Bozorg Bonnie, Tehrani-Doost Mehdi, Shahrivar Zahra, Fata Ladan, Mohamadzadeh Azar
Clinical Psychologist, Tehran University of Medical Sciences, Tehran, Iran.
Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Psychiatry. 2014 Mar;9(1):20-4.
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.
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.
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).
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.
双相情感障碍(BD)与情绪能力异常有关。这种能力的一个主要方面是面部呈现的情绪识别。本研究旨在评估双相情感障碍青少年在无急性症状时的面部情绪识别能力。
从鲁兹贝医院连续收治的大量青少年样本中选取30名年龄在12至18岁之间被诊断为双相情感障碍的患者。将他们与从德黑兰主流学校招募的30名匹配的正常发育青少年进行比较。所有参与者都通过面部情绪识别任务进行评估。参与者需要识别快乐、悲伤、愤怒和中性的面部表情。方差分析用于分析两组在情绪识别变量方面的差异。
双相情感障碍患者在总体情绪识别方面存在显著缺陷(p = 0.01),这在愤怒面孔中尤为突出。与正常个体相比,他们识别面部表情的反应时间更长。在识别快乐和中性面孔时,这种差异具有显著性(p < 0.05)。
本研究表明双相情感障碍青少年对面部表情的识别不准确,尤其是对于愤怒表情,并且在检测情绪特别是快乐情绪方面存在迟缓。