Eye-contact perception in schizophrenia: relationship with symptoms and socioemotional functioning

Accurately perceiving self-referential social signals, particularly eye contact, is critical to social adaptation. Schizophrenia is often accompanied by deficits in social cognition, but it is unclear whether this includes gaze discrimination deficits. This study investigated whether eye-contact perception is preserved or impaired and if it is related to symptoms and broader socioemotional functioning in schizophrenia. Twenty-six participants with schizophrenia (SCZ) and 23 healthy controls (HC) made eye-contact judgments for faces in varying gaze direction (from averted to direct in ten 10% increments), head orientation (forward, 30° averted), and emotion (neutral, fearful). Psychophysical analyses for forward faces showed that SCZ began endorsing eye contact with weaker eye-contact signal and their eye-contact perception was less of a dichotomous function, as compared with HC. SCZ were more likely than HC to endorse eye contact when gaze was ambiguous, and this overperception of eye contact was modulated by head orientation and emotion. Overperception of eye contact was associated with more severe negative symptoms. Decreased categorical gaze perception explained variance of socioemotional deficits in schizophrenia after taking basic neurocognition into consideration, suggesting the relationship was not solely due to a general deficit problem. These results were discussed in relation to the nature of categorical gaze perception and its significance to clinical and functional presentations of schizophrenia.     

Looking for foes and friends: perceptual and emotional factors when finding a face in the crowd

In a face-in-the-crowd setting, the authors examined visual search for photographically reproduced happy, angry, and fearful target faces among neutral distractor faces in 3 separate experiments. Contrary to the hypothesis, happy targets were consistently detected more quickly and accurately than angry and fearful targets, as were directed compared with averted targets. There was no consistent effect of social anxiety. A facial emotion recognition experiment suggested that the happy search advantage could be due to the ease of processing happy faces. In the final experiment with perceptually controlled schematic faces, the authors reported more effective detection of angry than happy faces. This angry advantage was most obvious for highly socially anxious individuals when their social fear was experimentally enhanced.     

Through the eyes of anxiety: Dissecting threat bias via emotional-binocular rivalry

An extensive body of research has demonstrated that anxious individuals abnormally process threat-related content. Yet, the manner in which clinical anxiety affects the selection of threatening signals and their maintenance within consciousness is yet to be explored. The present study used an emotional binocular rivalry (e-BR) procedure, in which pictures of faces depicting either fearful or neutral expressions competed with pictures of a house for conscious perception. We assumed that first- or cumulative-preferred perception of faces with fearful over neutral expression (i.e., initial or sustained threat bias, respectively) stand for preferential selection or maintenance of fear content in awareness, correspondingly. Unmedicated patients with social anxiety disorder (SAD) and panic disorder (PAD) were compared to healthy controls for threat-related perceptual biases in the e-BR. At first perception of face, both SAD and PAD patients showed a greater initial threat bias than healthy controls. In contrast, at cumulative dwell-time of face, patient groups demonstrated a diminished sustained threat bias relative to healthy controls, yet in a different manner. SAD patients showed a sustained threat bias, though it was smaller than in healthy controls. Furthermore, increased levels of reported anxiety among SAD patients were associated with enhanced sustained perception of neutral faces. PAD patients, on the other hand, showed no sustained threat bias and a diminished cumulative perception of fearful faces with increased levels of anxiety traits. These findings indicate that anxiety disorders commonly involve an initially enhanced selection of threat signals into awareness, followed by disorder-specific manifestation of diminished preferred maintenance of threat in awareness. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Intact emotion–cognition interaction in schizophrenia patients and first-degree relatives: Evidence from an emotional antisaccade task

Schizophrenia patients have deficits in cognitive control as well as in a number of emotional domains. The antisaccade task is a measure of cognitive control that requires the inhibition of a reflex-like eye movement to a peripheral stimulus. Antisaccade performance has been shown to be modulated by the emotional content of the peripheral stimuli, with emotional stimuli leading to higher error rates than neutral stimuli, reflecting an implicit emotion processing effect. The aim of the present study was to investigate the impact on antisaccade performance of threat-related emotional facial stimuli in schizophrenia patients, first-degree relatives of schizophrenia patients and healthy controls. Fifteen patients, 22 relatives and 26 controls, matched for gender, age and verbal intelligence, carried out an antisaccade task with pictures of faces displaying disgusted, fearful and neutral expressions as peripheral stimuli. We observed higher antisaccade error rates in schizophrenia patients compared to first-degree relatives and controls. Relatives and controls did not differ significantly from each other. Antisaccade error rate was influenced by the emotional nature of the stimuli: participants had higher antisaccade error rates in response to fearful faces compared to neutral and disgusted faces. As this emotional influence on cognitive control did not differ between groups we conclude that implicit processing of emotional faces is intact in patients with schizophrenia and those at risk for the illness.     

Processing emotional facial expressions: The role of anxiety and awareness

In this paper, the role of self-reported anxiety and degree of conscious awareness as determinants of the selective processing of affective facial expressions is investigated. In two experiments, an attentional bias toward fearful facial expressions was observed, although this bias was apparent only for those reporting high levels of trait anxiety and only when the emotional face was presented in the left visual field. This pattern was especially strong when the participants were unaware of the presence of the facial stimuli. In Experiment 3, a patient with right-hemisphere brain damage and visual extinction was presented with photographs of faces and fruits on unilateral and bilateral trials. On bilateral trials, it was found that faces produced less extinction than did fruits. Moreover, faces portraying a fearful or a happy expression tended to produce less extinction than did neutral expressions. This suggests that emotional facial expressions may be less dependent on attention to achieve awareness. The implications of these results for understanding the relations between attention, emotion, and anxiety are discussed.     

Awareness of faces is modulated by their emotional meaning

A central question in perception is how stimuli are selected for access to awareness. This study investigated the impact of emotional meaning on detection of faces using the attention blink paradigm. Experiment 1 showed that fearful faces were detected more frequently than neutral faces, and Experiment 2 revealed preferential detection of fearful faces compared with happy faces. To rule out image artifacts as a cause for these results, Experiment 3 manipulated the emotional meaning of neutral faces through fear conditioning and showed a selective increase in detection of conditioned faces. These results extend previous reports of preferential detection of emotional words or schematic objects and suggest that fear conditioning can modulate detection of formerly neutral stimuli.     

The influence of indirect and direct emotional processing on memory for facial expressions

We used the remember-know procedure (Tulving, 1985 ) to test the behavioural expression of memory following indirect and direct forms of emotional processing at encoding. Participants (N=32) viewed a series of facial expressions (happy, fearful, angry, and neutral) while performing tasks involving either indirect (gender discrimination) or direct (emotion discrimination) emotion processing. After a delay, participants completed a surprise recognition memory test. Our results revealed that indirect encoding of emotion produced enhanced memory for fearful faces whereas direct encoding of emotion produced enhanced memory for angry faces. In contrast, happy faces were better remembered than neutral faces after both indirect and direct encoding tasks. These findings suggest that fearful and angry faces benefit from a recollective advantage when they are encoded in a way that is consistent with the predictive nature of their threat. We propose that the broad memory advantage for happy faces may reflect a form of cognitive flexibility that is specific to positive emotions.     

Emotion-cognition interaction in people at familial high risk for schizophrenia: the impact of sex differences

Cognitive deficits are fundamental to schizophrenia, and research suggests that negative emotion abnormally interferes with certain cognitive processes in those with the illness. To a lesser extent, cognitive impairment is found in persons at risk for schizophrenia, but there is limited research on the impact of emotion on cognitive processing in at-risk groups. It is unknown whether interference of negative emotion precedes illness and contributes to vulnerability for the disorder. We studied the extent to which negative emotional information interferes with working memory in 21 adolescent and young adult first-degree relatives of people with schizophrenia and 22 community controls. Groups were comparable in age, sex, education, ethnicity, and socioeconomic status. Primary measures were n-back tasks varying in cognitive load (1-back, 2-back, 3-back) with emotional faces (neutral, happy, fearful) as stimuli. The control group's response times (RTs) and the women's RTs, regardless of group, differed depending on the emotion condition. In contrast, the RTs of the relatives and of the men, regardless of group, did not differ by emotion. This study is the first to examine emotion-cognition interactions in relatives of individuals with schizophrenia. Reduced efficiency in processing emotional information may contribute to a greater vulnerability for schizophrenia that may be heightened in men. Additional research with larger samples of men and women is needed to test these preliminary findings.     

A threat-detection advantage in those with autism spectrum disorders

Identifying threatening expressions is a significant social perceptual skill. Individuals with autism spectrum disorders (ASD) are impaired in social interaction, show deficits in face and emotion processing, show amygdala abnormalities and display a disadvantage in the perception of social threat. According to the anger superiority hypothesis, angry faces capture attention faster than happy faces in individuals with a history of typical development [Hansen, C. H., & Hansen, R. D. (1988). Finding the face in the crowd: An anger superiority effect. Journal of Personality and Social Psychology, 54(6), 917–924]. We tested threat detection abilities in ASD using a facial visual search paradigm. Participants were asked to detect an angry or happy face image in an array of distracter faces. A threat-detection advantage was apparent in both groups: participants showed faster and more accurate detection of threatening over friendly faces. Participants with ASD showed similar reaction time, but decreased overall accuracy compared to controls. This provides evidence for less robust, but intact or learned implicit processing of basic emotions in ASD.     

Emotional contrast and psychological function impact response inhibition to threatening faces

Poor inhibitory control over negative emotional information has been identified as a possible contributor to affective disorders, but the distinct effects of emotional contrast and fearful versus angry faces on response inhibition remain unknown. In the present study, young adults completed an emotional go/no-go task involving happy, neutral, and either fearful or angry faces. Results did not reveal differences in accuracy or speed between angry and fearful face conditions. However, responses were slower and indicated poorer inhibition in blocks where threatening faces were paired with happy, versus neutral, faces. Results may reflect cognitive load of emotional valence contrast, such that higher contrast blocks (containing threatening with happy faces) produced more conflict and required more processing than lower contrast blocks (threatening with neutral faces). Preliminary findings also revealed higher anxiety and depression symptoms corresponded with slower responses and worse accuracy, consistent with patterns of adverse impacts of anxiety and depression on response inhibition to threatening faces, even at subclinical levels of symptomatology.     

The Influence of Maternal Schizotypy on the perception of Facial Emotional Expressions during Infancy: an Event-Related Potential Study

Parenting directly affects the developmental and clinical outcomes of children. How parental personality relates to perceptual and cognitive mechanisms during early development is not clear. For parents with traits of the personality dimension schizotypy, would their infant display brain responses similar to those on the schizophrenia-spectrum? This study investigates whether maternal personality influences early social-cognitive awareness during the first 6 postnatal months.Schizotypy is a dimension of personality within the general population. If deficits contribute to the development of schizophrenia-spectrum disorders by influencing the development of symptom-like characteristics, they may be observable in neurotypical individuals with schizotypal characteristics. Parents and their infants were shown standardised positive and negative faces and event-related potential responses were assessed. It was hypothesised that the infants of schizotypic mothers would display differential Negative-central event-related potentials for the happy and fearful expressions when compared to infants of non-schizotypic mothers.Results support prior literature; indicating 6-month-old infants allocate more attentional resources to fearful when contrasted to happy faces. The adult cohort displays this same ability. In addition, schizotypic mothers displayed comparable amplitudes for both expressions in comparison to the control mothers who exhibited larger amplitudes towards the fearful compared to the happy expression. Infants of schizotypic mothers did not show a greater sensitivity to facial expressions at 6-months, but schizotypic mothers showed a generalised response towards facial expressions compared to the typical P600 response illustrated by the control mothers. The present study suggests that development in the higher cognitive domains, such as the allocation of attention to novel stimuli, are not affected at 6 months of age by maternal personality related to schizotypy when examined at the group level. Implications for personality development, maternal-infant interactions and cognitive neuroscience methodologies are discussed.     

Attentional capture by irrelevant emotional distractor faces

We establish attentional capture by emotional distractor faces presented as a "singleton" in a search task in which the emotion is entirely irrelevant. Participants searched for a male (or female) target face among female (or male) faces and indicated whether the target face was tilted to the left or right. The presence (vs. absence) of an irrelevant emotional singleton expression (fearful, angry, or happy) in one of the distractor faces slowed search reaction times compared to the singleton absent or singleton target conditions. Facilitation for emotional singleton targets was found for the happy expression but not for the fearful or angry expressions. These effects were found irrespective of face gender and the failure of a singleton neutral face to capture attention among emotional faces rules out a visual odd-one-out account for the emotional capture. The present study thus establishes irrelevant, emotional, attentional capture.     

Masked emotional priming beyond global valence activations

An immense body of research demonstrates that emotional facial expressions can be processed unconsciously. However, it has been assumed that such processing takes place solely on a global valence-based level, allowing individuals to disentangle positive from negative emotions but not the specific emotion. In three studies, we investigated the specificity of emotion processing under conditions of limited awareness using a modified variant of an affective priming task. Faces with happy, angry, sad, fearful, and neutral expressions were presented as masked primes for 33 ms (Study 1) or 14 ms (Studies 2 and 3) followed by emotional target faces (Studies 1 and 2) or emotional adjectives (Study 3). Participants’ task was to categorise the target emotion. In all three studies, discrimination of targets was significantly affected by the emotional primes beyond a simple positive versus negative distinction. Results indicate that specific aspects of emotions might be automatically disentangled in addition to valence, even under conditions of subjective unawareness.     

Effects of induced sad mood on facial emotion perception in young and older adults

Older adults perceive less intense negative emotion in facial expressions compared to younger counterparts. Prior research has also demonstrated that mood alters facial emotion perception. Nevertheless, there is little evidence which evaluates the interactive effects of age and mood on emotion perception. This study investigated the effects of sad mood on younger and older adults’ perception of emotional and neutral faces. Participants rated the intensity of stimuli while listening to sad music and in silence. Measures of mood were administered. Younger and older participants’ rated sad faces as displaying stronger sadness when they experienced sad mood. While younger participants showed no influence of sad mood on happiness ratings of happy faces, older adults rated happy faces as conveying less happiness when they experienced sad mood. This study demonstrates how emotion perception can change when a controlled mood induction procedure is applied to alter mood in young and older participants.     

The relationship between history of violent and criminal behavior and recognition of facial expression of emotions in men with schizophrenia and schizoaffective disorder

Social psychological research underscores the relation between aggression and emotion. Specifically, regulating negative affect requires the ability to appraise restraint‐producing cues, such as facial signs of anger, fear and other emotions. Individuals diagnosed with major mental disorders are more likely to have engaged in violent behavior than mentally healthy members of the same communities. We examined whether violent and criminal behavior in men with schizophrenia is related to emotion recognition abilities. Forty‐one men with schizophrenia underwent a computerized emotion discrimination test presenting mild and extreme intensities of happy, sad, angry, fearful and neutral faces, balanced for gender and ethnicity. History of violence was assessed by the Life History of Aggression Scale and official records of arrests. Psychopathology was rated using the Positive and Negative Symptom Scale. Criminal behavior was associated with poor emotion recognition, especially for fearful and angry facial expressions. History of aggression was also associated with more severe positive symptoms and less severe negative symptoms. These findings suggest that misinterpretation of social cues such as angry and fearful expression may lead to a failure in socialization and adaptive behavior in response to emotional situation, which may result in a higher number of criminal arrests. Aggr. Behav. 32:1–8, 2006. © 2006 Wiley‐Liss, Inc.     

The effects of emotion priming on visual search in socially anxious adults

This study examined the effects of emotion priming on visual search in participants characterised for different levels of social anxiety. Participants were primed with five facial emotions (angry, fear, happy, neutral, and surprised) and one scrambled face immediately prior to visual search trials involving finding a slanted coloured line amongst distractors, as reaction times and accuracy to target detection were recorded. Results suggest that for individuals low in social anxiety, being primed with an angry, surprised, or fearful face facilitated visual search compared to being primed with scrambled, neutral or happy faces. However, these same emotions degraded visual search in participants with high levels of social anxiety. This study expands on previous research on the impact of emotion on attention, finding that amongst socially anxious individuals, the effects of priming with threat extend beyond initial attention capture or disengagement, degrading later visual search.     

Emotion-induced trade-offs in spatiotemporal vision

It is generally assumed that emotion facilitates human vision in order to promote adaptive responses to a potential threat in the environment. Surprisingly, we recently found that emotion in some cases impairs the perception of elementary visual features (Bocanegra & Zeelenberg, 2009b). Here, we demonstrate that emotion improves fast temporal vision at the expense of fine-grained spatial vision. We tested participants' threshold resolution with Landolt circles containing a small spatial or brief temporal discontinuity. The prior presentation of a fearful face cue, compared with a neutral face cue, impaired spatial resolution but improved temporal resolution. In addition, we show that these benefits and deficits were triggered selectively by the global configural properties of the faces, which were transmitted only through low spatial frequencies. Critically, the common locus of these opposite effects suggests a trade-off between magno- and parvocellular-type visual channels, which contradicts the common assumption that emotion invariably improves vision. We show that, rather than being a general "boost" for all visual features, affective neural circuits sacrifice the slower processing of small details for a coarser but faster visual signal.     

Links between rapid ERP responses to fearful faces and conscious awareness

To study links between rapid ERP responses to fearful faces and conscious awareness, a backward‐masking paradigm was employed where fearful or neutral target faces were presented for different durations and were followed by a neutral face mask. Participants had to report target face expression on each trial. When masked faces were clearly visible (200 ms duration), an early frontal positivity, a later more broadly distributed positivity, and a temporo‐occipital negativity were elicited by fearful relative to neutral faces, confirming findings from previous studies with unmasked faces. These emotion‐specific effects were also triggered when masked faces were presented for only 17 ms, but only on trials where fearful faces were successfully detected. When masked faces were shown for 50 ms, a smaller but reliable frontal positivity was also elicited by undetected fearful faces. These results demonstrate that early ERP responses to fearful faces are linked to observers' subjective conscious awareness of such faces, as reflected by their perceptual reports. They suggest that frontal brain regions involved in the construction of conscious representations of facial expression are activated at very short latencies.     

The Role of Emotional Content and Perceptual Saliency During the Programming of Saccades Toward Faces

Previous studies have shown that the human visual system can detect a face and elicit a saccadic eye movement toward it very efficiently compared to other categories of visual stimuli. In the first experiment, we tested the influence of facial expressions on fast face detection using a saccadic choice task. Face-vehicle pairs were simultaneously presented and participants were asked to saccade toward the target (the face or the vehicle). We observed that saccades toward faces were initiated faster, and more often in the correct direction, than saccades toward vehicles, regardless of the facial expressions (happy, fearful, or neutral). We also observed that saccade endpoints on face images were lower when the face was happy and higher when it was neutral. In the second experiment, we explicitly tested the detection of facial expressions. We used a saccadic choice task with emotional-neutral pairs of faces and participants were asked to saccade toward the emotional (happy or fearful) or the neutral face. Participants were faster when they were asked to saccade toward the emotional face. They also made fewer errors, especially when the emotional face was happy. Using computational modeling, we showed that this happy face advantage can, at least partly, be explained by perceptual factors. Also, saccade endpoints were lower when the target was happy than when it was fearful. Overall, we suggest that there is no automatic prioritization of emotional faces, at least for saccades with short latencies, but that salient local face features can automatically attract attention.     

Visual search of emotional faces: The role of affective content and featural distinctiveness

We investigated the source of the visual search advantage of some emotional facial expressions. An emotional face target (happy, surprised, disgusted, fearful, angry, or sad) was presented in an array of neutral faces. A faster detection was found for happy targets, with angry and, especially, sad targets being detected more poorly. Physical image properties (e.g., luminance) were ruled out as a potential source of these differences in visual search. In contrast, the search advantage is partly due to the facilitated processing of affective content, as shown by an emotion identification task. Happy expressions were identified faster than the other expressions and were less likely to be confounded with neutral faces, whereas misjudgements occurred more often for angry and sad expressions. Nevertheless, the distinctiveness of some local features (e.g., teeth) that are consistently associated with emotional expressions plays the strongest role in the search advantage pattern. When the contribution of these features to visual search was factored out statistically, the advantage disappeared.