Variation in recognition of happy and sad facial expressions and self-reported depressive symptom severity: A prospective cohort study

JOURNAL OF AFFECTIVE DISORDERS

卷:257

Article

Bone, Jessica K.¹  Lewis, Gemma¹  Button, Katherine S.²  Duffy, Larisa¹  Harmer, Catherine J.³  Munafo, Marcus R.^4,5  Penton-Voak, Ian S.⁴  Wiles, Nicola J.⁶  Lewis, Glyn¹ 

[1] UCL, Fac Brain Sci, Div Psychiat, 6th Floor,Maple House,149 Tottenham Court Rd, London W1T 7NF, England

[2] Univ Bath, Dept Psychol, Bath, Avon, England

[3] Univ Oxford, Dept Psychiat, Oxford, England

[4] Univ Bristol, Sch Expt Psychol, Bristol, Avon, England

[5] Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England

[6] Univ Bristol, Ctr Acad Mental Hlth Populat Hlth Sci, Bristol, Avon, England

关键词: Depression;    Facial expressions;    Emotion recognition;    Cognition;    Cohort study;   

DOI  :  10.1016/j.jad.2019.06.025

来源: Elsevier

【 摘 要 】

Objective: Cognitive theories suggest people with depression interpret self-referential social information negatively. However, it is unclear whether these biases precede or follow depression. We investigated whether facial expression recognition was associated with depressive symptoms cross-sectionally and longitudinally. Methods: Prospective cohort study of people who had visited UK primary care in the past year reporting depressive symptoms (n. = 509). Depressive symptoms were measured using the Patient Health Questionnaire (PHQ-9) at four time-points, 2 weeks apart. A computerised task assessed happy and sad facial expression re- cognition at three time-points (n = 505 at time 1). The unbiased hit rate measured ability to recognise emotions accounting for any general tendency to identify the emotion when it was not present. Results: The sample included the full range of depressive symptom severity, with 45% meeting diagnostic criteria for depression. There was no evidence that happy or sad unbiased hit rates were associated with concurrent or subsequent depressive symptoms. There was weak evidence that, for every additional face incorrectly classified as happy, concurrent PHQ-9 scores reduced by 0.05 of a point (95% CI = -0.10 to 0.002, p = 0.06 after adjustment for confounders). This association was strongest for more ambiguous facial expressions (interaction term p <0.001). Limitations: This was an observational study with relatively short follow-up (6 weeks) and small changes in depressive symptoms and emotion recognition. Only 7% of invited patients consented to participate. Conclusions: Reduced misclassifications of ambiguous faces as happy could be a state marker of depression, but was not associated with subsequent depressive symptoms. Future research should focus on the interpretation of ambiguous social information.

【 授权许可】

Free