Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level
BackgroundPatients with schizophrenia and individuals at ultra-high risk for psychosis (UHR) have been reported to exhibit impaired recognition of facial emotion expressions. This impairment has involved both inaccuracy and negative bias of facial emotion recognition. The present study aimed to inve...
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Frontiers Media S.A.
2020-06-01
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Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2020.00577/full |
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doaj-749306bcc03a437ea18a9b867bb8060c |
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Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Eunchong Seo Eunchong Seo Hye Yoon Park Hye Yoon Park Kyungmee Park Kyungmee Park Se Jun Koo Su Young Lee Jee Eun Min Eun Lee Eun Lee Suk Kyoon An Suk Kyoon An Suk Kyoon An |
spellingShingle |
Eunchong Seo Eunchong Seo Hye Yoon Park Hye Yoon Park Kyungmee Park Kyungmee Park Se Jun Koo Su Young Lee Jee Eun Min Eun Lee Eun Lee Suk Kyoon An Suk Kyoon An Suk Kyoon An Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level Frontiers in Psychiatry facial emotion recognition inaccuracy negative response bias schizotypy paranoia ultra-high risk for psychosis |
author_facet |
Eunchong Seo Eunchong Seo Hye Yoon Park Hye Yoon Park Kyungmee Park Kyungmee Park Se Jun Koo Su Young Lee Jee Eun Min Eun Lee Eun Lee Suk Kyoon An Suk Kyoon An Suk Kyoon An |
author_sort |
Eunchong Seo |
title |
Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level |
title_short |
Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level |
title_full |
Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level |
title_fullStr |
Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level |
title_full_unstemmed |
Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia Level |
title_sort |
impaired facial emotion recognition in individuals at ultra-high risk for psychosis and associations with schizotypy and paranoia level |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Psychiatry |
issn |
1664-0640 |
publishDate |
2020-06-01 |
description |
BackgroundPatients with schizophrenia and individuals at ultra-high risk for psychosis (UHR) have been reported to exhibit impaired recognition of facial emotion expressions. This impairment has involved both inaccuracy and negative bias of facial emotion recognition. The present study aimed to investigate whether UHR individuals display both types of impaired facial emotion recognition and to explore correlations between these impairments and schizotypy, as well as paranoia levels, in these individuals.MethodsA total of 43 UHR individuals and 57 healthy controls (HC) completed a facial emotion recognition task consisting of 60 standardized facial photographs. To explore correlations, we assessed schizotypy using the Revised Physical Anhedonia Scale and Magical Ideation Scale and paranoia level using the Paranoia Scale and persecution/suspicious item of the Positive and Negative Syndrome Scale in UHR individuals.ResultsCompared with HC, UHR individuals exhibited less accuracy for facial emotion recognition (70.6% vs. 75.6%, p=0.010) and a higher rate of “fear” responses for neutral faces (14.5% vs. 6.0%, p=0.003). In UHR individuals, inaccuracy was significantly correlated with schizotypy scores, but not with paranoia level. Conversely, “disgust” response for neutral faces was the only fear response correlated with paranoia level, and no threat-related emotion response correlated with schizotypy scores.DiscussionUHR individuals exhibited inaccuracy and negative bias of facial emotion recognition. Furthermore, schizotypy scores were associated with inaccuracy but not with negative bias of facial emotion recognition. Paranoia level was correlated with “disgust” responses for neutral faces but not with inaccuracy. These findings suggest that inaccuracy and negative bias of facial emotion recognition reflect different underlying processes, and that inaccuracy may be a vulnerability marker for schizophrenia. |
topic |
facial emotion recognition inaccuracy negative response bias schizotypy paranoia ultra-high risk for psychosis |
url |
https://www.frontiersin.org/article/10.3389/fpsyt.2020.00577/full |
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doaj-749306bcc03a437ea18a9b867bb8060c2020-11-25T02:45:16ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-06-011110.3389/fpsyt.2020.00577536492Impaired Facial Emotion Recognition in Individuals at Ultra-High Risk for Psychosis and Associations With Schizotypy and Paranoia LevelEunchong Seo0Eunchong Seo1Hye Yoon Park2Hye Yoon Park3Kyungmee Park4Kyungmee Park5Se Jun Koo6Su Young Lee7Jee Eun Min8Eun Lee9Eun Lee10Suk Kyoon An11Suk Kyoon An12Suk Kyoon An13Section of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, South KoreaSection of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, South KoreaDepartment of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, South KoreaDepartment of Hospital Medicine, Yonsei University College of Medicine, Yongin Severance Hospital, Gyeonggi-do, South KoreaSection of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Myongji Hospital, Gyeonggi-do, South KoreaSection of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaSection of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, South KoreaSection of Self, Affect and Neuroscience, Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, South KoreaDepartment of Psychiatry, Yonsei University College of Medicine, Severance Hospital, Seoul, South KoreaGraduate Program in Cognitive Science, Yonsei University, Seoul, South KoreaBackgroundPatients with schizophrenia and individuals at ultra-high risk for psychosis (UHR) have been reported to exhibit impaired recognition of facial emotion expressions. This impairment has involved both inaccuracy and negative bias of facial emotion recognition. The present study aimed to investigate whether UHR individuals display both types of impaired facial emotion recognition and to explore correlations between these impairments and schizotypy, as well as paranoia levels, in these individuals.MethodsA total of 43 UHR individuals and 57 healthy controls (HC) completed a facial emotion recognition task consisting of 60 standardized facial photographs. To explore correlations, we assessed schizotypy using the Revised Physical Anhedonia Scale and Magical Ideation Scale and paranoia level using the Paranoia Scale and persecution/suspicious item of the Positive and Negative Syndrome Scale in UHR individuals.ResultsCompared with HC, UHR individuals exhibited less accuracy for facial emotion recognition (70.6% vs. 75.6%, p=0.010) and a higher rate of “fear” responses for neutral faces (14.5% vs. 6.0%, p=0.003). In UHR individuals, inaccuracy was significantly correlated with schizotypy scores, but not with paranoia level. Conversely, “disgust” response for neutral faces was the only fear response correlated with paranoia level, and no threat-related emotion response correlated with schizotypy scores.DiscussionUHR individuals exhibited inaccuracy and negative bias of facial emotion recognition. Furthermore, schizotypy scores were associated with inaccuracy but not with negative bias of facial emotion recognition. Paranoia level was correlated with “disgust” responses for neutral faces but not with inaccuracy. These findings suggest that inaccuracy and negative bias of facial emotion recognition reflect different underlying processes, and that inaccuracy may be a vulnerability marker for schizophrenia.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00577/fullfacial emotion recognitioninaccuracynegative response biasschizotypyparanoiaultra-high risk for psychosis |