Facial emotion recognition and psychosocial functioning of schizophrenic patients

Introduction Introduction Facial Emotional Recognition and Psychosocial Functioning in persons with schizophrenia Results and Discussion Results and Discussion - Bediou, B., Krolak-Salmon, P., Saoud, M., Henaff, M.-A., Burt, M., Dalery, J. et al. (2005). Facial Expression and Sex Recognition in Schizophrenia and Depression. The Canadian Journal of Psychiatry, 50, 9, 525-533. - Couture, S., Penn, D. & Roberts, D. (2006). The Functional Significance of Social Cognition in Schizophrenia: A Review. SchizophreniaBulletin, 32, s1, S44-S63. - Cutting, J. (1981). Judgement of emotional expression in schizophrenics. British Journal of Psychiatry, 139, 1-6. - Martin, F. Baudouin, J., Tiberghien, G. & Frank, N. (2005). Processing emotional expression and facial identity in schizophrenia. PsychiatryResearch, 134, 43-53. - Rocha, N., Queirós, C., Aguiar, S. & Marques, A. (2006). Life Skills Profile (LSP – 39): Versão Portuguesa Autorizada. Porto: Faculdade de Psicologia e de Ciências da Educação da Universidade do Porto. - Salem, J., Kring, A. & Kerr, S. (1996). More evidence for generalized poor performance in facial emotion perception in schizophrenia. Journalof Abnormal Psychology, 105, 480-483. References Literature suggests that schizophrenic patients have a deficit in facial emotion recognition (Cutting, 1981; Salem, Kring & Kerr, 1996; Bediou et al., 2005; Martin et al. 2005). This deficit appears to be related to difficulties in social skills, poor functioning and lesser quality of life. However, few studies tried to examine the relationship between emotional perception and functional outcome (Couture, Penn & Roberts, 2006). 59 -59 Purpose Purpose The purpose of this study was to compare schizophrenic patients and healthy controls in their ability to recognize facial emotions, and to investigate the relationship between facial emotion recognition and psychosocial functioning in schizophrenic patients. Sample consisted of 37 individuals diagnosed with schizophrenia and 53 healthy controls. All subjects engaged in a facial emotion recognition experiment, which consisted of 30 morphed faces with different 6 emotional intensities of happiness, sadness, anger, fear and disgust. For each morph, participants had to decide which of the 5 emotions was being expressed. To assess psychosocial functioning, staff members of the mental health facilities fulfilled the Life Skills Profile – Portuguese Authorised Version (Rocha et al., 2006) 0 1 2 3 4 5 6 Schizophrenic Patients 5,09 2,57 3,37 3,11 2,83 Controls 5,68 4,39 4,95 5,25 4,86 Happiness Sadness Anger Disgust Fear Comparison of schizophrenicpatients and controls: correct responses according to emotions Comparison of schizophrenic patients and controls: correct responses according to emotional intensity and total score p < 0,050* p < 0,010** p < 0,010** p < 0,010** p < 0,010** 0 4 8 12 16 20 24 28 Schizophrenic Patient s 16,97 6,03 5,71 5,23 Controls 25,14 8,73 8,52 7,89 Total Score 100% 80% 60% Correlations between total score and number of correct responses for each emotion of the Facial Emotion Recognition Experiment and Psychosocial Functioning Dimensions (LSP-39) Facial Emotion Recognition Experiment Happiness Sadness Anger Disgust Fear Total Score Self-Care ,003 ,018 ,204 ,260 ,257 ,285 Non-Turbulence ,029 ,017 ,025 ,351* ,250 ,252 Social Contact ,199 ,103 -,058 ,161 -,152 ,058 Communication ,074 ,005 ,383* ,193 ,403* ,408* Responsibility -,047 -,108 -,007 ,178 -,053 ,040 Total Score ,096 ,037 ,163 ,328* ,226 ,313 *p< 0,05 LSP-39 There were identified significant differences in facial emotion recognition between patients and non-patients. In the patients group we found more incorrect responses and emotion recognition skills were significantly related to the communication dimension of psychosocial functioning. These results suggest the relevance of accurately discriminate others emotions, in the ability to have effective social interactions. Moreover, it seems crucial to develop interventions aimed to address perceptual social skills, in order to improve social-communication skills. p < 0,010** p < 0,010** p < 0,010** p < 0,010** Susana Aguiar a, Cristina Queirós a, Nuno Rocha ab & Benoit Bediouc aInstituto Politécnico do Porto – Escola Superior de Tecnologia da Saúde do Porto b Universidade do Porto – Faculdade de Psicologia e de Ciências da Educação cCentre Hospitalier Le Vinatier, France; Hôpital Neurologique, Lyon, France. [email protected]; [email protected]; nr[email protected]; benoit[email protected]r IV International Colloquium of Schizophrenia of Porto IV International Colloquium of Schizophrenia of Porto - -Portugal Portugal June 2007 F PCE U P FACULDADE DE PSICOLOGIA E DE CIÊNCIAS DA EDUCAÇÃO UNIVERSIDADE D PORTO Methods Methods