State-dependent alteration in face emotion recognition in depression
State-dependent alteration in face emotion recognition in depression
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DOI：
10.1192/bjp.bp.110.078139
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发表时间：
2011-04-01
影响因子：
10.5
通讯作者：
Deakin, J. F. William
中科院分区：
文献类型：
--
作者：
Anderson, Ian M.;Shippen, Clare;Deakin, J. F. William
背景情绪加工中的负性偏差在当前抑郁症患者中得到了很好的识别，但在有抑郁症病史的患者中描述得不太好，这种偏差可能有助于复发。目的比较当前抑郁症患者和缓解抑郁症患者面部情绪识别的准确性、辨别力和偏差。抑郁症缓解组（n=99）。参与者提供有效的数据后，收到一个计算机化的面部情绪识别任务的诊断和情绪symptoms.Results标准化评估后，在对照组中的妇女更准确地认识到情绪比男性由于更大的歧视。在患有抑郁症的参与者中，由于反应偏差增加，缓解期的参与者比对照组正确识别出更多的情绪，而目前抑郁的参与者由于歧视减少而识别出更少的情绪。这些影响在愤怒、恐惧和悲伤中最为显著，但没有显著的情绪x群体互动，类似的模式倾向于在快乐中看到，但不是惊讶或厌恶。这些差异仅限于参与者谁是抗抑郁药免费的，与那些服用抗抑郁药有类似的结果，以控制group.Conclusions abbestion在面对情绪识别不同的人与当前的抑郁症和缓解。抑郁参与者的歧视减少可能反映了对他人情绪的回避，而那些有抑郁史的人的偏见增加可能导致复发的脆弱性。在那些服用药物的人中看到的正常面部情绪识别可能与抗抑郁药对情绪处理的已知影响有关，并可能有助于他们防止抑郁复发的能力。
Background Negative biases in emotional processing are well recognised in people who are currently depressed but are less well described in those with a history of depression, where such biases may contribute to vulnerability to relapse.Aims To compare accuracy, discrimination and bias in face emotion recognition in those with current and remitted depression.Method The sample comprised a control group (n=101), a currently depressed group (n=30) and a remitted depression group (n=99). Participants provided valid data after receiving a computerised face emotion recognition task following standardised assessment of diagnosis and mood symptoms.Results In the control group women were more accurate in recognising emotions than men owing to greater discrimination. Among participants with depression, those in remission correctly identified more emotions than controls owing to increased response bias, whereas those currently depressed recognised fewer emotions owing to decreased discrimination. These effects were most marked for anger, fear and sadness but there was no significant emotion x group interaction, and a similar pattern tended to be seen for happiness although not for surprise or disgust. These differences were confined to participants who were antidepressant-free, with those taking antidepressants having similar results to the control group.Conclusions Abnormalities in face emotion recognition differ between people with current depression and those in remission. Reduced discrimination in depressed participants may reflect withdrawal from the emotions of others, whereas the increased bias in those with a history of depression could contribute to vulnerability to relapse. The normal face emotion recognition seen in those taking medication may relate to the known effects of antidepressants on emotional processing and could contribute to their ability to protect against depressive relapse.