Alexithymia and the processing of emotional facial expressions (EFEs): systematic review, unanswered questions and further perspectives.

Alexithymia and the processing of emotional facial expressions (EFEs): systematic review, unanswered questions and further perspectives.
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DOI:
10.1371/journal.pone.0042429
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发表时间:
2012
期刊:
影响因子:
3.7
通讯作者:
Luminet O
Luminet O
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Grynberg D;Chang B;Corneille O;Maurage P;Vermeulen N;Berthoz S;Luminet O

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述情障碍的特点是难以识别、区分和描述情感。在以低社会功能为特征的临床疾病中经常观察到述情障碍的高患病率。本综述旨在评估临床和健康人群中述情障碍与解读情绪面部表情(EFE)能力之间的关联。更确切地说,本综述有四个主要目的:(1)评估述情障碍是否是一个比临床疾病诊断更好的预测EFE解码能力的指标;(2)评估共病因素的影响(3)研究EFE解码能力的缺陷是否与某些加工水平或任务类型有关;(4)研究赤字是否是特定EFE特有的。通过计算机文献检索Psycinfo、PubMed和Web of Science数据库,从1990年至2010年确定了24项研究(行为和神经影像学)。分析了方法学、临床特征和可能的混淆数据。审查表明:(1)述情障碍与临床障碍中标记EFE的缺陷有关,(2)抑郁和焦虑水平部分地解释了解码缺陷,(3)述情障碍与知觉能力降低有关,并且可能与情感概念的语义表征受损有关,(4)述情障碍既不与特定的EFE有关,也不与特定的效价有关。这些研究进行了讨论方面的过程中参与的EFE的识别。最后对未来情绪感知的研究方向进行了展望。
Alexithymia is characterized by difficulties in identifying, differentiating and describing feelings. A high prevalence of alexithymia has often been observed in clinical disorders characterized by low social functioning. This review aims to assess the association between alexithymia and the ability to decode emotional facial expressions (EFEs) within clinical and healthy populations. More precisely, this review has four main objectives: (1) to assess if alexithymia is a better predictor of the ability to decode EFEs than the diagnosis of clinical disorder; (2) to assess the influence of comorbid factors (depression and anxiety disorder) on the ability to decode EFE; (3) to investigate if deficits in decoding EFEs are specific to some levels of processing or task types; (4) to investigate if the deficits are specific to particular EFEs. Twenty four studies (behavioural and neuroimaging) were identified through a computerized literature search of Psycinfo, PubMed, and Web of Science databases from 1990 to 2010. Data on methodology, clinical characteristics, and possible confounds were analyzed. The review revealed that: (1) alexithymia is associated with deficits in labelling EFEs among clinical disorders, (2) the level of depression and anxiety partially account for the decoding deficits, (3) alexithymia is associated with reduced perceptual abilities, and is likely to be associated with impaired semantic representations of emotional concepts, and (4) alexithymia is associated with neither specific EFEs nor a specific valence. These studies are discussed with respect to processes involved in the recognition of EFEs. Future directions for research on emotion perception are also discussed.
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