Impaired facial affect labeling and discrimination in patients with deficit syndrome schizophrenia

Strauss, Gregory P.; Jetha, Shaida S.; Ross, Sylvia; Duke, Lisa A.; Allen, Daniel N.

doi:10.1016/j.schres.2010.01.016

Cited by 46 publications

(21 citation statements)

References 20 publications

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“…These observations suggest that there is a defect in negative emotion inhibition even when the stimulus is positive, similar to the atypical emotional response to visual stimuli observed in patients with schizophrenia (Strauss and Herbener, 2011). The findings described here are consistent with previous studies, which used both unipolar (Cohen and Minor, 2010) and bipolar (Strauss et al, 2010) scales to provide evidence that patients experience positive stimuli as aversive. In both cases, positive stimuli were rated in the unpleasant valence range more frequently by patients than by controls.…”

Section: Discussionsupporting

confidence: 91%

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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a b s t r a c tBackground: Research has shown bipolar disorder to be characterized by dysregulation of emotion processing, including biases in facial expression recognition that is most prevalent during depressive and manic states. Very few studies have examined induced emotions when patients are in a euthymic phase, and there has been no research on complex emotions. We therefore set out to test emotional hyperreactivity in response to musical excerpts inducing complex emotions in bipolar disorder during euthymia. Methods: We recruited 21 patients with bipolar disorder (BD) in a euthymic phase and 21 matched healthy controls. Participants first rated their emotional reactivity on two validated self-report scales (ERS and MAThyS). They then rated their music-induced emotions on nine continuous scales. The targeted emotions were wonder, power, melancholy and tension. We used a specific generalized linear mixed model to analyze the behavioral data. Results: We found that participants in the euthymic bipolar group experienced more intense complex negative emotions than controls when the musical excerpts induced wonder. Moreover, patients exhibited greater emotional reactivity in daily life (ERS). Finally, a greater experience of tension while listening to positive music seemed to be mediated by greater emotional reactivity and a deficit in executive functions. Limitations: The heterogeneity of the BD group in terms of clinical characteristics may have influenced the results. Conclusions: Euthymic patients with bipolar disorder exhibit more complex negative emotions than controls in response to positive music.

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Section: Discussionsupporting

confidence: 91%

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Choppin

Trost

Dondaine

et al. 2016

Journal of Affective Disorders

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“…Many studies have revealed that SZ have difficulties in accurate facial affect perception (Bigelow et al, 2006; Hooker and Park, 2002; Johnston et al, 2010; Strauss et al, 2010b; Turetsky et al, 2007), and psychophysiological studies have identified functional abnormalities in neural response to affective facial stimuli (Hempel et al, 2003; Streit et al, 2001; Turetsky et al, 2007). These difficulties could reasonably influence emotional response to social stimuli.…”

Section: Introductionmentioning

confidence: 99%

The impact of social content and negative symptoms on affective ratings in schizophrenia

Bodapati

Herbener

2014

Psychiatry Research

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The anhedonia paradox has been a topic of ongoing study in schizophrenia. Previous research has found that schizophrenia patients report less enjoyment from various activities when compared to their healthy counterparts; however, the two groups appear to have similar in-the-moment emotional ratings of these events (Gard et al., 2007; Herbener et al., 2007; Horan et al., 2006). This study examined these in-the-moment experiences further, by assessing whether they differed between social and non-social experiences. The data were collected from 38 individuals with schizophrenia and 53 matched healthy controls in the greater Chicago area. In-the-moment emotional experience was measured by self-reported arousal and valence ratings for social and non-social stimuli taken from the International Affective Picture System (IAPS). Clinical ratings for patients were gathered by the Positive and Negative Syndrome Scale. A series of ANOVAs revealed that controls were more aroused by the social than nonsocial unpleasant stimuli, whereas patients did not show this distinction. Further, regression analyses revealed that negative symptom severity uniquely predicted lower arousal responses to unpleasant social, but not nonsocial, stimuli. Our results indicate that both subject and stimulus factors appear to contribute to differences in emotional responses in individuals with schizophrenia.

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“…Within the relatively large number of studies of the deficit syndrome, 3,4 there have been investigations of psychological processes such as self-reported stress 17 and emotion labeling 18 ; however, none of the studies has reported on psychological variables such as dysfunctional attitudes, negative expectancies (regarding future pleasure, future success, etc.) and self-esteem.…”

Section: Introductionmentioning

confidence: 99%

Dysfunctional Attitudes and Expectancies in Deficit Syndrome Schizophrenia

Beck

Grant

Huh

et al. 2011

Schizophrenia Bulletin

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The deficit syndrome was proposed over 20 years ago as a separate negative symptom syndrome within schizophrenia with a distinct neurobiological pathophysiology and etiology. Recent research, however, has indicated that psychological factors such as negative attitudes and expectancies are significantly associated with the broad spectrum of negative symptoms. Specifically, defeatist beliefs regarding performance mediate between neurocognitive impairment and both negative symptoms and functional outcome. Additionally, asocial beliefs predict asocial behavior and negative expectancies regarding future pleasure are associated with negative symptoms. The present study explored whether these dysfunctional beliefs and negative expectancies might also be a feature of the deficit syndrome. Based on a validated proxy method, 22 deficit and 72 nondeficit patients (from a pool of 139 negative symptom patients) were identified and received a battery of symptom, neurocognitive, and psychological measures. The deficit group scored significantly worse on measures of negative symptoms, insight, emotion recognition, defeatist attitudes, and asocial beliefs but better on measures of depression, anxiety, and distress than the nondeficit group. Moreover, the deficit group showed a trend for higher scores on self-esteem. Based on these findings, we propose a more comprehensive formulation of deficit schizophrenia, characterized by neurobiological factors and a cluster of psychological attributes that lead to withdrawal and protect the self-esteem. Although the patients have apparently opted-out of participation in normal activities, we suggest that a psychological intervention that targets these negative attitudes might improve their functioning and quality of life.

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Impaired facial affect labeling and discrimination in patients with deficit syndrome schizophrenia

Cited by 46 publications

References 20 publications

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

Alteration of complex negative emotions induced by music in euthymic patients with bipolar disorder

The impact of social content and negative symptoms on affective ratings in schizophrenia

Dysfunctional Attitudes and Expectancies in Deficit Syndrome Schizophrenia

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