Impaired Recognition of Facial Emotion in Mania

OBJECTIVE: Recognition of facial emotion was examined in manic subjects to explore whether aberrant interpersonal interactions are related to impaired perception of social cues. METHOD: Manic subjects with bipolar I disorder (N=8), euthymic subjects with bipolar I (N=8) or bipolar II (N=8) disorder,...

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Bibliographic Details
Published in:The American journal of psychiatry 2002-02, Vol.159 (2), p.302-304
Main Authors: Lembke, Anna, Ketter, Terence A.
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Biological and medical sciences
Bipolar Disorder - classification
Bipolar Disorder - diagnosis
Bipolar Disorder - psychology
Cues
Emotions
Face
Facial Expression
Facial expressions
Female
Humans
Interpersonal Relations
Male
Mania
Medical sciences
Mental disorders
Mood disorders
Perceptions
Personality
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recognition
Reference Values
Social Perception
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Summary:OBJECTIVE: Recognition of facial emotion was examined in manic subjects to explore whether aberrant interpersonal interactions are related to impaired perception of social cues. METHOD: Manic subjects with bipolar I disorder (N=8), euthymic subjects with bipolar I (N=8) or bipolar II (N=8) disorder, and healthy comparison subjects (N=10) matched pictures of faces to the words "fear," "disgust," "anger," "sadness," "surprise," and "happiness." RESULTS: The manic subjects showed worse overall recognition of facial emotion than all other groups. They showed worse recognition of fear and disgust than the healthy subjects. The euthymic bipolar II disorder subjects showed greater fear recognition than the manic and euthymic bipolar I disorder subjects. CONCLUSIONS: Impaired perception of facial emotion may contribute to behaviors in mania. Impaired recognition of fear and disgust, with relatively preserved recognition of other basic emotions, contrasts with findings for depression and is consistent with a mood-congruent positive bias.
ISSN:0002-953X
1535-7228
DOI:10.1176/appi.ajp.159.2.302