|Journal||Eur. Arch. Psychiatry Clin. Neurosci.|
|Publication status||E-pub ahead of print - May 20 2019|
- Facial emotion recognition
- Mediation analysis
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Facial emotion recognition in people with schizophrenia and a history of violence: a mediation analysis : European Archives of Psychiatry and Clinical Neuroscience. / Bulgari, V.; Bava, M.; Gamba, G. et al.In: Eur. Arch. Psychiatry Clin. Neurosci., 20.05.2019.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Facial emotion recognition in people with schizophrenia and a history of violence: a mediation analysis
T2 - European Archives of Psychiatry and Clinical Neuroscience
AU - Bulgari, V.
AU - Bava, M.
AU - Gamba, G.
AU - Bartoli, F.
AU - Ornaghi, A.
AU - Candini, V.
AU - Ferla, M.T.
AU - Cricelli, M.
AU - Bianconi, G.
AU - Cavalera, C.
AU - Conte, G.
AU - Stefana, A.
AU - Picchioni, M.
AU - Iozzino, L.
AU - Crocamo, C.
AU - Carrà, G.
N1 - Cited By :1 Export Date: 10 February 2020 CODEN: EAPNE Correspondence Address: Carrà, G.; Division of Psychiatry, University College of LondonUnited Kingdom; email: email@example.com References: Savla, G.N., Vella, L., Armstrong, C.C., Penn, D.L., Twamley, E.W., Deficits in domains of social cognition in schizophrenia: a meta-analysis of the empirical evidence (2013) Schizophr Bull, 39, pp. 979-992; Chan, R.C., Li, H., Cheung, E.F., Gong, Q.Y., Impaired facial emotion perception in schizophrenia: a meta-analysis (2010) Psychiatry Res, 178, pp. 381-390; Kohler, C.G., Walker, J.B., Martin, E.A., Healey, K.M., Moberg, P.J., Facial emotion perception in schizophrenia: a meta-analytic review (2010) Schizophr Bull, 36, pp. 1009-1019; Mandal, M.K., Pandey, R., Prasad, A.B., Facial expressions of emotions and schizophrenia: a review (1998) Schizophr Bull, 24, pp. 399-412; Hofer, A., Benecke, C., Edlinger, M., Huber, R., Kemmler, G., Rettenbacher, M.A., Schleich, G., Wolfgang Fleischhacker, W., Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia (2009) Eur Psychiatry, 24, pp. 27-32; Premkumar, P., Cooke, M.A., Fannon, D., Peters, E., Michel, T.M., Aasen, I., Murray, R.M., Kumari, V., Misattribution bias of threat-related facial expressions is related to a longer duration of illness and poor executive function in schizophrenia and schizoaffective disorder (2008) Eur Psychiatry, 23, pp. 14-19; Irani, F., Seligman, S., Kamath, V., Kohler, C., Gur, R.C., A meta-analysis of emotion perception and functional outcomes in schizophrenia (2012) Schizophr Res, 137, pp. 203-211; Hooker, C., Park, S., Emotion processing and its relationship to social functioning in schizophrenia patients (2002) Psychiatry Res, 112, pp. 41-50; Brittain, P.J., Ffytche, D.H., Surguladze, S.A., Emotion perception and functional outcome in schizophrenia: the importance of negative valence and fear (2012) Psychiatry Res, 200, pp. 208-213; Malone, A., Carroll, A., Murphy, B.P., Facial affect recognition deficits: a potential contributor to aggression in psychotic illness (2012) Aggress Violent Beh, 17 (1), pp. 27-35; Anderson, C.A., Bushman, B.J., Human aggression (2002) Annu Rev Psychol, 53, pp. 27-51; Allen, J.J., Anderson, C.A., Bushman, B.J., The general aggression model (2018) Curr Opin Psychol, 19, pp. 75-80; Orobio de Castro, B., Veerman, J.W., Koops, W., Bosch, J.D., Monshouwer, H.J., Hostile attribution of intent and aggressive behavior: a meta-analysis (2002) Child Dev, 73, pp. 916-934; Epps, J., Kendall, P.C., Hostile attributional bias in adults (1995) Cogn Ther Res, 19, p. 159; Hall, C.W., Self-reported aggression and the perception of anger in facial expression photos (2006) J Psychol, 140, pp. 255-267; Philipp-Wiegmann, F., Rosler, M., Retz-Junginger, P., Retz, W., Emotional facial recognition in proactive and reactive violent offenders (2017) Eur Arch Psychiatry Clin Neurosci, 267, pp. 687-695; Wegrzyn, M., Westphal, S., Kissler, J., In your face: the biased judgement of fear- anger expressions in violent offenders (2017) BMC Psychol, 5, p. 16; Dodge, K.A., Lansford, J.E., Burks, V.S., Bates, J.E., Pettit, G.S., Fontaine, R., Price, J.M., Peer rejection and social information-processing factors in the development of aggressive behavior problems in children (2003) Child Dev, 74, pp. 374-393; Harris, S.T., Picchioni, M.M., A review of the role of empathy in violence risk in mental disorders (2013) Aggress Violent Beh, 18, pp. 335-342; Weiss, E.M., Kohler, C.G., Nolan, K.A., Czobor, P., Volavka, J., Platt, M.M., Brensinger, C., Gur, R.C., The relationship between history of violent and criminal behavior and recognition of facial expression of emotions in men with schizophrenia and schizoaffective disorder (2006) Aggr Behav, 32, pp. 187-194; Wolfkühler, W., Majorek, K., Tas, C., Küper, C., Saimeh, N., Juckel, G., Brüne, M., Emotion recognition in pictures of facial affect: is there a difference between forensic and non-forensic patients with schizophrenia? 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PY - 2019/5/20
Y1 - 2019/5/20
N2 - Evidence for an association between impaired facial emotion recognition and violence in people with schizophrenia is inconclusive. In particular, the role of misidentification patterns involving specific emotions such as anger and the influence of clinical characteristics on this association remain unclear. In this study, we compared facial emotion recognition performance in age- and gender-matched schizophrenia spectrum disorders subjects with (N = 52) and without (N = 52) a history of violence. Data on current symptom severity, Cluster B personality status, past victimization, and alcohol and substance misuse were also collected. Compared to those without, subjects with a history of violence showed worse facial emotion recognition performances, involving anger, fear, disgust, sadness, and happiness. When formally testing the reporting of angry faces, evidence of enhanced sensitivity to anger was not supported. Finally, when the impact of current symptoms was assessed, higher severity of activation symptoms, including motor hyperactivity, elevated mood, excitement and distractibility, mediated the relationship between history of violence and poor facial emotion recognition performance. As a whole, our findings seem to support the role of perceptual deficits involving different emotions as well as of a mediation played by activation symptoms. Facial emotion recognition deficits associated with the propensity to violence, as well certain symptoms mediating their relationship, should be targeted by specific treatment approaches. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
AB - Evidence for an association between impaired facial emotion recognition and violence in people with schizophrenia is inconclusive. In particular, the role of misidentification patterns involving specific emotions such as anger and the influence of clinical characteristics on this association remain unclear. In this study, we compared facial emotion recognition performance in age- and gender-matched schizophrenia spectrum disorders subjects with (N = 52) and without (N = 52) a history of violence. Data on current symptom severity, Cluster B personality status, past victimization, and alcohol and substance misuse were also collected. Compared to those without, subjects with a history of violence showed worse facial emotion recognition performances, involving anger, fear, disgust, sadness, and happiness. When formally testing the reporting of angry faces, evidence of enhanced sensitivity to anger was not supported. Finally, when the impact of current symptoms was assessed, higher severity of activation symptoms, including motor hyperactivity, elevated mood, excitement and distractibility, mediated the relationship between history of violence and poor facial emotion recognition performance. As a whole, our findings seem to support the role of perceptual deficits involving different emotions as well as of a mediation played by activation symptoms. Facial emotion recognition deficits associated with the propensity to violence, as well certain symptoms mediating their relationship, should be targeted by specific treatment approaches. © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.
KW - Facial emotion recognition
KW - Mediation analysis
KW - Schizophrenia
KW - Violence
U2 - 10.1007/s00406-019-01027-8
DO - 10.1007/s00406-019-01027-8
M3 - Article
SN - 0940-1334
JO - Eur. Arch. Psychiatry Clin. Neurosci.
JF - Eur. Arch. Psychiatry Clin. Neurosci.