Facial expression to emotional stimuli in non-psychotic disorders: A systematic review and meta-analysis

Davies, Helen; Wolz, Inés; Leppänen, Jenni; Fernández‐Aranda, Fernando; Schmidt, Ulrike; Tchanturia, Kate

doi:10.1016/j.neubiorev.2016.02.015

Cited by 114 publications

(118 citation statements)

References 138 publications

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“…This interpretation is supported by behavioural work that has found that relative to HCs, people with acute AN display less negative facial affect while viewing negative film stimuli (Davies, Schmidt, & Tchanturia, 2013;Davies et al, 2016). People with AN also tend react in an emotionally cold and detached manner to negative emotionally provoking stimuli relative to HCs (Ambwani et al, 2015).…”

Section: Discussionmentioning

confidence: 90%

“…Indeed, people with AN perceive emotionally provoking stimuli to be more negative and colder than healthy comparison (HC) participants (Ambwani et al, 2015;Cardi et al, 2014). Additionally, relative to HCs, people with AN display reduced facial affect in response to emotionally provoking stimuli (Davies et al, 2016). Taken together, these findings suggest that there may be specific anomalies in implicit processing and reactivity to social-emotional cues in AN and further exploration of the neural mechanisms that underlie these processes may be of interest.…”

Section: Introductionmentioning

confidence: 94%

“…A wide range of anomalies in social-emotional processing and reactivity to emotional stimuli have been documented in people with acute AN (Bora & Köse, 2016;Caglar-Nazali et al, 2014;Davies et al, 2016). Furthermore, longitudinal cohort studies have reported that difficulties in social cognition and social communication at admission are important predictors of poor treatment outcome at 3-to 18-year follow-up (Nielsen et al, 2015;Speranza, Loas, Wallier, & Corcos, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…Behavioural studies have documented difficulties in a range of different aspects of social-emotional processing in acute AN (Bora & Köse, 2016;Caglar-Nazali et al, 2014;Davies et al, 2016). Some experimental studies have suggested difficulties in explicit processing of social-emotional cues, such as recognition of facial expressions, in AN (Caglar-Nazali et al, 2014;Oldershaw et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

“…More work has been conducted in anxiety and mood disorders, which are common comorbid disorders in AN and share similar difficulties in social-emotional processing and reactivity to emotional stimuli (Davies et al, 2016;Hambrook, Brown, & Tchanturia, 2012;Treasure, Stein, & Maguire, 2015). A recent meta-analysis found that relative to HCs, people with depression showed hyperactivation of regions associated with appraisal including amygdala, insula, and fusiform gyrus, during implicit processing of negative facial affect (Groenewold, Opmeer, de Jonge, Aleman, & Costafreda, 2013).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Blunted neural response to implicit negative facial affect in anorexia nervosa

Leppänen¹,

Cardi²,

Paloyelis³

et al. 2017

European Neuropsychopharmacology

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A B S T R A C TBackground: People with anorexia nervosa (AN) have difficulties in a wide range of social-emotional processes. Previous work suggests atypical involvement of the prefrontal cortex (PFC), amygdala, insula, and fusiform gyri during social-emotional processing in AN. Methods: Twenty women with AN and twenty healthy comparison (HC) women were presented with happy, fearful, and neutral faces during a functional magnetic resonance imaging study. Group differences were investigated in the following regions of interest: lateral PFC, amygdala, insula, and fusiform gyri. Results: The HC participants showed significantly increased recruitment of the ventrolateral PFC and amygdala in the fearful > neutral contrast relative to the AN participants. The AN participants showed a significantly increased recruitment of a small cluster in the right posterior insula in the happy > neutral contrast. Conclusions: These findings are in line with the hypothesis that people with AN have a blunted response to negative and atypical exaggerated response to positive emotionally provoking stimuli.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Blunted neural response to implicit negative facial affect in anorexia nervosa

Leppänen¹,

Cardi²,

Paloyelis³

et al. 2017

European Neuropsychopharmacology

Self Cite

View full text Add to dashboard Cite

show abstract

Development of a methodology to combine fMRI and EMG to measure emotional responses in patients with anorexia nervosa

Hildebrandt

Schulz

Fleysher

et al. 2018

Intl J Eating Disorders

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An experimental investigation into the use of eye‐contact in social interactions in women in the acute and recovered stages of anorexia nervosa

Harrison

Watterson

Bennett

2018

Intl J Eating Disorders

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Objective: People with anorexia nervosa (AN) report significant difficulties in social functioning and a growing literature is beginning to explain some of the differences in social skills that might underlie the social challenges experienced by patients. One vital area of social functioning that has been largely neglected to date is how eye-contact is used in the context of social stimuli and in social situations.Methods: This cross-sectional, experimental study used eye-tracking to measure the frequency and duration of eye-contact made with the eye region of interest (ROI) of (1) static social stimuli (man and woman Ekman faces displaying basic emotions); (2) moving social stimuli (a video of two actors conversing); and (3) during a real-life social interaction in 75 women (25 with AN, 25 recovered from AN, and 25 non-AN controls; mean age = 27.18, SD = 6.19).Results: Participants showed greater eye-contact during a real-life social interaction than when viewing static social stimuli. Those with AN made contact with the eye ROI of the static and moving social stimuli and during a real-life social interaction significantly less often and for significantly less time than non-AN controls. Those recovered from AN showed greater eyecontact than the acute group but significantly less eye-contact with the eye ROI across the static and moving social stimuli and during the real-life social interaction than non-AN controls.Discussion: These findings contribute new knowledge regarding the types of social skills that people with AN may need additional support with to allow them to make greater use of social support in their recovery.

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Facial expression to emotional stimuli in non-psychotic disorders: A systematic review and meta-analysis

Cited by 114 publications

References 138 publications

Blunted neural response to implicit negative facial affect in anorexia nervosa

Blunted neural response to implicit negative facial affect in anorexia nervosa

Development of a methodology to combine fMRI and EMG to measure emotional responses in patients with anorexia nervosa

An experimental investigation into the use of eye‐contact in social interactions in women in the acute and recovered stages of anorexia nervosa

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