scholarly journals Investigation of facial emotion recognition, alexithymia, and levels of anxiety and depression in patients with somatic symptoms and related disorders

2016 ◽  
pp. 1047 ◽  
Author(s):  
Ahmet Ozturk ◽  
Alperen Kilic ◽  
Erdem Deveci ◽  
Ismet Kirpinar
PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12545
Author(s):  
Roy La Touche ◽  
Alberto García-Salgado ◽  
Ferran Cuenca-Martínez ◽  
Santiago Angulo-Díaz-Parreño ◽  
Alba Paris-Alemany ◽  
...  

Background We aimed to determine the presence of alexithymia in patients with craniofacial pain (CFP) compared with asymptomatic individuals. Our secondary aims were to assess the relationship of alexithymia with anxiety and depression levels, as well as to assess the presence of facial emotion recognition deficit. Methods Medline, Scielo and Google Scholar were searched, with the last search performed in 8 September 2021. Standardized mean differences (SMDs) and 95% CIs were calculated for relevant outcomes and were pooled in a meta-analysis using the random effects model. In addition, meta-analyses of correlations and a meta-regression of alexithymia with depression and anxiety were performed. Results Regarding alexithymia, assessed through the Toronto Alexithymia Scale (TAS), the results showed significant differences, with higher values in patients compared with asymptomatic individuals, with a large clinical effect (SMD 0.46; 95% CI [0.22–0.71]; heterogeneity-Q 66.86; p < 0.001; inconsistency (I2) = 81%). We found statistically significant correlations with a small clinical effect of alexithymia with anxiety and depression. The meta-regression showed no significant association between the TAS and anxiety or depression. With respect to facial emotion recognition, the results showed statistically significant differences, with greater recognition difficulty in patients compared with asymptomatic individuals, with a large clinical effect (SMD −1.17; 95% CI [−2.01 to −0.33]; heterogeneity-Q 2.97; p = 0.080; I2 = 66%). Conclusions Patients with CFP showed alexithymia with moderate evidence. There was also moderate evidence indicating that these patients had significant deficits in facial emotion recognition compared with asymptomatic individuals. Furthermore, alexithymia showed statistically significant correlations with anxiety and depression levels.


2021 ◽  
Vol 15 (2) ◽  
pp. 223-229
Author(s):  
Maria de Fátima Dias de Souza ◽  
Maíra Glória de Freitas Cardoso ◽  
Érica Leandro Marciano Vieira ◽  
Natália Pessoa Rocha ◽  
Talita Hélen Ferreira e Vieira ◽  
...  

ABSTRACT. The co-occurrence of post-stroke behavioral disorders and cognitive impairment has been extensively investigated. However, studies usually do not include social cognition among the assessed cognitive domains. Objective: To investigate the potential association between facial emotion recognition, a measure of social cognition, and behavioral and cognitive symptoms in the subacute phase of ischemic stroke. Methods: Patients admitted to a Stroke Unit with ischemic stroke were followed up to 60 days. At this time point, they were evaluated with the following tools: Mini-Mental State Examination (MMSE); Frontal Assessment Battery (FAB); Visual Memory Test of the Brief Cognitive Battery (VMT); Phonemic Verbal Fluency (F-A-S Test); Digit Span; Facial Emotion Recognition Test (FERT) and Hospital Anxiety and Depression Scale (HADS). A control group composed of 21 healthy individuals also underwent the same evaluation. Results: Eighteen patients with ischemic stroke were enrolled in this study. They had similar age, sex and schooling years compared to controls. Depression symptoms and episodic memory deficits were significantly more frequent in patients compared to controls. The recognition of sadness expression positively correlated with the levels of anxiety and depression, while and the recognition of fear expression negatively correlated with depression in the stroke group. Conclusions: After an ischemic stroke, patients exhibit impairment in social cognition skills, specifically facial emotion recognition, in association with behavioral symptoms.


2013 ◽  
Vol 61 (1) ◽  
pp. 7-15 ◽  
Author(s):  
Daniel Dittrich ◽  
Gregor Domes ◽  
Susi Loebel ◽  
Christoph Berger ◽  
Carsten Spitzer ◽  
...  

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.


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

2020 ◽  
Vol 35 (2) ◽  
pp. 295-315 ◽  
Author(s):  
Grace S. Hayes ◽  
Skye N. McLennan ◽  
Julie D. Henry ◽  
Louise H. Phillips ◽  
Gill Terrett ◽  
...  

2019 ◽  
Author(s):  
Ingrid Tortadès ◽  
Roberto Gonzalez ◽  
Francesc Alpiste ◽  
Joaquín Fernandez ◽  
Jordi Torner ◽  
...  

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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