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A review of emotion deficits in schizophrenia
Open accessAbstract
Emotion deficits in schizophrenia have been described since the time of Kraepelin. However, no comprehensive review of clinical emotion studies has ever been conducted. In this work, studies that used diagnostic criteria and were published in English were selected from an extensive PubMed search. Fifty-five studies on emotion expression repeatedly showed that individuals with schizophrenia (IWSs) display fewer overt expressions than nonpatient comparison subjects (NCSs) in verbal, facial, and acoustic channels. No clear differences were found between IWSs and depressed subjects. Sixty-nine studies examined emotion experience in schizophrenia. IWSs report higher anhedonia, and they tend to show more negative emotions in real-life event studies. In evocative studies, they report a similar degree of pleasantness and a similar or higher degree of unpleasantness. From 110 studies, it can be concluded that emotion recognition is impaired in schizophrenia in all channels. These deficits in social perception are correlated with neurocognitive deficits and some social skills. IWSs show dysfunction in the three domains of emotion expression, emotion experience, and emotion recognition, and these dysfunctions appear to be independent of each other across domains. These deficits in basic emotion processing may be linked to psychopathology and functional outcomes.
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“Third, because patients display a variety of problems in processing of emotions, 46 it is unclear whether a deficit in voluntary or automatic imitation of emotional stimuli 11,12,47,48 would reflect a specific impairment in imitation, or other aspects of emotion processing”
From Enhanced Automatic Action Imitation and Intact Imitation-Inhibition in Schizophrenia (2019) · cites this paper as [46]
In the citing paper
“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 [391]
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Fusar-Poli, P., Placentino, A., Carletti, F., Landi, P., Allen, P., Surguladze, S., Benedetti, F., Abbamonte, M., Gasparotti, R., Barale, F., et al. (2009) · Journal of Psychiatry and Neuroscience · doi:10.1139/jpn.0953 · Cited by 359
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“But such impairments have also been found in disorders like autism, schizophrenia and social anxiety disorder (Gross, 2004; Singh et al. 1998; Tremeau, 2006; Easter et al. 2005).”
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Kring, A. M., & Moran, E. K. (2008) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn071 · Cited by 458
“Moreover, schizophrenia patients’ diminished facial and vocal expression distinguishes them from other patient groups, including individuals with depression, Parkinson disease, and right hemisphere brain damage.(26,42,52,56,58) Importantly, diminished expression is observed among individuals with schizophrenia both on…”
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Hoptman, M. J., Zuo, X., Butler, P. D., Javitt, D. C., D’Angelo, D., Mauro, C. J., & Milham, M. P. (2009) · Schizophrenia Research · doi:10.1016/j.schres.2009.09.030 · Cited by 470
“…in reward processing and/or stimulus saliency observed in schizophrenia (Murray et al., 2008), and possibly to dulling of emotional expression in patients (Tremeau, 2006), although this would have to be addressed in a study in which both behavioralmeasures and resting statemeasures are obtained.”
BackgroundThe current conceptualization of negative symptoms in schizophrenia
Marder, S. R., & Galderisi, S. (2017) · World Psychiatry · doi:10.1002/wps.20385 · Cited by 537
Metadata
- Authors
- Trémeau, F.
- Affiliations
- Nathan Kline Institute for Psychiatric Research (US)
- Corresponding author
- Trémeau, Fabien
- Venue
- Dialogues in Clinical Neuroscience
- Publisher
- Informa UK Limited
- Published
- 2006-03-31
- Volume
- 8
- Issue
- 1
- Pages
- 59-70
- ISSN
- 1294-8322 (ISSN-L)
- 1958-5969
- PMC
- PMC3181757
- OpenAlex
- W1568263921
- Cited by
- 259
- References
- 90
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 13 · 2023: 14 · 2022: 14 · 2021: 14 · 2020: 16 · 2019: 15 · 2018: 9 · 2017: 21 · 2016: 11 · 2015: 11 · 2014: 12 · 2013: 20 · 2012: 17
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- Locations
- Dialogues in Clinical Neuroscience (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- 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
- schizophrenia, emotional expression, emotional experience, anhedonia, emotion recognition, facial expressions, vocal emotion, social perception, social skills, neurocognitive impairment, depression
- MeSH terms
- Affective Symptoms, Emotions, Facial Expression, Humans, Perception, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Recognition, Psychology, PubMed
About these checks
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