Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect

While Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD) and Schizophrenia (SCZ) differ in many clinically relevant features such as symptomatology and course, they may also share genetic underpinnings, affective problems, deviancies in social interactions, and are all c...

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Main Authors: Jana Bretthauer, Daniela Canu, Ulf Thiemann, Christian Fleischhaker, Heike Brauner, Katharina Müller, Nikolaos Smyrnis, Monica Biscaldi, Stephan Bender, Christoph Klein
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.842896/full
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author Jana Bretthauer
Daniela Canu
Ulf Thiemann
Christian Fleischhaker
Heike Brauner
Katharina Müller
Nikolaos Smyrnis
Monica Biscaldi
Stephan Bender
Christoph Klein
Christoph Klein
Christoph Klein
author_facet Jana Bretthauer
Daniela Canu
Ulf Thiemann
Christian Fleischhaker
Heike Brauner
Katharina Müller
Nikolaos Smyrnis
Monica Biscaldi
Stephan Bender
Christoph Klein
Christoph Klein
Christoph Klein
author_sort Jana Bretthauer
collection DOAJ
description While Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD) and Schizophrenia (SCZ) differ in many clinically relevant features such as symptomatology and course, they may also share genetic underpinnings, affective problems, deviancies in social interactions, and are all characterized by some kind of cognitive impairment. This situation calls for a joint investigation of the specifics of cognitive (dys-)functions of the three disorders. Such endeavor should focus, among other domains, on the inter-section of processing cognitive, affective and social information that is crucial in effective real-life interactions and can be accomplished when attentional preferences for human facial expressions of emotions is studied. To that end, attention to facial expressions of basic emotions was examined in young adults with ASD, ADHD, or SCZ in the present study. The three clinical groups were compared with an age-matched group of typically-developing participants (TD) during the free contemplation of five different facial emotions presented simultaneously, by varying identities, through the registration of eye movements. We showed, that dwell times and fixation counts differed for the different emotions in TD and in a highly similar way in ADHD. Patients with ASD differed from TD by showing a stronger differentiation between emotions and partially different attentional preferences. In contrast, the SCZ group showed an overall more restricted scanning behavior and a lack of differentiation between emotions. The ADHD group, showed an emotion-specific gazing pattern that was highly similar to that of controls. Thus, by analyzing eye movements, we were able to differentiate three different viewing patterns that allowed us to distinguish between the three clinical groups. This outcome suggests that attention for emotion may not tap into common pathophysiological processes and argues for a multi-dimensional approach to the grouping of disorders with neurodevelopmental etiology.
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spelling doaj.art-feb1a034870243f28d82a6348714f9042022-12-22T02:31:10ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-06-011310.3389/fpsyt.2022.842896842896Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of AffectJana Bretthauer0Daniela Canu1Ulf Thiemann2Christian Fleischhaker3Heike Brauner4Katharina Müller5Nikolaos Smyrnis6Monica Biscaldi7Stephan Bender8Christoph Klein9Christoph Klein10Christoph Klein11Department of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, GermanyClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg im Breisgau, GermanyClinic for Psychiatry, Psychosomatics und Psychotherapy in Children and Adolescents, LVR Hospital, Bonn, GermanyClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg im Breisgau, GermanyKinder- und Jugendwohnheim Leppermühle, Buseck, GermanyKinder- und Jugendwohnheim Leppermühle, Buseck, GermanySecond Department of Psychiatry, National and Kapodistrian University of Athens, Medical School, University General Hospital “Attikon”, Athens, GreeceClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg im Breisgau, GermanyDepartment of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, GermanyDepartment of Child and Adolescent Psychiatry, Medical Faculty, University of Cologne, Cologne, GermanyClinic for Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg im Breisgau, GermanySecond Department of Psychiatry, National and Kapodistrian University of Athens, Medical School, University General Hospital “Attikon”, Athens, GreeceWhile Autism Spectrum Disorder (ASD), Attention-Deficit/Hyperactivity Disorder (ADHD) and Schizophrenia (SCZ) differ in many clinically relevant features such as symptomatology and course, they may also share genetic underpinnings, affective problems, deviancies in social interactions, and are all characterized by some kind of cognitive impairment. This situation calls for a joint investigation of the specifics of cognitive (dys-)functions of the three disorders. Such endeavor should focus, among other domains, on the inter-section of processing cognitive, affective and social information that is crucial in effective real-life interactions and can be accomplished when attentional preferences for human facial expressions of emotions is studied. To that end, attention to facial expressions of basic emotions was examined in young adults with ASD, ADHD, or SCZ in the present study. The three clinical groups were compared with an age-matched group of typically-developing participants (TD) during the free contemplation of five different facial emotions presented simultaneously, by varying identities, through the registration of eye movements. We showed, that dwell times and fixation counts differed for the different emotions in TD and in a highly similar way in ADHD. Patients with ASD differed from TD by showing a stronger differentiation between emotions and partially different attentional preferences. In contrast, the SCZ group showed an overall more restricted scanning behavior and a lack of differentiation between emotions. The ADHD group, showed an emotion-specific gazing pattern that was highly similar to that of controls. Thus, by analyzing eye movements, we were able to differentiate three different viewing patterns that allowed us to distinguish between the three clinical groups. This outcome suggests that attention for emotion may not tap into common pathophysiological processes and argues for a multi-dimensional approach to the grouping of disorders with neurodevelopmental etiology.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.842896/fullAutism Spectrum DisorderADHDschizophreniaemotional faceseye movements (EM)
spellingShingle Jana Bretthauer
Daniela Canu
Ulf Thiemann
Christian Fleischhaker
Heike Brauner
Katharina Müller
Nikolaos Smyrnis
Monica Biscaldi
Stephan Bender
Christoph Klein
Christoph Klein
Christoph Klein
Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
Frontiers in Psychiatry
Autism Spectrum Disorder
ADHD
schizophrenia
emotional faces
eye movements (EM)
title Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
title_full Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
title_fullStr Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
title_full_unstemmed Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
title_short Attention for Emotion—How Young Adults With Neurodevelopmental Disorders Look at Facial Expressions of Affect
title_sort attention for emotion how young adults with neurodevelopmental disorders look at facial expressions of affect
topic Autism Spectrum Disorder
ADHD
schizophrenia
emotional faces
eye movements (EM)
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.842896/full
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