Brain and Psychological Sciences Research Centre, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne, Vic., Australia.
Acta Psychiatr Scand. 2013 Sep;128(3):163-78. doi: 10.1111/acps.12125. Epub 2013 Mar 28.
Growing evidence suggests that patients with bipolar disorder (BD) are impaired in their ability to process non-verbal emotion, although few comprehensive reviews of the behavioural literature exist, and there has been little consideration of methodological issues that may account for discrepant empirical findings. This review examines the behavioural facial, prosodic and multimodal processing literature in BD and discusses methodological issues in the context of this evidence.
Major computer databases including Google Scholar and PsychINFO were consulted to conduct a comprehensive review of quantitative behavioural differences in the emotion-processing literature in BD. Articles were accepted only if the target population sample met criteria for a DSM-III, DSM-IV or ICD-10 diagnosis, and they contained a healthy control group.
The current literature suggests that facial emotion processing is impaired, and there is preliminary evidence for some behavioural impairment in the processing of emotional prosody.
The specificity or generalisability of impairments in facial emotion processing and the effects of mood state are unclear. Similarly, the lack of clarity around the impact of auditory processes on emotional prosody processing warrants a comprehensive examination of the auditory profile in BD.
越来越多的证据表明，双相情感障碍（BD）患者在处理非言语情绪的能力上存在障碍，尽管针对行为文献的综合综述很少，而且很少考虑可能导致经验结果不一致的方法学问题。本综述检查了 BD 中的行为面部、韵律和多模态处理文献，并结合该证据讨论了方法学问题。
谷歌学术和 PsychINFO 等主要计算机数据库被检索，以对 BD 中的情绪处理文献中的定量行为差异进行全面综述。只有当目标人群样本符合 DSM-III、DSM-IV 或 ICD-10 诊断标准，并包含健康对照组时，才接受文章。
目前的文献表明，面部情绪处理受损，并且有初步证据表明在处理情绪韵律时有一些行为障碍。
面部情绪处理障碍的特异性或普遍性以及情绪状态的影响尚不清楚。同样，听觉过程对情绪韵律处理的影响不明确，这需要对 BD 中的听觉特征进行全面检查。
