Cognition, prior aggression, and psychopathic traits in relation to impaired multimodal emotion recognition in psychotic spectrum disorders

Frontiers in Psychiatry

Psychiatry

Gabriela Gavalova¹  Malin V. Källman²  Anette G. M. Johansson²  Marianne Kristiansson³  Petri Laukka⁴  Hakan Fischer⁴  Lennart Högman⁴ 

[1] Aleris Psychiatry, Täby Psychotic Disorders Clinic, Stockholm, Sweden;Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden;Centre for Psychiatry Research, Stockholm, Sweden;Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden;Centre for Psychiatry Research, Stockholm, Sweden;Swedish National Board of Forensic Medicine, Stockholm, Sweden;Department of Psychology, Stockholm University, Stockholm, Sweden;

关键词: emotion recognition;    psychosis;    schizophrenia;    aggression;    violence;    psychopathy;   

DOI  :  10.3389/fpsyt.2023.1111896

 received in 2022-11-30, accepted in 2023-04-03,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundPsychopathic traits have been associated with impaired emotion recognition in criminal, clinical and community samples. A recent study however, suggested that cognitive impairment reduced the relationship between psychopathy and emotion recognition. We therefore investigated if reasoning ability and psychomotor speed were impacting emotion recognition in individuals with psychotic spectrum disorders (PSD) with and without a history of aggression, as well as in healthy individuals, more than self-rated psychopathy ratings on the Triarchic Psychopathy Measure (TriPM).MethodsEighty individuals with PSD (schizophrenia, schizoaffective disorder, delusional disorder, other psychoses, psychotic bipolar disorder) and documented history of aggression (PSD+Agg) were compared with 54 individuals with PSD without prior aggression (PSD-Agg) and with 86 healthy individuals on the Emotion Recognition Assessment in Multiple Modalities (ERAM test). Individuals were psychiatrically stable and in remission from possible substance use disorders. Scaled scores on matrix reasoning, averages of dominant hand psychomotor speed and self-rated TriPM scores were obtained.ResultsAssociations existed between low reasoning ability, low psychomotor speed, patient status and prior aggression with total accuracy on the ERAM test. PSD groups performed worse than the healthy group. Whole group correlations between total and subscale scores of TriPM to ERAM were found, but no associations with TriPM scores within each group or in general linear models when accounting for reasoning ability, psychomotor speed, understanding of emotion words and prior aggression.ConclusionSelf-rated psychopathy was not independently linked to emotion recognition in PSD groups when considering prior aggression, patient status, reasoning ability, psychomotor speed and emotion word understanding.

【 授权许可】

Unknown   
Copyright © 2023 Högman, Gavalova, Laukka, Kristiansson, Källman, Fischer and Johansson.

【 图 表 】

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