Facial emotion recognition in patients with violent schizophrenia

Demirbuga, Sedat; Şahin, Esat; Özver, İsmail; Aliustaoglu, Suheyla; Kandemir, Eyüp; Varkal, Mihriban Dalkiran; Emül, Murat; İnce, Haluk

doi:10.1016/j.schres.2012.12.015

Cited by 28 publications

(22 citation statements)

References 22 publications

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“…Considering empathy as reflected by interpersonal reactivity, we did find significantly higher interpersonal distress in nonviolent schizophrenic patients coupled with worse recognition of facial emotions reflecting a deficit of empathic capacity. In spite of the worse facial affect recognition which supports previous studies reporting that violent schizophrenia patients perform worse in general on facial emotion perception compared both to non-violent schizophrenia patients and controls (Tang et al, 2016), we did not detect significant differences between the two groups in the recognition of specific emotions, which is in line with the results of another study, where the authors concluded that lack of difference between nonviolent and violent schizophrenic patients in specific facial expression recognition may be due to the fact that emotion recognition deficit is a general trait marker of schizophrenia independently of violence (Demirbuga et al, 2013). It must be noted that while in the first study violent schizophrenia patients showed comorbid antisocial traits, the second study employed a nonantisocial but violent schizophrenic group, and in our sample we did not investigate antisocial traits in our violent subgroup.…”

Section: Association Of Mentalization and Empathy With Violence In Scsupporting

confidence: 91%

Mentalization and empathy as predictors of violence in schizophrenic patients: Comparison with nonviolent schizophrenic patients, violent controls and nonviolent controls

Kristof

Kresznerits

Olah³

et al. 2018

Psychiatry Research

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There are conflicting results concerning risk of violence in schizophrenia. Empathy and mentalization deficits are associated both with schizophrenia and violence, however, there are only a few studies with equivocal results concerning their relationship. 88 violent and nonviolent paranoid schizophrenic and violent and nonviolent control males in psychiatric, forensic psychiatric and correctional institutions completed the Ekman 60 Faces test, Faux Pas Recognition Test, Eysenck IVE test, Interpersonal Reactivity Index, and the Spielberger Anger Expression Scale. Data were analysed with ANOVA and logistic regression models. Significant group differences with a characteristic pattern were detected in mentalization, facial affect recognition, fear and anger recognition, interpersonal distress, and frequency of direction of anger expression. Predictors of violent behaviour were different in the schizophrenic and non-schizophrenic groups. Lack of major differences in empathy and mentalization between violent and nonviolent schizophrenia patients suggests that such deficits are core features of schizophrenia but do not determine emerging violence in this illness. Our results emphasise the importance of distinguishing between violence related to core positive symptoms of schizophrenia and that emerging from independent comorbid antisocial personality traits in order to identify targets for screening, detection, prevention and management of violence risk in different subpopulations of schizophrenia patients.

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Section: Association Of Mentalization and Empathy With Violence In Scsupporting

confidence: 91%

Mentalization and empathy as predictors of violence in schizophrenic patients: Comparison with nonviolent schizophrenic patients, violent controls and nonviolent controls

Kristof

Kresznerits

Olah³

et al. 2018

Psychiatry Research

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“…In this study, approximately nine of ten nurses were accurate in recognizing happy, surprised, neutral and angry faces. Happiness is accepted as a positive emotion and recognition of happy faces was preserved even in patients with schizophrenia [12] or euthymic bipolar disorder [13] and it was the most accurately recognized facial emotion in our nurses. Recognition of fear might somehow be more difficult [14] and has previously been reported to be frequently misinterpreted as surprise in healthy people [15].…”

Section: Discussionmentioning

confidence: 71%

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Gültekin¹,

Kincir²,

Kurt³

et al. 2016

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Facial emotion recognition ability: psychiatry nurses versus nurses from other departments Abstract Purpose: Facial emotion recognition is a basic element in non-verbal communication.Although some researchers have shown that recognizing facial expressions may be important in the interaction between doctors and patients, there are no studies concerning facial emotion recognition in nurses. Here, we aimed to investigate facial emotion recognition ability in nurses and compare the abilities between nurses from psychiatry and other departments. Methods:In this cross-sectional study, sixty seven nurses were divided into two groups according to their departments: psychiatry (n=31); and, other departments (n=36). A Facial Emotion Recognition Test, constructed from a set of photographs from Ekman and Friesen's book "Pictures of Facial Affect", was administered to all participants.Results: In whole group, the highest mean accuracy rate of recognizing facial emotion was the happy (99.14%) while the lowest accurately recognized facial expression was fear (47.71%). There were no significant differences between two groups among mean accuracy rates in recognizing happy, sad, fear, angry, surprised facial emotion expressions (for all, p>0.05). The ability of recognizing disgusted and neutral facial emotions tended to be better in other nurses than psychiatry nurses (p=0.052 and p=0.053, respectively) Conclusion: This study was the first that revealed indifference in the ability of FER between psychiatry nurses and non-psychiatry nurses. In medical education curricula throughout the world, no specific training program is scheduled for recognizing emotional cues of patients. We considered that improving the ability of recognizing facial emotion expression in medical stuff might be beneficial in reducing inappropriate patient-medical stuff interaction.SUPPLEMENT

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“…Some studies have also identified cognitive predictors. For example, rigid thinking, poor executive functioning (Krakowski & Czobor, 2012;Silverstein, Schenkel, Valone, & Nuernberger, 1998), and either poor facial emotion recognition or a reduced ability to discriminate intensities of facial emotions (or both) (Demirbuga et al, 2013;Silver et al, 2005) have been identified as risk factors for violence in schizophrenia (perhaps related to a lack of empathy; see Raine, 2013). However, some studies found higher intellectual functioning in violent, compared to nonviolent, individuals with psychotic disorders, likely because these patients are often characterized by paranoia (Nestor et al, 1995).…”

Section: Other Risk Factors For Violence In Psychotic Patientsmentioning

confidence: 99%

Schizophrenia and violence: realities and recommendations

Silverstein

Pozzo

Roché

et al. 2015

Crime Psychology Review

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Published findings on the relationship between schizophrenia and violence have been mixed, due to differences in study design and quality. In this review, we address the issue with an emphasis on characterizing who is most likely to be violent and when. We conclude that: (1) individuals with schizophrenia are at an increased risk for violence due to specific psychotic symptoms; (2) this risk is increased by brain abnormalities, psychiatric comorbidities, and demographic factors that are not specific to schizophrenia; (3) the majority of violent offenses committed by people with schizophrenia are indistinguishable from offenses committed by others; and (4) despite our knowledge of factors related to increased violence risk and the existence of effective treatments to mitigate this risk, valid risk assessment instruments for this population are lacking, and treatment strategies are rarely employed at any level of psychiatric care. In short, while most people with schizophrenia are not violent and violence committed by people with this condition accounts for only a small percentage of overall violent crime, there is nevertheless a significantly increased risk for violence among subgroups in this population. This has implications for people living with people with schizophrenia, mental health professionals, administrators of psychiatric care facilities, law enforcement personnel, the court system, and policymakers.

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Facial emotion recognition in patients with violent schizophrenia

Cited by 28 publications

References 22 publications

Mentalization and empathy as predictors of violence in schizophrenic patients: Comparison with nonviolent schizophrenic patients, violent controls and nonviolent controls

Mentalization and empathy as predictors of violence in schizophrenic patients: Comparison with nonviolent schizophrenic patients, violent controls and nonviolent controls

Facial emotion recognition ability: psychiatry nurses versus nurses from other departments

Schizophrenia and violence: realities and recommendations

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