Facial affect perception and mentalizing abilities in female patients with persistent somatoform pain disorder

Schönenberg, Michael; Mares, Leo S.; Smolka, Robert; Jusyte, Aiste; Zipfel, Stephan; Hautzinger, Martin

doi:10.1002/j.1532-2149.2013.00440.x

Cited by 24 publications

(33 citation statements)

References 42 publications

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“…This may explain the influence of various subjective states for PSPD, such as anxiety, sadness, and individual predictions on the perception of pain via sensory systems. Hence, patients suffering from PSPD may be able to benefit from the psychological interventions that focus on the disturbed affect regulation and aim to enhance emotional awareness [9]. …”

Section: Discussionmentioning

confidence: 99%

“…By utilizing the Toronto Alexithymia Scale and the Hospital Anxiety and Depression Scale, the study [8] found that adolescents with PSPD had higher levels of alexithymia and anxiety than healthy ones had. Another study [9] used a series of animated morph clips to find that although PSPD patients’ ability to recognize facial expressions was normal, they exhibited deficits in mind-reading abilities. Additionally, a recent study [10] showed that PSPD patients scored lower relative to the general population on the SF-36 scale measuring quality of life, which correlated with the pain, depression and anxiety scores.…”

Section: Introductionmentioning

confidence: 99%

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Altered resting-state intra- and inter- network functional connectivity in patients with persistent somatoform pain disorder

et al. 2017

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Patients with persistent somatoform pain disorder (PSPD) usually experience various functional impairments in pain, emotion, and cognition, which cannot be fully explained by a physiological process or a physical disorder. However, it is still not clear for the mechanism underlying the pathogenesis of PSPD. The present study aimed to explore the intra- and inter-network functional connectivity (FC) differences between PSPD patients and healthy controls (HCs). Functional magnetic resonance imaging (fMRI) was performed in 13 PSPD patients and 23 age- and gender-matched HCs. We used independent component analysis on resting-state fMRI data to calculate intra- and inter-network FCs, and we used the two-sample t-test to detect the FC differences between groups. Spearman correlation analysis was employed to evaluate the correlations between FCs and clinical assessments. As compared to HCs, PSPD patients showed decreased coactivations in the right superior temporal gyrus within the anterior default-mode network and the anterior cingulate cortex within the salience network, and increased coactivations in the bilateral supplementary motor areas within the sensorimotor network and both the left posterior cingulate cortex and the medial prefrontal cortex within the anterior default-mode network. In addition, we found that the PSPD patients showed decreased FNCs between sensorimotor network and audio network as well as visual network, between default-mode network and executive control network as well as audio network and between salience network and executive control network as well as right frontoparietal network, and increased FNCs between sensorimotor network and left frontoparietal network, salience network as well as cerebellum network, which were negatively correlated with the clinical assessments in PSPD patients. Our findings suggest that PSPD patients experience large-scale reorganization at the level of the functional networks, which suggests a possible mechanism underlying the pathogenesis of PSPD.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Altered resting-state intra- and inter- network functional connectivity in patients with persistent somatoform pain disorder

et al. 2017

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“…Because we were interested in assessing the intensity level at which the participants were able to identify the emotion onset by pressing a button, it was necessary to avoid a perfect correlation between time and emotional expression intensity. For this reason, random intensity levels were occasionally repeated before presenting the next intensity level (Schönenberg, Christian, et al, 2014;Schönenberg, Mares, et al, 2014). Therefore, a complete sequence consisted of 51 unique intensity levels but 71 image presentations and took approximately 36 s from 0% to 100% emotional intensity.…”

Section: Methodsmentioning

confidence: 99%

Facial Affect Recognition in Violent and Nonviolent Antisocial Behavior Subtypes

Schönenberg

Mayer

Christian

et al. 2016

Journal of Personality Disorders

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Prior studies provide evidence for impaired recognition of distress cues in individuals exhibiting antisocial behavior. However, it remains unclear whether this deficit is generally associated with antisociality or may be specific to violent behavior only. To examine whether there are meaningful differences between the two behavioral dimensions rule-breaking and aggression, violent and nonviolent incarcerated offenders as well as control participants were presented with an animated face recognition task in which a video sequence of a neutral face changed into an expression of one of the six basic emotions. The participants were instructed to press a button as soon as they were able to identify the emotional expression, allowing for an assessment of the perceived emotion onset. Both aggressive and nonaggressive offenders demonstrated a delayed perception of primarily fearful facial cues as compared to controls. These results suggest the importance of targeting impaired emotional processing in both types of antisocial behavior.

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“…Beck et al () also showed impaired emotion recognition abilities in SSD patients and stressed the importance of therapeutic interventions aiming at the improvement of emotion recognition and regulation. Schönenberg et al () found intact facial affect perception in patients with persistent somatoform pain disorder. However, by using videos of social scenes, they observed impaired mentalizing abilities in the patient group.…”

Section: Introductionmentioning

confidence: 99%

“…Congruently, the recognition of others' emotions is becoming a field of interest in SSD as well, because it is an important skill regarding interpersonal interactions and interpersonal emotion regulation (Zaki & Williams, 2013). It might therefore have an impact on social functioning in general, as well as on the course of disease (Schönenberg et al, 2014;Waller & Scheidt, 2006). Indeed, it has been shown that SSD patients perform worse than individuals without somatic symptoms on emotion recognition tasks (Beck, Breuss, Kumnig, & Schussler, 2013…”

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confidence: 99%

Impaired emotion processing and a reduction in trust in patients with somatic symptom disorder

Erkic

Bailer

Fenske

et al. 2017

Clin Psychology and Psychoth

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There is accumulating evidence for deficits in the perception and regulation of one's own emotions, as well as the recognition of others' emotions in somatic symptom disorder (SSD). However, investigations of SSD focusing on specific aspects of emotion processing and how these might interact are missing. We included 35 patients with SSD and 35 healthy controls who completed questionnaires on the perception and regulation of their own emotions, as well as experimental investigations of emotion recognition and trust. In line with previous studies, our results show that SSD patients in comparison to healthy controls have difficulties in the identification and description of own feelings (η = .381 and η = .315). Furthermore, we found that patients apply less cognitive reappraisal (η = .185) but tend to use more expressive suppression (η = .047). In contrast to previous studies, we found SSD patients to perform superior in emotion recognition, in particular for anger (d = 0.40). In addition, patients with SSD invested less in a trust game (d = 0.73). These results point to a higher sensitivity for negative emotions and less trust in others. Further, these findings suggest a dissociation between the ability to recognize one's own emotions versus others' emotions in SSD. Future interventions targeting emotion processing in SSD might focus on the identification of one's own emotions, prior to the training of emotion regulation.

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Facial affect perception and mentalizing abilities in female patients with persistent somatoform pain disorder

Cited by 24 publications

References 42 publications

Altered resting-state intra- and inter- network functional connectivity in patients with persistent somatoform pain disorder

Altered resting-state intra- and inter- network functional connectivity in patients with persistent somatoform pain disorder

Facial Affect Recognition in Violent and Nonviolent Antisocial Behavior Subtypes

Impaired emotion processing and a reduction in trust in patients with somatic symptom disorder

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