Prosodic and Semantic Affect Perception in Remitted Patients With Bipolar I Disorder

Hoertnagl, Christine M.; Biedermann, Falko; Yalcin-Siedentopf, Nursen; Muehlbacher, Moritz; Rauch, Anna-Sophia; Baumgartner, Susanne E.; Kaufmann, Alexandra; Kemmler, Georg; Deisenhammer, E; Hausmann, Armand; Hofer, Alex

doi:10.4088/jcp.14m08990

Cited by 7 publications

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“…These results seem surprising at first sight, since women have been said to be more accurate in perceiving facial expressions (Montagne, Kessel, Frigerio, de Haan, & Perrett, 2005) and to demonstrate greater ease at decoding nonverbal messages than men (Hall, 1984). On the other hand, these findings corroborate those of our earlier report (Hoertnagl et al, 2015) and show that both males and females are prone to misconceive emotional stimuli, which could potentially result in difficulties in everyday life.…”

Section: Discussionsupporting

confidence: 92%

“…We previously studied facial emotion perception abilities in symptomatically remitted patients with BD and found deficits in the identification of facial expressions depicting disgust and happiness (Hoertnagl et al, 2011). Similar to the above-mentioned studies by Rossell, Van Rheenen, Groot, et al, 2013), a companion study using the CATS revealed semantic but not prosodic emotional perception deficits in patients compared to healthy control subjects (Hoertnagl et al, 2015).…”

Section: Introductionmentioning

confidence: 57%

“…Finally, we investigated if impairments in cross-modal emotion perception are mainly attributable to deficiencies in facial or in emotional prosody perception or in matching facial and vocal emotions (or a combination of these three deficiencies). For this purpose, the CATS subtest 11 ("Match Emotional Prosody to Emotional Face") and CATS subtest 12 ("Match Emotional Face to Emotional Prosody") data were pooled with formerly collected data on facial (assessed with the Facially Expressed Emotion Labeling (FEEL) test) and emotional prosody perception (assessed with the CATS subtest 9 "Conflicting Prosody -Attend to Prosody") in the same sample (Hoertnagl et al, 2011(Hoertnagl et al, , 2015. The FEEL test is a computer program displaying portrait pictures of actors with the typical facial expression of one of the six basic emotion.…”

Section: Methodsmentioning

confidence: 99%

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Combined Processing of Facial and Vocal Emotion in Remitted Patients With Bipolar I Disorder

Hoertnagl

Biedermann

Yalcin-Siedentopf

et al. 2019

J Int Neuropsychol Soc

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Objectives: Bipolar disorder (BD) is associated with impairments in facial emotion and emotional prosody perception during both mood episodes and periods of remission. To expand on previous research, the current study investigated cross-modal emotion perception, that is, matching of facial emotion and emotional prosody in remitted BD patients. Methods: Fifty-nine outpatients with BD and 45 healthy volunteers were included into a cross-sectional study. Cross-modal emotion perception was investigated by using two subtests out of the Comprehensive Affective Testing System (CATS). Results: Compared to control subjects patients were impaired in matching sad (p < .001) and angry emotional prosody (p = .034) to one of five emotional faces exhibiting the corresponding emotion and significantly more frequently matched sad emotional prosody to happy faces (p < .001) and angry emotional prosody to neutral faces (p = .017). In addition, patients were impaired in matching neutral emotional faces to the emotional prosody of one of three sentences (p = .006) and significantly more often matched neutral faces to sad emotional prosody (p = .014). Conclusions: These findings demonstrate that, even during periods of symptomatic remission, patients suffering from BD are impaired in matching facial emotion and emotional prosody. As this type of emotion processing is relevant in everyday life, our results point to the necessity to provide specific training programs to improve psychosocial outcomes. (JINS, 2019, 25, 336–342)

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 57%

Section: Methodsmentioning

confidence: 99%

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Combined Processing of Facial and Vocal Emotion in Remitted Patients With Bipolar I Disorder

Hoertnagl

Biedermann

Yalcin-Siedentopf

et al. 2019

J Int Neuropsychol Soc

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“…Individual cognition outcomes of interest for bipolar disorder and for a particular candidate intervention should be included as secondary outcomes (together with a functional outcome/co‐primary measure; see later). For example, social cognition (such as facial expression recognition) may be a clinically meaningful secondary outcome, given the often persistent and debilitating social cognition deficits in bipolar disorder . Finally, individual cognitive tests comprising the primary composite cognitive outcome should be specified separately as tertiary explorative outcomes.…”

Section: Resultsmentioning

confidence: 99%

Methodological recommendations for cognition trials in bipolar disorder by the International Society for Bipolar Disorders Targeting Cognition Task Force

et al. 2017

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ObjectivesTo aid the development of treatment for cognitive impairment in bipolar disorder, the International Society for Bipolar Disorders (ISBD) convened a task force to create a consensus‐based guidance paper for the methodology and design of cognition trials in bipolar disorder.MethodsThe task force was launched in September 2016, consisting of 18 international experts from nine countries. A series of methodological issues were identified based on literature review and expert opinion. The issues were discussed and expanded upon in an initial face‐to‐face meeting, telephone conference call and email exchanges. Based upon these exchanges, recommendations were achieved.ResultsKey methodological challenges are: lack of consensus on how to screen for entry into cognitive treatment trials, define cognitive impairment, track efficacy, assess functional implications, and manage mood symptoms and concomitant medication. Task force recommendations are to: (i) enrich trials with objectively measured cognitively impaired patients; (ii) generally select a broad cognitive composite score as the primary outcome and a functional measure as a key secondary outcome; and (iii) include remitted or partly remitted patients. It is strongly encouraged that trials exclude patients with current substance or alcohol use disorders, neurological disease or unstable medical illness, and keep non‐study medications stable. Additional methodological considerations include neuroimaging assessments, targeting of treatments to illness stage and using a multimodal approach.ConclusionsThis ISBD task force guidance paper provides the first consensus‐based recommendations for cognition trials in bipolar disorder. Adherence to these recommendations will likely improve the sensitivity in detecting treatment efficacy in future trials and increase comparability between studies.

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“…Findings for auditory emotion perception have been mixed. Some studies have found intact auditory emotion perception for BD I (Vaskinn et al 2007; Hoertnagel et al 2015), whereas others have found limited impairments for some emotions for either females (Bozikas et al 2007) or males (van Reenen and Rossell 2013) with the disorder. To the best of our knowledge, there are no studies of emotion perception from body movement in individuals with BD.…”

Section: Introductionmentioning

confidence: 99%

Impairment in emotion perception from body movements in individuals with bipolar I and bipolar II disorder is associated with functional capacity

Vaskinn

Lagerberg

Bjella

et al. 2017

Int J Bipolar Disord

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BackgroundIndividuals with bipolar disorder present with moderate impairments in social cognition during the euthymic state. The impairment extends to theory of mind and to the perception of emotion in faces and voices, but it is unclear if emotion perception from body movements is affected. The main aim of this study was to examine if participants with bipolar disorder perform worse than healthy control participants on a task using point-light displays of human full figures moving in a manner indicative of a basic emotion (angry, happy, sad, fearful, neutral/no emotion). A secondary research question was whether diagnostic subtypes (bipolar I, bipolar II) and history of psychosis impacted on this type of emotion perception. Finally, symptomatic, neurocognitive, and functional correlates of emotion perception from body movements were investigated.MethodsFifty-three individuals with bipolar I (n = 29) or bipolar II (n = 24) disorder, and 84 healthy control participants were assessed for emotion perception from body movements. The bipolar group also underwent clinical, cognitive, and functional assessment. Research questions were analyzed using analyses of variance and bivariate correlations.ResultsThe bipolar disorder group differed significantly from healthy control participants for emotion perception from body movements (Cohen’s d = 0.40). Analyses of variance yielded no effects of sex, diagnostic subtype (bipolar I, bipolar II), or history of psychosis. There was an effect of emotion, indicating that some emotions are easier to recognize. The lack of a significant group × emotion interaction effect points, however, to this being so regardless of the presence of bipolar disorder. Performance was unrelated to manic and depressive symptom load but showed significant associations with neurocognition and functional capacity.ConclusionsIndividuals with bipolar disorder had a small but significant impairment in the ability to perceive emotions from body movement. The impairment was global, i.e., affecting all emotions and equally present for males and females. The impairment was associated with neurocognition and functional capacity, but not symptom load. Our findings identify pathopsychological factors underlying the functional impairment in bipolar disorder and suggest the consideration of social cognition training as part of the treatment for bipolar disorder.

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Prosodic and Semantic Affect Perception in Remitted Patients With Bipolar I Disorder

Cited by 7 publications

References 0 publications

Combined Processing of Facial and Vocal Emotion in Remitted Patients With Bipolar I Disorder

Combined Processing of Facial and Vocal Emotion in Remitted Patients With Bipolar I Disorder

Methodological recommendations for cognition trials in bipolar disorder by the International Society for Bipolar Disorders Targeting Cognition Task Force

Impairment in emotion perception from body movements in individuals with bipolar I and bipolar II disorder is associated with functional capacity

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