Facial emotion recognition in child psychiatry: a systematic review.

This review focuses on facial affect (emotion) recognition in children and adolescents with psychiatric disorders other than autism. A systematic search, using PRISMA guidelines, was conducted to identify original articles published prior to October 2011 pertaining to face recognition tasks in case-control studies. Used in the qualitative synthesis were: 2 studies on schizophrenia, 18 on mood disorders, 16 on anxiety disorders, 4 on eating disorders, 14 on ADHD and 9 on conduct disorder. Our review suggests that there are abnormalities in facial emotion recognition in a wide range of child psychiatric disorders and that these are likely to have a negative effect on both family and peer relationships. Scope for further research has been identified.

[1]  D. Beidel,et al.  Recognition of Facial Affect by Children and Adolescents Diagnosed with Social Phobia , 2001, Child psychiatry and human development.

[2]  E. Gordon,et al.  Emotion brain alterations in anorexia nervosa: a candidate biological marker and implications for treatment. , 2010, Journal of psychiatry & neuroscience : JPN.

[3]  C. Kohler,et al.  Recognition of facial emotions in schizophrenia , 2004 .

[4]  Elaine Chapman,et al.  Facial Affect Interpretation in Boys with Attention Deficit/Hyperactivity Disorder , 2007, Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence.

[5]  Andreia Santos,et al.  Emotion Understanding in Children with ADHD , 2009, Child psychiatry and human development.

[6]  K. Douglas,et al.  Processing of Facial Emotion Expression in Major Depression: A Review , 2010, The Australian and New Zealand journal of psychiatry.

[7]  Bernard Dan,et al.  Recognition of emotional facial expressions in attention-deficit hyperactivity disorder. , 2006, Pediatric neurology.

[8]  Brian P Keane,et al.  Perceptual organization impairment in schizophrenia and associated brain mechanisms: review of research from 2005 to 2010. , 2011, Schizophrenia bulletin.

[9]  D.-W. Shin,et al.  Visual attention deficits contribute to impaired facial emotion recognition in boys with attention-deficit/hyperactivity disorder. , 2008, Neuropediatrics.

[10]  W. Gardner,et al.  Recognition of facial affect in girls with conduct disorder , 2010, Psychiatry Research.

[11]  Luca Passamonti,et al.  Neural abnormalities in early-onset and adolescence-onset conduct disorder. , 2010, Archives of general psychiatry.

[12]  Monique Ernst,et al.  Abnormal attention modulation of fear circuit function in pediatric generalized anxiety disorder. , 2007, Archives of general psychiatry.

[13]  M. Craske,et al.  Baseline and affective startle modulation by angry and neutral faces in 4–8-year-old anxious and non-anxious children , 2008, Biological Psychology.

[14]  Philipp Sterzer,et al.  Abnormal neural responses to emotional visual stimuli in adolescents with conduct disorder , 2005, Biological Psychiatry.

[15]  P. Pattison,et al.  Emotion recognition via facial expression and affective prosody in schizophrenia: a methodological review. , 2002, Clinical psychology review.

[16]  N. Sasson The Development of Face Processing in Autism , 2006, Journal of autism and developmental disorders.

[17]  A genome-wide association study of amygdala activation in youths with and without bipolar disorder. , 2010, Journal of the American Academy of Child and Adolescent Psychiatry.

[18]  R. Constable,et al.  Relation between amygdala structure and function in adolescents with bipolar disorder. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[19]  S. Surguladze,et al.  Facial Affect Recognition in Anorexia Nervosa: Is Obsessionality a Missing Piece of the Puzzle? , 2010, The Australian and New Zealand journal of psychiatry.

[20]  S. Porter,et al.  Fear and Loathing in Psychopaths: a Meta-Analytic Investigation of the Facial Affect Recognition Deficit , 2011 .

[21]  D. Pine,et al.  Attentional bias for emotional faces in children with generalized anxiety disorder. , 2008, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  E. Walker,et al.  Emotion recognition in disturbed and normal children: a research note. , 1981, Journal of child psychology and psychiatry, and allied disciplines.

[23]  Daniel S Pine,et al.  Neural connectivity in children with bipolar disorder: impairment in the face emotion processing circuit. , 2008, Journal of child psychology and psychiatry, and allied disciplines.

[24]  Deborah A. Day,et al.  Information processing in the child: Significance of analytic and reflective attitudes. , 1964 .

[25]  K. Marwick,et al.  Social cognition in schizophrenia: a review of face processing. , 2008, British medical bulletin.

[26]  Baris Korkmaz,et al.  Theory of Mind and Neurodevelopmental Disorders of Childhood , 2011, Pediatric Research.

[27]  Alessandra M Passarotti,et al.  An fMRI study of the neural correlates of incidental versus directed emotion processing in pediatric bipolar disorder. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[28]  R. Davidson,et al.  Probing emotion in the developing brain: functional neuroimaging in the assessment of the neural substrates of emotion in normal and disordered children and adolescents. , 2000, Mental retardation and developmental disabilities research reviews.

[29]  D. Waschbusch,et al.  Emotional processing in children with conduct problems and callous/unemotional traits. , 2008, Child: care, health and development.

[30]  Denise O'Connor,et al.  Chapter 5: Defining the review question and developing criteria for including studies , 2008 .

[31]  Hannah Keage,et al.  Misinterpreting Emotional Expressions in Attention-Deficit/Hyperactivity Disorder: Evidence for a Neural Marker and Stimulant Effects , 2008, Biological Psychiatry.

[32]  Daniel S Pine,et al.  Facial expression recognition in adolescents with mood and anxiety disorders. , 2003, The American journal of psychiatry.

[33]  Richard W Morris,et al.  Emotional face processing in schizophrenia. , 2009, Current opinion in psychiatry.

[34]  E. Leibenluft,et al.  Facial emotion labeling deficits in children and adolescents at risk for bipolar disorder. , 2008, The American journal of psychiatry.

[35]  J. Sweeney,et al.  Affective Neural Circuitry During Facial Emotion Processing in Pediatric Bipolar Disorder , 2007, Biological Psychiatry.

[36]  Leanne M. Williams,et al.  ADHD and schizophrenia phenomenology: Visual scanpaths to emotional faces as a potential psychophysiological marker? , 2006, Neuroscience & Biobehavioral Reviews.

[37]  Christopher S. Monk,et al.  Common and distinct amygdala-function perturbations in depressed vs anxious adolescents. , 2009, Archives of general psychiatry.

[38]  Monique Ernst,et al.  Specificity of facial expression labeling deficits in childhood psychopathology. , 2007, Journal of child psychology and psychiatry, and allied disciplines.

[39]  Daniel S Pine,et al.  Amygdala activation during emotion processing of neutral faces in children with severe mood dysregulation versus ADHD or bipolar disorder. , 2010, The American journal of psychiatry.

[40]  H. Meltzer,et al.  Service Use Over 18 Months among a Nationally Representative Sample of British Children with Psychiatric Disorder , 2003 .

[41]  E. Leibenluft,et al.  Limbic hyperactivation during processing of neutral facial expressions in children with bipolar disorder. , 2006, Proceedings of the National Academy of Sciences of the United States of America.

[42]  Tristram H. Smith,et al.  Emotional Understanding, Cooperation, and Social Behavior in High-Functioning Children with Autism , 2004, Journal of autism and developmental disorders.

[43]  M. Lopez-Larson,et al.  Magnetic resonance imaging studies in early onset bipolar disorder: an updated review. , 2009, Child and adolescent psychiatric clinics of North America.

[44]  Laurent Mottron,et al.  Impaired Face Processing in Autism: Fact or Artifact? , 2006, Journal of autism and developmental disorders.

[45]  J. Sweeney,et al.  Facial emotion processing in acutely ill and euthymic patients with pediatric bipolar disorder. , 2007, Journal of the American Academy of Child and Adolescent Psychiatry.

[46]  E. Leibenluft,et al.  Neural activation during encoding of emotional faces in pediatric bipolar disorder. , 2007, Bipolar disorders.

[47]  Monique Ernst,et al.  Amygdala Function and 5-HTT Gene Variants in Adolescent Anxiety and Major Depressive Disorder , 2009, Biological Psychiatry.

[48]  L. Brosgole,et al.  Visual and auditory affect recognition in depressed and nondepressed latency aged children. , 1993, The International journal of neuroscience.

[49]  Daniel S Pine,et al.  Deficits in social cognition and response flexibility in pediatric bipolar disorder. , 2005, The American journal of psychiatry.

[50]  R. Schachar,et al.  Beyond words: how do children with ADHD and/or conduct problems process nonverbal information about affect? , 2000, Journal of the American Academy of Child and Adolescent Psychiatry.

[51]  A. Billard,et al.  Investigating Gaze of Children with ASD in Naturalistic Settings , 2012, PloS one.

[52]  A. Calder,et al.  Deficits in facial expression recognition in male adolescents with early-onset or adolescence-onset conduct disorder , 2009, Journal of child psychology and psychiatry, and allied disciplines.

[53]  John A. Sweeney,et al.  Emotion processing influences working memory circuits in pediatric bipolar disorder and attention-deficit/hyperactivity disorder. , 2010, Journal of the American Academy of Child and Adolescent Psychiatry.

[54]  Daniel S Pine,et al.  BDNF gene polymorphism (Val66Met) predicts amygdala and anterior hippocampus responses to emotional faces in anxious and depressed adolescents , 2010, NeuroImage.

[55]  E. Viding,et al.  Amygdala hypoactivity to fearful faces in boys with conduct problems and callous-unemotional traits. , 2009, The American journal of psychiatry.

[56]  H. van Engeland,et al.  Do adolescent anorexia nervosa patients have deficits in emotional functioning? , 2002, European Child & Adolescent Psychiatry.

[57]  Erin B. McClure-Tone,et al.  Amygdala and ventrolateral prefrontal cortex function during anticipated peer evaluation in pediatric social anxiety. , 2008, Archives of general psychiatry.

[58]  Gerd Lehmkuhl,et al.  Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD? , 2008, European Child & Adolescent Psychiatry.

[59]  Beny Lafer,et al.  Facial emotion recognition in bipolar disorder: a critical review. , 2009, Revista brasileira de psiquiatria.

[60]  Ruosi Wang,et al.  Individual Differences in Holistic Processing Predict Face Recognition Ability , 2012, Psychological science.

[61]  Christopher S. Monk,et al.  Attention Bias to Threat Faces in Children with Bipolar Disorder and Comorbid Lifetime Anxiety Disorders , 2007, Biological Psychiatry.

[62]  S. E. Stewart,et al.  Amygdala activation in response to facial expressions in pediatric obsessive–compulsive disorder , 2010, Depression and anxiety.

[63]  P. Philippot,et al.  Decoding emotional facial expressions in depressed and anorexic patients. , 2005, Journal of affective disorders.

[64]  Alex Martin,et al.  Facial Emotion Recognition in Autism Spectrum Disorders: A Review of Behavioral and Neuroimaging Studies , 2010, Neuropsychology Review.

[65]  Joanne Rovet,et al.  Social cognitive and emotion processing abilities of children with fetal alcohol spectrum disorders: a comparison with attention deficit hyperactivity disorder. , 2009, Alcoholism, clinical and experimental research.

[66]  Monique Ernst,et al.  Ventrolateral prefrontal cortex activation and attentional bias in response to angry faces in adolescents with generalized anxiety disorder. , 2006, The American journal of psychiatry.

[67]  U. Habel,et al.  Neuronal Correlates of Facial Emotion Discrimination in Early Onset Schizophrenia , 2009, Neuropsychopharmacology.

[68]  E. Leibenluft,et al.  Risk for bipolar disorder is associated with face-processing deficits across emotions. , 2008, Journal of the American Academy of Child and Adolescent Psychiatry.