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Facial Affect Recognition Deficit as a Marker of Genetic Vulnerability to Schizophrenia

Published online by Cambridge University Press:  10 January 2013

Margarita V. Alfimova*
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
Lilia I. Abramova
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
Aleksandra I. Barhatova
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
Polina E. Yumatova
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
Galina L. Lyachenko
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
Vera E. Golimbet
Affiliation:
The Mental Health Research Centre of the Russian Academy of Medical Sciences (Russia)
*
Correspondence concerning this article should be addressed to: Margarita V. Alfimova, Department of Clinical Genetics, Mental Health Research Centre RAMS. Mailing address: MHRC RAMS, Zagorodnoe sh.2, k.2, 117152 Moscow, Russia Phone +7499 1320062, Fax +7 495 9528940, e-mail: [email protected]

Abstract

The aim of this study was to investigate the possibility that affect recognition impairments are associated with genetic liability to schizophrenia. In a group of 55 unaffected relatives of schizophrenia patients (parents and siblings) we examined the capacity to detect facially expressed emotions and its relationship to schizotypal personality, neurocognitive functioning, and the subject's actual emotional state. The relatives were compared with 103 schizophrenia patients and 99 healthy subjects without any family history of psychoses. Emotional stimuli were nine black-and-white photos of actors, who portrayed six basic emotions as well as interest, contempt, and shame. The results evidenced the affect recognition deficit in relatives, though milder than that in patients themselves. No correlation between the deficit and schizotypal personality measured with SPQ was detected in the group of relatives. Neither cognitive functioning, including attention, verbal memory and linguistic ability, nor actual emotional states accounted for their affect recognition impairments. The results suggest that the facial affect recognition deficit in schizophrenia may be related to genetic predisposition to the disorder and may serve as an endophenotype in molecular-genetic studies.

El objetivo de este estudio era investigar la posibilidad de que el déficit para reconocer el afecto se asocie a la vulnerabilidad genética a la esquizofrenia. En un grupo de 55 familiares (padres y hermanos/as) no afectados de pacientes de esquizofrenia examinamos la capacidad para detectar emociones expresadas y su relación con la personalidad esquizotípica, el funcionamiento neurocognitivo y el estado emocional actual del sujeto. Se compararon los familiares con 103 pacientes esquizofrénicos y con 99 sujetos sanos sin ninguna historia familiar de psicosis. Los estímulos emocionales eran 9 fotos en blanco y negro de actores, quienes representaron las 6 emociones básicas, además de interés, desprecio y vergüenza. Los resultados revelaron déficit en reconocimiento afectivo en los familiares, aunque más leve que en los propios pacientes. No se detectó ninguna correlación entre el déficit y la personalidad esquizotípica medida con SPQ en el grupo de familiares. Ni el funcionamiento cognitivo, incluyendo la atención, la memoria verbal y la habilidad lingüística, ni tampoco los estados emocionales actuales explicaron el déficit en el reconocimiento del afecto. Los resultados sugieren que el déficit en reconocimiento de afecto facial en la esquizofrenia puede relacionarse con una predisposición genética al trastorno y puede servir de endofenotipo en los estudios moleculares genéticos.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2009

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References

Addington, J., & Addington, D. (1998) Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophrenia Research, 32, 171181.CrossRefGoogle ScholarPubMed
Adolphs, R. (2002) Recognizing emotion from face expressions: psychological and neurological mechanisms. Behavioral and Cognitive Neuroscience Reviews, 1, 2162.CrossRefGoogle ScholarPubMed
Alfimova, M.V. (2006) Hereditary Factors in Cognitive Processes under Schizophrenia. Abstract of unpublished dissertation. Moscow.Google Scholar
Alfimova, M., & Uvarova, L. (2003) Cognitive peculiarities in relatives of schizophrenic and schizoaffective patients: heritability and resting EEG-correlates. International Journal of Psychophysiology, 49, 201216.CrossRefGoogle ScholarPubMed
Bediou, B., Asri, F., Brunelin, J., Krolak-Salmon, P., D'amato, T., Saoud, M., & Tazi, I. (2007) Emotion recognition and genetic vulnerability to schizophrenia. British Journal of Psychiatry, 191, 126130.CrossRefGoogle ScholarPubMed
Bolte, S., & Poustka, F. (2003) The recognition of facial affect in autistic and schizophrenic subjects and their first-degree relatives. Psychological Medicine, 33, 907915.Google Scholar
Brune, M. (2005) Emotion recognition, theory of mind, and social behavior in schizophrenia. Psychiatry Research, 133, 135147.CrossRefGoogle ScholarPubMed
Combs, D.R., & Qouvier, W.D. (2004) The role of attention in affect perception: an examination of Mirsky's four factor model of attention in chronic schizophrenia. Schizophrenia Bulletin, 30, 727738.CrossRefGoogle ScholarPubMed
Couture, S.M., Penn, D.L., & Roberts, D.L. (2006) The functional significance of social cognition in schizophrenia: a review. Schizophrenia Bulletin, 32(S1), S44–S63.CrossRefGoogle ScholarPubMed
Green, M.F., Olivier, B., Crawley, J.N., Penn, D.L., & Silverstein, S. (2005) Social cognition in schizophrenia: recommendations from the Measurement and Treatment Research to Improve Cognition in Schizophrenia New Approaches Conference. Schizophrenia Bulletin, 31, 882887.Google Scholar
Gur, R.E., Kohler, C.G., Ragland, J.D., Siegel, S.J., Lesko, K., Bilker, W.B., & Gur, R.C. (2006) Flat affect in schizophrenia: relation to emotion processing and neurocognitive measures. Schizophrenia Bulletin, 32, 279287.CrossRefGoogle ScholarPubMed
Hall, J., Harris, J.M., Sprengelmeyer, R., Sprengelmeyer, A., Young, A.W., Santos, I.M., Johnstone, E.C., & Lawrie, S.M. (2004) Social cognition and face processing in schizophrenia. British Journal of Psychiatry, 185, 169170.Google Scholar
Izard, K.E. (1980) Emotions of Man. Moscow: MGU publishing house.Google Scholar
Jahshan, C.S., & Sergi, M.J. (2007) Theory of mind, neurocognition, and functional status in schizotypy. Schizophrenia Research, 89, 278286.Google Scholar
Johnston, P.J., Katsikitis, M., & Carr, V.J. (2001) A generalised deficit can account for problems in facial emotion recognition in schizophrenia. Biological Psychology, 58, 203227.CrossRefGoogle ScholarPubMed
Johnstone, E.C., & Lawrie, S.M. (2004) Social cognition and face processing in schizophrenia. British Journal of Psychiatry, 185, 169170.Google Scholar
Joormann, J., & Gotlib, I.H. (2006) Is this happiness I see? Biases in the identification of emotional facial expressions in depression and social phobia. Journal of Abnormal Psychology, 115, 705714.Google Scholar
Kee, K.S., Horan, W.P., Mintz, J., & Green, M.F. (2004) Do the siblings of schizophrenia patients demonstrate affect perception deficits? Schizophrenia Research, 67, 8794.CrossRefGoogle ScholarPubMed
Kee, K.S., Kern, R.S., & Green, M.F. (1998) Perception of emotion and neurocognitive functioning in schizophrenia: what's the link? Psychiatry Research, 81, 5765.CrossRefGoogle ScholarPubMed
Keightley, M.L., Chiew, K.S., Winocur, G., & Grady, C.L. (2007) Age–related differences in brain activity underlying identification of emotional expressions in faces. Social Cognitive and Affective Neuroscience, 2, 292302.CrossRefGoogle ScholarPubMed
Khomskaya, E.D., & Batova, N.Ya. (1998) The Brain and Emotions: Neurological Study. Moscow: Rossiiskoe pedagogicheskoe agentstvo.Google Scholar
Kohler, C.G., Bilker, W., Hagendoorn, M., Gur, R.E., & Gur, R.C. (2000) Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biological Psychiatry, 48, 127136.CrossRefGoogle ScholarPubMed
Kohler, C.G., Turner, T.H., Bilker, W.B., Brensinger, C.M., Siegel, S.J., Kanes, S.J., Gur, R.E., & Gur, R.C. (2003) Facial emotion recognition in schizophrenia: intensity effects and error pattern. American Journal of Psychiatry, 160, 17681774.CrossRefGoogle ScholarPubMed
Kosmidis, M.H., Bozikas, V.P., Giannakou, M., Anezoulaki, D., Fantie, B.D., & Karavatos, A. (2007) Impaired emotion perception in schizophrenia: a differential deficit. Psychiatry Research, 149, 279284.CrossRefGoogle ScholarPubMed
Kucharska-Pietura, K., David, A.S., Masiak, M., & Phillips, M.L. (2005) Perception of facial and vocal affect by people with schizophrenia in early and late stages of illness. British Journal of Psychiatry, 187, 523528.Google Scholar
Loughland, C.M., Williams, L.M., & Harris, A.W. (2004) Visual scanpath dysfunction in first-degree relatives of schizophrenia probands: evidence for a vulnerability marker? Schizophrenia Research, 67, 1121.CrossRefGoogle ScholarPubMed
Mandal, M.K., Pandey, R., & Prasad, A.B. (1998) Facial expressions of emotions and schizophrenia: review. Schizophrenia Bulletin, 24, 399412.CrossRefGoogle Scholar
McCown, W., Johnson, J., Austin, S., & Shefsky, M. (1988) Deficits in ability to decode facial affects in families of schizophrenics. Psychotherapy in Private Practice, 6, 93101.Google Scholar
Meyer, J., & Shean, G. (2006) Social–cognitive functioning and schizotypal characteristics. Journal of Psychology, 140, 199207.CrossRefGoogle ScholarPubMed
Mosolov, S.N. (2001) Scales of Psychometric Assessment of Schizophrenia Symptoms and the Concept of Positive and Negative Disorders. Moscow: Novy tsvet.Google Scholar
Nuechterlein, K.H., Robbins, T.W., & Einat, H. (2005) Distinguishing separable domains of cognition in human and animal studies: what separations are optimal for targeting interventions? A summary of recommendations from Breakout Group 2 at the Measurement and Treatment Research to Improve Cognition in Schizophrenia New Approaches Conference. Schizophrenia Bulletin, 31, 870874.Google Scholar
Poole, J.H., Tobias, F.C., & Vinogradov, S. (2000) The functional relevance of affect recognition errors in schizophrenia. Journal of the International Neuropsychological Society, 6, 649658.Google Scholar
Poreh, A.M., Whitman, R.D., Weber, M., & Ross, T.(1994) Facial recognition in hypothetically schizotypic college students. The role of generalized poor performance. The Journal of Nervous and Mental Disease, 182, 503507.CrossRefGoogle ScholarPubMed
Raine, A. (1991) The SPQ: A scale for the assessment of schizotypal personality based on DSM-III-R criteria. Schizophrenia Bulletin, 17, 556564.CrossRefGoogle ScholarPubMed
Sachs, G., Steger-Wuchse, D., Kryspin-Exner, I., Gur, R., & Katschnig, H. (2004) Facial recognition deficit and cognition in schizophrenia. Schizophrenia Research, 68, 2735.Google Scholar
Schneider, F., Gur, R.C., Koch, K., Backes, V., Amunts, K., Shah, N.J., Bilker, W., Gur, R.E., & Habel, U. (2006) Impairment in the specificity of emotion processing in schizophrenia. American Journal of Psychiatry, 163, 442447.Google Scholar
Snitz, B.E., Macdonald, A.W., & Carter, C.S. (2006) Cognitive deficits in unaffected first-degree relatives of schizophrenia affect recognition and genetic vulnerability to schizophrenia patients: a meta-analytic review of putative endophenotypes. Schizophrenia Bulletin, 32, 179194.CrossRefGoogle Scholar
Sweet, L.H., Primeau, M., Fichtner, C.G., & Lutz, G. (1998) Dissociation of affect recognition and mood state from blunting in patients with schizophrenia. Psychiatry Research, 81, 301308.Google Scholar
Toomey, R., & Schuldberg, D. (1995) Recognition and judgment of facial stimuli in schizotypal subjects. Journal of Communication Disorders, 28, 193203.CrossRefGoogle ScholarPubMed
Toomey, R., Sideman, L.J., Lyons, M.J., Faraone, S.V., & Tsuang, M.T. (1999) Poor perception of nonverbal social – emotional cues in relatives of schizophrenic patients. Schizophrenia Research, 40, 121130.CrossRefGoogle ScholarPubMed
Tremeau, F. (2006) A review of emotion deficits in schizophrenia. Dialogues in Clinical Neuroscience, 8, 5970.CrossRefGoogle ScholarPubMed
Van't Wout, M., Aleman, A., Bermond, B., & Kahn, R.S. (2007) No words for feelings: alexithymia in schizophrenia patients and first-degree relatives. Comprehensive Psychiatry, 48, 2733.CrossRefGoogle ScholarPubMed
Waldeck, T.L., & Miller, L.S. (2000) Social skills deficits in schizotypal personality disorder. Psychiatry Research, 93, 237246.Google Scholar