Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-19T06:30:53.612Z Has data issue: false hasContentIssue false

Diferencias de género en el reconocimiento de la emoción facial en personas con esquizofrenia crónica

Published online by Cambridge University Press:  12 May 2020

Elisabeth M. Weiss
Affiliation:
Departamento de Psiquiatría General, Universidad Médica de Innsbruck, Anichstrasse 35, 6020Innsbruck, Austria
Christian G. Kohler
Affiliation:
Sección de Neuropsiquiatría, Departamento de Psiquiatría, Universidad de Pennsylvania, Filadelfia, PA, EE.UU.
Colleen M. Brensinger
Affiliation:
Centro para Epidemiología Clínica y Bioestadística, Universidad de Pennsylvania, Filadelfia, PA, EE.UU.
Warren B. Bilker
Affiliation:
Centro para Epidemiología Clínica y Bioestadística, Universidad de Pennsylvania, Filadelfia, PA, EE.UU.
James Loughead
Affiliation:
Sección de Neuropsiquiatría, Departamento de Psiquiatría, Universidad de Pennsylvania, Filadelfia, PA, EE.UU.
Margerete Delazer
Affiliation:
Departamento de Neurología, Universidad Médica de Innsbruck, Anichstrasse 35, 6020Innsbruck, Austria
Karen A. Nolan
Affiliation:
Instituto Nathan S. Kline para la Investigación Psiquiátrica, Orangeburg, NY, EE. UU.
Get access

Resumen

Antecedentes

El propósito del presente estudio era investigar las posibles diferencias sexuales en el reconocimiento de expresiones faciales de la emoción e investigar el patrón de errores de clasificación en varones y mujeres con esquizofrenia. Este enfoque proporciona una oportunidad de examinar el grado en que varones y mujeres difieren en la percepción e interpretación de las diferentes emociones que les muestran y analizar qué emociones son más susceptibles a los errores de reconocimiento.

Métodos

Cincuenta y seis pacientes con esquizofrenia crónica hospitalizados (38 hombres y 18 mujeres) respondieron al Test de Reconocimiento de las Emociones de Penn (ER40), una prueba informatizada de discriminación de las emociones que presenta 40 fotografías en color de expresiones evocadas de felicidad, tristeza, ira y temor y expresiones neutrales equilibradas en cuanto al género y el origen étnico del modelo.

Resultados

Encontramos una diferencia de sexo significativa en los patrones de las tasas de error en el Test de Reconocimiento de las Emociones de Penn. Los rostros neutrales se tomaban más comúnmente como enfadados en los hombres esquizofrénicos, mientras que las mujeres esquizofrénicas interpretaban erróneamente con más frecuencia los rostros neutrales como tristes. Además, los rostros femeninos se reconocían mejor en conjunto, pero el temor se reconocía mejor en las fotografías del mismo género, mientras que la ira se reconocía mejor en fotografías de género diferente.

Conclusiones

Los hallazgos del presente estudio prestan apoyo a la noción de que las diferencias sexuales en el comportamiento agresivo se podrían relacionar con un estilo cognitivo caracterizado por atribuciones hostiles a rostros neutrales en los hombres esquizofrénicos.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bibliografía

Addington, J, Addington, D. Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophr Res 1998;32:171–81.CrossRefGoogle ScholarPubMed
Agresti, A. A categorical data analysis. New York: John Wiley & Sons; 1990.Google Scholar
Bellack, AS, Blanchard, JJ, Mueser, KT. Cue availability and affect perception in schizophrenia. Schizophr Bull 1996;22(3):535–44.CrossRefGoogle Scholar
Borod, JC, Martin, CC, Alpert, M, Brozgold, A, Welkowitz, J. Perception of facial emotions in schizophrenic and right brain- damaged patients. J Nerv Ment Dis 1993;181 (8):494502.CrossRefGoogle ScholarPubMed
Bryson, G, Bell, M, Lysaker, P. Affect recognition in schizophrenia: a function of global impairment or a specific cognitive deficit. Psychiatry Res 1997;71(2): 105–13.CrossRefGoogle ScholarPubMed
Campbell, R, Elgar, K, Kuntsi, J, Akers, R, Terstegge, J, Coleman, M, et al. The classification of ‘fear’ from faces is associated with face recognition skill in women. Neuropsychologia 2002;40(6):575–84.CrossRefGoogle ScholarPubMed
Coccaro, EF, Berman, ME, Kavoussi, RJ. Assessment of life history of aggression: development and psychometric characteristics. Psychiatry Res 1997;73(3): 147–57.CrossRefGoogle ScholarPubMed
Coccaro, EF, Kavoussi, RJ, Hauger, RL, Cooper, TB, Ferris, CF. Cerebrospinal fluid vasopressin levels: correlates with aggression and serotonin function in personality-disordered subjects. Arch Gen Psychiatry 1998;55(8):708–14.CrossRefGoogle ScholarPubMed
Dimberg, U, Lundquist, LO. Gender differences in facial reactions to facial expressions. Biol Psychol 1990;30(2): 151-9.CrossRefGoogle ScholarPubMed
Dodge, KA. Social-cognitive mechanisms in the development of conduct disorder and depression. Annu Rev Psychol 1993;44:559–84.CrossRefGoogle ScholarPubMed
Edwards, J, Pattison, PE, Jackson, HJ, Wales, RJ. Facial affect and affective prosody recognition in first-episode schizophrenia. Schizophr Res 2001 ;48(2–3):235–53.CrossRefGoogle ScholarPubMed
Edwards, J, Jackson, HJ, Pattison, PE. Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review. Clin Psychol Rev 2002;22(6):789832.CrossRefGoogle ScholarPubMed
Erwin, RJ, Gur, RC, Gur, RE, Skolnick, B, Mawhinney-Hee, M, Smailis, J. Facial emotion discrimination: I. Task construction and behavioral findings in normal subjects. Psychiatry Res 1992;42(3):231–40.CrossRefGoogle ScholarPubMed
Feinberg, TE, Rifkin, A, Schaffer, C, Walker, E. Facial discrimination and emotional recognition in schizophrenia and affective disorders. Arch Gen Psychiatry 1986;43(3):276–9.CrossRefGoogle ScholarPubMed
Gur, RC, Erwin, RJ, Gur, RE, Zwil, AS, Heimberg, C, Kraemer, HC. Facial emotion discrimination: II. Behavioral findings in depression. Psychiatry Res 1992;42(3):241–51.CrossRefGoogle ScholarPubMed
Gur, R, Schroeder, L, Turner, T, McGrath, C, Chan, R, Turetsky, B, et al. Brain activation during facial emotion processing. Neuroimage 2002; 16(3 Pt 1):651.CrossRefGoogle ScholarPubMed
Habel, U, Gur, RC, Mandal, MK, Salloum, JB, Gur, RE, Schneider, F. Emotional processing in schizophrenia across cultures: standardized measures of discrimination and experience. Schizophr Res 2000;42(l):5766.CrossRefGoogle ScholarPubMed
Hall, JA. Non-verbal sex differences, communication accuracy and expressive style. Baltimore: John Hopkins University Press; 1984.Google Scholar
Heimberg, C, Gur, RE, Erwin, RJ, Shtasel, DL, Gur, RC. Facial emotion discrimination: III. Behavioral findings in schizophrenia. Psychiatry Res 1992;42:253–65.CrossRefGoogle Scholar
Hodgins, S. Mental disorder, intellectual deficiency, and crime. Evidence from a birth cohort. Arch Gen Psychiatry 1992;49:476–83.CrossRefGoogle ScholarPubMed
Hugdahl, K, Iversen, PM, Johnsen, BH. Laterality for facial expressions: does the sex of the subject interact with the sex of the stimulus face? Cortex 1993;29(2):325–31.CrossRefGoogle ScholarPubMed
Kay, SR, Fiszbein, A, Opler, LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13(2):261–76.CrossRefGoogle Scholar
Kerr, SL, Neale, JM. Emotion perception in schizophrenia: specific deficit or further evidence of generalized poor performance? J Abnorm Psychol 1993;102(2):312–8.CrossRefGoogle ScholarPubMed
Kohavi, R, Provost, F. Glossary of terms: special issue on applications of machine learning and the knowledge discovery process. Machine Learning 1998;30:271–4 (Longitudinal data sets are comprised of repeated observations of an outcome and a set of covariates for).Google Scholar
Kohler, CG, Bilker, W, Hagendoom, M, Gur, RE, Gur, RC. Emotion recognition deficit in schizophrenia: association with symptomatology and cognition. Biol Psychiatry 2000;48(2): 127–36.CrossRefGoogle ScholarPubMed
Kohler, CG, Turner, TH, Bilker, WB, Brensinger, CM, Siegel, SJ, Kanes, SJ, et al. Facial emotion recognition in schizophrenia: intensity effects and error pattern. Am J Psychiatry 2003;160(10): 1768–74.CrossRefGoogle ScholarPubMed
Krakowski, M, Czobor, P. Gender differences in violent behaviors: relationship to clinical symptoms and psychosocial factors. Am J Psychiatry 2004;161(3):459–65.CrossRefGoogle ScholarPubMed
Kring, AM, Gordon, AH. Sex differences in emotion: expression, experience, and physiology. J Pers Soc Psychol 1998;74(3):686703.CrossRefGoogle ScholarPubMed
Liang, KY, Zeger, SL. Longitudinal data analysis using generalized linear models. Biometrika 1986;73:1322.CrossRefGoogle Scholar
Maccoby, EE, Jacklin, CN. The psychology of sex differences. Stanford, Calif: Stanford University Press; 1974.Google Scholar
Mandal, MK, Jain, A, Haque-Nizamie, S, Weiss, U, Schneider, F. Generality and specificity of emotion-recognition deficit in schizophrenic patients with positive and negative symptoms. Psychiatry Res 1999;87(l):3946.CrossRefGoogle ScholarPubMed
Mandal, MK, Pandey, R, Prasad, AB. Facial expressions of emotions and schizophrenia: a review. Schizophr Bull 1998;24(3):399412.CrossRefGoogle ScholarPubMed
McNiel, DE, Eisner, JP, Binder, RL. The relationship between aggressive attributional style and violence by psychiatric patients. J Consult Clin Psychol 2003;71(2):399403.CrossRefGoogle ScholarPubMed
Mueser, KT, Doonan, R, Penn, DL, Blanchard, JJ, Bellack, AS, Nishith, P, et al. Emotion recognition and social competence in chronic schizophrenia. J Abnorm Psychol 1996; 105(2):271–5.CrossRefGoogle ScholarPubMed
Orozco, S, Ehlers, CL. Gender differences in electrophysiological responses to facial stimuli. Biol Psychiatry 1998;44(4):281–9.CrossRefGoogle ScholarPubMed
Pell, MD. Evaluation of non-verbal emotion in face and voice: some preliminary findings on a new battery of tests. Brain Cogn 2002;48(2–3):499504.Google Scholar
Penn, DL, Combs, DR, Ritchie, M, Francis, J, Cassisi, J, Morris, S, et al. Emotion recognition in schizophrenia: further investigation of generalized versus specific deficit models. J Abnorm Psychol 2000;109(3):512–6.CrossRefGoogle ScholarPubMed
Persad, SM, Polivy, J. Differences between depressed and nondepressed individuais in the recognition of and response to facial emotional cues. J Abnorm Psychol 1993; 102(3):358–68.CrossRefGoogle Scholar
Rahman, Q, Wilson, GD, Abrahams, S. Sex, sexual orientation, and identification of positive and negative facial affect. Brain Cogn 2004;54(3):179–85.CrossRefGoogle ScholarPubMed
Sachs, G, Steger-Wuchse, D, Kryspin-Exner, I, Gur, RC, Katschníg, H. Facial recognition deficits and cognition in schizophrenia. Schizophr Res 2004;68(l):2735.CrossRefGoogle ScholarPubMed
Salem, JE, Kring, AM, Kerr, SL. More evidence for generalized poor performance in facial emotion perception in schizophrenia. J Abnorm Psychol 1996;105(3):480–3.CrossRefGoogle Scholar
Schneider, F, Gur, RC, Gur, RE, Shtasel, DL. Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology. Schizophr Res 1995;17(l):6775.CrossRefGoogle ScholarPubMed
Schwartz, GE, Brown, SL, Ahern, GL. Facial muscle patteming and subjective experience during affective imagery: sex differences. Psychophysiology 1980;17(l):7582.CrossRefGoogle ScholarPubMed
Silver, H, Shlomo, N, Tumer, T, Gur, RC. Perception of happy and sad facial expressions in chronic schizophrenia: evidence for two evaluative systems. Schizophr Res 2002;55:171–7.CrossRefGoogle ScholarPubMed
Swanson, JW, Holzer, CE, Ganju, VK, Jono, RT. Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys. Hosp Community Psychiatry 1990;41(7):761–70.Google ScholarPubMed
Thayer, JF, Johnsen, BH. Sex differences in judgement of facial affect: a multivariate analysis of recognition errors. Scand J Psychol 2000;41(3):243–6.CrossRefGoogle ScholarPubMed
Volavka, J. Neurobiology of violence. 2nd ed. Washington, DC: American Psychiatric Publishing, Inc.; 2002.Google Scholar
Weiss, EM, Kohler, CG, Nolan, KA, Czobor, P, Volavka, J, Platt, MM, et al. The relationship between history of violent and criminal behavior and recognition of facial expression of emotion in men with schizophrenia and schizoaffective disorder. Aggressive Behav 2006;32(3):188–95.CrossRefGoogle Scholar