Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars

People with schizophrenia have difficulty recognizing the emotions in the facial expressions of others, which affects their social interaction and functioning in the community. Static stimuli such as photographs have been used traditionally to examine deficiencies in the recognition of emotions in p...

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Main Authors: Nora I. Muros, Arturo S. García, Cristina Forner, Pablo López-Arcas, Guillermo Lahera, Roberto Rodriguez-Jimenez, Karen N. Nieto, José Miguel Latorre, Antonio Fernández-Caballero, Patricia Fernández-Sotos
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/9/1904
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author Nora I. Muros
Arturo S. García
Cristina Forner
Pablo López-Arcas
Guillermo Lahera
Roberto Rodriguez-Jimenez
Karen N. Nieto
José Miguel Latorre
Antonio Fernández-Caballero
Patricia Fernández-Sotos
author_facet Nora I. Muros
Arturo S. García
Cristina Forner
Pablo López-Arcas
Guillermo Lahera
Roberto Rodriguez-Jimenez
Karen N. Nieto
José Miguel Latorre
Antonio Fernández-Caballero
Patricia Fernández-Sotos
author_sort Nora I. Muros
collection DOAJ
description People with schizophrenia have difficulty recognizing the emotions in the facial expressions of others, which affects their social interaction and functioning in the community. Static stimuli such as photographs have been used traditionally to examine deficiencies in the recognition of emotions in patients with schizophrenia, which has been criticized by some authors for lacking the dynamism that real facial stimuli have. With the aim of overcoming these drawbacks, in recent years, the creation and validation of virtual humans has been developed. This work presents the results of a study that evaluated facial recognition of emotions through a new set of dynamic virtual humans previously designed by the research team, in patients diagnosed of schizophrenia. The study included 56 stable patients, compared with 56 healthy controls. Our results showed that patients with schizophrenia present a deficit in facial affect recognition, compared to healthy controls (average hit rate 71.6% for patients vs 90.0% for controls). Facial expressions with greater dynamism (compared to less dynamic ones), as well as those presented from frontal view (compared to profile view) were better recognized in both groups. Regarding clinical and sociodemographic variables, the number of hospitalizations throughout life did not correlate with recognition rates. There was also no correlation between functioning or quality of life and recognition. A trend showed a reduction in the emotional recognition rate as a result of increases in Positive and Negative Syndrome Scale (PANSS), being statistically significant for negative PANSS. Patients presented a learning effect during the progression of the task, slightly greater in comparison to the control group. This finding is relevant when designing training interventions for people with schizophrenia. Maintaining the attention of patients and getting them to improve in the proposed tasks is a challenge for today’s psychiatry.
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spelling doaj.art-544606beca844aa78cb940a3f4cd1c3f2023-11-21T17:33:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109190410.3390/jcm10091904Facial Affect Recognition by Patients with Schizophrenia Using Human AvatarsNora I. Muros0Arturo S. García1Cristina Forner2Pablo López-Arcas3Guillermo Lahera4Roberto Rodriguez-Jimenez5Karen N. Nieto6José Miguel Latorre7Antonio Fernández-Caballero8Patricia Fernández-Sotos9Servicio de Salud Mental, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainDepartamento de Sistemas Informáticos, Universidad de Castilla-La Mancha, 02071 Albacete, SpainServicio de Salud Mental, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainServicio de Anestesiología, Reanimación y Unidad del Dolor, Hospital General de Villarrobledo, 02600 Villarobledo, SpainDepartamento de Medicina y Especialidades Médicas, Universidad de Alcalá, 28805 Madrid, SpainCIBERSAM (Biomedical Research Networking Centre in Mental Health), 28029 Madrid, SpainServicio de Salud Mental, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainDepartamento de Psicología, Universidad de Castilla-La Mancha, 02071 Albacete, SpainDepartamento de Sistemas Informáticos, Universidad de Castilla-La Mancha, 02071 Albacete, SpainServicio de Salud Mental, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, SpainPeople with schizophrenia have difficulty recognizing the emotions in the facial expressions of others, which affects their social interaction and functioning in the community. Static stimuli such as photographs have been used traditionally to examine deficiencies in the recognition of emotions in patients with schizophrenia, which has been criticized by some authors for lacking the dynamism that real facial stimuli have. With the aim of overcoming these drawbacks, in recent years, the creation and validation of virtual humans has been developed. This work presents the results of a study that evaluated facial recognition of emotions through a new set of dynamic virtual humans previously designed by the research team, in patients diagnosed of schizophrenia. The study included 56 stable patients, compared with 56 healthy controls. Our results showed that patients with schizophrenia present a deficit in facial affect recognition, compared to healthy controls (average hit rate 71.6% for patients vs 90.0% for controls). Facial expressions with greater dynamism (compared to less dynamic ones), as well as those presented from frontal view (compared to profile view) were better recognized in both groups. Regarding clinical and sociodemographic variables, the number of hospitalizations throughout life did not correlate with recognition rates. There was also no correlation between functioning or quality of life and recognition. A trend showed a reduction in the emotional recognition rate as a result of increases in Positive and Negative Syndrome Scale (PANSS), being statistically significant for negative PANSS. Patients presented a learning effect during the progression of the task, slightly greater in comparison to the control group. This finding is relevant when designing training interventions for people with schizophrenia. Maintaining the attention of patients and getting them to improve in the proposed tasks is a challenge for today’s psychiatry.https://www.mdpi.com/2077-0383/10/9/1904schizophreniasocial cognitionemotion recognitionfacial affect recognitiondynamic virtual humans
spellingShingle Nora I. Muros
Arturo S. García
Cristina Forner
Pablo López-Arcas
Guillermo Lahera
Roberto Rodriguez-Jimenez
Karen N. Nieto
José Miguel Latorre
Antonio Fernández-Caballero
Patricia Fernández-Sotos
Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
Journal of Clinical Medicine
schizophrenia
social cognition
emotion recognition
facial affect recognition
dynamic virtual humans
title Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
title_full Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
title_fullStr Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
title_full_unstemmed Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
title_short Facial Affect Recognition by Patients with Schizophrenia Using Human Avatars
title_sort facial affect recognition by patients with schizophrenia using human avatars
topic schizophrenia
social cognition
emotion recognition
facial affect recognition
dynamic virtual humans
url https://www.mdpi.com/2077-0383/10/9/1904
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