Articles

Facial Emotion Recognition in Adolescents with Bipolar Disorder

Abstract

Object: Bipolar disorder (BD) is associated with abnormalities in emotional competence. One of the main aspects of this competency is emotion recognition which is presented in the face. This study aimed to evaluate facial emotion recognition in adolescents with bipolar disorder when they are free of acute symptoms.
Method: Thirty patients diagnosed with BD aged 12 to 18 were selected from a large sample of consecutive admitted adolescents in Roozbeh hospital. They were compared with 30 matched normal developing adolescents who were recruited from mainstream schools at Tehran. All participants were evaluated using a facial emotion recognition task. The participants needed to recognize happy, sad, angry and neutral facial expressions The ANOVA was used to analyze the differences between the two groups in terms of emotion recognition variables.
Results: The patients with BD showed a significant deficit in recognizing emotions in general (p=.01) which was prominent in the angry faces. Their response time to recognize the facial expressions was longer compared to the normal individuals. This difference was significant in recognizing the happy and neutral faces (p<0.05).
Conclusion: This study suggests an inaccurate recognition of facial expressions in adolescents with BD, particularly for anger, as well as slowness in detecting emotions especially happiness.

Keller MB, Lavori PW, Mueller TI, Endicott J, Coryell W, Hirschfeld RM, et al. Time to recovery, chronicity, and levels of psychopathology in major depression. A 5-year prospective follow-up of 431 subjects. Arch Gen Psychiatry 1992; 49: 809-816.

Carlson GA, Bromet EJ, Jandorf L. Conduct disorder and mania: what does it mean in adults. J Affect Disord. 1998; 48: 199-205.

Vaskinn A, Sundet K, Friis S, Simonsen C, Birkenaes AB, Engh JA, et al. The effect of gender on emotion perception in schizophrenia and bipolar disorder. Acta Psychiatr Scand. 2007; 116: 263-70.

Pavuluri MN, O'Connor MM, Harral EM, Moss M, Sweeney JA. Impact of neurocognitive function on academic difficulties in pediatric bipolar disorder: A clinical translation. Biol Psychiatry. 2006; 60: 951-6.

Dickstein DP, Treland JE, Snow J, McClure EB, Mehta MS, Towbin KE, et al. Neuropsychological performance in pediatric bipolar disorder. Biol Psychiatry 2004; 55: 32-39.

Beauchaine TP, Gatzke-Kopp L, Mead HK. Polyvagal Theory and developmental psychopathology: emotion dysregulation and conduct problems from preschool to adolescence. Biol Psychol 2007; 74: 174-184.

Shankman SA, Katz AC, Passarotti AM, Pavuluri MN. Deficits in emotion recognition in pediatric bipolar disorder: the mediating effects of irritability. J Affect Disord 2013; 144: 134-140.

Monk CS, McClure EB, Nelson EE, Zarahn E, Bilder RM, Leibenluft E, et al. Adolescent immaturity in attention-related brain engagement to emotional facial expressions. Neuroimage 2003; 20: 420-428.

Lembke A, Sachs N, Ekman P, Ketter TA. 276. Impaired facial fear recognition in manic but not euthymic bipolar patients. Biol Psychiat. 2000; 47(8, Supplement 1):S83-S4.

Degabriele R, Lagopoulos J, Malhi G. Neural correlates of emotional face processing in bipolar disorder: an event-related potential study. J Affect Disord 2011; 133: 212-220.

Strakowski SM, Delbello MP, Adler CM. The functional neuroanatomy of bipolar disorder: a review of neuroimaging findings. Mol Psychiatry 2005; 10: 105-116.

Lawrence NS, Williams AM, Surguladze S, Giampietro V, Brammer MJ, Andrew C, et al. Subcortical and ventral prefrontal cortical neural responses to facial expressions distinguish patients with bipolar disorder and major depression. Biol Psychiatry 2004; 55: 578-587.

Dickstein DP, Rich BA, Roberson-Nay R, Berghorst L, Vinton D, Pine DS, et al. Neural activation during encoding of emotional faces in pediatric bipolar disorder. Bipolar Disord 2007; 9: 679-692.

Chiu S, Widjaja F, Bates ME, Voelbel GT, Pandina G, Marble J, et al. Anterior cingulate volume in pediatric bipolar disorder and autism. J Affect Disord 2008; 105: 93-99.

Tehrani-Doost M, Noorazar GR, Shahrivar Z, Khorrami A, Farhad Baygi P. facial emotions recognition in boys with attention/deficit/hyperactivity disorder (ADHD). Neuropsychiatrie de l'Enfance et de l'Adolescence. 2012; 60: S272-S3.

Kovacs SM. Manual for the children’s depression inventory. Multi health system. Morton: Tonawanda; NJ.

Renouf AG, Kovacs M. Concordance between mothers' reports and children's self-reports of depressive symptoms: a longitudinal study. J Am Acad Child Adolesc Psychiatry 1994; 33: 208-216.

Dehshiri GR, Najafi M, Shikhi M, Habibi Askarabad M. Investigating primary psychometric properties of children's depression inventory. Journal of Family Research. 2009; 5: 159-177.

Pavuluri MN, Henry DB, Devineni B, Carbray JA , Birmaher B. Child mania rating scale: development, reliability, and validity. J Am Acad Child Adolesc Psychiatry 2006; 45: 550-560.

Barekatin M, Tavakkoli, M., Molavi, H., Maroofi, M., &Salehi, M. [Standardization, reliability, and validity of Young mania rating scale in Iran]. J Psychol 2007; 42: 150-166.

Kaufman J, Birmaher B, Brent D, Rao U, Flynn C, Moreci P, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL): initial reliability and validity data. J Am Acad Child Adolesc Psychiatry 1997; 36: 980-988.

Shahrivar Z, Kousha M, Moallemi S. Tehrani-Doost M, Alaghband-Rad J. The reliability and validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Life-time Version-Persian Version. . Child and Adolescent Mental Health 2010; 15: 97-102.

Goldstein TR, Birmaher B, Axelson D, Goldstein BI, Gill MK, Esposito-Smythers C, et al. Psychosocial functioning among bipolar youth. J Affect Disord 2009; 114: 174-183.

Gray J, Venn H, Montagne B, Murray L, Burt M, Frigerio E, et al. Bipolar patients show mood-congruent biases in sensitivity to facial expressions of emotion when exhibiting depressed symptoms, but not when exhibiting manic symptoms. Cogn Neuropsychiatry 2006; 11: 505-520.

Henry JD, Phillips LH, Crawford JR, Ietswaart M, Summers F. Theory of mind following traumatic brain injury: the role of emotion recognition and executive dysfunction. Neuropsychologia 2006; 44: 1623-1628.

Martino DJ, Strejilevich SA, Fassi G, Marengo E , Igoa A. Theory of mind and facial emotion recognition in euthymic bipolar I and bipolar II disorders. Psychiatry Res 2011; 189: 379-384.

Files
IssueVol 9 No 1 (2014) QRcode
SectionArticles
Keywords
Bipolar disorder adolescents facial emotion recognition

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Bozorg B, Tehrani-Doost M, Shahrivar Z, Fata L, Mohamadzadeh A. Facial Emotion Recognition in Adolescents with Bipolar Disorder. Iran J Psychiatry. 1;9(1):20-4.