Facial emotion recognition in patients with bipolar I and bipolar II disorder
Facial emotion recognition in patients with bipolar I and bipolar II disorder
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DOI：
10.1348/014466509x404845
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发表时间：
2009-11-01
影响因子：
3.1
通讯作者：
Dobmeier, Matthias
中科院分区：
文献类型：
--
作者：
Derntl, Birgit;Seidel, Eva-Maria;Dobmeier, Matthias
目标.识别面部情绪表情的能力是成功的社交互动所必需的基本技能。以前的研究在双相情感障碍患者中检查这种能力产生了混合的结果。由于双相情感障碍患者即使在缓解后也表现出多种心理社会困难，本研究旨在进一步阐明双相情感障碍患者的情感识别缺陷。62名稳定的双相情感障碍门诊患者（37名女性; 25名男性）和62名匹配的健康对照参与了研究。外显面部情绪识别的准确性与计算机任务进行了测量。情绪识别表现的分析显示没有性别效应，但有显著的组效应，表明双相I型患者的准确性明显较差。双相II型障碍患者与健康对照组无显著差异。这些结果与残留症状或智力障碍无关。根据我们的研究结果，双相情感障碍患者不仅在诊断上不同，而且在社会认知功能上也不同，所有这些都应该在临床治疗中得到解决。未来的研究应该澄清情感识别缺陷是否参与双相情感障碍的发展和维持。
Objectives. The ability to recognize facial emotional expressions is a fundamental skill that is necessary for successful social interaction. Previous studies examining this competency in patients with bipolar disorder have generated mixed results. Since bipolar patients show multiple psychosocial difficulties even after remission, this study was aimed at further elucidating emotion recognition deficits in bipolar patients.Methods and design. Sixty-two stable bipolar out-patients (37 females; 25 males) and 62 matched healthy controls participated in the study. Explicit facial emotion recognition accuracy was measured with a computerized task.Results. Analysis of emotion recognition performance revealed no gender effect but a significant group effect, indicating significantly worse accuracy in patients with bipolar I. Patients with bipolar II disorder did not differ significantly from healthy controls. These results were not correlated with either residual symptoms or intellectual impairments.Conclusions. Based on our results, patients with bipolar disorder vary not only in diagnosis, but also in social cognitive functions, all of which should be addressed in clinical treatment. Future studies should clarify whether emotion recognition deficits are involved in the development and maintenance of bipolar disorder.