The Change in Facial Emotion Recognition Ability in Inpatients with Treatment Resistant Schizophrenia After Electroconvulsive Therapy.
People with schizophrenia have impairments in emotion recognition along with other social cognitive deficits. In the current study, we aimed to investigate the immediate benefits of ECT on facial emotion recognition ability. Thirty-two treatment resistant patients with schizophrenia who have been indicated for ECT enrolled in the study. Facial emotion stimuli were a set of 56 photographs that depicted seven basic emotions: sadness, anger, happiness, disgust, surprise, fear, and neutral faces. The average age of the participants was 33.4 ± 10.5 years. The rate of recognizing the disgusted facial expression increased significantly after ECT (p < 0.05) and no significant changes were found in the rest of the facial expressions (p > 0.05). After the ECT, the time period of responding to the fear and happy facial expressions were significantly shorter (p < 0.05). Facial emotion recognition ability is an important social cognitive skill for social harmony, proper relation and living independently. At least, the ECT sessions do not seem to affect facial emotion recognition ability negatively and seem to improve identifying disgusted facial emotion which is related with dopamine enriched regions in brain.
Department of Psychiatry, Şişli Etfal Training and Education Hospital, İstanbul, Turkey. drmihriban@hotmail.com.
Mihriban
M
Dalkıran
Department of Psychiatry, Samsun Mental Health and Neurology Hospital, İstanbul, Turkey.
Akif
A
Tasdemir
Department of Anesthesiology, Medical School of Cerrahpasa, İstanbul, Turkey.
Tamer
T
Salihoglu
Department of Psychiatry, Medical School of Cerrahpasa, İstanbul, Turkey.
Murat
M
Emul
Department of Psychiatry, Medical School of Cerrahpasa, İstanbul, Turkey.
Alaattin
A
Duran
Department of Psychiatry, Medical School of Cerrahpasa, İstanbul, Turkey.
Mufit
M
Ugur
Department of Psychiatry, Medical School of Cerrahpasa, İstanbul, Turkey.
Ruhi
R
Yavuz
D000328:Adult; D004351:Drug Resistance; D004565:Electroconvulsive Therapy / Q000379:methods*; D004644:Emotions / Q000502:physiology*; D005149:Facial Expression; D000066499:Facial Recognition / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012559:Schizophrenia / Q000503:physiopathology* / Q000628:therapy*; D055815:Young Adult
Electroconvulsive therapy; Facial emotion recognition; Schizophrenia; Treatment resistant
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