Social functioning and facial emotional expression in neurological and psychiatric disorders.

This study examined the relationship between facial expression and social functioning in schizophrenic, depressed, right-brain-damaged, Parkinson's disease, and normal adult participants. Raters evaluated general intensity and amount of positive and negative facial emotion while participants were producing monologues regarding pleasant and unpleasant experiences. Social functioning items were derived from three standardized inventories. Overall, patient groups displayed more negative and less positive emotion than normals, and the schizophrenic and right-brain-damaged groups showed less intense expressions than normals. Correlational analyses suggested that the more intense the facial expressions, the better the social functioning, and that the more negative emotion displayed, the poorer the social functioning.

[1]  L. Cronbach.  Coefficient alpha and the internal structure of tests , 1951 .

[2]  P. Ekman,et al.  The Repertoire of Nonverbal Behavior: Categories, Origins, Usage, and Coding , 1969 .

[3]  G. Serban.  Functioning ability in schizophrenic and "normal" subjects: short-term prediction for rehospitalization of schizophrenics. , 1975, Comprehensive psychiatry.

[4]  J. Strauss,et al.  Part 1: The Concept of Premorbid Adjustment* , 1977 .

[5]  J. Endicott,et al.  A diagnostic interview: the schedule for affective disorders and schizophrenia. , 1978, Archives of general psychiatry.

[6]  M. Taylor,et al.  A rating scale for emotional blunting. , 1978, The American journal of psychiatry.

[7]  M. Kupersmith,et al.  Dementia in Parkinson disease , 1979, Annals of neurology.

[8]  M. Mesulam,et al.  Dominant language functions of the right hemisphere? Prosody and emotional gesturing. , 1979, Archives of neurology.

[9]  W. Chaplin,et al.  Social competence and depression: the role of illusory self-perceptions. , 1980, Journal of abnormal psychology.

[10]  J. Urey,et al.  Improving heterosocial conversational skills of male psychiatric patients through a small group training procedure , 1980 .

[11]  R. Wyatt,et al.  Measurement of premorbid adjustment in chronic schizophrenia. , 1982, Schizophrenia bulletin.

[12]  P. Lewinsohn,et al.  A psychoeducational approach to the treatment of depression: comparison of group, individual, and minimal contact procedures. , 1984, Journal of consulting and clinical psychology.

[13]  B. H. Tearnan,et al.  An exploratory study: the psychoeducational group treatment of drug-refractory unipolar depression. , 1984, Journal of behavior therapy and experimental psychiatry.

[14]  J. Borod,et al.  Facial expression of positive and negative emotions in patients with unipolar depression. , 1986, Journal of affective disorders.

[15]  Marjorie Nicholas,et al.  The expression and perception of facial emotion in brain-damaged patients , 1986, Neuropsychologia.

[16]  R L Morrison,et al.  Social functioning of schizophrenic patients: clinical and research issues. , 1987, Schizophrenia bulletin.

[17]  A. Fingeret,et al.  Social perception and communication skills among schizophrenics and nonschizophrenics. , 1987, Journal of clinical psychology.

[18]  E. Koff,et al.  Emotional and non-emotional facial behaviour in patients with unilateral brain damage. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[19]  J. Borod,et al.  Parameters of emotional processing in neuropsychiatric disorders: conceptual issues and a battery of tests. , 1990, Journal of communication disorders.

[20]  H. Schroeder,et al.  Social skills training with schizophrenics: a meta-analytic evaluation. , 1990, Journal of consulting and clinical psychology.

[21]  J. Borod,et al.  Spontaneous expression of facial emotion in schizophrenic and right-brain-damaged patients. , 1990, Journal of communication disorders.

[22]  J. Borod,et al.  Interhemispheric and intrahemispheric control of emotion: a focus on unilateral brain damage. , 1992, Journal of consulting and clinical psychology.

[23]  J. Cutting.  The Role of Right Hemisphere Dysfunction in Psychiatric Disorders , 1992, British Journal of Psychiatry.

[24]  K. Heilman,et al.  Right Hemisphere Facial Expressivity During Natural Conversation , 1993, Brain and Cognition.

[25]  J. Borod,et al.  Perception of Facial Emotion in Schizophrenic and Right Brain-Damaged Patients , 1993, The Journal of nervous and mental disease.

[26]  S. M. Persad,et al.  Differences between depressed and nondepressed individuals in the recognition of and response to facial emotional cues. , 1993, Journal of abnormal psychology.

[27]  D. Penn,et al.  Emotion recognition and social competence in chronic schizophrenia. , 1996, Journal of abnormal psychology.

[28]  H. Ellgring,et al.  Spontaneous and posed facial expression in Parkinson's Disease , 1996, Journal of the International Neuropsychological Society.