The misclassification of facial expressions in generalised social phobia

Bell, Caroline; Bourke, Cecilia; Colhoun, Helen C; Carter, F.; Frampton, Chris; Porter, Richard

doi:10.1016/j.janxdis.2010.10.001

Cited by 66 publications

(38 citation statements)

References 32 publications

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“…16 There is consistent evi-dence of attentional bias towards threatening information [17][18][19] and of negative interpretational bias. 20,21 Also, Bell et al 22 found that socially anxious individuals did not show impaired recognition, but tended to misclassify facial expressions as angry.…”

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confidence: 99%

Reading simple and complex facial expressions in patients with major depressive disorder and anxiety disorders

Yoon¹,

Kim

Kim³

et al. 2015

Psychiatry Clin Neurosci

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Aim: Decoding facial expression is important for psychological well-being. This study examined facial emotion recognition of simple/complex and pleasant/unpleasant emotions in patients with major depressive disorder (MDD) and anxiety disorders (AnD). Methods:Patients with MDD (n = 37), AnD (n = 36) and healthy controls (HC) (n = 40) participated in this study. The recognition accuracy of emotional faces was calculated.Results: Patients with MDD had significantly lower recognition accuracy compared to HC. Patients with MDD exhibited lower recognition accuracy for simple emotions compared to patients with AnD and HC, and lower accuracy for complex emotions compared only to HC. Patients with AnD and HC showed comparable recognition accuracy for simple emotions, which were lower than that of patients with MDD. However, in recognition accuracy of complex emotions, AnD was not significantly different from either MDD or HC. Conclusions:Patients with MDD and AnD have a distinctive difficulty with the recognition of facial expressions. The recognition of complex emotions in patients with MDD and AnD should be studied further.

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confidence: 99%

Reading simple and complex facial expressions in patients with major depressive disorder and anxiety disorders

Yoon¹,

Kim

Kim³

et al. 2015

Psychiatry Clin Neurosci

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“…Thus, social cues may be perceived as a source of threat. There is evidence suggesting that individuals with high social anxiety are more likely to misinterpret ambiguous or neutral social cues such as facial expressions as negative (Bell et al, 2011;Heuer et al, 2010). In line with cognitive models of anxiety, recurrences of such facial misinterpretations may lead to an increase in social anxiety and avoidance.…”

Section: Introductionmentioning

confidence: 97%

“…Individuals with high levels of social anxiety are more likely to misinterpret facial expressions as conveying threat such as anger or contempt, especially when exposure is brief or the emotion is expressed with less intensity (Bell et al, 2011;Heuer et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

An investigation of emotion recognition training to reduce symptoms of social anxiety in adolescence

Rawdon

Murphy

Motyer

et al. 2018

Psychiatry Research

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This study aimed to examine the effect of emotion recognition training on social anxiety symptoms among adolescents, aged 15-18 years. The study included a screening session, which identified participants who scored above a cut-off on a self-report measure of social anxiety for enrolment into a randomized controlled trial (Clinical Trials ID: NCT02550379). Participants were randomized to an intervention condition designed to increase the perception of happiness over disgust in ambiguous facial expressions or a sham intervention control condition, and completed self-report measures of social anxiety, fear of negative evaluation, anxiety-related disorders, and depressive symptoms. The intervention group demonstrated a strong shift in the balance point at which they perceived happiness over disgust in ambiguous facial expressions. This increase in positive perception was not associated with any changes in the primary outcome of social anxiety; however, some evidence of improvement in symptomatology was observed on one of a number of secondary outcomes. Those in the intervention group had lower depression symptoms at 2-week follow-up, compared to those in the control group who received the sham intervention training. Potential reasons for why the shift in balance point measurement was not associated with a concurrent shift in symptoms of social anxiety are discussed.

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“…Cognitive bias, including attentional bias and interpretation bias, have been proposed to be a causal mechanism in a number of psychiatric disorders which a lead to negative affect. Biases in the interpretation of facial expressions have been found in anxiety, depression and conduct disorder (Bell et al, 2011;Bourke, Douglas, & Porter, 2010;Schönenberg & Jusyte, 2014;Yoon, Yang, Chong, & Oh, 2014). Cognitive bias modification (CBM) procedures that target attentional or interpretation biases have been developed as a therapy for individuals with psychiatric disorders (Heeren, Mogoașe, Philippot, & McNally, 2015).…”

Section: Introductionmentioning

confidence: 99%

Feedback training can increase detection of happiness in ambiguous facial expressions in children and adults with autism spectrum disorders

Griffiths

Attwood

Penton-Voak

et al. 2019

Preprint

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Recognition of subtle emotional facial expressions is challenging for some individuals with autism spectrum disorders (ASD). Training that targets recognition of low intensity emotional expressions may therefore be effective as an intervention to improve social-emotional skills. This paper reports the results of two randomised controlled experiments looking at the effect of a training methodology designed to increase the recognition of happy emotion in low intensity happy facial expressions. The first study implements this training with children with autism spectrum disorder (ASD, N = 14) and the second study implements this training with adults with ASD (N = 27). The training paradigm used images from a morph sequence that mixed a happy expression with a mixed-emotion 'norm' expression to create a sequence of varying intensity happy expressions. Participants were asked to say whether or not individual faces from the sequence were happy, to measure their happiness detection threshold.Participants that received active training were given biased feedback to shift their detection threshold, while participants that received control training were given feedback consistent with their baseline threshold. There was some statistical evidence that thresholds in the active training group shifted more than in the control group. This suggests training was successful in increasing the number of expressions that individuals identified as happy.However, there was no evidence that training increased facial expression recognition accuracy, as measured by the Reading the Mind in the Eyes task completed after training (Study 2).

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The misclassification of facial expressions in generalised social phobia

Cited by 66 publications

References 32 publications

Reading simple and complex facial expressions in patients with major depressive disorder and anxiety disorders

Reading simple and complex facial expressions in patients with major depressive disorder and anxiety disorders

An investigation of emotion recognition training to reduce symptoms of social anxiety in adolescence

Feedback training can increase detection of happiness in ambiguous facial expressions in children and adults with autism spectrum disorders

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