Psychology Department, Université du Québec à Montréal, Montreal, Canada; Research Centre, CHU Sainte-Justine, Montreal, Canada.
Research Centre, CHU Sainte-Justine, Montreal, Canada; Department of Psychology, Concordia University, Montreal, Canada; Department of Psychiatry and Addictology, Université de Montréal, Montreal, Canada.
Psychiatry Res. 2021 Apr;298:113777. doi: 10.1016/j.psychres.2021.113777. Epub 2021 Jan 30.
Studies have reported that emotional facial expression recognition (EFER) may be altered in individuals with depression. This study examined EFER in adolescent girls with and without depression and further examined associations between relevant clinical features of depression and EFER. Fifty adolescent girls aged 12 to 19 years old meeting criteria for depression or subthreshold levels of symptomatology and 55 adolescent girls with no psychiatric diagnosis completed EFER tasks. Reaction time and accuracy for recognising expressions at high and low intensities, and sensitivity in recognising happiness, sadness, anger and fear were assessed. Data were analysed using linear mixed models. Adolescents with depression were marginally faster than those in the comparison group to recognize sadness, although this trend disappeared once covarying for age and antidepressant use. Amongst adolescents with depression, clinical features were associated with poorer EFER performance. In contrast, anxiety symptoms were linked to better accuracy and heightened sensitivity towards happiness. A better understanding of EFER in adolescent girls with and without depression, and how clinical features might be associated with altered patterns of EFER could help to explain clinical heterogeneity observed in such studies of adolescents with depression. Knowledge of socio-cognitive alterations associated with depression will help to better develop and tailor interventions.
研究报告称，抑郁症患者的情绪面部表情识别（EFER）可能会发生改变。本研究探讨了患有和不患有抑郁症的青少年女性的 EFER，并进一步探讨了抑郁症相关临床特征与 EFER 之间的关联。符合抑郁症标准或亚临床症状的 50 名 12 至 19 岁的青少年女孩和 55 名没有精神科诊断的青少年女孩完成了 EFER 任务。评估了识别高、低强度表情的反应时间和准确性，以及识别快乐、悲伤、愤怒和恐惧的敏感性。使用线性混合模型分析数据。尽管考虑到年龄和抗抑郁药使用情况后，这种趋势消失了，但患有抑郁症的青少年识别悲伤的速度比对照组快一点。在患有抑郁症的青少年中，临床特征与 EFER 表现较差相关。相比之下，焦虑症状与对幸福的准确性更高和敏感性更高有关。更好地了解患有和不患有抑郁症的青少年的 EFER，以及临床特征如何与 EFER 的改变模式相关联，可能有助于解释对患有抑郁症的青少年进行此类研究时观察到的临床异质性。与抑郁症相关的社会认知改变的知识将有助于更好地开发和调整干预措施。
