title: Impairments in Negative Facial Emotion Recognition in Chinese Schizophrenia Patients Detected With a Newly Designed Task.
abstract: Facial emotion recognition has been found to be impaired in schizophrenia, although overall results have been inconclusive. A new set of facial emotion stimuli with Chinese faces was developed, using static and dynamic avatars, the identification of which were subsequently validated in 562 healthy control subjects. This test was then used to identify facial emotion recognition accuracy in 44 patients with schizophrenia and 41 healthy controls. Overall, patients identified facial emotions significantly worse than healthy controls (p = 0.018) with a significant main effect for type of emotion (p = 0.016). Patients performed significantly worse in fear (p = 0.029) and sadness (p = 0.037), and marginally worse in anger (p = 0.052). No significant differences were evident in contempt (p = 0.254) or happiness (p = 0.943). Regarding error rates of misattribution, patients overidentified contempt (p = 0.035) and sadness (p = 0.01), but not anger, fear, or happiness. Conclusion, patients of Chinese ethnicity with schizophrenia may have significantly greater difficulties identifying negative, but not positive emotions.
authors.affiliation: *Institute of Mental Health, Peking University, Beijing; †Faculty of Health Sciences, University of Macau, Macao; ‡Wuxi Mental Health Center of Nanjing Medical University, Wuxi, Jiangsu Province; §Department of Psychiatry, LKS Faculty of Medicine, University of Hong Kong, Hong Kong; ∥Beijing HuiLongGuan Hospital, Peking University, Beijing, China; ¶School of Psychiatry & Clinical Neurosciences, University of Western Australia, Perth, Australia; #Division of Psychiatry Research, The Zucker Hillside Hospital, North Shore-Long Island Jewish Health System, Glen Oaks, NY; and **Department of Psychology, University of Macau, Macao, China.
authors.forename: Yuqing
authors.initials: Y
authors.lastname: Song
authors.forename: Yu-Tao
authors.initials: YT
authors.lastname: Xiang
authors.forename: Yueqin
authors.initials: Y
authors.lastname: Huang
authors.forename: Xiangqun
authors.initials: X
authors.lastname: Wang
authors.forename: Xilin
authors.initials: X
authors.lastname: Wang
authors.forename: Fuquan
authors.initials: F
authors.lastname: Zhang
authors.forename: Johnny Sheung Him
authors.initials: JS
authors.lastname: Kwan
authors.forename: Oi Chi
authors.initials: OC
authors.lastname: Chan
authors.forename: Zhiren
authors.initials: Z
authors.lastname: Wang
authors.forename: Gabor S
authors.initials: GS
authors.lastname: Ungvari
authors.forename: Christoph U
authors.initials: CU
authors.lastname: Correll
authors.forename: Charles
authors.initials: C
authors.lastname: Zaroff
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D002681:China; D056348:Emotional Intelligence; D019260:Expressed Emotion; D005149:Facial Expression; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis; D012565:Schizophrenic Psychology