schizophrenia: The impact of gender. Psychiatry Investigation, 10(1), 69-74. doi:10.4306/pi.2013.10.1.69
  • Fanning, J. R., Bell, M. D., & Fiszdon, J. M. (2012). Is it possible to have impaired neurocognition but good social cognition in schizophrenia? Schizophrenia Research, 135(1-3), 68-71. doi:10.1016/j. schres.2011.12.009
  • First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders, clinician versión (SCID-CV). Washington DC: American Psychiatric Press.
  • Gil-Sanz, D., Fernández-Modamio, M., Bengochea-Seco, R., ArrietaRodríguez, M., González-Fraile, E., Pérez-Fuentes, G., … SantosZorrozúa, B. (2017). ERAT: A new instrument to assess basic emotions recognition in schizophrenia. Revista de Psicopatología y Psicología Clínica, 22, 85-93. doi:10.5944/rppc.vol.22.num.2.2017.17814
  • Javed, A., & Charles, A. (2018). The importance of social cognition in improving functional outcomes in schizophrenia. Frontiers in Psychiatry, 9, 157. doi:10.3389/fpsyt.2018.00157
  • Kohler, C. G., Turner, T. H., Bilker, W. B., Brensinger, C. M., Siegel, S. J., Kanes, S. J. … Gur, R. C. (2003). Facial emotion recognition in schizophrenia: Intensity effects and error pattern. American Journal of Psychiatry, 160(10), 1768-1774. doi:10.1176/appi. ajp.160.10.1768
  • Lambrecht, L., Kreifelts, B., & Wildgruber, D. (2014). Gender differences in emotion recognition: Impact of sensory modality and emotional category. Cognition & Emotion, 28(3), 452-469. doi:10.1080/026999 31.2013.837378
  • Leszczyńska, A. (2015). Facial emotion perception and schizophrenia symptoms. Psychiatria Polska, 49(6), 1159-1168. doi:10.1176/10.12740/ PP/38919
  • Longenecker, J., Genderson, J, Dickinson, D., Malley, J., Elvevåg, B., Weinberger, D.R., & Gold, J. (2010). Where have all the women gone?: Participant gender in epidemiological and non-epidemiological research of schizophrenia. Schizophrenia Research, 119(1-3), 240-245. doi:10.1016/j.schres.2010.03.023
  • Merten, J. (2005). Culture, gender and the recognition of the basic emotions. Psychologia, 48(4), 306-316. doi:10.2117/psysoc.2005.306
  • Mote, J., & Kring, A. M. (2016). Facial emotion perception in schizophrenia: Does sex matter? World Journal of Psychiatry, 6(2), 257-268. doi:org/10.5498/wjp.v6.i2.257
  • Nicholson, I. R., Chapman, J. E., & Neufeld, R. W. (1995). Variability in BPRS definitions of positive and negative symptoms. Schizophrenia Research, 17(2), 177-185. doi:0.1016/0920-9964(94)00088-p
  • Olderbak, S., Wilhelm, O., Hildebrandt, A., & Quoidbach, J. (2018). Sex differences in facial emotion perception ability across the lifespan. Cognition & Emotion, 22, 1-10. doi:10.1080/02699931.2018.1454403
  • Overall, J. E., & Gorham, D.R. (1988). The Brief Psychiatric Rating Scale (BPRS): Recent developments in ascertainment and scaling. Psychopharmacology Bulletin, 24, 97-99.
  • Palermo, R., & Coltheart, M. (2004). Photographs of facial expression: Accuracy, response times, and ratings of intensity. Behavior Research Methods, Instruments & Computers, 36(4), 634-638. doi:10.3758/ bf03206544
  • Phillips, L. K., & Seidman, L. J. (2008). Emotion processing in persons at risk for schizophrenia. Schizophrenia Bulletin, 34(5), 888-903. doi:10.1093/schbul/sbn085
  • Pinkham, A. E., Sasson, N. J., Calkins, M. E., Richard, J., Hughett, P., Gur, R.E., & Gur, R.C. (2008). The other-race effect in face processing among African American and Caucasian individuals with schizophrenia. American Journal of Psychiatry, 165(5), 639-645. doi:10.1176/appi. ajp.2007.07101604
  • Pino, O., Guilera, G., Gómez, J., Rojo, J. E., Vallejo, J., & Purdon, S. E. (2006). A brief scale to assess cognitive impairment in psychiatric patients. Psicothema, 18(3), 447-452.
  • Pino, O., Guilera, G., Rojo, J. E., Gómez-Benito, J., Bernardo, M., CrespoFacorro, B., … Rejas, J. (2008). Spanish version of the Screen for Cognitive Impairment in Psychiatry (SCIP-S): Psychometric properties of a brief scale for cognitive evaluation in schizophrenia. Schizophrenia Research, 99(1-3), 139-148. doi:10.1016/j.schres.2007.09.012
  • Purdon, S. E. (2005). The Screen for Cognitive Impairment in Psychiatry (SCIP): Instructions and three alternate forms. Edmonton, Alberta: PNL Inc.
  • Savla, G. N, Vella, L., Armstrong, C. C., Penn, D. L., & Twamley, E.W. (2013). Defi cits in domains of social cognition in schizophrenia: A meta-analysis of the empirical evidence. Schizophrenia Bulletin, 39(5), 979-992. doi:10.1093/schbul/sbs080
  • Schneider, F., Gur, R. C., Koch, K., Backes, V., Amunts, K., Shah, N. J., … Habel, U. (2006). Impairment in the specificity of emotion processing in schizophrenia. American Journal of Psychiatry, 163(3), 442-447. doi:10.1176/appi.ajp.163.3.442
  • Scholten, M. R., Aleman, A., Montagne, B., & Khan, R. S. (2005). Schizophrenia and processing of facial emotions: Sex matters. Schizophrenia Research, 78(1), 61-67. doi:10.1016/j.schres.2005.06.019
  • Vallejo, G., Fernández-García, P., Livacic, P. E., & Tuero, E. (2018). Data analysis of incomplete repeated measures using a multivariate extension of the Brown-Forsythe procedure. Psicothema, 30(4), 434441. doi:10.7334/psicothema2018.192
  • Vaskinn, A., Sundet, K., Friis, S., Simonsen, C., Birkenaes, A. B., Engh, J. A., … Andreassen, O. A. (2007). The effect of gender on emotion perception in schizophrenia and bipolar disorder. Acta Psychiatrica Scandinavica, 116(4), 263-270. doi:10.1111/j.1600-0447.2007.00991.x
  • Vaskinn, A., Sundet, K., Østefjells, T., Nymo, K., Melle, I., & Ueland, T. (2016). Reading emotions from body movement: A generalized impairment in schizophrenia. Frontiers in Psychology, 6, 2058. doi:10.3389/fpsyg.2015.02058
  • Williams, L. M., Mathersul, D., Palmer, D. M., Gur, R. C., Gur, R. E., & Gordon, E. (2009). Explicit identification and implicit recognition of facial emotions: I. Age effects in males and females across 10 decades. Journal of Clinical and Experimental Neuropsychology, 31(3), 257277. doi:10.1080/13803390802255635
  • Yong, E., Barbato, M., Penn, D. L., Keefe, R. S., Woods, S. W., Perkins, D. O., & Addington, J. (2014). Exploratory analysis of social cognition and neurocognition in individuals at clinical high risk for psychosis. Psychiatry Research, 218(1-2), 39-43. doi:10.1016/j. psychres.2014.04.003