Emotion perception and social skill over the course of psychosis: A comparison of individuals “at-risk” for psychosis and individuals with early and chronic schizophrenia spectrum illness

Pinkham, Amy E.; Penn, David L.; Perkins, Diana O.; Graham, Karen; Siegel, Monica

doi:10.1080/13546800600985557

Cited by 178 publications

(142 citation statements)

References 43 publications

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“…A previous study did not detect any differences between control individuals and a very small (n¼19) clinical high-risk sample. 3 The young people in our at-risk sample were seeking help and had significant disability. Their ability to identify emotions did not differ from the patient groups and was significantly worse than the control group.…”

Section: Discussionmentioning

confidence: 99%

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Facial affect recognition in individuals at clinical high risk for psychosis

et al. 2008

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SummaryFacial affect discrimination and identification were assessed in 86 clinical high-risk individuals and compared with 50 individuals with first-episode psychosis, 53 with multiepisode schizophrenia and 55 non-psychiatric controls. On the identification task the non-psychiatric controls performed significantly better than all other groups, and on discrimination significantly better than both patient groups. Deficits in facial affect recognition appear to be present before the onset of psychosis and may be a vulnerability marker.

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Section: Discussionmentioning

confidence: 99%

“…After each stimulus, the participant makes a forced choice by selecting which of the six emotions is depicted. The score is the sum of the number of correct emotion identifications (0)(1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19) …”

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Facial affect recognition in individuals at clinical high risk for psychosis

et al. 2008

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“…One important component of social cognition that has been extensively studied in schizophrenia patients is the ability to recognize emotions in the faces of others (Mandal et al 1998 ;Whittaker et al 2001 ;Edwards et al 2002 ;Hooker & Park, 2002 ;Bolte & Poustka, 2003 ;Kohler et al 2003 ;Schneider et al 2006 ;Pinkham et al 2007 ;PomarolClotet et al 2010). There are consistent findings of an impairment in facial emotion recognition (FER) in schizophrenia (for review see Kohler et al 2010), and these deficits have been shown to be associated with abnormal neural activity (Li et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Facial emotion recognition in adolescents with psychotic-like experiences: a school-based sample from the general population

et al. 2012

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BackgroundPsychotic symptoms, also termed psychotic-like experiences (PLEs) in the absence of psychotic disorder, are common in adolescents and are associated with increased risk of schizophrenia-spectrum illness in adulthood. At the same time, schizophrenia is associated with deficits in social cognition, with deficits particularly documented in facial emotion recognition (FER). However, little is known about the relationship between PLEs and FER abilities, with only one previous prospective study examining the association between these abilities in childhood and reported PLEs in adolescence. The current study was a cross-sectional investigation of the association between PLEs and FER in a sample of Irish adolescents.MethodThe Adolescent Psychotic-Like Symptom Screener (APSS), a self-report measure of PLEs, and the Penn Emotion Recognition-40 Test (Penn ER-40), a measure of facial emotion recognition, were completed by 793 children aged 10–13 years.ResultsChildren who reported PLEs performed significantly more poorly on FER (β=−0.03, p=0.035). Recognition of sad faces was the major driver of effects, with children performing particularly poorly when identifying this expression (β=−0.08, p=0.032).ConclusionsThe current findings show that PLEs are associated with poorer FER. Further work is needed to elucidate causal relationships with implications for the design of future interventions for those at risk of developing psychosis.

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“…7 The fact that no differences were found between the ES and LS groups in most FAST domains may be explained by their similar scores in the assessment of some factors that may potentially affect functioning, such as psychotic symptoms (similar scores in BPRS) and educational attainment. Clinical and functioning improvements are not necessarily concurrent, and functioning impairment may persist in case of symptom remission.…”

Section: Discussionmentioning

confidence: 93%

“…Furthermore, studies have found that psychosocial functioning impairment is not significantly different between patients with a first episode and those with multiple episodes, which suggests that an early and effective psychometric instrument should be used to assess psychosocial functioning in these patients. 1,7 Optimum care of individuals with SZ is heterogeneous, as it should include a personalized approach best fitted to relieve symptoms, restore functioning and prevent further illness progression. To improve treatment and maximize recovery, 2 studies should investigate how and if these psychopathological dimensions (symptoms and functioning) correlate.…”

Section: Introductionmentioning

confidence: 99%

Functioning in early and late stages of schizophrenia

Costa

Massuda

Pedrini

et al. 2014

Trends Psychiatry Psychother.

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Introduction: Schizophrenia is frequently associated with a debilitating course and prominent impairment in social and occupational functioning. Although the criteria for classification into stages have not been defined in the literature, illness duration and functioning seem to be good candidates. Objective: To compare functioning of patients with schizophrenia at different stages of the disease (early vs. late) and healthy sexand age-matched controls. Methods: This double-blinded, case-controlled study included 79 individuals: 23 patients with schizophrenia diagnosed up to 5 years earlier; 19 patients with schizophrenia diagnosed at least 20 years earlier; and healthy matched controls. Diagnoses were established using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) Axis I Disorder. Functioning was assessed using the Functioning Assessment Short Test (FAST). Results: Patients in the early stage had significantly higher scores than healthy controls in total FAST and in autonomy, occupational functioning, cognitive functioning and interpersonal relationships. Individuals in the late stage had significantly poorer functioning than controls in all domains. The comparison of functioning between the two groups of patients revealed no significant differences, except in occupational functioning, in which late stage patients had a poorer performance. Conclusion: Functioning impairment in schizophrenia tends to remain stable despite illness duration. Therefore, functioning should be effectively assessed at an early stage, as illness duration alone may not be the most reliable criterion to stage patients with schizophrenia.

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Emotion perception and social skill over the course of psychosis: A comparison of individuals “at-risk” for psychosis and individuals with early and chronic schizophrenia spectrum illness

Abstract: Social skill deficits may be a vulnerability marker for schizophrenia, and it appears that the initial psychotic episode represents a critical point for the emergence of emotion perception deficits in schizophrenia spectrum illnesses.

Cited by 178 publications

References 43 publications

Facial affect recognition in individuals at clinical high risk for psychosis

Facial affect recognition in individuals at clinical high risk for psychosis

Facial emotion recognition in adolescents with psychotic-like experiences: a school-based sample from the general population

Functioning in early and late stages of schizophrenia

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