Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.

BACKGROUND:Facial emotion recognition (FER) is essential to guide social functioning and behaviour for interpersonal communication. FER may be altered in severe mental illness such as in psychosis and in borderline personality disorder patients. However, it is unclear if these FER alterations are sp...

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Main Authors: Ana Catalan, Maider Gonzalez de Artaza, Sonia Bustamante, Pablo Orgaz, Luis Osa, Virxinia Angosto, Cristina Valverde, Amaia Bilbao, Arantza Madrazo, Jim van Os, Miguel Angel Gonzalez-Torres
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4965014?pdf=render
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author Ana Catalan
Maider Gonzalez de Artaza
Sonia Bustamante
Pablo Orgaz
Luis Osa
Virxinia Angosto
Cristina Valverde
Amaia Bilbao
Arantza Madrazo
Jim van Os
Miguel Angel Gonzalez-Torres
author_facet Ana Catalan
Maider Gonzalez de Artaza
Sonia Bustamante
Pablo Orgaz
Luis Osa
Virxinia Angosto
Cristina Valverde
Amaia Bilbao
Arantza Madrazo
Jim van Os
Miguel Angel Gonzalez-Torres
author_sort Ana Catalan
collection DOAJ
description BACKGROUND:Facial emotion recognition (FER) is essential to guide social functioning and behaviour for interpersonal communication. FER may be altered in severe mental illness such as in psychosis and in borderline personality disorder patients. However, it is unclear if these FER alterations are specifically related to psychosis. Awareness of FER alterations may be useful in clinical settings to improve treatment strategies. The aim of our study was to examine FER in patients with severe mental disorder and their relation with psychotic symptomatology. MATERIALS AND METHODS:Socio-demographic and clinical variables were collected. Alterations on emotion recognition were assessed in 3 groups: patients with first episode psychosis (FEP) (n = 64), borderline personality patients (BPD) (n = 37) and healthy controls (n = 137), using the Degraded Facial Affect Recognition Task. The Positive and Negative Syndrome Scale, Structured Interview for Schizotypy Revised and Community Assessment of Psychic Experiences scales were used to assess positive psychotic symptoms. WAIS III subtests were used to assess IQ. RESULTS:Kruskal-Wallis analysis showed a significant difference between groups on the FER of neutral faces score between FEP, BPD patients and controls and between FEP patients and controls in angry face recognition. No significant differences were found between groups in the fear or happy conditions. There was a significant difference between groups in the attribution of negative emotion to happy faces. BPD and FEP groups had a much higher tendency to recognize happy faces as negatives. There was no association with the different symptom domains in either group. CONCLUSIONS:FEP and BPD patients have problems in recognizing neutral faces more frequently than controls. Moreover, patients tend to over-report negative emotions in recognition of happy faces. Although no relation between psychotic symptoms and FER alterations was found, these deficits could contribute to a patient's misinterpretations in daily life.
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spelling doaj.art-d4db6f599f4a49f8a7c00853cc4826232022-12-22T00:24:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01117e016005610.1371/journal.pone.0160056Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.Ana CatalanMaider Gonzalez de ArtazaSonia BustamantePablo OrgazLuis OsaVirxinia AngostoCristina ValverdeAmaia BilbaoArantza MadrazoJim van OsMiguel Angel Gonzalez-TorresBACKGROUND:Facial emotion recognition (FER) is essential to guide social functioning and behaviour for interpersonal communication. FER may be altered in severe mental illness such as in psychosis and in borderline personality disorder patients. However, it is unclear if these FER alterations are specifically related to psychosis. Awareness of FER alterations may be useful in clinical settings to improve treatment strategies. The aim of our study was to examine FER in patients with severe mental disorder and their relation with psychotic symptomatology. MATERIALS AND METHODS:Socio-demographic and clinical variables were collected. Alterations on emotion recognition were assessed in 3 groups: patients with first episode psychosis (FEP) (n = 64), borderline personality patients (BPD) (n = 37) and healthy controls (n = 137), using the Degraded Facial Affect Recognition Task. The Positive and Negative Syndrome Scale, Structured Interview for Schizotypy Revised and Community Assessment of Psychic Experiences scales were used to assess positive psychotic symptoms. WAIS III subtests were used to assess IQ. RESULTS:Kruskal-Wallis analysis showed a significant difference between groups on the FER of neutral faces score between FEP, BPD patients and controls and between FEP patients and controls in angry face recognition. No significant differences were found between groups in the fear or happy conditions. There was a significant difference between groups in the attribution of negative emotion to happy faces. BPD and FEP groups had a much higher tendency to recognize happy faces as negatives. There was no association with the different symptom domains in either group. CONCLUSIONS:FEP and BPD patients have problems in recognizing neutral faces more frequently than controls. Moreover, patients tend to over-report negative emotions in recognition of happy faces. Although no relation between psychotic symptoms and FER alterations was found, these deficits could contribute to a patient's misinterpretations in daily life.http://europepmc.org/articles/PMC4965014?pdf=render
spellingShingle Ana Catalan
Maider Gonzalez de Artaza
Sonia Bustamante
Pablo Orgaz
Luis Osa
Virxinia Angosto
Cristina Valverde
Amaia Bilbao
Arantza Madrazo
Jim van Os
Miguel Angel Gonzalez-Torres
Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
PLoS ONE
title Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
title_full Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
title_fullStr Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
title_full_unstemmed Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
title_short Differences in Facial Emotion Recognition between First Episode Psychosis, Borderline Personality Disorder and Healthy Controls.
title_sort differences in facial emotion recognition between first episode psychosis borderline personality disorder and healthy controls
url http://europepmc.org/articles/PMC4965014?pdf=render
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