TY  - JOUR
PY  - 2019//
TI  - Facial emotion recognition in people with schizophrenia and a history of violence: a mediation analysis
JO  - European archives of psychiatry and clinical neuroscience
A1  - Bulgari, Viola
A1  - Bava, Mattia
A1  - Gamba, Giulia
A1  - Bartoli, Francesco
A1  - Ornaghi, Alessandra
A1  - Candini, Valentina
A1  - Ferla, Maria Teresa
A1  - Cricelli, Marta
A1  - Bianconi, Giorgio
A1  - Cavalera, Cesare
A1  - Conte, Giovanni
A1  - Stefana, Alberto
A1  - Picchioni, Marco
A1  - Iozzino, Laura
A1  - Crocamo, Cristina
A1  - Carrà, Giuseppe
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Evidence for an association between impaired facial emotion recognition and violence in people with schizophrenia is inconclusive. In particular, the role of misidentification patterns involving specific emotions such as anger and the influence of clinical characteristics on this association remain unclear. In this study, we compared facial emotion recognition performance in age- and gender-matched schizophrenia spectrum disorders subjects with (N = 52) and without (N = 52) a history of violence. Data on current symptom severity, Cluster B personality status, past victimization, and alcohol and substance misuse were also collected. Compared to those without, subjects with a history of violence showed worse facial emotion recognition performances, involving anger, fear, disgust, sadness, and happiness. When formally testing the reporting of angry faces, evidence of enhanced sensitivity to anger was not supported. Finally, when the impact of current symptoms was assessed, higher severity of activation symptoms, including motor hyperactivity, elevated mood, excitement and distractibility, mediated the relationship between history of violence and poor facial emotion recognition performance. As a whole, our findings seem to support the role of perceptual deficits involving different emotions as well as of a mediation played by activation symptoms. Facial emotion recognition deficits associated with the propensity to violence, as well certain symptoms mediating their relationship, should be targeted by specific treatment approaches.<p />  <p>Language: en</p>
LA  - en
SN  - 0940-1334
UR  - http://dx.doi.org/10.1007/s00406-019-01027-8
ID  - ref1
ER  -