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Social judgement in clinically stable patients with schizophrenia and healthy relatives: behavioural evidence of social brain dysfunction

Published online by Cambridge University Press:  08 November 2007

D. Baas*
Affiliation:
Department of Experimental Psychology, Helmholtz Instituut, Universiteit Utrecht, Utrecht, The Netherlands Department of Psychiatry, University Medical Center Utrecht, Rudolf Magnus Institute of Neuroscience, The Netherlands
M. van't Wout
Affiliation:
Department of Experimental Psychology, Helmholtz Instituut, Universiteit Utrecht, Utrecht, The Netherlands Department of Psychiatry, University Medical Center Utrecht, Rudolf Magnus Institute of Neuroscience, The Netherlands
A. Aleman
Affiliation:
BCN Neuroimaging Center, University of Groningen, The Netherlands
R. S. Kahn
Affiliation:
Department of Psychiatry, University Medical Center Utrecht, Rudolf Magnus Institute of Neuroscience, The Netherlands
*
*Address for correspondence: D. Baas, Helmholtz Instituut, Department of Experimental Psychology, Universiteit Utrecht, PO Box 80125, 3508 TC, Utrecht, The Netherlands. (Email: [email protected])

Abstract

Background

Patients with schizophrenia have been found to display abnormalities in social cognition. The aim of the study was to test whether patients with schizophrenia and unaffected first-degree relatives of schizophrenic patients display behavioural signs of social brain dysfunction when making social judgements.

Method

Eighteen patients with schizophrenia, 24 first-degree unaffected relatives and 28 healthy comparison subjects completed a task which involves trustworthiness judgements of faces. A second task was completed to measure the general ability to recognize faces.

Results

Patients with schizophrenia rated faces as more trustworthy, especially those that were judged to be untrustworthy by healthy comparison subjects. Siblings of schizophrenia patients display the same bias, albeit to a lesser degree.

Conclusions

The pattern of more positive trustworthiness judgements parallels the results from studies of patients with abnormalities in brain areas involved in social cognition. Because patients and siblings did not differ significantly from controls in their general ability to recognize faces, these findings cannot be dismissed as abnormalities in face perception by itself.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 2007

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References

Abell, F, Krams, M, Ashburner, J, Passingham, R, Friston, K, Frackowiak, R, Happe, F, Frith, C, Frith, U (1999). The neuroanatomy of autism: a voxel-based whole brain analysis of structural scans. Neuroreport 10, 16471651.CrossRefGoogle ScholarPubMed
Addington, J, Addington, D (1998). Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophrenia Research 32, 171181.CrossRefGoogle ScholarPubMed
Addington, J, McCleary, L, Munroe-Blum, H (1998). Relationship between cognitive and social dysfunction in schizophrenia. Schizophrenia Research 34, 5966.CrossRefGoogle ScholarPubMed
Adolphs, R, Sears, L, Piven, J (2001). Abnormal processing of social information from faces in autism. Journal of Cognitive Neuroscience 13, 232240.CrossRefGoogle ScholarPubMed
Adolphs, R, Tranel, D, Damasio, AR (1998). The human amygdala in social judgment. Nature 393, 470474.CrossRefGoogle ScholarPubMed
Aleman, A, Kahn, R (2005). Strange feelings: do amygdala abnormalities dysregulate the emotional brain in schizophrenia? Progress in Neurobiology 77, 283298.Google ScholarPubMed
Amodio, DM, Frith, CD (2006). Meeting of minds: the medial frontal cortex and social cognition. Nature Reviews Neuroscience 7, 268277.CrossRefGoogle ScholarPubMed
Andreasen, NC, Flaum, M, Arndt, S (1992). The Comprehensive Assessment of Symptoms and History (Cash) – an instrument for assessing diagnosis and psychopathology. Archives of General Psychiatry 49, 615623.CrossRefGoogle ScholarPubMed
APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM-IV). American Psychiatric Association: Washington, DC.Google Scholar
Aylward, E, Walker, E, Bettes, B (1984). Intelligence in schizophrenia: meta-analysis of the research. Schizophrenia Bulletin 10, 430459.CrossRefGoogle ScholarPubMed
Bellack, AS, Morrison, RL, Wixted, JT, Mueser, KT (1990). An analysis of social competence in schizophrenia. British Journal of Psychiatry 156, 809818.CrossRefGoogle ScholarPubMed
Benton, AL, Hamsher, KD, Varney, NR, Spreen, O (1983). Facial Recognition Stimulus and Multiple Choice Pictures. Oxford University Press: New York.Google Scholar
Brothers, L (1990). The social brain: a project for integrating primate behavior and neurophysiology in a new domain. Concepts in Neuroscience 1, 2751.Google Scholar
Brothers, L, Ring, B, Kling, A (1990). Response of neurons in the macaque amygdala to complex social-stimuli. Behavioural Brain Research 41, 199213.CrossRefGoogle ScholarPubMed
Brune, M (2005). Emotion recognition, ‘theory of mind’, and social behavior in schizophrenia. Psychiatry Research 133, 135147.CrossRefGoogle ScholarPubMed
Brunet-Gouet, E, Decety, J (2006). Social brain dysfunctions in schizophrenia: a review of neuroimaging studies. Psychiatry Research: Neuroimaging 148, 7592.CrossRefGoogle ScholarPubMed
Couture, SM, Penn, DL, Roberts, DL (2006). The functional significance of social cognition in schizophrenia: a review. Schizophrenia Bulletin 32, S44S63.CrossRefGoogle ScholarPubMed
Crespo-Facorro, B, Kim, JJ, Andreasen, NC, O'Leary, DS, Bockholt, HJ, Magnotta, V (2000). Insular cortex abnormalities in schizophrenia: a structural magnetic resonance imaging study of first-episode patients. Schizophrenia Research 46, 3543.CrossRefGoogle ScholarPubMed
Crespo-Facorro, B, Paradiso, S, Andreasen, NC, O'Leary, DS, Watkins, GL, Ponto, LLB, Hichwa, RD (2001). Neural mechanisms of anhedonia in schizophrenia: a PET study of response to unpleasant and pleasant odors. JAMA 286, 427435.CrossRefGoogle ScholarPubMed
Druzgal, TJ, D'Eposito, M (2001). A neural network reflecting decisions about human faces. Neuron 32, 947955.CrossRefGoogle ScholarPubMed
Gur, RE, McGrath, C, Chan, RM, Schroeder, L, Turner, T, Turetsky, BI, Kohler, C, Alsop, D, Maldjian, J, Ragland, JD, Gur, RC (2002). An fMRI study of facial emotion processing in patients with schizophrenia. American Journal of Psychiatry 159, 19921999.CrossRefGoogle ScholarPubMed
Habel, U, Klein, M, Shah, NO, Toni, I, Zilles, K, Falkai, P, Schneider, F (2004). Genetic load on amygdala hypofunction during sadness in nonaffected brothers of schizophrenia patients. American Journal of Psychiatry 161, 18061813.CrossRefGoogle ScholarPubMed
Hall, J, Harris, JM, Sprengelmeyer, R, Sprengelmeyer, A, Young, AW, Santos, IM, Johnstone, EC, Lawrie, SM (2004). Social cognition and face processing in schizophrenia. British Journal of Psychiatry 185, 169170.CrossRefGoogle ScholarPubMed
Hempel, A, Hempel, E, Schonknecht, P, Stippich, C, Schroder, J (2003). Impairment in basal limbic function in schizophrenia during affect recognition. Psychiatry Research-Neuroimaging 122, 115124.CrossRefGoogle ScholarPubMed
Hooker, C, Park, S (2002). Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Research 112, 4150.CrossRefGoogle ScholarPubMed
Hulshoff Pol, HE, Schnack, HG, Mandl, RC, van Haren, NE, Koning, H, Collins, DL, Evans, AC, Kahn, RS (2001). Focal gray matter density changes in schizophrenia. Archives of General Psychiatry 58, 11181125.CrossRefGoogle ScholarPubMed
Ihnen, GH, Penn, DL, Corrigan, PW, Martin, J (1998). Social perception and social skill in schizophrenia. Psychiatry Research 80, 275286.CrossRefGoogle ScholarPubMed
Johns, LC, van Os, J (2001). The continuity of psychotic experiences in the general population. Clinical Psychology Review 21, 11251141.CrossRefGoogle ScholarPubMed
Kanwisher, N, McDermott, J, Chun, MM (1997). The fusiform face area: a module in human extrastriate cortex specialized for face perception. Journal of Neuroscience 17, 43024311.CrossRefGoogle ScholarPubMed
Kawasaki, Y, Suzuki, M, Kherif, F, Takahashi, T, Zhou, SY, Nakamura, K, Matsui, M, Sumiyoshi, T, Seto, H, Kurachi, M (2007). Multivariate voxel-based morphometry successfully differentiates schizophrenia patients from healthy controls. Neuroimage 34, 235242.CrossRefGoogle ScholarPubMed
Kay, SR, Opler, LA, Fiszbein, A (1987). The positive and negative syndrome rating scale (PANSS) for schizophrenia. Schizophrenia Bulletin 13, 261276.CrossRefGoogle ScholarPubMed
Keshavan, MS, Montrose, DM, Pierri, JN, Dick, EL, Rosenberg, D, Talagala, L, Sweeney, JA (1997). Magnetic resonance imaging and spectroscopy in offspring at risk for schizophrenia: preliminary studies. Progress in Neuro-Psychopharmacology & Biological Psychiatry 21, 12851295.CrossRefGoogle ScholarPubMed
Kohler, CG, Bilker, W, Hagendoorn, M, Gur, RE, Gur, RC (2000). Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biological Psychiatry 48, 127136.CrossRefGoogle ScholarPubMed
Kringelbach, ML, Rolls, ET (2004). The functional neuroanatomy of the human orbitofrontal cortex: evidence from neuroimaging and neuropsychology. Progress in Neurobiology 72, 341372.CrossRefGoogle ScholarPubMed
Lee, KH, Farrow, TFD, Spence, SA, Woodruff, PWR (2004). Social cognition, brain networks and schizophrenia. Psychological Medicine 34, 391400.CrossRefGoogle ScholarPubMed
Lezak, MD (1995). Neuropsychological Assessment, 3rd edn. Oxford University Press: New York.Google Scholar
Loughland, CM, Williams, LM, Harris, AW (2004). Visual scanpath dysfunction in first-degree relatives of schizophrenia probands: evidence for a vulnerability marker? Schizophrenia Research 67, 1121.CrossRefGoogle ScholarPubMed
Marjoram, D, Job, DE, Whalley, HC, Gountouna, VE, McIntosh, AM, Simonotto, E, Cunningham-Owens, D, Johnstone, EC, Lawrie, S (2006). A visual joke fMRI investigation into Theory of Mind and enhanced risk of schizophrenia. Neuroimage 31, 18501858.CrossRefGoogle ScholarPubMed
McCabe, K, Houser, D, Ryan, L, Smith, V, Trouard, T (2001). A functional imaging study of cooperation in two-person reciprocal exchange. Proceedings of the National Academy of Sciences of the United States of America 98, 1183211835.CrossRefGoogle ScholarPubMed
McGuffin, P, Owen, MJ, Farmer, AE (1995). Genetic basis of schizophrenia. Lancet 346, 678682.CrossRefGoogle ScholarPubMed
Nelson, HE, Willison, J (1991). National Adult Reading Test (NART) Test Manual, 2nd edn. NFER-Nelson: Windsor, UK.Google Scholar
O'Doherty, J, Winston, J, Critchley, H, Perrett, D, Burt, DM, Dolan, RJ (2003). Beauty in a smile: the role of medial orbitofrontal cortex in facial attractiveness. Neuropsychologia 41, 147155.CrossRefGoogle Scholar
Pelphrey, KA, Morris, JP (2006). Brain mechanisms for interpreting the actions of others from biological-motion cues. Current Directions in Psychological Science 15, 136140.CrossRefGoogle ScholarPubMed
Penn, DL, Corrigan, PW, Bentall, RP, Racenstein, JM, Newman, L (1997). Social cognition in schizophrenia. Psychological Bulletin 121, 114132.CrossRefGoogle ScholarPubMed
Phelps, EA (2006). Emotion and cognition: insights from studies of the human amygdala. Annual Review of Psychology 57, 2753.CrossRefGoogle ScholarPubMed
PICS (2002). Psychological Image Collection at Stirling (PICS). Psychology Department, University of Stirling (http://pics.psych.stir.ac.uk/). Accessed 19 November 2002.Google Scholar
Pinkham, AE, Penn, DL, Perkins, DO, Lieberman, J (2003). Implications for the neural basis of social cognition for the study of schizophrenia. American Journal of Psychiatry 160, 815824.CrossRefGoogle Scholar
Pollice, R, Roncone, R, Falloon, IRH, Mazza, M, De Risio, A, Necozione, S, Morosini, P, Casacchia, M (2002). Is theory of mind in schizophrenia more strongly associated with clinical and social functioning than with neurocognitive deficits? Psychopathology 35, 280288.Google Scholar
Raven, JC, Raven, J, Court, JH (1993). Manual for Raven's Progressive Matrices and Vocabulary Scales. Oxford Psychologists Press: Oxford.Google Scholar
Roncone, R, Falloon, IR, Mazza, M, De Risio, A, Pollice, R, Necozione, S, Morosini, P, Casacchia, M (2002). Is theory of mind in schizophrenia more strongly associated with clinical and social functioning than with neurocognitive deficits? Psychopathology 35, 280288.CrossRefGoogle ScholarPubMed
Sanfey, AG, Rilling, JK, Aronson, JA, Nystrom, LE, Cohen, JD (2003). The neural basis of economic decision-making in the ultimatum game. Science 300, 17551758.CrossRefGoogle ScholarPubMed
Schneider, F, Weiss, U, Kessler, C, Salloum, JB, Posse, S, Grodd, W, Muller-Gartner, HW (1998). Differential amygdala activation in schizophrenia during sadness. Schizophrenia Research 34, 133142.CrossRefGoogle ScholarPubMed
Seidman, LJ, Faraone, SV, Goldstein, JM, Goodman, JM, Kremen, WS, Matsuda, G, Hoge, EA, Kennedy, D, Makris, N, Caviness, VS, Tsuang, MT (1997). Reduced subcortical brain volumes in nonpsychotic siblings of schizophrenic patients: a pilot magnetic resonance imaging study. American Journal of Medical Genetics 74, 507514.3.0.CO;2-G>CrossRefGoogle ScholarPubMed
Sheehan, DV, Lecrubier, Y, Sheehan, KH, Janavs, J, Weiller, E, Keskiner, A, Schinka, J, Knapp, E, Sheehan, MF, Dunbar, GC (1997). The validity of the Mini International Neuropsychiatric Interview (MINI) according to the SCID-P and its reliability. European Psychiatry 12, 232241.CrossRefGoogle Scholar
Sprengelmeyer, R, Young, AW, Calder, AJ, Karnat, A, Lange, HW, Hömberg, V, Perrett, DI, Rowland, D (1996). Loss of disgust: perception of faces and emotions in Huntington's disease. Brain: a Journal of Neurology 119, 16471665.CrossRefGoogle ScholarPubMed
Toomey, R, Seidman, LJ, Lyons, MJ, Faraone, SV, Tsuang, MT (1999). Poor perception of nonverbal social-emotional cues in relatives of schizophrenic patients. Schizophrenia Research 40 121130.CrossRefGoogle ScholarPubMed
van't Wout, M, Aleman, A, Bermond, B, Kahn, RS (2007). No words for feelings: alexithymia in schizophrenia patients and first-degree relatives. Comprehensive Psychiatry 48, 2733.CrossRefGoogle ScholarPubMed
van Rijn, S, Aleman, A, Swaab, H, Kahn, R (2005). Neurobiology of emotion and high risk for schizophrenia: role of the amygdala and the X-chromosome. Neuroscience and Biobehavioral Reviews 29, 385397.CrossRefGoogle ScholarPubMed
Williams, LW, Das, P, Harris, AWF, Liddell, BB, Brammer, MJ, Olivieri, G, Skerrett, D, Phillips, ML, David, AS, Peduto, AP, Gordon, E (2004). Dysregulation of arousal and amygdala-prefrontal systems in paranoid schizophrenia. American Journal of Psychiatry 161, 480489.CrossRefGoogle ScholarPubMed
Winston, JS, Strange, BA, O'Doherty, J, Dolan, RJ (2002). Automatic and intentional brain responses during evaluation of trustworthiness of faces. Nature Neuroscience 5, 277283.CrossRefGoogle ScholarPubMed
Wright, IC, Ellison, ZR, Sharma, T, Friston, KJ, Murray, RM, McGuire, PK (1999). Mapping of grey matter changes in schizophrenia. Schizophrenia Research 35, 114.CrossRefGoogle ScholarPubMed
Wright, IC, Rabe-Hesketh, S, Woodruff, PW, David, AS, Murray, RM, Bullmore, ET (2000). Meta-analysis of regional brain volumes in schizophrenia. American Journal of Psychiatry 157, 1625.CrossRefGoogle ScholarPubMed
Yoo, SS, Choi, BG (2005). Working memory processing of facial images in schizophrenia: fMRI investigation. International Journal of Neuroscience 115, 351366.CrossRefGoogle ScholarPubMed