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Relationship of affect recognition with psychopathology and cognitive performance in schizophrenia

Published online by Cambridge University Press:  01 July 2004

VASILIS P. BOZIKAS ,
MARY H. KOSMIDIS ,
DIMITRA ANEZOULAKI ,
MARIA GIANNAKOU  and
ATHANASIOS KARAVATOS
VASILIS P. BOZIKAS
Affiliation:
1st Department of Psychiatry, Aristotle University of Thessaloniki, Greece 2nd Department of Psychiatry, Aristotle University of Thessaloniki, Greece
MARY H. KOSMIDIS
Affiliation:
1st Department of Psychiatry, Aristotle University of Thessaloniki, Greece Department of Psychology, Aristotle University of Thessaloniki, Greece
DIMITRA ANEZOULAKI
Affiliation:
Department of Psychology, Aristotle University of Thessaloniki, Greece
MARIA GIANNAKOU
Affiliation:
Department of Psychology, Aristotle University of Thessaloniki, Greece
ATHANASIOS KARAVATOS
Affiliation:
1st Department of Psychiatry, Aristotle University of Thessaloniki, Greece
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Abstract

The purpose of the present study was to explore the relationship between emotion perception and both psychopathology and cognitive functioning in a group of Greek patients with schizophrenia. Thirty-five patients with schizophrenia were assessed with computerized tests of emotion perception, using visual faces (Kinney's Affect Matching Test, KAMT), prosody (Affective Prosody Test, APT), and visual everyday scenarios (Fantie's Cartoon Test, FCT), as well as a facial recognition test (Kinney's Identity Matching Test, KIMT). The patients were also evaluated with the symptoms dimensions derived from the PANSS (positive, negative, cognitive, depression, and excitement) and a battery of neuropsychological tests measuring executive functions, attention, working memory, verbal and visual memory, visuospatial ability, and visual scanning/psychomotor speed. The three emotion perception and face recognition tests correlated significantly with each other. The KAMT was significantly related to the cognitive symptoms dimension of the PANSS and executive functions. The FCT was significantly related to level of education and attention. Finally, the APT was significantly related to the cognitive symptoms dimension, executive functions, and attention. Our findings regarding the significant relationships of affect perception, both facial and vocal, as well as in everyday scenarios, with several cognitive abilities support the notion that deficits in decoding affective information in schizophrenia could be attributed to impairment in more basic neurocognitive domains. (JINS, 2004, 10, 549–558.)

Keywords

Facial emotion perceptionProsody perceptionSchizophreniaCognitive functioningPsychopathology
Type
Research Article
Information
Journal of the International Neuropsychological Society , Volume 10 , Issue 4 , July 2004 , pp. 549 - 558
Copyright
2004 The International Neuropsychological Society

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References

REFERENCES

Addington, J. & Addington, D. (1998). Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophrenia Research, 32, 171–181.CrossRefGoogle Scholar
Adolphs, R., Damasio, H., & Tranel, D. (2002). Neural systems for recognition of emotional prosody: A 3-d lesion study. Emotion, 2, 23–51.CrossRefGoogle Scholar
American Psychiatric Association. (1994). DSM–IV: Diagnostic and statistical manual of mental disorders (4th ed.). Washington DC: American Psychiatric Press.
Archer, J., Hay, D.C., & Young, A.W. (1992). Face processing in psychiatric conditions. British Journal of Clinical Psychology, 31, 45–61.CrossRefGoogle Scholar
Baudouin, J.-Y., Martin, F., Tiberghien, G., Verlut, I., & Frank, N. (2002). Selective attention to facial emotion and identity in schizophrenia. Neuropsychologia, 40, 503–511.CrossRefGoogle Scholar
Borod, J.C., Martin, C.C., Alpert, M., Brozgold, A., & Welkowitz, J. (1993). Perception of facial emotion in schizophrenic and right-brain damaged patients. Journal of Nervous and Mental Disorders, 181, 494–502.CrossRefGoogle Scholar
Bryson, G., Bell, M., & Lysaker, P. (1997). Affect recognition in schizophrenia: A function of global impairment or a specific cognitive deficit. Psychiatry Research, 71, 105–113.CrossRefGoogle Scholar
Chouinard, G., Ross-Chouinard, A., Annable, L., & Jones, B.D. (1980). Extrapyramidal rating scale. Canadian Journal of Neurological Science 7, 233.Google Scholar
Delis, D.C., Kramer, J.H., Kaplan, E., & Ober, B.A. (1987). California Verbal Learning Test (CVLT) manual. New York: Psychological Corporation.
Edwards, J., Pattison, P.E., Jackson, H.J., & Wales, R.J. (2001). Facial affect and affective prosody recognition in first-episode schizophrenia. Schizophrenia Research, 48, 235–253.CrossRefGoogle Scholar
Erwin, R.J., Gur, R.C., Gur, R.E., Skolnick, B.E., Mawhinney-Hee, M., & Smailis, J. (1992). Facial emotion discrimination: I. Task construction and behavioral findings in normals. Psychiatry Research, 42, 231–240.Google Scholar
Fantie, B.D. (1989). Fantie's Cartoon Test. Washington, DC: Human Neuropsychology Laboratory, American University.
Feinberg, T.E., Rifkin, A., Schaffer, C., & Walker, E. (1986). Facial discrimination and emotional recognition in schizophrenia and affective disorders. Archives of General Psychiatry, 43, 276–279.CrossRefGoogle Scholar
Folia, V. & Kosmidis, M.H. (2003). Assessment of memory skills in illiterates: Strategy differences or test artifacts? Clinical Neuropsychologist, 17, 143–152.Google Scholar
Gaebel, W. & Wolwer, W. (1992). Facial expression and emotional face recognition in schizophrenia and depression. European Archives of Psychiatry and Clinical Neuroscience, 242, 46–52.CrossRefGoogle Scholar
Green, M.F. (2002). Predicting functional outcome in schizophrenia: Lessons from Nebuchadnezzar. World Journal of Biological Psychiatry, 3 (Suppl. 1), 4.Google Scholar
Green, M.F., Kern, R.S., Robertson, M.J., Sergi, M.J., & Kee, K.S. (2000). Relevance of neurocognitive deficits for functional outcome in schizophrenia. In T. Sharma & P. Harvey (Eds.), Cognition in schizophrenia: Impairments, importance and treatment strategies (pp. 178–192). New York: Oxford University Press.
Green, M.F. (2001). Schizophrenia revealed: From neurons to social interactions. New York: Norton.
Gur, R.E., McGrath, C., Chan, R.M., Schroeder, L., Turner, T., Turetsky, B.I., Kohler, C., Alsop, D., Maldjian, J., Ragland, J.D., & Gur, R.C. (2002). An fMRI study of facial emotion processing in patients with schizophrenia. American Journal of Psychiatry, 159, 1992–1999.CrossRefGoogle Scholar
Habel, U., Gur, R.C., Mandal, M.K., Salloum, J.B., Gur, R.E., & Schneider, F. (2000). Emotional processing in schizophrenia across cultures: Standardized measures of discrimination and experience. Schizophrenia Research, 42, 57–66.CrossRefGoogle Scholar
Heaton, R.K., Chelune, G.J., Talley, J.L., Kay, G.G., & Curtiss, G. (1993). Wisconsin Card Sorting Test: Revised and expanded. Odessa, FL: Psychological Assessment Resources.
Heimberg, C., Gur, R.E., Erwin, R.J., Shtasel, D.L., & Gur, R.C. (1992). Facial emotion discrimination: III. Behavioral findings in schizophrenia. Psychiatry Research, 42, 253–265.Google Scholar
Hiou, K., Vagia, A., Haritidou, E., Karakostas, D., & Kosmidis, M.H. (in press). Affect perception as a cognitive function: Validity and clinical application of a neuropsychological test battery in healthy individuals and patients with brain lesions. Psychology: The Journal of the Hellenic Psychological Society.
Hooker, C. & Park, S. (2002). Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Research, 112, 41–50.CrossRefGoogle Scholar
Hooper, H.E. (1957). The Hooper Visual Organization Test. Los Angeles, CA: Western Psychological Services.
Johnsrude, I.S. (2002). The neuropsychological consequences of temporal lobe lesions. In J.E. Harrison & A.M. Owen (Eds.), Cognitive deficits in brain disorders (pp. 37–57). London: Martin Dunitz.
Jones-Gotman, M. & Milner, B. (1977). Design fluency: The invention of nonsense drawings after focal cortical lesions. Neuropsychologia, 15, 653–674.CrossRefGoogle Scholar
Kay, S.R., Fiszbein, A., & Opler, L.A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.CrossRefGoogle Scholar
Kee, K.S., Kern, R.S., & Green, M.F. (1998a). Perception of emotion and neurocognitive functioning in schizophrenia: What's the link? Psychiatry Research, 81, 57–65.Google Scholar
Kee, K.S., Kern, R.S., Marshall, B.D., Jr., & Green, M.F. (1998b). Risperidone versus haloperidol for perception of emotion in treatment-resistant schizophrenia: Preliminary findings. Schizophrenia Research, 31, 159–165.Google Scholar
Kerr, S.L. & Neale, J.M. (1993). Emotion perception in schizophrenia: Specific deficit or further evidence of generalized poor performance? Journal of Abnormal Psychology, 102, 312–318.Google Scholar
Kinney, J.M. (1995). Comprehension of affect in children with pervasive developmental disorders: Specific deficits in perceptual matching tasks. Unpublished doctoral dissertation, Washington, DC: Human Neuropsychology Laboratory, American University.
Kinney, J.M., Fantie, B.D., Pascualvaca, D.M., Rodriguez, D., & Mirsky, A.F. (1995). Comprehension of affect in children with pervasive developmental disorders: Deficits in matching faces to cartoon situations. Journal of the International Neuropsychological Society, 1, 156–157.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, 127–136.CrossRefGoogle Scholar
Kosaka, H., Omori, M., Murata, T., Iidaka, T., Yamada, H., Okada, T., Takahashi, T., Sadato, N., Itoh, H., Yonekura, Y., & Wada, Y. (2002). Differential amygdala response during facial recognition in patients with schizophrenia: An fMRI study. Schizophrenia Research, 57, 87–95.CrossRefGoogle Scholar
Kosmidis, M.H., Bozikas, V.P., Giannakou, M., Anezoulaki, D., & Karavatos, A. (2003). Impaired affect recognition without visuoperceptual deficits in schizophrenia. Journal of the International Neuropsychological Society, 9, 512.Google Scholar
Kosmidis, M.H., Vlahou, C.H, Panagiotaki, P., & Kiosseoglou, G. (2004). The verbal fluency task in the Greek population: Normative data and clustering and switching strategies. Journal of the International Neuropsychological Society, 10, 164–172.CrossRefGoogle Scholar
Kurtz, M.M., Ragland, J.D., Bilker, W., Gur, R.C., & Gur, R.E. (2001). Comparison of the continuous performance test with and without working memory demands in healthy controls and patients with schizophrenia. Schizophrenia Research, 48, 307–316.CrossRefGoogle Scholar
Lane, R.D., Reiman, E.M., Bradley, M.M., Lang, P.J., Ahem, G.L., Davidson, R.J., & Schwartz, G.E. (1997). Neuroanatomical correlates of pleasant and unpleasant emotions. Neuropsychologia, 35, 1437–1444.CrossRefGoogle Scholar
Leentjens, A.F.G., Wielaert, S.M., van Harskamp, F., & Wilmink, F.W. (1998). Disturbances of affective prosody in patients with schizophrenia; A cross sectional study. Journal of Neurology Neurosurgery and Psychiatry, 64, 375–378.CrossRefGoogle Scholar
Lewin, C. & Herlitz, A. (2002). Sex differences in face recognition—Women's faces make the difference. Brain and Cognition, 50, 121–128.CrossRefGoogle Scholar
Lewis, S.F. & Garver, D.L. (1995). Treatment and diagnostic subtype in facial affect recognition in schizophrenia. Journal of Psychiatric Research, 29, 5–11.CrossRefGoogle Scholar
Lykouras, E., Botsis, A., & Oulis, P. (1994). The Positive and Negative Syndrome Scale (PANSS). Athens: Tsiveriotis Ed.
Lykouras, L., Oulis, P., Psarros, K., Daskalopoulou, E., Botsis, A., Christodoulou, G.N., & Stefanis, C. (2000). Five-factor model of schizophrenic psychopathology: How valid is it? European Archives of Psychiatry and Clinical Neuroscience, 250, 93–100.Google Scholar
Mandal, M.K., Pandey, R., & Prasad, A.B. (1998). Facial expressions of emotions and schizophrenia: A review. Schizophrenia Bulletin, 24, 399–412.CrossRefGoogle Scholar
Mueser, K.T., Doonan, R., Penn, D.L., Blanchard, J.J., Bellack, A.S., Nishith, P., & deLeon, J. (1996). Emotion recognition and social competence in chronic schizophrenia. Journal of Abnormal Psychology, 105, 271–275.CrossRefGoogle Scholar
Opler, L.A., Kay, S.R., Lindenmayer, J., & Fiszbein, A. (1992). SCI-PANSS. Toronto, Canada: Multi-Health Systems Inc.
Owens, D.G.C. (1999). A guide to the extrapyramidal side-effects of antipsychotic drugs. Cambridge, UK: Cambridge University Press.CrossRef
Paradiso, S., Johnson, D.L., Andreasen, N.C., O'Leary, D.S., Watkins, G.L., Boles Ponto, L.L., & Hichwa, R.D. (1999). Cerebral blood flow changes associated with attribution of emotional valence to pleasant, unpleasant, and neutral visual stimuli in a PET study of normal subjects. American Journal of Psychiatry, 156, 1618–1629.CrossRefGoogle Scholar
Penn, D.L., Corrigan, P.W., Bentall, R.P., Racenstein, J.M., & Newman, L. (1997). Social cognition in schizophrenia. Psychological Bulletin 121, 114–132.CrossRefGoogle Scholar
Penn, D.L., Spaulding, W., Reed, D., & Sullivan, M. (1996). The relationship of social cognition to ward behavior in chronic schizophrenia. Schizophrenia Research, 20, 327–335.CrossRefGoogle Scholar
Philips, M.L., Drevets, W.C., Rauch, S.L., & Lane, R. (2003a). Neurobiology of emotion perception I: The neural basis of normal emotion perception. Biological Psychiatry, 54, 515–528.Google Scholar
Philips, M.L., Drevets, W.C., Rauch, S.L., & Lane, R. (2003b). Neurobiology of emotion perception II: Implications for major psychiatric disorders. Biological Psychiatry, 54, 504–514.Google Scholar
Pinkham, A.E., Penn, D.L., Perkins, D.O., & Lieberman, J. (2003). Implications for the neural basis of social cognition for the study of schizophrenia. American Journal of Psychiatry, 160, 815–824.CrossRefGoogle 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, 649–658.CrossRefGoogle Scholar
Reitan, R.M. (1958). Validity of the Trail Making Test as an indicator of organic brain damage. Perceptual and Motor Skills, 8, 271–276.CrossRefGoogle Scholar
Ross, E.D., Orbelo, D.M., Cartwright, J., Hansel, S., Burgard, M., Testa, J.A., & Buck, R. (2001). Affective-prosodic deficits in schizophrenia: Profiles of patients with brain damage and comparison with relation to schizophrenic symptoms. Journal of Neurology Neurosurgery and Psychiatry, 70, 597–604.CrossRefGoogle Scholar
Salem, J.E., Kring, A.M., & Kerr, S.L. (1996). More evidence for generalized poor performance in facial emotion perception in schizophrenia. Journal of Abnormal Psychology, 105, 480–483.CrossRefGoogle Scholar
Schneider, F., Gur, R.C., Gur, R.E., & Shtasel, D.L. (1995). Emotional processing in schizophrenia: Neurobehavioral probes in relation to psychopathology. Schizophrenia Research, 17, 67–75.CrossRefGoogle Scholar
Schneider, F., Weiss, U., Kessler, C., Salloum, J.B., Posse, S., Grodd, W., & Müller-Gärtner, H.W. (1998). Differential amygdala activation in schizophrenia during sadness. Schizophrenia Research, 34, 133–142.CrossRefGoogle Scholar
Shaw, R.J., Dong, M., Lim, K.O., Faustman, W.O., Pouget, E.R., & Alpert, M. (1999). The relationship between affect expression and affect recognition in schizophrenia. Schizophrenia Research, 37, 245–250.CrossRefGoogle Scholar
Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G.C. (1998). The Mini-International Neuropsychiatric (M.I.N.I): The development and validation of a structured diagnostic psychiatric interview for DSM–IV and ICD-10. Journal of Clinical Psychiatry, 59 (Suppl. 20), 22–33.Google Scholar
Silver, H. & Shlomo, N. (2001). Perception of facial emotions in chronic schizophrenia does not correlate with negative symptoms but correlates with cognitive and motor dysfunction. Schizophrenia Research, 52, 265–273.CrossRefGoogle Scholar
Streit, M., Ioannides, A., Sinnemann, T., Wölwer, W., Dammers, J., Zilles, K., & Gaebel, W. (2001). Disturbed facial affect recognition in patients with schizophrenia associated with hypoactivity in distributed brain regions: A magnetoencephalographic study. American Journal of Psychiatry, 158, 1429–1436.CrossRefGoogle Scholar
Stroop, J.R. (1935). Studies of interference in series verbal reactions. Journal of Experimental Psychology, 18, 643–662.CrossRefGoogle Scholar
Taylor, E.M. (1959). Psychological appraisal of children with cerebelar deficits. Cambridge, MA: Harvard University Press.CrossRef
Taylor, S.F., Liberzon, I., Decker, L.R., & Koeppe, R.A. (2002). A functional anatomic study of emotion in schizophrenia. Schizophrenia Research, 58, 159–172.CrossRefGoogle Scholar
Vlahou, C.H. & Kosmidis, M.H. (2002). The Greek Trail Making Test: Preliminary normative data for clinical and research use. Psychology: The Journal of the Hellenic Psychological Society, 9, 336–352.Google Scholar
Walker, E.F., McGuire, M., & Bettes, B. (1986). Recognition and identification of facial stimuli by schizophrenics and patients with affective disorders. British Journal of Clinical Psychology, 23, 37–44.Google Scholar
Wechsler, D. (1997a). Manual for the Wechsler Adult Intelligence Scale–Third Edition. San Antonio, TX: Psychological Corporation.
Wechsler, D. (1997b). Wechsler Memory Scale–Third Edition. San Antonio, TX: Psychological Corporation.