Perceptions of social dominance through facial emotion expressions in euthymic patients with bipolar I disorder

The Effect of the Intensity of Happy Expression on Social Perception of Chinese Faces

Numerous studies have shown that facial expressions influence trait impressions in the Western context. There are cultural differences in the perception and recognition rules of different intensities of happy expressions, and researchers have only explored the influence of the intensity of happy expressions on a few facial traits (warmth, trustworthiness, and competence). Therefore, we examined the effect of different intensities of Chinese happy expressions on the social perception of faces from 11 traits, namely trustworthiness, responsibility, attractiveness, sociability, confidence, intelligence, aggressiveness, dominance, competence, warmth, and tenacity. In this study, participants were asked to view a series of photographs of faces with high-intensity or low-intensity happy expressions and rate the 11 traits on a 7-point Likert scale (1 = "not very ××," 7 = "very ××"). The results indicated that high-intensity happy expression had higher-rated scores for sociability and warmth but lower scores for dominance, aggressiveness, intelligence, and competence than the low-intensity happy expression; there was no significant difference in the rated scores for trustworthiness, attractiveness, responsibility, confidence, and tenacity between the high-intensity and low-intensity happy expressions. These results suggested that, compared to the low-intensity happy expression, the high-intensity happy expression will enhance the perceptual outcome of the traits related to approachability, reduce the perceptual outcome of traits related to capability, and have no significant effect on trustworthiness, attractiveness, responsibility, confidence, and tenacity.

Affective cognition in bipolar disorder: A systematic review by the ISBD targeting cognition task force

BACKGROUND

Impairments in affective cognition are part of the neurocognitive profile and possible treatment targets in bipolar disorder (BD), but the findings are heterogeneous. The International Society of Bipolar Disorder (ISBD) Targeting Cognition Task Force conducted a systematic review to (i) identify the most consistent findings in affective cognition in BD, and (ii) provide suggestions for affective cognitive domains for future study and meta-analyses.

METHODS

The review included original studies reporting behavioral measures of affective cognition in BD patients vs controls following the procedures of the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) statement. Searches were conducted on PubMed/MEDLINE, EMBASE, and PsychInfo from inception until November 2018.

RESULTS

A total of 106 articles were included (of which nine included data for several affective domains); 41 studies assessed emotional face processing; 23 studies investigated reactivity to emotional words and images; 3 investigated explicit emotion regulation; 17 assessed implicit emotion regulation; 31 assessed reward processing and affective decision making. In general, findings were inconsistent. The most consistent findings were trait-related difficulties in facial emotion recognition and implicit emotion regulation, and impairments in reward processing and affective decision making during mood episodes. Studies using eye-tracking and facial emotion analysis revealed subtle trait-related abnormalities in emotional reactivity.

CONCLUSION

The ISBD Task Force recommends facial expression recognition, implicit emotion regulation, and reward processing as domains for future research and meta-analyses. An important step to aid comparability between studies in the field would be to reach consensus on an affective cognition test battery for BD.

Facial emotion recognition, socio-occupational functioning and expressed emotions in schizophrenia versus bipolar disorder

Facial emotion recognition deficits have been consistently demonstrated in patients with severe mental disorders. Expressed emotion is found to be an important predictor of relapse. However, the relationship between facial emotion recognition abilities and expressed emotions and its influence on socio-occupational functioning in schizophrenia versus bipolar disorder has not been studied. In this study we examined 91 patients with schizophrenia and 71 with bipolar disorder for psychopathology, socio occupational functioning and emotion recognition abilities. Primary caregivers of 62 patients with schizophrenia and 49 with bipolar disorder were assessed on Family Attitude Questionnaire to assess their expressed emotions. Patients of schizophrenia and bipolar disorder performed similarly on the emotion recognition task. Patients with schizophrenia group experienced higher critical comments and had a poorer socio-occupational functioning as compared to patients with bipolar disorder. Poorer socio-occupational functioning in patients with schizophrenia was significantly associated with greater dissatisfaction in their caregivers. In patients with bipolar disorder, poorer emotion recognition scores significantly correlated with poorer adaptive living skills and greater hostility and dissatisfaction in their caregivers. The findings of our study suggest that emotion recognition abilities in patients with bipolar disorder are associated with negative expressed emotions leading to problems in adaptive living skills.