Journal
PSYCHOLOGICAL MEDICINE
Volume 42, Issue 10, Pages 2157-2166Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0033291712000311
Keywords
Adolescent; child; facial emotion recognition; psychotic symptoms; psychotic-like experience
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Funding
- Health Research Board (Ireland)
- National Alliance for Research on Schizophrenia and Depression (NARSAD) Essel Foundation Independent Investigator Award
- European Community [HEALTH-F2-2010-241909]
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Background. Psychotic symptoms, also termed psychotic-like experiences (PLEs) in the absence of psychotic disorder, are common in adolescents and are associated with increased risk of schizophrenia-spectrum illness in adulthood. At the same time, schizophrenia is associated with deficits in social cognition, with deficits particularly documented in facial emotion recognition (FER). However, little is known about the relationship between PLEs and FER abilities, with only one previous prospective study examining the association between these abilities in childhood and reported PLEs in adolescence. The current study was a cross-sectional investigation of the association between PLEs and FER in a sample of Irish adolescents. Method. The Adolescent Psychotic-Like Symptom Screener (APSS), a self-report measure of PLEs, and the Penn Emotion Recognition-40 Test (Penn ER-40), a measure of facial emotion recognition, were completed by 793 children aged 10-13 years. Results. Children who reported PLEs performed significantly more poorly on FER (beta=-0.03, p=0.035). Recognition of sad faces was the major driver of effects, with children performing particularly poorly when identifying this expression (beta=-0.08, p=0.032). Conclusions. The current Endings show that PLEs are associated with poorer FER. Further work is needed to elucidate causal relationships with implications for the design of future interventions for those at risk of developing psychosis.
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