The relationship between childhood trauma, emotion recognition, and irritability in schizophrenia patients

Bilgi, Mustafa; Taspinar, Seval; Aksoy, Burcu; Oğuz, Kaya; Coburn, Kerry L.; Gönül, Ali Saffet

doi:10.1016/j.psychres.2017.01.091

Cited by 21 publications

(17 citation statements)

References 57 publications

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“…For instance, some patients who suffer from stroke have shown difficulties in emotion recognition, that are more frequently observed in individuals with right brain damage than in those with left brain damage (Yuvaraj et al, 2013 ). Several studies have also reported emotion recognition deficits in patients with schizophrenia (Kohler et al, 2000 ; Taylor and Iii, 2012 ; Kayser et al, 2014 ; Corcoran et al, 2015 ; Bilgi et al, 2017 ), and the results have suggested that impairments in auditory, olfactory, or visual function may lead to deficits in emotion recognition. Furthermore, emotion recognition tasks have been included in the Functional Emotional Assessment Scale (FEAS), the Development Neuropsychological Assessment-II (NEPSY-II) and the Montreal Cognitive Assessment (MoCA), which are commonly used to evaluate cognitive impairments in patients with schizophrenia, attention deficit hyperactivity disorder (ADHD), and Parkinsons disease (Solomon et al, 2007 ; Marneweck and Hammond, 2014 ; Pitzianti et al, 2017 ).…”

Section: Introductionmentioning

confidence: 95%

Emotion-Related Consciousness Detection in Patients With Disorders of Consciousness Through an EEG-Based BCI System

Pan

Xie

Huang

et al. 2018

Front. Hum. Neurosci.

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For patients with disorders of consciousness (DOC), such as vegetative state (VS) and minimally conscious state (MCS), detecting and assessing the residual cognitive functions of the brain remain challenging. Emotion-related cognitive functions are difficult to detect in patients with DOC using motor response-based clinical assessment scales such as the Coma Recovery Scale-Revised (CRS-R) because DOC patients have motor impairments and are unable to provide sufficient motor responses for emotion-related communication. In this study, we proposed an EEG-based brain-computer interface (BCI) system for emotion recognition in patients with DOC. Eight patients with DOC (5 VS and 3 MCS) and eight healthy controls participated in the BCI-based experiment. During the experiment, two movie clips flashed (appearing and disappearing) eight times with a random interstimulus interval between flashes to evoke P300 potentials. The subjects were instructed to focus on the crying or laughing movie clip and to count the flashes of the corresponding movie clip cued by instruction. The BCI system performed online P300 detection to determine which movie clip the patients responsed to and presented the result as feedback. Three of the eight patients and all eight healthy controls achieved online accuracies based on P300 detection that were significantly greater than chance level. P300 potentials were observed in the EEG signals from the three patients. These results indicated the three patients had abilities of emotion recognition and command following. Through spectral analysis, common spatial pattern (CSP) and differential entropy (DE) features in the delta, theta, alpha, beta, and gamma frequency bands were employed to classify the EEG signals during the crying and laughing movie clips. Two patients and all eight healthy controls achieved offline accuracies significantly greater than chance levels in the spectral analysis. Furthermore, stable topographic distribution patterns of CSP and DE features were observed in both the healthy subjects and these two patients. Our results suggest that cognitive experiments may be conducted using BCI systems in patients with DOC despite the inability of such patients to provide sufficient behavioral responses.

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Section: Introductionmentioning

confidence: 95%

Emotion-Related Consciousness Detection in Patients With Disorders of Consciousness Through an EEG-Based BCI System

Pan

Xie

Huang

et al. 2018

Front. Hum. Neurosci.

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“…Trauma is also associated with increases in comorbid symptoms, such as irritability [26], depression [27], anxiety [27,28], and general distress [29] in FEP populations. A possible explanatory mechanism for this relationship is increased stress sensitivity and emotion dysregulation.…”

Section: Introductionmentioning

confidence: 99%

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

Grattan

Lara

Botello

et al. 2019

JCM

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The association between trauma and psychosis outcomes is well-established, and yet the impact of trauma on comorbid clinical symptoms—such as aggression, non-suicidal self-injury behavior (NSSIB), suicide ideation, and suicide behavior—for those with psychosis is unclear. To effectively treat those with first-episode psychosis (FEP) and a history of trauma, we need to understand the impact of trauma on their whole presentation. FEP participants were recruited from an Early Psychosis Program (N = 187, ages 12–35, 72.2% male). Clinicians gathered history of trauma, aggression, and suicide data, and rated current symptom severity and functioning. Data was coded using clinician rated measures, self-report measures, and retrospective clinical chart review. Regression analyses examined whether trauma was associated with a history of aggression, suicidal ideation, suicide behavior, NSSIB, symptoms, and functioning. Trauma was associated with aggression, aggression severity and type of aggression (aggression towards others). Trauma was also associated with depression severity, suicide ideation, most severe suicide ideation, and NSSIB. Trauma was not associated with suicide behavior, severity of suicide behavior or psychosocial functioning. Integrating trauma treatment into FEP care could reduce rates of depression, aggression, suicide ideation, and NSSIB for those with a history of trauma. To reduce suicide attempt occurrence and improve functioning, more research is needed.

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“…The second profile was defined by impairment in facial affect processing and cognitive perseveration, and has an inverse relationship with aggression. Another study by Bilgi et al (2017) suggested a relationship among misidentification of emotional faces and patients' irritability, which was in turn related to childhood adversity experienced by some patients with schizophrenia. Interestingly, cognitive remediation and social cognitive training have been recently suggested to complement the action of the traditional (mainly pharmacological) care tools in the management of hostility and aggressiveness in schizophrenia (Darmedru et al, 2018).…”

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confidence: 99%

The neural basis of hostility-related dimensions in schizophrenia

Perlini

Besteher

Nenadić

et al. 2018

Epidemiol Psychiatr Sci

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Hostility and related dimensions like anger, urgency, impulsivity and aggressiveness have been described in non-clinical populations and various serious mental illnesses including schizophrenia. Although representing a mental healthcare challenge, the investigation of such constructs is often limited by the presence of complex and multi-factorial causes and lack of agreement in their conceptualisation and measurement. In this review, we aim to clarify the anatomical basis of hostility-related dimensions in schizophrenia. Imaging studies suggest malfunctioning of a neural circuitry including amygdala, striatum, prefrontal cortex, anterior cingulate cortex, insula and hippocampus to modulate hostile thoughts and behaviours, at least in the subgroup of patients with schizophrenia who exhibit high levels of urgency, impulsivity and aggressiveness.

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The relationship between childhood trauma, emotion recognition, and irritability in schizophrenia patients

Cited by 21 publications

References 57 publications

Emotion-Related Consciousness Detection in Patients With Disorders of Consciousness Through an EEG-Based BCI System

Emotion-Related Consciousness Detection in Patients With Disorders of Consciousness Through an EEG-Based BCI System

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis

The neural basis of hostility-related dimensions in schizophrenia

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