Prospective and concurrent correlates of emotion perception in psychotic disorders: A naturalistic,longitudinal study of neurocognition,affective blunting and avolition

This naturalistic study investigated longitudinal and cross‐sectional symptomatic and neurocognitive correlates of social cognition indexed by emotion perception. Participants were 31 persons admitted to a psychiatric emergency ward due to acute psychosis. Positive and negative (i.e., affective blunting and avolition) symptoms were assessed at baseline and 12‐month follow‐up using the Positive and Negative Syndrome Scale. Participants completed neuropsychological assessments with alternative versions of the Repeatable Battery for the Assessment of Neuropsychological Status at baseline and at 12‐month follow‐up. Emotion perception was measured using the Face/Voice Emotion Test at 12‐month follow‐up. Correlational analyses (Spearman's rho) revealed strong and statistically significant associations between neurocognition and emotion perception (baseline r = 0.58, follow‐up r = 0.43). Associations between positive symptoms and emotion perception were weak or non‐existent (baseline r = 0.13, follow‐up r  =  –0.01). Emotion perception was moderately, but not significantly, associated with affective blunting at follow‐up (r = 0.33), but not at baseline (r = 0.21). The association with avolition was non‐existent (baseline r  =  –0.05, follow‐up r = 0.01). This study supports the notion that emotion perception has neurocognitive correlates. The cross‐sectional trend level association with affective blunting suggests that the ability to perceive emotions might be related to, but dissociable from the ability to express emotions.