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Symptom severity of panic disorder associated with impairment in emotion processing of threat-related facial expressions
Open accessAbstract
Aim: To compare emotion recognition patterns between patients with panic disorder (PD) and healthy volunteers and to analyze the correlation between the degree of emotion recognition impairment and symptom severity in patients with PD. Methods: Twenty‐four patients with PD and 20 healthy controls were tested with a facial emotional expression recognition task involving four basic emotions (i.e. happiness, sadness, anger, and fear). Emotion recognition measures included the recognition threshold, response time, response time of correctly classified emotions (response time_crt), and recognition error. An average of all four emotions for each emotion recognition measure was compared between the two groups and then a comparison of recognition measures for each specific emotion was conducted. The correlations between severity of the S tate–T rait A nxiety I nventory, Beck D epression I nventory (BDI), and P anic D isorder S everity S cale with emotion recognition indices were also analyzed. Results: Average recognition threshold was significantly higher in the PD group compared to the control group. In the PD group, there was a non‐significant trend of increase in the emotion recognition threshold for fear and the response time for anger compared with the control group. In the correlation analysis, higher trait anxiety was associated with slower response time_crt for anger and a higher BDI score was associated with slower response times and response time_crt for happiness and anger. Conclusion: This study suggests that symptom severity of PD might be associated with impairment in emotion processing of threat‐related facial expressions.
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The mean threshold for recognizing threat-related facial expressions was significantly higher in the PD group compared to NC (p = 0.041).
“The mean threshold for recognizing threat-related facial expressions was significantly higher in the PD group compared to NC (p = 0.041)”
From Managing emotions in panic disorder: A systematic review of studies related to emotional intelligence, alexithymia, emotion regulation, and coping (2023) · cites this paper as Wang et al (2013)
The Emotion recognition patterns table (p. 4) reports a higher average recognition threshold in the PD group than in controls (51.04 versus 45.38; p = 0.041). But that average covers all four emotions, not threat-related expressions specifically. The thresholds for anger and fear were not individually significant (p = 0.215 and p = 0.092). (LLM, conf=0.92)
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Citations
Cites
Constants across cultures in the face and emotion.
Ekman, P., & Friesen, W. V. (1971) · Journal of Personality and Social Psychology · doi:10.1037/h0030377 · Cited by 5,509
Emotional processing of fear: Exposure to corrective information.
Foa, E. B., & Kozak, M. J. (1986) · Psychological Bulletin · doi:10.1037/0033-2909.99.1.20 · Cited by 5,396
An information processing model of anxiety: Automatic and strategic processes
Beck, A. T., & Clark, D. A. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00069-1 · Cited by 1,317
Selective Attention to Angry Faces in Clinical Social Phobia.
Mogg, K., Philippot, P., & Bradley, B. P. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.1.160 · Cited by 582
Harmer, C. J., Shelley, N. C., Cowen, P. J., & Goodwin, G. M. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.7.1256 · Cited by 554
Facial emotion discrimination: II. Behavioral findings in depression
Gur, R. C., Erwin, R. J., Gur, R. E., Zwil, A. S., Heimberg, C., & Kraemer, H. C. (1992) · Psychiatry Research · doi:10.1016/0165-1781(92)90116-k · Cited by 500
Effect of Acute Antidepressant Administration on Negative Affective Bias in Depressed Patients
Harmer, C. J., O’Sullivan, U., Favaron, E., Massey-Chase, R., Ayres, R., Reinecke, A., Goodwin, G. M., & Cowen, P. J. (2009) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09020149 · Cited by 485
Facial affect recognition and information processing in schizophrenia and bipolar disorder
Addington, J., & Addington, D. E. (1998) · Schizophrenia Research · doi:10.1016/s0920-9964(98)00042-5 · Cited by 457
Attentional bias for emotional faces in generalized anxiety disorder
Bradley, B. P., Mogg, K., White, J., Groom, C. J., & Bono, J. D. (1999) · British Journal of Clinical Psychology · doi:10.1348/014466599162845 · Cited by 448
Depression biases the recognition of emotionally neutral faces
Leppänen, J. M., Milders, M., Bell, J. S., Terrière, E., & Hietanen, J. K. (2004) · Psychiatry Research · doi:10.1016/j.psychres.2004.05.020 · Cited by 436
Misinterpretation of body sensations in panic disorder.
Clark, D. M., Salkovskis, P. M., Öst, L., Breitholtz, E., Koehler, K. A., Westling, B. E., Jeavons, A., & Michael, G. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.2.203 · Cited by 372
Misinterpretation of body sensations in panic disorder.
Clark, D. M., Salkovskis, P. M., Öst, L., et al. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.2.203 · Cited by 300
Persad, S. M., & Polivy, J. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.3.358 · Cited by 297
Impaired attribution of emotion to facial expressions in anxiety and major depression
Demenescu, L. R., Kortekaas, R., den Boer, J. A., & Aleman, A. (2010) · PLoS ONE · doi:10.1371/journal.pone.0015058 · Cited by 292
Persad, S. M., & Polivy, J. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.3.358 · Cited by 285
Roy‐Byrne, P., Craske, M. G., & Stein, M. B. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69418-x · Cited by 277
Effect of a single dose of citalopram on amygdala response to emotional faces
Murphy, S. E., Norbury, R., O'Sullivan, U., Cowen, P. J., & Harmer, C. J. (2009) · British Journal of Psychiatry · doi:10.1192/bjp.bp.108.056093 · Cited by 255
Михайлова, Е. С., Vladimirova, T. V., Изнак, А. Ф., Tsusulkovskaya, E. J., & Sushko, N. V. (1996) · Biological Psychiatry · doi:10.1016/0006-3223(96)00032-7 · Cited by 233
Tull, M. T., & Roemer, L. (2007) · Behavior Therapy · doi:10.1016/j.beth.2006.10.006 · Cited by 216
Cognitive Processing of Emotional Information in Depression, Panic, and Somatoform Disorder.
Lim, S.-L., & Kim, J. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.1.50 · Cited by 158
Emotional processing and panic
Baker, R., Holloway, J., Thomas, P. W., Thomas, S., & Owens, M. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.09.002 · Cited by 142
fMRI of fearful facial affect recognition in panic disorder: The cingulate gyrus–amygdala connection
Pillay, S. S., Gruber, S. A., Rogowska, J., Simpson, N. S., & Yurgelun-Todd, D. A. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.04.007 · Cited by 121
Information processing biases and panic disorder: Relationships among cognitive and symptom measures
Teachman, B. A., Smith-Janik, S. B., & Saporito, J. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.01.009 · Cited by 120
Social and emotional functions in facial expression and communication: the readout hypothesis
Buck, R. W. (1994) · Biological Psychology · doi:10.1016/0301-0511(94)90032-9 · Cited by 119
Relationship between Alexithymia and Panic Disorder: A Longitudinal Study to Answer an Open Question
Marchesi, C., Fontò, S., Balista, C., Cimmino, C., & Maggini, C. (2004) · Psychotherapy and Psychosomatics · doi:10.1159/000082028 · Cited by 118
Avoidance behavior in panic disorder: The moderating influence of perceived control
White, K. S., Brown, T. A., Somers, T. J., & Barlow, D. H. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.07.009 · Cited by 116
Treatment and diagnostic subtype in facial affect recognition in schizophrenia
Lewis, S. F., & Garver, D. L. (1995) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)00033-n · Cited by 109
A tale of two negatives: Differential memory modulation by threat-related facial expressions.
Davis, F. C., Somerville, L. H., Ruberry, E. J., Berry, A. B. L., Shin, L. M., & Whalen, P. J. (2011) · Emotion · doi:10.1037/a0021625 · Cited by 86
Alexithymia and Cognitive Dysfunctions in Patients with Panic Disorder
Galderisi, S., Mancuso, F., Mucci, A., S., G., Zamboli, R., & Maj, M. (2008) · Psychotherapy and Psychosomatics · doi:10.1159/000119738 · Cited by 77
Effect of short-term SSRI treatment on cognitive bias in generalised anxiety disorder
Mogg, K., Baldwin, D. S., Brodrick, P., & Bradley, B. P. (2004) · Psychopharmacology · doi:10.1007/s00213-004-1902-y · Cited by 74
Emotion recognition patterns in patients with panic disorder
Kessler, H., Roth, J., von Wietersheim, J., Deighton, R. M., & Traue, H. C. (2007) · Depression and Anxiety · doi:10.1002/da.20223 · Cited by 74
Harmer, C. J., Heinzen, J., O’Sullivan, U., Ayres, R. A., & Cowen, P. J. (2008) · Psychopharmacology · doi:10.1007/s00213-007-1058-7 · Cited by 69
Attentional bias in untreated panic disorder
Reinecke, A., Cooper, M., Favaron, E., Massey-Chase, R. A., & Harmer, C. J. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.07.020 · Cited by 53
Reaction time to threat stimuli in panic disorder and social phobia
Cloître, M., Heimberg, R. G., Holt, C. S., & Liebowitz, M. R. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90006-3 · Cited by 48
Lee, W. H., Chae, J., Bahk, W. M., & Lee, K. U. (2004) · Cited by 29
Self-citationRecognition bias for safe faces in panic disorder with agoraphobia
Lundh, L., Thulin, U., Czyzykow, S., & Öst, L. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10028-6 · Cited by 25
Anchoring the Panic Disorder Severity Scale
Keough, M. E., Porter, E., Kredlow, M. A., Worthington, J. J., Hoge, E. A., Pollack, M. H., Shear, M. K., & Simon, N. M. (2012) · Assessment · doi:10.1177/1073191112436668 · Cited by 15
Differential effects of state and trait anxiety on heart rate responses and reaction time
Stamps, L. E., Fehr, L. A., & Lewis, R. A. (1979) · Biological Psychology · doi:10.1016/0301-0511(79)90008-5 · Cited by 8
Flagged first, then by citations
Cited by
Sorted by citations
Social neuroscience: undoing the schism between neurology and psychiatry
Ibáñez, A. M., García, A. M., Esteves, S., Yoris, A., Muñoz, É., Reynaldo, L., Pietto, M. L., Adolfi, F., & Manes, F. F. (2016) · Social Neuroscience · doi:10.1080/17470919.2016.1245214 · Cited by 86
“2014), major depressive disorder (Schepman, Taylor, Collishaw, & Fombonne, 2012), obsessive compulsive disorder (OCD) (Kang, Namkoong, Yoo, Jhung, & Kim, 2012), body dysmorphic disorder (Buhlmann, McNally, Etcoff, Tuschen-Caffier, & Wilhelm, 2004), panic disorder (Wang et al., 2013), adolescents under social deprivati…”
Oussi, A., Hamid, K., & Bouvet, C. (2023) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2023.101835 · Cited by 40
Aydın, O., Balıkçı, K., Çökmüş, F. P., & Ünal‐Aydın, P. (2019) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2019.1623317 · Cited by 34
“Researchers emphasized that there was no statistically significant association between symptom severity and recognition error and there was not any significant association with recognition threshold for facial emotional expressions [19].”
BackgroundInfluentialWang, S.-M., Lee, H.-K., Kweon, Y.-S., Lee, C. T., Chae, J.-H., Kim, J.-J., & Lee, K.-U. (2016) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2016.01.003 · Cited by 17
“Increased sensitivity to threat, persistent and repetitive thoughts, physiological arousal, and avoidance behaviors could result in “fear of fear,” leading patients with PD to have functional impairment in various areas [3,4].”
BackgroundSelf-citationMass Evidence Accumulation and Traveler Risk Scoring Engine in e-Border Infrastructure
Lai, K., Eastwood, S. C., Shier, W. A., Yanushkevich, S. N., & Shmerko, V. P. (2017) · IEEE Transactions on Intelligent Transportation Systems · doi:10.1109/tits.2017.2774186 · Cited by 15
“attacks of fear and severe anxiety), and panic disorder, – these expressions are visually very close and have common abnormal patterns and biases [51].”
BackgroundAksu, S., Soyata, A. Z., Mursalova, Z., Eskicioğlu, G., & Tükel, R. (2022) · Psychiatry and Clinical Neurosciences · doi:10.1111/pcn.13378 · Cited by 13
“Deficit of threat-related emotional recognition has also been linked to the severity of PD symptoms.(17) Mount-”
BackgroundApanovich, V., Безденежных, Б. Н., Знаков, В. В., Sams, M. E., Jaaskelainen, J., & Alexandrov, Y. I. (2016) · Experimental Psychology (Russia) · doi:10.17759/exppsy.2016090202 · Cited by 11
Facial emotion recognition in panic disorder: a mini-review of behavioural studies.
Bottinelli, F., Delvecchio, G., Moltrasio, C., Ferro, A., Diwadkar, V. A., & Brambilla, P. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.12.064 · Cited by 11
Regional cortical thinning and cerebral hypoperfusion in patients with panic disorder
Ni, M.-F., Wang, X., Wang, H., Chang, Y., Huang, X., & Zhang, B.-W. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.07.139 · Cited by 8
Михайлова, Е. С., Karpova, V. Y., Gerasimenko, N. Y., Александрович, Г. С., & Кушнир, А. Б. (2021) · Biological Psychology · doi:10.1016/j.biopsycho.2021.108084 · Cited by 7
Impaired Facial Affect Perception in Unaffected Children at Familial Risk for Panic Disorder
Bilodeau, C., Bradwejn, J., & Koszycki, D. (2014) · Child Psychiatry & Human Development · doi:10.1007/s10578-014-0513-z · Cited by 5
“Based on findings that patients with PD exhibit deficits in recognizing negative valence facial affect [41– 43], especially threat-related expressions (i.”
BackgroundResultWheeler, G. L., & Steinman, S. A. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2025.1486765 · Cited by 8
Facial Emotion Perception in Young Female Students with Single Panic Attacks
Михайлова, Е. С. (2023) · Journal of Biomedical Research & Environmental Sciences · doi:10.37871/jbres1696 · Cited by 1
Геннадьевна, Ш. И., & Vakoliuk, I. A. (2016) · Experimental Psychology (Russia) · doi:10.17759/exppsy.2016090209
Altered Perception of Facial Expressions in Young Women with Rare Panic Attacks
Mikhailova, E. S., Кушнир, А. Б., & Gerasimenko, N. Y. (2026) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-026-01970-9
Metadata
- Authors
- Wang, S., Kim, Y., Yeon, B., Lee, H., Kweon, Y., Lee, C. T., & Lee, K.
- Affiliations
- The Catholic University of Korea Uijeongbu St. Mary's Hospital (KR)
- Department of Psychiatry Uijeongbu St Mary's Hospital Catholic University of Korea College of Medicine Uijeongbu Korea
- Corresponding author
- Lee, Kyoung‐Uk
- Venue
- Psychiatry and Clinical Neurosciences
- Publisher
- Wiley
- Published
- 2013-05
- Volume
- 67
- Issue
- 4
- Pages
- 245-252
- ISSN
- 1323-1316 (ISSN-L)
- 1440-1819
- OpenAlex
- W1486412951
- Cited by
- 15
- References
- 36
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2017: 1 · 2016: 4 · 2014: 1
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psychiatry and Clinical Neurosciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- panic disorder, emotion recognition, facial expressions, fear, symptom severity, trait anxiety, depression, reaction time (psychology), basic emotions
- MeSH terms
- Adolescent, Adult, Aged, Emotions, Facial Expression, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Reaction Time, Severity of Illness Index, Social Perception, Panic Disorder, Recognition, Psychology
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