Do patients from the Democratic Republic of Congo with schizophrenia have facial emotion recognition deficits?

Kitoko, Germain Manzekele Bin; Maurage, Pierre; Peyroux, Élodie; Miezi, Samuel Mampunza Ma; Gillain, B.; Constant, Éric

doi:10.1016/j.psychres.2019.03.030

Cited by 7 publications

(6 citation statements)

References 36 publications

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“…Some researchers ( 23 ) have also used a visual search paradigm and found that first-episode schizophrenia (FSZ) patients' ability to recognize happy facial expressions correlates with negative symptoms, and patients with severe negative symptoms have poorer facial emotion perception. Indeed, Kitoko et al ( 17 ) also used facial emotion recognition to establish an association between patient deficits and severity of negative symptoms. In addition, Romero-Ferreiro et al ( 15 ) conclude that a deficiency in fear recognition among patients in the first episode was positively associated with negative symptoms.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies surveyed outpatients ( 14 – 16 , 20 , 27 , 32 – 35 , 37 , 40 ). Seven papers examined both inpatients and outpatients ( 9 , 17 , 22 , 24 , 44 , 48 , 50 ). Nine studies did not provide the source of samples ( 19 , 23 , 28 , 29 , 36 , 41 – 43 , 46 ).…”

Section: Methodsmentioning

confidence: 99%

“…There were five studies conducted only on schizophrenia samples (14)(15)(16)(17)(18). One study was conducted with only normal subjects (19).…”

Section: Diagnosismentioning

confidence: 99%

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Facial Emotion Recognition in Schizophrenia

Gao

Zhao

et al. 2021

Front. Psychiatry

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Deficits in facial emotion recognition are one of the most common cognitive impairments, and they have been extensively studied in various psychiatric disorders, especially in schizophrenia. However, there is still a lack of conclusive evidence about the factors associated with schizophrenia and impairment at each stage of the disease, which poses a challenge to the clinical management of patients. Based on this, we summarize facial emotion cognition among patients with schizophrenia, introduce the internationally recognized Bruce–Young face recognition model, and review the behavioral and event-related potential studies on the recognition of emotions at each stage of the face recognition process, including suggestions for the future direction of clinical research to explore the underlying mechanisms of schizophrenia.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Facial Emotion Recognition in Schizophrenia

Gao

Zhao

et al. 2021

Front. Psychiatry

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“… Kitoko, G. M. B. 2019 33 Kinshasa 60: 30 patients with schizophrenia & 30 healthy participants Identify possible deficits in facial emotion recognition among patients with schizophrenia. Descriptive and correlations Diagnosed with schizophrenia according to DSM-5 criteria Beck depression inventory; positive and negative symptoms scale (PANSS) Patients with schizophrenia had emotion recognition deficits, particularly for negative emotions 3 Cross-sectional 21.…”

Section: Resultsmentioning

confidence: 99%

Mental health outcomes, literacy and service provision in low- and middle-income settings: a systematic review of the Democratic Republic of the Congo

Ngamaba,

Lombo,

Makopa

et al. 2024

npj Mental Health Res

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In the Democratic Republic of the Congo (DRC), the prevalence of mental health issues could be greater than in other low-income and middle-income countries because of major risk factors related to armed conflicts and poverty. Given that mental health is an essential component of health, it is surprising that no systematic evaluation of mental health in the DRC has yet been undertaken. This study aims to undertake the first systematic review of mental health literacy and service provision in the DRC, to bridge this gap and inform those who need to develop an evidence base. This could support policymakers in tackling the issues related to limited mental health systems and service provision in DRC. Following Cochrane and PRISMA guidelines, a systematic (Web of Science, Medline, Public Health, PsycINFO, and Google Scholar) search was conducted (January 2000 and August 2023). Combinations of key blocks of terms were used in the search such as DRC, war zone, mental health, post-traumatic stress disorder (PTSD), anxiety, depression, sexual violence, war trauma, resilience, mental health systems and service provision. We followed additional sources from reference lists of included studies. Screening was completed in two stages: title and abstract search, and full-text screening for relevance and quality. Overall, 50 studies were included in the review; the majority of studies (n = 31) were conducted in the Eastern region of the DRC, a region devastated by war and sexual violence. Different instruments were used to measure participants’ mental health such as the Hopkins Symptoms Checklist (HSCL-25), The Harvard Trauma Questionnaire, Patient Health Questionnaire (PHQ-9); General Anxiety Disorder (GAD-7), and Positive and Negative Symptoms Scale (PANSS). Our study found that wartime sexual violence and extreme poverty are highly traumatic, and cause multiple, long-term mental health difficulties. We found that depression, anxiety, and PTSD were the most common problems in the DRC. Psychosocial interventions such as group therapy, family support, and socio-economic support were effective in reducing anxiety, depression, and PTSD symptoms. This systematic review calls attention to the need to support sexual violence survivors and many other Congolese people affected by traumatic events. This review also highlights the need for validating culturally appropriate measures, and the need for well-designed controlled intervention studies in low-income settings such as the DRC. Better public mental health systems and service provision could help to improve community cohesion, human resilience, and mental wellbeing. There is also an urgent need to address wider social issues such as poverty, stigma, and gender inequality in the DRC.

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“…Additionally, the results of a meta-analysis by Chan et al [ 44 ] showed that only negative symptoms (as measured by the PANSS) were found to be associated with facial expression perception in SCZ, and that those with severe negative symptoms showed more severe deficits in facial expression perception. Kitoko et al [ 45 ] and Leszczynska et al [ 46 ] also found a relationship between facial expression recognition deficits and the severity of negative symptoms in SCZ. Some studies found that facial expression recognition was associated with positive symptoms [ 2 , 47 ], while other studies have not found any relationship between facial expression recognition and positive or negative symptoms [ 48 ].…”

Section: Discussionmentioning

confidence: 98%

Abnormal ambiguous facial expression recognition in Chinese patients with schizophrenia

Lyu,

Chi,

Wang

et al. 2024

BMC Psychiatry

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Background Patients with schizophrenia (SCZ) exhibit difficulties deficits in recognizing facial expressions with unambiguous valence. However, only a limited number of studies have examined how these patients fare in interpreting facial expressions with ambiguous valence (for example, surprise). Thus, we aimed to explore the influence of emotional background information on the recognition of ambiguous facial expressions in SCZ. Methods A 3 (emotion: negative, neutral, and positive) × 2 (group: healthy controls and SCZ) experimental design was adopted in the present study. The experimental materials consisted of 36 images of negative emotions, 36 images of neutral emotions, 36 images of positive emotions, and 36 images of surprised facial expressions. In each trial, a briefly presented surprised face was preceded by an affective image. Participants (36 SCZ and 36 healthy controls (HC)) were required to rate their emotional experience induced by the surprised facial expressions. Participants’ emotional experience was measured using the 9-point rating scale. The experimental data have been analyzed by conducting analyses of variances (ANOVAs) and correlation analysis. Results First, the SCZ group reported a more positive emotional experience under the positive cued condition compared to the negative cued condition. Meanwhile, the HC group reported the strongest positive emotional experience in the positive cued condition, a moderate experience in the neutral cued condition, and the weakest in the negative cue condition. Second, the SCZ (vs. HC) group showed longer reaction times (RTs) for recognizing surprised facial expressions. The severity of schizophrenia symptoms in the SCZ group was negatively correlated with their rating scores for emotional experience under neutral and positive cued condition. Conclusions Recognition of surprised facial expressions was influenced by background information in both SCZ and HC, and the negative symptoms in SCZ. The present study indicates that the role of background information should be fully considered when examining the ability of SCZ to recognize ambiguous facial expressions.

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Do patients from the Democratic Republic of Congo with schizophrenia have facial emotion recognition deficits?

Cited by 7 publications

References 36 publications

Facial Emotion Recognition in Schizophrenia

Facial Emotion Recognition in Schizophrenia

Mental health outcomes, literacy and service provision in low- and middle-income settings: a systematic review of the Democratic Republic of the Congo

Abnormal ambiguous facial expression recognition in Chinese patients with schizophrenia

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