Emotional responding in deficit and non-deficit schizophrenia
Abstract
Although emotional dysfunction is presumed to be a central part of the deficit syndrome in schizophrenia, it has not yet been empirically investigated in deficit and non-deficit patients. Emotional responding was examined in 19 male deficit patients, 22 non-deficit patients, and 20 non-patient controls. Patients participated in a semi-structured clinical interview that included questions from the Schedule for the Deficit Syndrome (SDS) and the Brief Psychiatric Rating Scale (BPRS), and then were then categorized into deficit and non-deficit groups. In addition, all participants viewed emotional films while their facial expressions were videotaped and then completed self-reports of emotional experience following each film. As predicted, deficit patients were less expressive than non-deficit patients and controls across the films. Contrary to prediction, deficit patients did not report experiencing less emotion to the films than non-deficit patients or controls. Thus, a disjunction in emotional responding appeared to characterize deficit patients, who were less expressive than controls but did not report less emotional experience. Alternative explanations for the findings are considered as are directions for future research.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Individuals with schizophrenia show diminished positive and negative emotions in response to emotional movie clips, food, and social exchange, even when taking medication.
“Individuals with schizophrenia show diminished positive and negative emotions in response to emotional movie clips [387], food [388], and social exchange [389-391], even when taking medication [388].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [387]
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Coefficient Alpha and the Internal Structure of Tests
Cronbach, L. J. (1951) · Psychometrika · doi:10.1007/bf02310555 · Cited by 43,931 · see citing works
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 23,433 · see citing works
The Brief Psychiatric Rating Scale.
Overall, J. E., & Gorham, D. R. (1962) · Psychological Reports · doi:10.2466/pr0.1962.10.3.799 · Cited by 11,090 · see citing works
(1976) · Medical Entomology and Zoology · Cited by 8,899 · see citing works
Dementia Praecox or the Group of Schizophrenias
(1951) · Journal of the American Medical Association · doi:10.1001/jama.1951.02920270079043 · Cited by 4,407 · see citing works
Review of personality and social psychology
Wheeler, L. S., & Shaver, P. R. (1980) · UMI Books on Demand · Cited by 3,593 · see citing works
Emotion elicitation using films
Gross, J. J., & Levenson, R. W. (1995) · Cognition & Emotion · doi:10.1080/02699939508408966 · Cited by 2,179 · see citing works
(1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.4.1 · Cited by 1,347 · see citing works
Deficit and nondeficit forms of schizophrenia: the concept
Carpenter, W. T., Heinrichs, D. W., & Wagman, A. M. I. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.5.578 · Cited by 1,329 · see citing works
ON THE METHODS AND THEORY OF RELIABILITY
Bartko, J. J., & Carpenter, W. T. (1976) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-197611000-00003 · Cited by 1,318 · see citing works
The schedule for the deficit syndrome: An instrument for research in schizophrenia
Kirkpatrick, B. R., Buchanan, R. W., McKenny, P. D., Alphs, L. D., & Carpenter, W. T. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90153-4 · Cited by 802 · see citing works
Tamminga, C. A. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820070016003 · Cited by 546 · see citing works
Treatment of Negative Symptoms
Carpenter, W. T., Heinrichs, D. W., & Alphs, L. D. (1985) · Schizophrenia Bulletin · doi:10.1093/schbul/11.3.440 · Cited by 508 · see citing works
Evidence of convergent validity on the dimensions of affect
Russell, J. A. (1978) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.36.10.1152 · Cited by 495 · see citing works
Emotional experience and expression in schizophrenia and depression.
Berenbaum, H., & Oltmanns, T. F. (1992) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.101.1.37 · Cited by 431 · see citing works
Effects of clozapine on positive and negative symptoms in outpatients with schizophrenia
Breier, A. F., Buchanan, R. W., Kirkpatrick, B. W., Davis, O. R., Irish, D., Summerfelt, A. T., & Carpenter, W. T. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.1.20 · Cited by 388 · see citing works
Kring, A. M., & Neale, J. M. (1996) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.105.2.249 · Cited by 374 · see citing works
Self-citationEmotional experience and expression in schizophrenia and depression
Berenbaum, H., & Oltmanns, T. F. (1992) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.101.1.37 · Cited by 345 · see citing works
Flat affect in schizophrenia does not reflect diminished subjective experience of emotion.
Kring, A. M., Kerr, S., Smith, D. A., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.4.507 · Cited by 319 · see citing works
Self-citationFlat affect in schizophrenia does not reflect diminished subjective experience of emotion.
Kring, A. M., Kerr, S. L., Smith, D. A., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.4.507 · Cited by 319 · see citing works
Self-citationNeuropsychological Impairments in Deficit vs Nondeficit Forms of Schizophrenia
Buchanan, R. W. (1994) · Archives of General Psychiatry · doi:10.1001/archpsyc.1994.03950100052005 · Cited by 269 · see citing works
Antecedents, symptom progression, and long-term outcome of the deficit syndrome in schizophrenia
Fenton, W. S., & McGlashan, T. H. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.3.351 · Cited by 260 · see citing works
Clinical correlates of the deficit syndrome of schizophrenia
Buchanan, R. W., Kirkpatrick, B. W., Heinrichs, D. W., & Carpenter, W. T. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.3.290 · Cited by 226 · see citing works
Case identification and stability of the deficit syndrome of schizophrenia
Kirkpatrick, B. W., Buchanan, R. W., Breier, A. F., & Carpenter, W. T. (1993) · Psychiatry Research · doi:10.1016/0165-1781(93)90054-k · Cited by 190 · see citing works
"Negative Symptoms": Conceptual and Methodological Problems
Sommers, A. (1985) · Schizophrenia Bulletin · doi:10.1093/schbul/11.3.364 · Cited by 180 · see citing works
Attentional impairments in deficit and nondeficit forms of schizophrenia
Buchanan, R. W., Strauss, M. E., Breier, A. F., Kirkpatrick, B., & Carpenter, W. T. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.3.363 · Cited by 153 · see citing works
Anhedonia and the deficit syndrome of schizophrenia
Kirkpatrick, B. W., & Buchanan, R. W. (1990) · Psychiatry Research · doi:10.1016/0165-1781(90)90105-e · Cited by 147 · see citing works
Behavioral toxicity of antipsychotic drugs.
Putten, T. V., & Marder, S. R. (1987) · PubMed · Cited by 144 · see citing works
A Controlled Trial of Amantadine in Drug-Induced Extrapyramidal Disorders
DiMascio, A. (1976) · Archives of General Psychiatry · doi:10.1001/archpsyc.1976.01770050055008 · Cited by 124 · see citing works
Effect of clorazepate on depressed mood in anxious patients.
Zung, W. W. K. (1987) · PubMed · Cited by 113 · see citing works
Depressive Symptoms and the Deficit Syndrome of Schizophrenia
Kirkpatrick, B. W., Buchanan, R. W., Breier, A. F., et al. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199408000-00005 · Cited by 105 · see citing works
Deficit and nondeficit forms of schizophrenia: Neuropsychological evaluation
Wagman, A. M. I., Heinrichs, D. W., & Carpenter, W. T. (1987) · Psychiatry Research · doi:10.1016/0165-1781(87)90111-9 · Cited by 104 · see citing works
The deficit state in first-episode schizophrenia
Mayerhoff, D. I., Loebel, A. D., Alvir, J., Szymanski, S., Geisler, S. H., Borenstein, M., & Lieberman, J. A. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.10.1417 · Cited by 100 · see citing works
Facial Expression of Schizophrenic Patients and Their Interaction Partners
Krause, R., Steimer, E., Sänger-Alt, C., & Wagner, G. (1989) · Psychiatry · doi:10.1080/00332747.1989.11024424 · Cited by 96 · see citing works
Affective and social-behavioral correlates of physical and social anhedonia in schizophrenia.
Blanchard, J. J., Bellack, A. S., & Mueser, K. T. (1994) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.103.4.719 · Cited by 92 · see citing works
Oculomotor abnormalities and their clinical correlates in schizophrenia.
Thaker, G. K., Kirkpatrick, B. W., Buchanan, R. W., et al. (1989) · PubMed · Cited by 82 · see citing works
Stability of emotional responding in schizophrenia
Kring, A. M., & Earnst, K. S. (1999) · Behavior Therapy · doi:10.1016/s0005-7894(99)80016-1 · Cited by 74 · see citing works
Self-citationAffective and social-behavioral correlates of physical and social anhedonia in schizophrenia.
Blanchard, J. J., Bellack, A. S., & Mueser, K. T. (1994) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.103.4.719 · Cited by 69 · see citing works
The Brief Psychiatric Rating Scale
Thompson, P. A., Buckley, P. F., & Meltzer, H. Y. (1994) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-199410000-00010 · Cited by 63 · see citing works
Medication effects: Conceptual and methodological issues in schizophrenia research
Blanchard, J. J., & Neale, J. M. (1992) · Clinical Psychology Review · doi:10.1016/0272-7358(92)90141-t · Cited by 62 · see citing works
Construct validity of negative symptoms: An empirical and conceptual review
Earnst, K. S., & Kring, A. M. (1997) · Clinical Psychology Review · doi:10.1016/s0272-7358(96)00052-9 · Cited by 56 · see citing works
Self-citationDrug treatment of schizophrenia
Marder, S. R., Wirshing, W. C., & Putten, T. V. (1991) · Schizophrenia Research · doi:10.1016/0920-9964(91)90027-o · Cited by 55 · see citing works
Affect recognition in deficit syndrome schizophrenia
BRYSON, G. J., Bell, M. D., Kaplan, E., Greig, T. C., & Lysaker, P. H. (1998) · Psychiatry Research · doi:10.1016/s0165-1781(97)00140-6 · Cited by 54 · see citing works
Singh, A., & Maguire, J. (1989) · The British Journal of Psychiatry · doi:10.1192/bjp.155.1.108 · Cited by 48 · see citing works
Depression, Affect and Negative Symptoms in Schizophrenia
Lindenmayer, J., & Kay, S. R. (1989) · The British Journal of Psychiatry · doi:10.1192/s0007125000291629 · Cited by 44 · see citing works
Does affective blunting in schizophrenia reflect affective deficit or neuromotor dysfunction?
Dworkin, R. H., Clark, S. C., AMADOR, X. F., & Gorman, J. M. (1996) · Schizophrenia Research · doi:10.1016/0920-9964(96)00011-4 · Cited by 39 · see citing works
The brief psychiatric rating scale: effect of scaling system on clinical response assessment.
Thompson, P. A., Buckley, P. F., & Meltzer, H. Y. (1994) · PubMed · Cited by 38 · see citing works
A Pilot Effort to Determine Benztropine Equivalents of Anticholinergic Medications
de León, J., Odom-White, A., Simpson, G. M., & Canuso, C. (1994) · Psychiatric Services · doi:10.1176/ps.45.6.606 · Cited by 35 · see citing works
Extrapyramidal side effects: a historical perspective
Rifkin, A. E. (1988) · Pain · doi:10.1016/0304-3959(88)90243-6 · Cited by 34 · see citing works
Anhedonia, depression and the deficit syndrome of schizophrenia
Loas, G., Noisette, C., Legrand, A., & Boyer, P. (1996) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1996.tb09894.x · Cited by 33 · see citing works
Psychopathology and common sense
Carpenter, W. T. (1991) · Biological Psychiatry · doi:10.1016/0006-3223(91)90192-o · Cited by 30 · see citing works
Clozapine response varies in deficit vs non-deficit schizophrenic subjects
Conley, R. R., Richardson, C. M., Kent, D., Gounaris, C., & Zaremba, S. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)91129-0 · Cited by 29 · see citing works
Facial Expression Coding System
Kring, A. M., & Sloan, D. M. (1991) · PsycTESTS Dataset · doi:10.1037/t03675-000 · Cited by 24 · see citing works
Self-citationDifferential patterns of glucose metabolism in deficit and non-deficit schizophrenia
Buchanan, R. W., Kirkpatrick, B. W., & Tamminga, C. A. (1989) · Biological Psychiatry · doi:10.1016/0006-3223(89)91687-9 · Cited by 14 · see citing works
Platelet monoamine oxidase activity and deficit syndrome schizophrenia
SAMSON, J. A., Gurrera, R. J., Nisenson, L. G., & Schildkraut, J. J. (1995) · Psychiatry Research · doi:10.1016/0165-1781(94)02555-w · Cited by 10 · see citing works
Importance of akinesia: plasma chlorpromazine and prolactin levels
Van Putten, T., May, P. R. A., & Wilkins, J. N. (1980) · American Journal of Psychiatry · doi:10.1176/ajp.137.11.1446 · Cited by 9 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Negative Symptoms in Schizophrenia: Avolition and Occam's Razor
Foussias, G., & Remington, G. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn094 · Cited by 594 · see citing works
Emotional Experience in Patients With Schizophrenia Revisited: Meta-analysis of Laboratory Studies
Cohen, A. S., & Minor, K. S. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn061 · Cited by 541 · see citing works
Emotional Response Deficits in Schizophrenia: Insights From Affective Science
Kring, A. M., & Moran, E. K. (2008) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn071 · Cited by 458 · see citing works
Self-citationDichter, G. S., Damiano, C. A., & Allen, J. A. (2012) · Journal of Neurodevelopmental Disorders · doi:10.1186/1866-1955-4-19 · Cited by 299 · see citing works
The negative symptoms of schizophrenia: A cognitive perspective
Rector, N. A., Beck, A. T., & Stolar, N. (2005) · The Canadian Journal of Psychiatry · doi:10.1177/070674370505000503 · Cited by 268 · see citing works
A review of emotion deficits in schizophrenia
Trémeau, F. (2006) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2006.8.1/ftremeau · Cited by 259 · see citing works
The expression and experience of emotion in schizophrenia: a study of social interactions
Aghevli, M. A., Blanchard, J. J., & Horan, W. P. (2003) · Psychiatry Research · doi:10.1016/s0165-1781(03)00133-1 · Cited by 165 · see citing works
Static posed and evoked facial expressions of emotions in schizophrenia
Kohler, C. G., Martin, E. A., Stolar, N., Barrett, F. S., Verma, R., Brensinger, C., Bilker, W., Gur, R. E., & Gur, R. C. (2008) · Schizophrenia Research · doi:10.1016/j.schres.2008.05.010 · Cited by 59 · see citing works
Narrating emotional events in schizophrenia
Gruber, J., & Kring, A. M. (2008) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.117.3.520 · Cited by 48 · see citing works
Self-citationImitation of facial expressions in schizophrenia
Schwartz, B. L., Mastropaolo, J., Rosse, R. B., Mathis, G., & Deutsch, S. I. (2006) · Psychiatry Research · doi:10.1016/j.psychres.2005.12.007 · Cited by 40 · see citing works
- Authors
- Earnst, K. S., & Kring, A. M.
- Affiliations
- University of Alabama at Birmingham (US)
- University of California, Berkeley (US)
- Corresponding author
- Earnst, Kelly S
- ORCID
- Kring, Ann M
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1999-11
- Volume
- 88
- Issue
- 3
- Pages
- 191-207
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2150273454
- Cited by
- 124
- References
- 57
- Citations by year
- 2024: 1 · 2023: 2 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 7 · 2014: 5 · 2013: 5 · 2012: 12
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vanderbilt University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- deficit schizophrenia, emotional responses, facial expressions, emotional expressiveness, emotional experience, emotional dysfunction, Brief Psychiatric Rating Scale
- MeSH terms
- Adult, Affect, Data Interpretation, Statistical, Facial Expression, Humans, Male, Middle Aged, Motion Pictures, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Case-Control Studies, Expressed Emotion
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review