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Gender differences in facial emotion recognition in persons with chronic schizophrenia

Published online by Cambridge University Press:  16 April 2020

Elisabeth M. Weiss ,
Christian G. Kohler ,
Colleen M. Brensinger ,
Warren B. Bilker ,
James Loughead ,
Margarete Delazer  and
Karen A. Nolan
Elisabeth M. Weiss*
Affiliation:
Department of General Psychiatry, Medical University Innsbruck, Anichstrasse 35, 6020Innsbruck, Austria
Christian G. Kohler
Affiliation:
Neuropsychiatry Section, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
Colleen M. Brensinger
Affiliation:
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA
Warren B. Bilker
Affiliation:
Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA
James Loughead
Affiliation:
Neuropsychiatry Section, Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
Margarete Delazer
Affiliation:
Department of Neurology, Medical University Innsbruck, Anichstrasse 35, 6020Innsbruck, Austria
Karen A. Nolan
Affiliation:
Nathan S Kline Institute for Psychiatric Research, Orangeburg, NY, USA
*
*Corresponding author. Tel.: +43 845 398 6561; fax: +43 845 398 6566. E-mail address: [email protected] (E.M. Weiss).
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Abstract

Background

The aim of the present study was to investigate possible sex differences in the recognition of facial expressions of emotion and to investigate the pattern of classification errors in schizophrenic males and females. Such an approach provides an opportunity to inspect the degree to which males and females differ in perceiving and interpreting the different emotions displayed to them and to analyze which emotions are most susceptible to recognition errors.

Methods

Fifty six chronically hospitalized schizophrenic patients (38 men and 18 women) completed the Penn Emotion Recognition Test (ER40), a computerized emotion discrimination test presenting 40 color photographs of evoked happy, sad, anger, fear expressions and neutral expressions balanced for poser gender and ethnicity.

Results

We found a significant sex difference in the patterns of error rates in the Penn Emotion Recognition Test. Neutral faces were more commonly mistaken as angry in schizophrenic men, whereas schizophrenic women misinterpreted neutral faces more frequently as sad. Moreover, female faces were better recognized overall, but fear was better recognized in same gender photographs, whereas anger was better recognized in different gender photographs.

Conclusions

The findings of the present study lend support to the notion that sex differences in aggressive behavior could be related to a cognitive style characterized by hostile attributions to neutral faces in schizophrenic men.

Keywords

Gender differencesEmotion recognitionSchizophrenia
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 2 , March 2007 , pp. 116 - 122
Copyright
Copyright © Elsevier Masson SAS 2006

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References

Addington, J., Addington, D.Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophr Res 1998;32:171–181.CrossRefGoogle ScholarPubMed
Agresti, A.A categorical data analysis. New York: John Wiley & Sons; 1990.Google Scholar
Bellack, A.S., Blanchard, J.J., Mueser, K.T.Cue availability and affect perception in schizophrenia. Schizophr Bull 1996;22(3):535–544.CrossRefGoogle Scholar
Borod, J.C., Martin, C.C., Alpert, M., Brozgold, A., Welkowitz, J.Perception of facial emotions in schizophrenic and right brain- damaged patients. J Nerv Ment Dis 1993;181(8):494–502.CrossRefGoogle ScholarPubMed
Bryson, G., Bell, M., Lysaker, P.Affect recognition in schizophrenia: a function of global impairment or a specific cognitive deficit. Psychiatry Res 1997;71(2):105–113.CrossRefGoogle ScholarPubMed
Campbell, R., Elgar, K., Kuntsi, J., Akers, R., Terstegge, J., Coleman, M.et al.The classification of ‘fear’ from faces is associated with face recognition skill in women. Neuropsychologia 2002;40(6):575–584.CrossRefGoogle ScholarPubMed
Coccaro, E.F., Berman, M.E., Kavoussi, R.J.Assessment of life history of aggression: development and psychometric characteristics. Psychiatry Res 1997;73(3):147–157.CrossRefGoogle ScholarPubMed
Coccaro, E.F., Kavoussi, R.J., Hauger, R.L., Cooper, T.B., Ferris, C.F.Cerebrospinal fluid vasopressin levels: correlates with aggression and serotonin function in personality-disordered subjects. Arch Gen Psychiatry 1998;55(8):708–714.CrossRefGoogle ScholarPubMed
Dimberg, U., Lundquist, L.O.Gender differences in facial reactions to facial expressions. Biol Psychol 1990;30(2):151–159.CrossRefGoogle ScholarPubMed
Dodge, K.A.Social-cognitive mechanisms in the development of conduct disorder and depression. Annu Rev Psychol 1993;44:559–584.CrossRefGoogle ScholarPubMed
Edwards, J., Pattison, P.E., Jackson, H.J., Wales, R.J.Facial affect and affective prosody recognition in first-episode schizophrenia. Schizophr Res 482–32001 235–253.CrossRefGoogle ScholarPubMed
Edwards, J., Jackson, H.J., Pattison, P.E.Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review. Clin Psychol Rev 2002;22(6):789–832.CrossRefGoogle ScholarPubMed
Erwin, R.J., Gur, R.C., Gur, R.E., Skolnick, B., Mawhinney-Hee, M., Smailis, J.Facial emotion discrimination: I. Task construction and behavioral findings in normal subjects. Psychiatry Res 1992;42(3):231–240.CrossRefGoogle ScholarPubMed
Feinberg, T.E., Rifkin, A., Schaffer, C., Walker, E.Facial discrimination and emotional recognition in schizophrenia and affective disorders. Arch Gen Psychiatry 1986;43(3):276–279.CrossRefGoogle ScholarPubMed
Gur, R.C., Erwin, R.J., Gur, R.E., Zwil, A.S., Heimberg, C., Kraemer, H.C.Facial emotion discrimination: II. Behavioral findings in depression. Psychiatry Res 1992;42(3):241–251.CrossRefGoogle ScholarPubMed
Gur, R., Schroeder, L., Turner, T., McGrath, C., Chan, R., Turetsky, B.et al.Brain activation during facial emotion processing. Neuroimage 2002;16(3 Pt 1):651.CrossRefGoogle ScholarPubMed
Habel, U., Gur, R.C., Mandal, M.K., Salloum, J.B., Gur, R.E., Schneider, F.Emotional processing in schizophrenia across cultures: standardized measures of discrimination and experience. Schizophr Res 2000;42(1):57–66.CrossRefGoogle ScholarPubMed
Hall, J.A.Non-verbal sex differences, communication accuracy and expressive style. Baltimore: John Hopkins University Press; 1984.Google Scholar
Heimberg, C., Gur, R.E., Erwin, R.J., Shtasel, D.L., Gur, R.C.Facial emotion discrimination: III. Behavioral findings in schizophrenia. Psychiatry Res 1992;42:253–265.CrossRefGoogle Scholar
Hodgins, S.Mental disorder, intellectual deficiency, and crime. Evidence from a birth cohort. Arch Gen Psychiatry 1992;49:476–483.CrossRefGoogle ScholarPubMed
Hugdahl, K., Iversen, P.M., Johnsen, B.H.Laterality for facial expressions: does the sex of the subject interact with the sex of the stimulus face?. Cortex 1993;29(2):325–331.CrossRefGoogle ScholarPubMed
Kay, S.R., Fiszbein, A., Opler, L.A.The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13(2):261–276.CrossRefGoogle Scholar
Kerr, S.L., Neale, J.M.Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance?. J Abnorm Psychol 1993;102(2):312–318.CrossRefGoogle ScholarPubMed
Kohavi, R., Provost, F.Glossary of terms: special issue on applications of machine learning and the knowledge discovery process. Machine Learning 1998;30:271–274 (Longitudinal data sets are comprised of repeated observations of an outcome and a set of covariates for).Google Scholar
Kohler, C.G., Bilker, W., Hagendoorn, M., Gur, R.E., Gur, R.C.Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biol Psychiatry 2000;48(2):127–136.CrossRefGoogle ScholarPubMed
Kohler, C.G., Turner, T.H., Bilker, W.B., Brensinger, C.M., Siegel, S.J., Kanes, S.J.et al.Facial emotion recognition in schizophrenia: intensity effects and error pattern. Am J Psychiatry 2003;160(10):1768–1774.CrossRefGoogle ScholarPubMed
Krakowski, M., Czobor, P.Gender differences in violent behaviors: relationship to clinical symptoms and psychosocial factors. Am J Psychiatry 2004;161(3):459–465.CrossRefGoogle ScholarPubMed
Kring, A.M., Gordon, A.H.Sex differences in emotion: expression, experience, and physiology. J Pers Soc Psychol 1998;74(3):686–703.CrossRefGoogle ScholarPubMed
Liang, K.Y., Zeger, S.L.Longitudinal data analysis using generalized linear models. Biometrika 1986;73:13–22.CrossRefGoogle Scholar
Maccoby, E.E., Jacklin, C.N.The psychology of sex differences. Stanford, Calif: Stanford University Press; 1974.Google Scholar
Mandal, M.K., Jain, A., Haque-Nizamie, S., Weiss, U., Schneider, F.Generality and specificity of emotion-recognition deficit in schizophrenic patients with positive and negative symptoms. Psychiatry Res 1999;87(1):39–46.CrossRefGoogle ScholarPubMed
Mandal, M.K., Pandey, R., Prasad, A.B.Facial expressions of emotions and schizophrenia: a review. Schizophr Bull 1998;24(3):399–412.CrossRefGoogle ScholarPubMed
McNiel, D.E., Eisner, J.P., Binder, R.L.The relationship between aggressive attributional style and violence by psychiatric patients. J Consult Clin Psychol 2003;71(2):399–403.CrossRefGoogle ScholarPubMed
Mueser, K.T., Doonan, R., Penn, D.L., Blanchard, J.J., Bellack, A.S., Nishith, P.et al.Emotion recognition and social competence in chronic schizophrenia. J Abnorm Psychol 1996;105(2):271–275.CrossRefGoogle ScholarPubMed
Orozco, S., Ehlers, C.L.Gender differences in electrophysiological responses to facial stimuli. Biol Psychiatry 1998;44(4):281–289.CrossRefGoogle ScholarPubMed
Pell, M.D.Evaluation of non-verbal emotion in face and voice: some preliminary findings on a new battery of tests. Brain Cogn 2002;48(2-3):499–504.Google Scholar
Penn, D.L., Combs, D.R., Ritchie, M., Francis, J., Cassisi, J., Morris, S.et al.Emotion recognition in schizophrenia: further investigation of generalized versus specific deficit models. J Abnorm Psychol 2000;109(3):512–516.CrossRefGoogle ScholarPubMed
Persad, S.M., Polivy, J.Differences between depressed and non-depressed individuals in the recognition of and response to facial emotional cues. J Abnorm Psychol 1993;102(3):358–368.CrossRefGoogle Scholar
Rahman, Q., Wilson, G.D., Abrahams, S.Sex, sexual orientation, and identification of positive and negative facial affect. Brain Cogn 2004;54(3):179–185.CrossRefGoogle ScholarPubMed
Sachs, G., Steger-Wuchse, D., Kryspin-Exner, I., Gur, R.C., Katschnig, H.Facial recognition deficits and cognition in schizophrenia. Schizophr Res 2004;68(1):27–35.CrossRefGoogle ScholarPubMed
Salem, J.E., Kring, A.M., Kerr, S.L.More evidence for generalized poor performance in facial emotion perception in schizophrenia. J Abnorm Psychol 1996;105(3):480–483.CrossRefGoogle Scholar
Schneider, F., Gur, R.C., Gur, R.E., Shtasel, D.L.Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology. Schizophr Res 1995;17(1):67–75.CrossRefGoogle ScholarPubMed
Schwartz, G.E., Brown, S.L., Ahern, G.L.Facial muscle patterning and subjective experience during affective imagery: sex differences. Psychophysiology 1980;17(1):75–82.CrossRefGoogle ScholarPubMed
Silver, H., Shlomo, N., Turner, T., Gur, R.C.Perception of happy and sad facial expressions in chronic schizophrenia: evidence for two evaluative systems. Schizophr Res 2002;55:171–177.CrossRefGoogle ScholarPubMed
Swanson, J.W., Holzer, C.E., Ganju, V.K., Jono, R.T.Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys. Hosp Community Psychiatry 1990;41(7):761–770.Google ScholarPubMed
Thayer, J.F., Johnsen, B.H.Sex differences in judgement of facial affect: a multivariate analysis of recognition errors. Scand J Psychol 2000;41(3):243–246.CrossRefGoogle ScholarPubMed
Volavka, J.Neurobiology of violence. 2nd ed.Washington, DC: American Psychiatric Publishing, Inc.; 2002.Google Scholar
Weiss, E.M., Kohler, C.G., Nolan, K.A., Czobor, P., Volavka, J., Platt, M.M.et al.The relationship between history of violent and criminal behavior and recognition of facial expression of emotion in men with schizophrenia and schizoaffective disorder. Aggressive Behav 2006;32(3):188–195.CrossRefGoogle Scholar
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