Response confidence for emotion perception in schizophrenia using a Continuous Facial Sequence Task

Steffen Moritz*, Aneta Woznica, Christina Andreou, Ulf Köther

*Corresponding author for this work

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Deficits in emotion perception and overconfidence in errors are well-documented in schizophrenia but have not been examined concurrently. The present study aimed to fill this gap.Twenty-three schizophrenia patients and twenty-nine healthy subjects underwent a Continuous Facial Sequence Task (CFST). The CFST comprised two blocks: a female (1st block) and a male protagonist (2nd block) displayed the six basic emotions postulated by Ekman as well as two more complex mental states and a neutral expression. Participants were first asked to identify the affect displayed by the performer and then to judge their response confidence.No group differences emerged regarding overall emotion perception. Follow-up analyses showed that patients were less correct in detecting some negative emotions but performed better for neutral or positive emotions. Regarding confidence, incorrect decisions in patients were associated with higher confidence than in controls (statistical trend level, moderate effect size). Patients displayed significant overconfidence in errors for negative emotions. In addition, patients were more prone to high-confident errors for emotions that were displayed in weak emotional intensity.While the study supports the view that the examination of confidence adds unique information to our understanding of social cognition, several methodological limitations render its findings preliminary.

Original languageEnglish
Pages (from-to)202-207
Number of pages6
JournalPsychiatry Research
Volume200
Issue number2-3
DOIs
Publication statusPublished - 30 Dec 2012
Externally publishedYes

Keywords

  • Cognitive insight
  • Emotion perception
  • Schizoaffective disorder
  • Schizophrenia
  • Theory of mind

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