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Chen KW, Lee SC, Chou FHC, Chiang HY, Hsueh IP, Chen PH, Wang SP, Ju YJ, Hsieh CL. Development of a Rasch-calibrated emotion recognition video test for patients with schizophrenia. Arch Clin Neuropsychol 2024; 39:724-731. [PMID: 38163920 DOI: 10.1093/arclin/acad098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 10/31/2023] [Accepted: 11/29/2023] [Indexed: 01/03/2024] Open
Abstract
Patients with schizophrenia tend to have deficits in emotion recognition (ER) that affect their social function. However, the commonly-used ER measures appear incomprehensive, unreliable and invalid, making it difficult to comprehensively evaluate ER. The purposes of this study were to develop the Computerized Emotion Recognition Video Test (CERVT) evaluating ER ability in patients with schizophrenia. This study was divided into two phases. First, we selected candidate CERVT items/videos of 8 basic emotion domains from a published database. Second, we validated the selected CERVT items using Rasch analysis. Finally, the 269 patients and 177 healthy adults were recruited to ensure the participants had diverse abilities. After the removal of 21 misfit (infit or outfit mean square > 1.4) items and adjustment of the item difficulties of the 26 items with severe differential item functioning, the remaining 217 items were finalized as the CERVT items. All the CERVT items showed good model fits with small eigenvalues (≤ 2) based on the residual-based principal components analysis for each domain, supporting the unidimensionality of these items. The 8 domains of the CERVT had good to excellent reliabilities (average Rasch reliabilities = 0.84-0.93). The CERVT contains items of the 8 basic emotions with individualized scores. Moreover, the CERVT showed acceptable reliability and validity, and the scores were not affected by examinees' gender. Thus, the CERVT has the potential to provide a comprehensive, reliable, valid, and gender-unbiased assessment of ER for patients with schizophrenia.
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Affiliation(s)
- Kuan-Wei Chen
- Department of Occupational Therapy, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan
- Department of Occupational Therapy, Shu-Zen Junior College of Medicine and Management, Kaohsiung, Taiwan
| | - Shih-Chieh Lee
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan
| | - Frank Huang-Chih Chou
- Superintendent Office, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung, Taiwan
| | - Hsin-Yu Chiang
- Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
| | - I-Ping Hsueh
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
| | - Po-Hsi Chen
- Department of Educational Psychology and Counseling, Institute for Research Excellent in Learning Sciences, National Taiwan Normal University, Taipei, Taiwan
| | - San-Ping Wang
- Department of Occupational Therapy, Taoyuan Psychiatric Center, Ministry of Health and Welfare, Taoyuan, Taiwan
| | - Yu-Jeng Ju
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Ching-Lin Hsieh
- School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan
- Department of Occupational Therapy, College of Medical and Health Sciences, Asia University, Taichung, Taiwan
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Msika EF, Despres M, Piolino P, Narme P. Dynamic and/or multimodal assessments for social cognition in neuropsychology: Results from a systematic literature review. Clin Neuropsychol 2024; 38:922-962. [PMID: 37904259 DOI: 10.1080/13854046.2023.2266172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 09/27/2023] [Indexed: 11/01/2023]
Abstract
Objective: Despite the prevalence of socio-cognitive disturbances, and their important diagnostic/therapeutic implications, the assessment of these disturbances remains scarce. This systematic review aims to identify available social cognition tools for adult assessment that use multimodal and/or dynamic social cues, specifying their strengths and limitations (e.g. from a methodological, psychometric, ecological, and clinical perspective). Method: An electronic search was conducted in Pubmed, PsychINFO, Embase and Scopus databases for articles published up to the 3th of January 2023 and the first 200 Google Scholar results on the same date. The PRISMA methodology was applied, 3884 studies were screened based on title and abstract and 329 full texts were screened. Articles using pseudo-dynamic methodologies (e.g. morphing), reported only subjective or self-reported measures, or investigated only physiological or brain activity responses were excluded. Results: In total, 149 works were included in this review, representing 65 assessment tools (i.e. 48% studying emotion recognition (n = 31), 32% Theory of Mind (n = 21), 5% empathy (n = 3), 1.5% moral cognition/social reasoning (n = 1), and 14% being multimodal (n = 9)). For each study, the tool's main characteristics, psychometric properties, ecological validity indicators and available norms are reported. The tools are presented according to social-cognitive process assessed and communication channels used. Conclusions: This study highlights the lack of validated and standardized tools. A few tools appear to partially meet some clinical needs. The development of methodologies using a first-person paradigm and taking into account the multidimensional nature of social cognition seems a relevant research endeavour for greater ecological validity.
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Affiliation(s)
- Eva-Flore Msika
- Laboratoire Mémoire, Cerveau et Cognition, Université Paris Cité, Boulogne-Billancourt, France
| | - Mathilde Despres
- Laboratoire Mémoire, Cerveau et Cognition, Université Paris Cité, Boulogne-Billancourt, France
| | - Pascale Piolino
- Laboratoire Mémoire, Cerveau et Cognition, Université Paris Cité, Boulogne-Billancourt, France
| | - Pauline Narme
- Laboratoire Mémoire, Cerveau et Cognition, Université Paris Cité, Boulogne-Billancourt, France
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Lin Y, Li C, Hu R, Zhou L, Ding H, Fan Q, Zhang Y. Impaired emotion perception in schizophrenia shows sex differences with channel- and category-specific effects: A pilot study. J Psychiatr Res 2023; 161:150-157. [PMID: 36924569 DOI: 10.1016/j.jpsychires.2023.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Revised: 02/28/2023] [Accepted: 03/02/2023] [Indexed: 03/18/2023]
Abstract
Individuals with schizophrenia reportedly demonstrate deficits in emotion perception. Relevant studies on the effects of decoder's sex, communication channels and emotion categories have produced mixed findings and seldom explored the interactions among these three key factors. The present pilot study examined how male and female individuals with schizophrenia and healthy controls perceived emotional (e.g., angry, happy, and sad) and neutral expressions from verbal semantic and nonverbal prosodic and facial channels. Twenty-eight (11 females) individuals with schizophrenia and 30 healthy controls (13 females) were asked to recognize emotional facial expressions, emotional prosody, and emotional semantics. Both accuracy and response time showed subpar performance for all communication channels and emotional categories in the schizophrenia group. More severe emotion perception deficits were found with the nonverbal (not the verbal) materials. There was also a reduced level of impairment with anger perception, especially in the female individuals with schizophrenia while biased perception towards emotional semantics was more pronounced in male individuals with schizophrenia. These findings, although preliminary, indicate the channel- and category-specific nature of emotion perception with potential sex differences among people with schizophrenia, which has important theoretical and practical implications.
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Affiliation(s)
- Yi Lin
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, 800 Dong Chuan Rd., Minhang District, Shanghai, 200240, China.
| | - Chuoran Li
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Ruozhen Hu
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, 800 Dong Chuan Rd., Minhang District, Shanghai, 200240, China
| | - Leqi Zhou
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, 800 Dong Chuan Rd., Minhang District, Shanghai, 200240, China
| | - Hongwei Ding
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, 800 Dong Chuan Rd., Minhang District, Shanghai, 200240, China.
| | - Qing Fan
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China.
| | - Yang Zhang
- Department of Speech-Language-Hearing Science & Masonic Institute for the Developing Brain, University of Minnesota, USA.
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Lin Y, Li C, Wang X, Song Y, Ding H, Fan Q, Zhang Y. Channel- and category-specific emotion recognition deficits and their associations with symptomatology and cognition in individuals with schizophrenia. Schizophr Res 2023; 254:37-39. [PMID: 36791576 DOI: 10.1016/j.schres.2023.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 02/05/2023] [Accepted: 02/05/2023] [Indexed: 02/16/2023]
Affiliation(s)
- Yi Lin
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, Shanghai, China.
| | - Chuoran Li
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xuyi Wang
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, Shanghai, China
| | - Yuhui Song
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, Shanghai, China
| | - Hongwei Ding
- Speech-Language-Hearing Center, School of Foreign Languages, Shanghai Jiao Tong University, Shanghai, China.
| | - Qing Fan
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Psychotic Disorders, Shanghai, China.
| | - Yang Zhang
- Department of Speech-Language-Hearing Science & Masonic Institute for the Developing Brain, University of Minnesota, USA.
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Lado-Codesido M, Sánchez-Reales S, Caballero-Peláez C, Iglesias-Gaspar MT, Lado MJ, García-Caballero A, Lahera G. Emotion recognition through Spanish prosody in people with schizophrenia. ACTAS ESPANOLAS DE PSIQUIATRIA 2022; 50:196-205. [PMID: 35867486 PMCID: PMC10803871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 07/01/2022] [Indexed: 06/15/2023]
Abstract
People with schizophrenia have deficits in the ability to identify emotions. An area of important dysfunction is the understanding of affective prosody, which can limit communication and social functionality. The objective of this study is to compare emotional recognition through prosody between a group of people with schizophrenia versus a control group without pathology, through the Reading the Mind in the Voice - Spanish Version scale (RMV-SV).
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Affiliation(s)
- María Lado-Codesido
- Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España
- Hospital Universitario Donostia, Donostia-San Sebastián, Guipúzcoa, España
| | - Sergio Sánchez-Reales
- Unidad de Salud Mental Comunitaria de Ronda, Área de Gestión Sanitaria Serranía de Málaga, Málaga, España
| | - Carmen Caballero-Peláez
- Unidad de Salud Mental Comunitaria de Ronda, Área de Gestión Sanitaria Serranía de Málaga, Málaga, España
| | - María-Teresa Iglesias-Gaspar
- Hospital Universitario Donostia, Donostia-San Sebastián, Guipúzcoa, España
- Instituto de Investigación Sanitaria Biodonostia. Donostia-San Sebastián, Guipúzcoa, España
| | - María J. Lado
- Escuela Superior de Ingeniería Informática - Universidad de Vigo. Ourense, España
| | - Alejandro García-Caballero
- Instituto Biomédico Galicia Sur, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Complexo Hospitalario Universitario de Ourense, Ourense, España
| | - Guillermo Lahera
- Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá. Alcalá de Henares, Madrid, España
- Servicio de Psiquiatría, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España
- Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, España
- Instituto Ramón y Cajal de Investigación Sanitaria (IRyCIS), Madrid, España
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Scoriels L, Genaro LT, Keffer S, Guimarães AL, Barros-Dumas B, Mororó LG, Biagioni T, Lucena C, da Hora TR, Sahakian BJ, Fisher M, Vinogradov S, Panizzutti R. Changes in emotion processing and social cognition with auditory versus visual neuroscience-informed cognitive training in individuals with schizophrenia. Schizophr Res 2022; 241:267-274. [PMID: 35182906 PMCID: PMC10664860 DOI: 10.1016/j.schres.2022.02.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Revised: 01/25/2022] [Accepted: 02/08/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Neuroscience-informed cognitive training has been used to remediate cognitive deficits in schizophrenia, but their effect on emotion processing and social cognition deficits, which may involve auditory and visual impairments, remain relatively unknown. In this study, we compared the efficacy of auditory versus visual neuroscience-informed cognitive training on emotion processing and social cognition in individuals with schizophrenia. METHODS In this randomised, double-blind clinical trial, 79 participants with chronic schizophrenia performed 40-hours auditory or visual dynamically equivalent computerised cognitive training. We assessed emotion processing and social cognition using Emotion Recognition, Affective Go-NoGo, Mayer-Salovey-Caruso Emotional-Intelligence, Theory of mind, and Hinting tests before and after 20 h and 40 h of training. RESULTS After training, participants from both groups decreased their reaction time for facial emotion recognition (p = 3 × 10-6, d = 0.9). This was more remarkable for the auditory group when analysing individual emotions. Both groups also reduced omissions in the affective go-no go (p = 0.01, d = 0.6), which was also attributed, post hoc, to the auditory group. Trends for improvement were observed in theory of mind (p = 0.06, d = 0.6) for both groups. Improvement in emotion processing was associated with improvement in reasoning and problem solving and global cognition and improvement in theory of mind was associated with improvement in attention and global cognition. CONCLUSIONS Both the auditory and the visual neuroscience-informed cognitive training were efficacious at improving emotion processing and social cognition in individuals with schizophrenia, although improvement was more remarkable for the auditory training group. These improvements were related to cognitive - but not symptom - improvement.
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Affiliation(s)
- Linda Scoriels
- Institut de Psychiatrie et Neurosciences de Paris, Inserm - Université Paris Descartes, France; Department of Psychiatry, University of Cambridge, United Kingdom; Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil.
| | - Larissa T Genaro
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Stella Keffer
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Anna Luiza Guimarães
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Bárbara Barros-Dumas
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Luana G Mororó
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Thales Biagioni
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Camila Lucena
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | - Thaís R da Hora
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil
| | | | - Melissa Fisher
- Department of Psychiatry, University of Minnesota, United States
| | | | - Rogério Panizzutti
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Brazil; Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Brazil.
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Social cue recognition and attributional bias in remitted bipolar disorder: Impact on social functioning. Psychiatry Res 2021; 306:114300. [PMID: 34837881 DOI: 10.1016/j.psychres.2021.114300] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 10/10/2021] [Accepted: 11/19/2021] [Indexed: 11/22/2022]
Abstract
The role of social cue recognition and attributional bias on social functioning has been sparsely studied in remitted bipolar disorder (BD). In view of this, we evaluated thirty subjects with BD (without a history of psychotic symptoms) who were in remission and thirty age and, gender-matched healthy controls for social cue recognition [using SoCueReTI (Social Cue Recognition Test- Indian Setting)], and attributional bias (using an Attributional style questionnaire). Social functioning was assessed in subjects with BD using the Functional assessment short test (FAST) - Interpersonal relationships. Subjects with BD had significant deficits in recognizing social cues in low-intensity and high-intensity vignettes when compared to healthy controls. Deficits in recognizing social cues in low-intensity vignettes were significantly correlated with the FAST scores, even after controlling for the number of episodes and duration of illness. Further replication studies are needed to ascertain the association between social cue recognition deficits and social functioning in BD.
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Gong B, Li Q, Zhao Y, Wu C. Auditory emotion recognition deficits in schizophrenia: A systematic review and meta-analysis. Asian J Psychiatr 2021; 65:102820. [PMID: 34482183 DOI: 10.1016/j.ajp.2021.102820] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 08/24/2021] [Indexed: 01/11/2023]
Abstract
BACKGROUND Auditory emotion recognition (AER) deficits refer to the abnormal identification and interpretation of tonal or prosodic features that transmit emotional information in sounds or speech. Evidence suggests that AER deficits are related to the pathology of schizophrenia. However, the effect size of the deficit in specific emotional category recognition in schizophrenia and its association with psychotic symptoms have never been evaluated through a meta-analysis. METHODS A systematic search for literature published in English or Chinese until November 30, 2020 was conducted in PubMed, Embase, Web of Science, PsychINFO, and China National Knowledge Infrastructure (CNKI), WanFang and Weip Databases. AER differences between patients and healthy controls (HCs) were assessed by the standardized mean differences (SMDs). Subgroup analyses were conducted for the type of emotional stimuli and the diagnosis of schizophrenia or schizoaffective disorders (Sch/SchA). Meta-regression analyses were performed to assess the influence of patients' age, sex, illness duration, antipsychotic dose, positive and negative symptoms on the study SMDs. RESULTS Eighteen studies containing 615 psychosis (Sch/SchA) and 488 HCs were included in the meta-analysis. Patients exhibited moderate deficits in recognizing the neutral, happy, sad, angry, fear, disgust, and surprising emotion. Neither the semantic information in the auditory stimuli nor the diagnosis subtype affected AER deficits in schizophrenia. Sadness, anger, and disgust AER deficits were each positively associated with negative symptoms in schizophrenia. CONCLUSIONS Patients with schizophrenia have moderate AER deficits, which were associated with negative symptoms. Rehabilitation focusing on improving AER abilities may help improve negative symptoms and the long-term prognosis of schizophrenia.
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Affiliation(s)
- Bingyan Gong
- Peking University School of Nursing, Beijing 100191, China
| | - Qiuhong Li
- Peking University School of Nursing, Beijing 100191, China
| | - Yiran Zhao
- Peking University School of Nursing, Beijing 100191, China
| | - Chao Wu
- Peking University School of Nursing, Beijing 100191, China.
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How to assess emotional recognition in individuals with a diagnosis of schizophrenia and other psychotic disorders: a pilot study. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01533-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Altered attentional processing of happy prosody in schizophrenia. Schizophr Res 2019; 206:217-224. [PMID: 30554811 DOI: 10.1016/j.schres.2018.11.024] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 11/17/2018] [Accepted: 11/19/2018] [Indexed: 11/21/2022]
Abstract
BACKGROUND Abnormalities in emotional prosody processing have been consistently reported in schizophrenia. Emotionally salient changes in vocal expressions attract attention in social interactions. However, it remains to be clarified how attention and emotion interact during voice processing in schizophrenia. The current study addressed this question by examining the P3b event-related potential (ERP) component. METHOD The P3b was elicited with a modified oddball task, in which frequent (p = .84) neutral stimuli were intermixed with infrequent (p = .16) task-relevant emotional (happy or angry) targets. Prosodic speech was presented in two conditions - with intelligible (semantic content condition - SCC) or unintelligible semantic content (prosody-only condition - POC). Fifteen chronic schizophrenia patients and 15 healthy controls were instructed to silently count the target vocal sounds. RESULTS Compared to controls, P3b amplitude was specifically reduced for happy prosodic stimuli in schizophrenia, irrespective of semantic status. Groups did not differ in the processing of neutral standards or angry targets. DISCUSSION The selectively reduced P3b for happy prosody in schizophrenia suggests top-down attentional resources were less strongly engaged by positive relative to negative prosody, reflecting alterations in the evaluation of the emotional salience of the voice. These results highlight the role played by higher-order processes in emotional prosody dysfunction in schizophrenia.
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Lado-Codesido M, Méndez Pérez C, Mateos R, Olivares JM, García Caballero A. Improving emotion recognition in schizophrenia with "VOICES": An on-line prosodic self-training. PLoS One 2019; 14:e0210816. [PMID: 30682067 PMCID: PMC6347191 DOI: 10.1371/journal.pone.0210816] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Accepted: 12/31/2018] [Indexed: 12/21/2022] Open
Abstract
Introduction Emotion recognition (ER) deficits have been extensively demonstrated in schizophrenia. These deficiencies are not only restricted to facial emotion recognition but also include emotional prosody (tone of the voice) recognition deficits. They have been significantly associated with symptom severity and poor social functioning. The aim of this study was to test the efficacy, in real clinical conditions, of an online self-training prosodic game included in the Social Cognition rehabilitation program e-Motional Training. Method A randomized, single-blind multicenter clinical trial was conducted with 50 outpatients with schizophrenia or schizoaffective disorder. The control group was treated with Treatment-as-usual (TAU), based on drug therapy, case management and individual and group psychotherapy (not focused on Social Cognition). The intervention group was treated with TAU plus the employment of Voices, an online self-training program devised for prosodic rehabilitation. Statistical analysis Linear regression was used to evaluate the effectiveness of the intervention in emotion recognition measured with the Reading the Mind in the Voice–Spanish Version (RMV-SV). Results There were statistically significant differences between the intervention and control group measured with RMV-SV (β = 3,6[IC 95%], p<0.001), with a response variable in RMV post R2 = 0,617. Discussion Voices, a prosodic rehabilitation game included in e-Motional Training, seems to be a promising tool for improving emotional voice recognition deficits in schizophrenia, filling the need for such interventions.
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Affiliation(s)
- María Lado-Codesido
- University of Santiago de Compostela, Santiago de Compostela, Spain, Donostia University Hospital, San Sebastián, Spain
| | | | - Raimundo Mateos
- Department of Psychiatry, School of Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - José Manuel Olivares
- Department of Psychiatry, Biomedical Institute of Galicia Sur, Biomedical Research Center in Mental Health Network (CIBERSAM), University Hospital Complex of Vigo, Pontevedra, Spain
| | - Alejandro García Caballero
- Department of Psychiatry, Biomedical Institute of Galicia Sur, Biomedical Research Center in Mental Health Network (CIBERSAM), University Hospital Complex of Ourense, Ourense, Spain
- Department of Psychiatry, School of Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain
- * E-mail:
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