Facial Emotion Processing in Acutely Ill and Euthymic Patients With Pediatric Bipolar Disorder
| Autor: | John A. Sweeney, Lindsay S. Schenkel, Erin M. Harral, Mani N. Pavuluri, Ellen S. Herbener |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Bipolar Disorder Adolescent Audiology Emotional processing behavioral disciplines and activities Lithium Carbonate Developmental and Educational Psychology medicine Humans Attention deficit hyperactivity disorder Bipolar disorder Child Psychiatry Facial expression Social perception Valproic Acid Cognition Risperidone medicine.disease Pediatric bipolar disorder Facial Expression Expressed Emotion Psychiatry and Mental health El Niño Acute Disease Drug Therapy Combination Female Dysthymic Disorder Psychology Antipsychotic Agents |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 46:1070-1079 |
| ISSN: | 0890-8567 |
| DOI: | 10.1097/chi.0b013e3180600fd6 |
| Popis: | Objective: Past investigations indicate facial emotion-processing abnormalities in pediatric bipolar disorder (PBD) subjects. However, the extent to which these deficits represent state- and trait-related factors is unclear. We investigated facial affect processing in acutely ill and clinically stabilized children with PBD and matched healthy subjects. Method: Subjects ( N = 86) consisted of unmedicated/acutely ill ( n = 29) and medicated/clinically stabilized ( n = 29) PBD youths and matched healthy subjects ( n = 28) who completed tasks of facial affect identification and differentiation. Results: Subjects with PBD, regardless of clinical and treatment status, showed marked impairments in the ability to correctly identify emotionally intense happy and sad facial expressions, with both groups tending to misjudge extreme facial expressions as being moderate to mild in intensity. However, when differentiating subtle variations of happy or sad expressions, only unmedicated/acutely ill PBD patients performed more poorly than healthy subjects. Younger age at onset was associated with more impaired emotion processing only in the PBD sample. PBD subjects with comorbid attention-deficit/hyperactivity disorder (ADHD) performed more poorly than subjects without ADHD when processing sad facial expressions, but not happy ones. Conclusions: This study found evidence of both state-of-illness and trait-related deficits in emotion processing in PBD. Treatments are needed to better reduce this impairment and to reduce its developmental impact on interpersonal functioning. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|