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Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia

Published online by Cambridge University Press:  16 April 2020

Alex Hofer ,
Cord Benecke ,
Monika Edlinger ,
Regina Huber ,
Georg Kemmler ,
Maria A. Rettenbacher ,
Gerald Schleich  and
W. Wolfgang Fleischhacker
Alex Hofer*
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Cord Benecke
Affiliation:
Institute for Psychology, University of Innsbruck, Innrain 52, A-6020Innsbruck, Austria
Monika Edlinger
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Regina Huber
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Georg Kemmler
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Maria A. Rettenbacher
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
Gerald Schleich
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria Institute for Psychology, University of Innsbruck, Innrain 52, A-6020Innsbruck, Austria
W. Wolfgang Fleischhacker
Affiliation:
Department of Biological Psychiatry, Medical University Innsbruck, Anichstrasse 35, A-6020Innsbruck, Austria
*
*Corresponding author. Tel.:+43 512 504 23669; fax:+43 512 504 25267. [email protected]
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Abstract

Outcome in schizophrenia is multidimensional and consists of clinical and psychosocial domains. Difficulties in affect recognition are a hallmark of schizophrenia, but there is little research investigating the consequences of this deficit on patients’ psychosocial status. This cross-sectional study examined the relationship of facial affect recognition and treatment outcomes in terms of psychopathology, quality of life (QOL), and psychosocial functioning.

We investigated 40 regular attendees of a specialized schizophrenia outpatient clinic who had been stable both from a symptomatic and a medication perspective for a minimum of 6 months and 40 healthy volunteers who were chosen to match patients in age, sex, and education. Affect recognition was positively associated with patients’ level of education and negatively with increasing age. Deficits in this area corresponded to the severity of negative and affective symptoms as well as to poor work and global functioning. These findings suggest that affect recognition is an important aspect of psychosocial functioning in stable outpatients with schizophrenia.

Keywords

SchizophreniaEmotion perceptionAffect recognitionPsychosocial outcome
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 1 , 2009 , pp. 27 - 32
Copyright
Copyright © Elsevier Masson SAS 2009

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