Cited by 305Psychosomatic Disorders and Their TreatmentsFace Recognition and PerceptionAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Alexithymia and the Processing of Emotional Facial Expressions (EFEs): Systematic Review, Unanswered Questions and Further Perspectives

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Grynberg, Delphine, Chang, Betty, Corneille, Olivier, Maurage, Pierre, Vermeulen, Nicolas, Berthoz, Sylvie, Luminet, Olivier·2012·PLoS ONE

DOI 10.1371/journal.pone.0042429PMC PMC3426527

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Abstract

Alexithymia is characterized by difficulties in identifying, differentiating and describing feelings. A high prevalence of alexithymia has often been observed in clinical disorders characterized by low social functioning. This review aims to assess the association between alexithymia and the ability to decode emotional facial expressions (EFEs) within clinical and healthy populations. More precisely, this review has four main objectives: (1) to assess if alexithymia is a better predictor of the ability to decode EFEs than the diagnosis of clinical disorder; (2) to assess the influence of comorbid factors (depression and anxiety disorder) on the ability to decode EFE; (3) to investigate if deficits in decoding EFEs are specific to some levels of processing or task types; (4) to investigate if the deficits are specific to particular EFEs. Twenty four studies (behavioural and neuroimaging) were identified through a computerized literature search of Psycinfo, PubMed, and Web of Science databases from 1990 to 2010. Data on methodology, clinical characteristics, and possible confounds were analyzed. The review revealed that: (1) alexithymia is associated with deficits in labelling EFEs among clinical disorders, (2) the level of depression and anxiety partially account for the decoding deficits, (3) alexithymia is associated with reduced perceptual abilities, and is likely to be associated with impaired semantic representations of emotional concepts, and (4) alexithymia is associated with neither specific EFEs nor a specific valence. These studies are discussed with respect to processes involved in the recognition of EFEs. Future directions for research on emotion perception are also discussed.

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Authors: Grynberg, D., Chang, B., Corneille, O., Maurage, P., Vermeulen, N., Berthoz, S., & Luminet, O.
Affiliations: UCLouvain (BE)
Inserm (FR)
Corresponding author: Grynberg, Delphine
ORCID: Grynberg, Delphine
Corneille, Olivier
Maurage, Pierre
Vermeulen, Nicolas
Berthoz, Sylvie
Luminet, Olivier
Venue: PLoS ONE
Publisher: Public Library of Science (PLoS)
Published: 2012-08-23
Volume: 7
Issue: 8
Pages: e42429
ISSN: 1932-6203 (ISSN-L)
DOI: 10.1371/journal.pone.0042429
PMC: PMC3426527
OpenAlex: W2017164168
Cited by: 305
References: 178
Citations by year: 2026: 12 · 2025: 23 · 2024: 22 · 2023: 18 · 2022: 22 · 2021: 24 · 2020: 32 · 2019: 33 · 2018: 25 · 2017: 24 · 2016: 18 · 2015: 23 · 2014: 16 · 2013: 13
FWCI: 2.24
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified)
Locations: PLoS ONE (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
HAL (submittedVersion)
DIAL (Catholic University of Leuven) (submittedVersion, other-oa)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Figshare (submittedVersion, cc-by)
Funders: Fonds De La Recherche Scientifique - FNRS
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: alexithymia, emotional facial expressions, emotion perception, facial expression recognition, depression, anxiety disorders, comorbidities, emotion labeling, social functioning
MeSH terms: Affective Symptoms, Emotions, Facial Expression, Humans, Neuroimaging

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Alexithymia and the Processing of Emotional Facial Expressions (EFEs): Systematic Review, Unanswered Questions and Further Perspectives

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