Beeinträchtigtes Erkennen emotionaler Gesichtsausdrücke durch psychiatrische Patientinnen bei Alexithymie

2013 ◽  
Vol 61 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Daniel Dittrich ◽  
Gregor Domes ◽  
Susi Loebel ◽  
Christoph Berger ◽  
Carsten Spitzer ◽  
...  
Keyword(s):  
Emotion Recognition ◽  
Emotional Expression ◽  
Depression Scale ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Check List ◽  
Psychosomatische Erkrankungen ◽  
Psychiatrische Patienten ◽  
Symptom Check List ◽  
Tas 20

Die vorliegende Studie untersucht die Hypothese eines mit Alexithymie assoziierten Defizits beim Erkennen emotionaler Gesichtsaudrücke an einer klinischen Population. Darüber hinaus werden Hypothesen zur Bedeutung spezifischer Emotionsqualitäten sowie zu Gender-Unterschieden getestet. 68 ambulante und stationäre psychiatrische Patienten (44 Frauen und 24 Männer) wurden mit der Toronto-Alexithymie-Skala (TAS-20), der Montgomery-Åsberg Depression Scale (MADRS), der Symptom-Check-List (SCL-90-R) und der Emotional Expression Multimorph Task (EEMT) untersucht. Als Stimuli des Gesichtererkennungsparadigmas dienten Gesichtsausdrücke von Basisemotionen nach Ekman und Friesen, die zu Sequenzen mit sich graduell steigernder Ausdrucksstärke angeordnet waren. Mittels multipler Regressionsanalyse untersuchten wir die Assoziation von TAS-20 Punktzahl und facial emotion recognition (FER). Während sich für die Gesamtstichprobe und den männlichen Stichprobenteil kein signifikanter Zusammenhang zwischen TAS-20-Punktzahl und FER zeigte, sahen wir im weiblichen Stichprobenteil durch die TAS-20 Punktzahl eine signifikante Prädiktion der Gesamtfehlerzahl (β = .38, t = 2.055, p < 0.05) und den Fehlern im Erkennen der Emotionen Wut und Ekel (Wut: β = .40, t = 2.240, p < 0.05, Ekel: β = .41, t = 2.214, p < 0.05). Für wütende Gesichter betrug die Varianzaufklärung durch die TAS-20-Punktzahl 13.3 %, für angeekelte Gesichter 19.7 %. Kein Zusammenhang bestand zwischen der Zeit, nach der die Probanden die emotionalen Sequenzen stoppten, um ihre Bewertung abzugeben (Antwortlatenz) und Alexithymie. Die Ergebnisse der Arbeit unterstützen das Vorliegen eines mit Alexithymie assoziierten Defizits im Erkennen emotionaler Gesichtsausdrücke bei weiblchen Probanden in einer heterogenen, klinischen Stichprobe. Dieses Defizit könnte die Schwierigkeiten Hochalexithymer im Bereich sozialer Interaktionen zumindest teilweise begründen und so eine Prädisposition für psychische sowie psychosomatische Erkrankungen erklären.

scholarly journals Cognitive impairment and mood disorder in the subacute phase of Ischemic Stroke

2021 ◽  
Author(s):  
Rafael Arantes Oliveira ◽  
Aline Mansueto Mourão ◽  
Aline Silva de Miranda ◽  
Emanuelle Lamas Rocha ◽  
Ester Cristina Pascoal Gomes ◽  
...  
Keyword(s):  
Emotion Recognition ◽  
Cognitive Deficits ◽  
Psychiatric Symptoms ◽  
Depression Scale ◽  
Chronic Phase ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Control Group ◽  
Subacute Phase ◽  
Significant Difference

Background: Ischemic strokes (IS) patients usually present cognitive deficits and psychiatric disorders. Studies describe this coexistence in the chronic phase, although alterations may relate with acute damage to emotion and cognition circuits Objectives: Assess cognitive and psychiatric symptoms during the subacute phase of IS. Design and setting: A prospective study, screening patients admitted in the Stroke Unit of Hospital Municipal Odilon Behrens, in Belo Horizonte, Minas Gerais, Brazil. Methods: Adults with acute IS and healthy controls were submitted to neuropsychological tests between 30 and 60 days after the event. Incidental, immediate and working memory, learning, late recall, recognition, phonemic verbal fluency, attention and facial emotion recognition were evaluated. Results: Eighteen patients were evaluated in the subacute phase, and twenty-one participants composed the control group, showing no socioeconomic differences between them. There was significant difference in immediate memory (p <0,01), late recall (p<0,05) and recognition (p<0,03) tests from the Brief Cognitive Screening Battery, and in the depression subscale from Hospital Anxiety and Depression Scale (p <0,04). Although there was no significant difference in Facial Emotion Recognition Test (p=0,745), the expression of sadness positively correlated with levels of anxiety (rho=0,587, p<0,05) and depression (rho=0,598, p<0,01), while the expression of fear negatively correlated with depressive symptoms (rho=0,481, p<0,05). Conclusion: Cognitive deficits and psychiatric symptoms in the subacute phase of IS are probably associated with memory impairments. Furthermore, depression and anxiety symptoms may influence the emotion recognition.

Clinical symptomatology and facial emotion recognition in schizophrenia: Which relationship?

2016 ◽  
Vol 33 (S1) ◽  
pp. S96-S96
Author(s):  
A. Arous ◽  
J. Mrizak ◽  
R. Trabelsi ◽  
A. Aissa ◽  
H. Ben Ammar ◽  
...  
Keyword(s):  
Emotion Recognition ◽  
Cognitive Abilities ◽  
Social Cognitive ◽  
Psychiatric Symptoms ◽  
Depression Scale ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Psychotic Symptoms ◽  
Facial Emotions ◽  
Competing Interest

IntroductionPatients with schizophrenia show impairments in social cognitive abilities, such as recognizing facial emotions. However, the relationships between specific deficits of emotion recognition and with clusters of psychotic remain unclear.ObjectivesTo explore whether facial emotion recognition was associated with severity of symptoms and to which presentation of psychotic symptoms.MethodsFacial emotion recognition (FER) were evaluated in 58 patients with stable schizophrenia with a newly validated FER task constructed from photographs of the face of a famous Tunisian actress representing the Ekman's six basic emotions (happiness, anger, disgust, sadness, fear, and surprise). Symptomatology evaluation comprised the Positive and Negative Syndrome Scale (PANSS), the Calgary Depression Scale for Schizophrenia (CDSS) and the Clinical Global Impressions Scale Improvement and severity (CGI).ResultsPatients who failed to identify anger had significantly higher scores in hyperactivity item (P < 0.0001). The patients who had a difficulty to identify sadness had more grandiosity (P ≤ 0.002). The impairment in happiness recognition was correlated with hallucination (P = 0.007) and delusion (P = 0.024) items. Incapacity to identify fear was associated to lack of judgment and insight (P = 0.004).ConclusionsDeficits in recognition of specific facial emotions may reflect severity of psychiatric symptoms. They may be related to specific clusters of psychotic symptoms, which need to be confirmed in further studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Music to my ears: Age-related decline in musical and facial emotion recognition.

2017 ◽  
Vol 32 (8) ◽  
pp. 698-709 ◽  
Author(s):  
Ryan Sutcliffe ◽  
Peter G. Rendell ◽  
Julie D. Henry ◽  
Phoebe E. Bailey ◽  
Ted Ruffman
Keyword(s):  
Emotion Recognition ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Age Related

Task characteristics influence facial emotion recognition age-effects: A meta-analytic review.

2020 ◽  
Vol 35 (2) ◽  
pp. 295-315 ◽  
Author(s):  
Grace S. Hayes ◽  
Skye N. McLennan ◽  
Julie D. Henry ◽  
Louise H. Phillips ◽  
Gill Terrett ◽  
...  
Keyword(s):  
Emotion Recognition ◽  
Age Effects ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Task Characteristics ◽  
Analytic Review

Usability of a psychotherapeutic interactive gaming tool used in facial emotion recognition for people with schizophrenia (Preprint)

2019 ◽  
Author(s):  
Ingrid Tortadès ◽  
Roberto Gonzalez ◽  
Francesc Alpiste ◽  
Joaquín Fernandez ◽  
Jordi Torner ◽  
...  
Keyword(s):  
Theory Of Mind ◽  
Emotion Recognition ◽  
Attributional Style ◽  
Pilot Project ◽  
Error Rates ◽  
Facial Emotion Recognition ◽  
Facial Emotion ◽  
Interactive Software ◽  
Emotional Recognition ◽  
Attribution Questionnaire

BACKGROUND Emotional Recognition (ER) is one of the areas most affected in people with schizophrenia. However, there are no software tools available for the assessment of ER. The interactive software program ‘Feeling Master’ (a cartoon facial recognition tool) was developed to investigate the deficit in facial emotion recognition (FER) with a sample of patients with schizophrenia in a pilot project framework. OBJECTIVE The aim of the study was to test the usability of ‘Feeling Master’ as a psychotherapeutic interactive gaming tool for the assessment of emotional recognition in people with schizophrenia compared with healthy people, and the relationship between FER, attributional style and theory of mind. METHODS Nineteen individuals with schizophrenia and 17 healthy control (HC) subjects completed the ‘Feeling Master’ including five emotions (happiness, sadness, anger, fear, and surprise). Regarding the group with schizophrenia they were evaluated with the Personal and Situational Attribution Questionnaire (IPSAQ) and the Hinting Task (Theory of Mind) to evaluate social cognition. RESULTS Patients with schizophrenia showed impairments in emotion recognition and they remained slower than the HC in the recognition of each emotion (P<.001). Regarding the impairment in the recognition of each emotion we only found a trend toward significance in error rates on fear discrimination (P=.07). And the correlations between correct response on the ‘Feeling Master’ and the hinting task showed significant values in the correlation of surprise and theory of mind (P=.046). CONCLUSIONS In conclusion, the study puts forward the usability of the ‘Feeling Master’ in FER for people with schizophrenia. These findings lend support to the notion that difficulties in emotion recognition are more prevalent in people with schizophrenia, and that these are associated with impairment in ToM, suggesting the potential utility of the FER in the rehabilitation of people with schizophrenia.

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