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Differences in Facial Emotional Recognition Between Patients With the First-Episode Psychosis, Multi-episode Schizophrenia, and Healthy Controls

Published online by Cambridge University Press:  23 November 2018

Dina Bosnjak Kuharic Open the ORCID record for Dina Bosnjak Kuharic [Opens in a new window] ,
Porin Makaric ,
Ivana Kekin ,
Iva Lukacevic Lovrencic ,
Aleksandar Savic ,
Drazenka Ostojic ,
Ante Silic ,
Petrana Brecic ,
Zarko Bajic  and
Martina Rojnic Kuzman
Dina Bosnjak Kuharic
Affiliation:
University Psychiatric Hospital Vrapce, Zagreb, Croatia
Porin Makaric
Affiliation:
University Psychiatric Hospital Vrapce, Zagreb, Croatia
Ivana Kekin
Affiliation:
Department of Psychiatry, Zagreb University Hospital Centre, Zagreb, Croatia
Iva Lukacevic Lovrencic
Affiliation:
Zagreb School of Medicine, University of Zagreb, Zagreb, Croatia
Aleksandar Savic
Affiliation:
University Psychiatric Hospital Vrapce, Zagreb, Croatia Zagreb School of Medicine, University of Zagreb, Zagreb, Croatia
Drazenka Ostojic
Affiliation:
University Psychiatric Hospital Vrapce, Zagreb, Croatia Faculty of Law, University of Zagreb, Zagreb, Croatia
Ante Silic
Affiliation:
Sestre milosrdnice University Hospital Center, Zagreb, Croatia Department of Psychology, University Department of Croatian Studies, University of Zagreb, Zagreb, Croatia
Petrana Brecic
Affiliation:
University Psychiatric Hospital Vrapce, Zagreb, Croatia Department of Psychology, University Department of Croatian Studies, University of Zagreb, Zagreb, Croatia
Zarko Bajic
Affiliation:
Biometrika Healthcare Research, Zagreb, Croatia
Martina Rojnic Kuzman*
Affiliation:
Department of Psychiatry, Zagreb University Hospital Centre, Zagreb, Croatia Zagreb School of Medicine, University of Zagreb, Zagreb, Croatia
*
Correspondence and reprint requests to: Martina Rojnic Kuzman, Department of Psychiatry, Zagreb University Hospital Centre, Kispaticeva 12, HR-10000 Zagreb, Croatia. E-mail: mrojnic@gmail.com
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Abstract

Objectives: The aim of our study was to assess the differences in facial emotional recognition (FER) between patients with first-episode psychosis (FEP), patients with multi-episode schizophrenia (SCH), and healthy controls (HC) and to find possible correlations of FER with psychopathology in the two patient groups. Methods: We performed a cross-sectional study enrolling 160 patients from two psychiatric hospitals in Croatia (80 FEP and 80 SCH) and 80 HC during the period from October 2015 until October 2017. Patients were assessed once during their hospital treatment, using the Penn Emotion Recognition Task for assessment of FER, rating scales for psychopathology and depression and self-reporting questionnaires for impulsiveness, aggression, and quality of life. Results: The number of correctly identified emotions significantly decreased from HC to FEP [Δ −7%; 95% confidence interval (CI) [−12% to −3%], effect size r = 0.30] and more markedly in SCH (Δ −15%; 95% CI [−25% to −10%], effect size r = 0.59) after the adjustment for age and gender and correction for multiple testing. Correct FER for negative emotions, but not for happiness and neutral emotions, had a statistically significant negative correlation with some features on the scales of psychopathology, impulsivity and aggression in both patient groups. Conclusions: Impairment of FER is present from the first episode of schizophrenia and increases further with multiple psychotic episodes, but it may depend on or contribute to clinical symptoms. Therefore, assessment of FER should be included in the clinical assessment and integrated in the plan of treatment from the beginning of the illness. (JINS, 2019, 25, 165–173)

Keywords

Facial emotional recognitionschizophreniaPsychotic disordersFirst-episode psychosisNeuropsychological tests
Type
Regular Research
Information
Journal of the International Neuropsychological Society , Volume 25 , Issue 2 , February 2019 , pp. 165 - 173
Copyright
Copyright © The International Neuropsychological Society 2018 

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