Facial emotional expression in schizophrenia adolescents during verbal interaction with a parent
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Facial emotional expression in schizophrenia adolescents during verbal interaction with a parent. / Lotzin, Annett; Haack-Dees, Barbara; Resch, Franz; Romer, Georg; Ramsauer, Brigitte.
In: EUR ARCH PSY CLIN N, Vol. 263, No. 6, 01.09.2013, p. 529-36.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Facial emotional expression in schizophrenia adolescents during verbal interaction with a parent
AU - Lotzin, Annett
AU - Haack-Dees, Barbara
AU - Resch, Franz
AU - Romer, Georg
AU - Ramsauer, Brigitte
PY - 2013/9/1
Y1 - 2013/9/1
N2 - Research on emotional expression in adult schizophrenia patients has indicated an impairment of the patients' facial expressions during social interaction. However, it is unclear whether schizophrenia adolescent-onset patients show comparable disturbances in facial expression. Our aim was to analyze facial emotions in adolescents with schizophrenia spectrum psychoses compared with non-patient controls during a problem-solving discussion with their primary caregivers. We assessed facial expressions of emotions and speaker position (speaking vs. listening) in schizophrenia and non-patient adolescents matched for age and gender. The facial emotions were coded with the Emotional Facial Action Coding System. Schizophrenia adolescents showed significantly lower rates per minute of expressions indicating positive emotions compared with non-patient adolescents (β = -0.95, 95 % CI [-1.34, -0.57], t (37.92) = -5.00, p ≤ 0.001). In contrast, there was no lower rate of expressions indicating negative emotions of schizophrenia adolescents (β = 0.10, CI [-0.42, 0.61], t (35.03) = 0.38, p = 0.709). While the negative facial expressions of non-patient adolescents were related to speaking (β = 0.63, CI [0.34, 0.92], t (26) = 4.50, p = < 0.001), this relationship was not observed in schizophrenia adolescents. Our results indicated an emotion-specific impairment of positive facial expressions in schizophrenia adolescents early in the course of illness and a deviant relation between facial emotional expressions and speech.
AB - Research on emotional expression in adult schizophrenia patients has indicated an impairment of the patients' facial expressions during social interaction. However, it is unclear whether schizophrenia adolescent-onset patients show comparable disturbances in facial expression. Our aim was to analyze facial emotions in adolescents with schizophrenia spectrum psychoses compared with non-patient controls during a problem-solving discussion with their primary caregivers. We assessed facial expressions of emotions and speaker position (speaking vs. listening) in schizophrenia and non-patient adolescents matched for age and gender. The facial emotions were coded with the Emotional Facial Action Coding System. Schizophrenia adolescents showed significantly lower rates per minute of expressions indicating positive emotions compared with non-patient adolescents (β = -0.95, 95 % CI [-1.34, -0.57], t (37.92) = -5.00, p ≤ 0.001). In contrast, there was no lower rate of expressions indicating negative emotions of schizophrenia adolescents (β = 0.10, CI [-0.42, 0.61], t (35.03) = 0.38, p = 0.709). While the negative facial expressions of non-patient adolescents were related to speaking (β = 0.63, CI [0.34, 0.92], t (26) = 4.50, p = < 0.001), this relationship was not observed in schizophrenia adolescents. Our results indicated an emotion-specific impairment of positive facial expressions in schizophrenia adolescents early in the course of illness and a deviant relation between facial emotional expressions and speech.
KW - Adolescent
KW - Affective Symptoms
KW - Emotions
KW - Facial Expression
KW - Female
KW - Humans
KW - Male
KW - Parent-Child Relations
KW - Photic Stimulation
KW - Problem Solving
KW - Psychiatric Status Rating Scales
KW - Schizophrenia
KW - Schizophrenic Psychology
KW - Verbal Behavior
KW - Young Adult
U2 - 10.1007/s00406-012-0386-8
DO - 10.1007/s00406-012-0386-8
M3 - SCORING: Journal article
C2 - 23238780
VL - 263
SP - 529
EP - 536
JO - EUR ARCH PSY CLIN N
JF - EUR ARCH PSY CLIN N
SN - 0940-1334
IS - 6
ER -