Deficits in Facial Emotion Recognition in Schizophrenia: A Replication Study with Korean Subjects
1
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
ObjectiveaaWe investigated the deficit in the recognition of facial emotions in a sample of medicated, stable Korean patients with schizophrenia using Korean facial emotion pictures and examined whether the possible impairments would corroborate previous findings. MethodsaaFifty-five patients with schizophrenia and 62 healthy control subjects completed the Facial Affect Identification Test with a new set of 44 colored photographs of Korean faces including the six universal emotions as well as neutral faces. ResultsaaKorean patients with schizophrenia showed impairments in the recognition of sad, fearful, and angry faces [F(1,114)=6.26, p=0.014; F(1,114)=6.18, p=0.014; F(1,114)=9.28, p=0.003, respectively], but their accuracy was no different from that of controls in the recognition of happy emotions. Higher total and three subscale scores of the Positive and Negative Syndrome Scale (PANSS) correlated with worse performance on both angry and neutral faces. Correct responses on happy stimuli were negatively correlated with negative symptom scores of the PANSS. Patients with schizophrenia also exhibited different patterns of misidentification relative to normal controls. ConclusionaaThese findings were consistent with previous studies carried out with different ethnic groups, suggesting cross-cultural similarities in facial recognition impairment in schizophrenia.
Abstract
ObjectiveaaWe investigated the deficit in the recognition of facial emotions in a sample of medicated, stable Korean patients with schizophrenia using Korean facial emotion pictures and examined whether the possible impairments would corroborate previous findings. MethodsaaFifty-five patients with schizophrenia and 62 healthy control subjects completed the Facial Affect Identification Test with a new set of 44 colored photographs of Korean faces including the six universal emotions as well as neutral faces. ResultsaaKorean patients with schizophrenia showed impairments in the recognition of sad, fearful, and angry faces [F(1,114)=6.26, p=0.014; F(1,114)=6.18, p=0.014; F(1,114)=9.28, p=0.003, respectively], but their accuracy was no different from that of controls in the recognition of happy emotions. Higher total and three subscale scores of the Positive and Negative Syndrome Scale (PANSS) correlated with worse performance on both angry and neutral faces. Correct responses on happy stimuli were negatively correlated with negative symptom scores of the PANSS. Patients with schizophrenia also exhibited different patterns of misidentification relative to normal controls. ConclusionaaThese findings were consistent with previous studies carried out with different ethnic groups, suggesting cross-cultural similarities in facial recognition impairment in schizophrenia.
참고문헌 (32)
- Mandal MK, "Facial expressions of emotions and schizophrenia: a review", Schizophr Bull, 24, pp.399~412 (1998)
- Kohler CG, "Emotional processing in schizophrenia", Cogn Neuropsychiatry, 11, pp.250~ (2006)
- Leppänen JM, "Emotional face processing deficit in schizophrenia: A replication study in a South African Xhosa population", Schizophr Res, 84, pp.323~330 (2006)
- Bediou B, "Effects of emotion and identity on facial affect processing in schizophrenia", Psychiatry Res, 133, pp.149~157 (2005)
- Bell M, "Positive and negative affect recognition in schizophrenia: a comparison with substance abuse and normal control subjects", Psychiatry Res, 73, pp.73~82 (1997)
- Silver H, "Perception of happy and sad facial expressions in chronic schizophrenia: evidence for two evaluative systems", Schizophr Res, 55, pp.171~177 (2002)
- Weniger G, "Differential impairments of facial affect recognition in schizophrenia subtypes and major depression", Psychiatry Res, 128, pp.135~146 (2004)
- Kohler CG, "Emotion recog-nition deficit in schizophrenia: association with symptomatology and cognition", Biol Psychiatry, 48, pp.127~136 (2000)
- Kohler CG, "Facial emotion recognition in schizophrenia: intensity effects and error pattern", Am J Psychiatry, 160, pp.1768~1774 (2003)
- Schneider F, "Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology", Schizophr Res, 17, pp.67~75 (1995)
- Sachs G, "Facial recognition deficits and cognition in schizophrenia", Schizophr Res, 68, pp.27~35 (2004)
- Hall J, "Social cognition and face processing in schizophrenia", Br J Psychiatry, 185, pp.169~170 (2004)
- Bae SW, "Characteristics of Korean-Americans with schizophrenia: a cross-ethnic comparison with African-Americans, Latinos, and Euro-Americans", Schizophr Bull, 28, pp.703~717 (2002)
- Brekke JS, "Cross-ethnic differences in perception of emotion in schizophrenia", Schizophr Res, 77, pp.289~298 (2005)
- Habel U, "Emotional processing in schizophrenia across cultures: standardized meas-ures of discrimination and experience", Schizophr Res, 42, pp.57~66 (2000)
- Matsumoto D, "American-Japanese cultural differences in the recognition of universal facial expressions", J Cross Cult Psychol, 23, pp.72~84 (1992)
- Pinkham AE, "The other-race effect in face processing among African American and Caucasian individuals with schizophrenia", Am J Psychiatry, 165, pp.639~645 (2008)
- 박성희, "정신분열병 환자의 얼굴 정서 지각 결함에 관한 연구", 한국심리학회지 임상, 26(4), pp.845~865 (2007), 한국임상심리학회
- Jin BS, "Facial-emotion perception of the patients with schizophrenia", Korean J Clin Psychol, 17, pp.197~209 (1998)
- Biehl M, "Matsumoto and Ekman’s Japanese and Caucasian Facial Expressions of Emotion (JACFEE): Reliability Data and Cross-National Differences", J Nonverbal Behav, 21, pp.3~21 (1997)
- Ekman P, "Pictures of facial affect" (1976), Consulting Psychologists, Press
- Matsumoto D, "Japanese and Caucasian facial expressions of emotion (JACFEE) slides" (1988), Intercultural and emotion research laboratory, department of psychology, San Francisco State University
- 이원희, "감정 연구용 얼굴 표정 영상 개발 및 예비 표준화", 신경정신의학, 43(5), pp.552~558 (2004), 대한신경정신의학회
- Russell JA, "Is there universal recognition of emotion from facial expression? A review of the cross-cultural studies", Psychol Bull, 115, pp.102~141 (1994)
- Johnston PJ, "A generalised deficit can account for problems in facial emotion recognition in schizophrenia", Biol Psychol, 58, pp.203~227 (2001)
- Mandal MK, "Generality and specificity of emotion-recognition deficit in schizophrenic patients with positive and negative symptoms", Psychiatry Res, 87, pp.39~46 (1999)
- Ngan ET, "Reaction time, symptom profiles and course of illness in schizophrenia", Schizophr Res, 46, pp.195~201 (2000)
- Gessler S, "Schizophrenic inability to judge facial emotion: a controlled study", Br J Clin Psychol, 28, pp.19~29 (1989)
- Phillips ML, "Facial processing in schizophrenia and delusional misidentification: cognitive neuropsychiatric approaches", Schizophr Res, 17, pp.109~114 (1995)
- Trémeau F, "A review of emotion deficits in schizophrenia", Dialogues Clin Neurosci, 8, pp.59~70 (2006)
- Phillips ML, "A differential neural response to threatening and non-threatening negative facial expressions in paranoid and non-paranoid schizophrenics", Psychiatry Res, 92, pp.11~31 (1999)
- Seung Jae Lee, "The Impact of Executive Function on Emotion Recognition and Emotion Experience in Patients with Schizophrenia", PSYCHIATRY INVESTIGATION, 6(3), pp.156~162 (2009), 대한신경정신의학회