IUSS Cognitive Neuroscience (ICoN) Center, Scuola Universitaria Superiore IUSS, Pavia, Italy.
Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
Epidemiol Psychiatr Sci. 2024 Feb 15;33:e8. doi: 10.1017/S204579602400009X.
Patients with affective and non-affective psychoses show impairments in both the identification and discrimination of facial affect, which can significantly reduce their quality of life. The aim of this commentary is to present the strengths and weaknesses of the available instruments for a more careful evaluation of different stages of emotion processing in clinical and experimental studies on patients with non-affective and affective psychoses.
We reviewed the existing literature to identify different tests used to assess the ability to recognise (e.g. Ekman 60-Faces Test, Facial Emotion Identification Test and Penn Emotion Recognition Test) and to discriminate emotions (e.g. Face Emotion Discrimination Test and Emotion Differentiation Task).
The current literature revealed that few studies combine instruments to differentiate between different levels of emotion processing disorders. The lack of comprehensive instruments that integrate emotion recognition and discrimination assessments prevents a full understanding of patients' conditions.
This commentary underlines the need for a detailed evaluation of emotion processing ability in patients with non-affective and affective psychoses, to characterise the disorder at early phases from the onset of the disease and to design rehabilitation treatments.
情感性和非情感性精神病患者在识别和区分面部情感方面存在障碍，这会显著降低他们的生活质量。本文的目的是介绍现有的评估工具的优缺点，以便更仔细地评估非情感性和情感性精神病患者的临床和实验研究中情绪处理的不同阶段。
我们回顾了现有文献，以确定用于评估识别能力的不同测试（例如，Ekman 60 张面孔测试、面部情绪识别测试和宾夕法尼亚情绪识别测试）和区分情绪的不同测试（例如，面部情绪辨别测试和情绪区分任务）。
目前的文献表明，很少有研究将仪器结合起来区分不同水平的情绪处理障碍。缺乏综合的仪器来整合情绪识别和区分评估，这阻碍了对患者病情的全面理解。
本文强调了需要对非情感性和情感性精神病患者的情绪处理能力进行详细评估，以便在疾病早期阶段对该疾病进行特征描述，并设计康复治疗。
