Emotion Recognition Test Research Articles

Methodological Stimulus Considerations for Auditory Emotion Recognition Test Design.

Many studies have investigated test design influences (e.g., number of stimuli, open- vs. closed-set tasks) on word recognition ability, but the impact that stimuli selection has on auditory emotion recognition has not been explored. This study assessed the impact of some stimulus parameters and test design methodologies on emotion recognition performance to optimize stimuli to use for auditory emotion recognition testing. Twenty-five young adult participants with normal or near-normal hearing completed four tasks evaluating methodological parameters that may affect emotion recognition performance. The four conditions assessed (a) word stimuli versus sentence stimuli, (b) the total number of stimuli and number of stimuli per emotion category, (c) the number of talkers, and (d) the number of emotion categories. Sentence stimuli yielded higher emotion recognition performance and increased performance variability compared to word stimuli. Recognition performance was independent of the number of stimuli per category, the number of talkers, and the number of emotion categories. Task duration expectedly increased with the total number of stimuli. A test of auditory emotion recognition that combined these design methodologies yielded high performance with low variability for listeners with normal hearing. Stimulus selection influences performance and test reliability for auditory emotion recognition. Researchers should consider these influences when designing future tests of auditory emotion recognition to ensure tests are able to accomplish the study's aims. https://doi.org/10.23641/asha.28270943.

Autism Spectrum Disorder and Anorexia Nervosa: Investigating the Behavioural and Neurocognitive Overlap

Autism spectrum disorder (autism) and anorexia nervosa (AN) share many clinical features. Two key neurocognitive correlates of the autistic dyad, specifically, mentalising (social impairment) and set-shifting (restricted and repetitive behaviours/interests [RRBI]) were investigated in a sample of 327 adult participants with autism (n=100; 50 females, 50 male), AN (n=82; 54 females, 28 male), autism and AN (n=45; 36 females, 9 male), and 100 (50 female, 50 male) control participants from the general population. A battery of self-report (Autism Spectrum Quotient, Eating Disorder Examination Questionnaire, Reflective Function Questionnaire, and Repetitive Behaviour Questionnaire 2 – Adult version) and performance-based (Wisconsin Card Sort Task [WCST] and Penn Emotion Recognition Test [ER-40]) measures were administered online. Clinical participants reported greater mentalising difficulty, more repetitive behaviour, and displayed worse mentalising ability compared to controls, with no difference between the clinical groups. Eating disorder psychopathology predicted error (total and perseverative) rates on the WCST, while lower levels of autistic traits were positively associated with ER-40 accuracy. We provide evidence that clinical features of autism and AN might have specific neurocognitive relevance. Improved understanding of the mechanisms underlying the overlapping features of autism and AN can have critical implications for early detection and improved and tailored intervention.

Are you tuned in to others' mind? A cross-modal evaluation of affective theory of mind in people with Parkinson's disease.

Affective Theory of Mind (ToM) is the ability to understand other peoples' emotional states and feelings. Several studies showed impaired affective ToM abilities in people with Parkinson's disease (PD). However, most studies tested this ability by using single-stimulus modality tasks (visual cues). The aim of the present study was to evaluate whether affective ToM abilities are impaired in PD using multiple stimulus modalities and whether they are related to disease duration and cognitive/emotional abilities. Twenty mid-stage, non-demented people with PD and 20 matched controls were evaluated by means of two tasks requiring subjects to infer others' mental states from the eyes' expression - the Reading the Mind in the Eyes (RME) test, and from the emotional prosody - a modified version of the Reading the Mind in the Voice (RMV) test. In people with PD, cognitive function and emotional processes were assessed through cognitive tasks and batteries of facial and prosodic emotion recognition tests. Compared to controls, the PD group showed significantly impaired performances in both RME and RMV tests (p<0.0001). Affective ToM abilities in people with PD were not correlated with cognitive function or disease duration. Visual recognition of anger and auditory recognition of fear were positively correlated with RME (p=0.0028) and RMV (p<0.0001) test scores, respectively. Cross-modal impairment of affective ToM abilities is a non-motor feature of PD, unrelated to disease stage or cognitive status. A dysfunctional amygdala-centred network might represent the shared bases for impairments in fear and anger recognition and affective ToM abilities in PD.

Examining Specific Theory-of-Mind Aspects in Amnestic and Non-Amnestic Mild Cognitive Impairment: Their Relationships with Sleep Duration and Cognitive Planning.

Background/Objectives: The study examined the relationships between specific Theory-of-Mind (ToM) dimensions, cognitive planning, and sleep duration in aging adults. Methods: The sample included 179 participants, comprising 46 cognitively healthy individuals, 75 diagnosed with amnestic Mild Cognitive Impairment (aMCI), and 58 with non-amnestic (naMCI). The mean age of the participants was 70.23 years (SD = 4.74), with a mean educational attainment of 12.35 years (SD = 3.22) and gender distribution of 53 men and 126 women. ToM assessment included tasks measuring the understanding and interpretation of non-literal speech, proverbs and metaphors, as well as an emotion-recognition test. For cognitive planning, a Tower Test was utilized. Sleep duration was measured using actigraphy. Results: We identified significant differences in various ToM tasks' performance between the groups, particularly in non-literal speech tasks and third-order ToM stories. The HC group consistently outperformed both MCI groups in these tasks, with aMCI showing higher performance than naMCI. Mediation analysis applied to examine potential direct and indirect effects of sleep duration on ToM tasks indicated that total sleep time had significant indirect effects through cognitive planning-mainly as rule violation total score-on specific ToM aspects. Hence, besides the effects of MCI pathologies and especially of naMCI, sleep duration seems also to be associated with ToM performance in aging via specific executive functioning decrements. Conclusions: The findings underscore the social implications of ToM deficits due to MCI and/or sleep duration decrease, particularly in naMCI older adults, as they can seriously impair their social interactions. Targeted interventions could improve emotional understanding, communication, and overall quality of life.

Are patients with Parkinson's disease impaired in the recognition of emotion's authenticity?

In recognising emotions expressed by others, one can make use of both embodied cognition and mechanisms that do not necessarily require activation of the limbic system, such as evoking from memory the meaning of morphological features of the observed face. Instead, we believe that the recognition of the authenticity of an emotional expression is primarily based on embodied cognition, for which the mirror system would play a significant role. To verify this hypothesis, we submitted 20 parkinsonian patients and 20 healthy control subjects to the Emotional Authenticity Recognition test, a novel test using dynamic stimuli to evaluate the ability to recognise emotions and their authenticity. Analysis of variance of the test scores shows that Parkinsonian patients perform worse than controls when they had to recognise the authenticity of emotions, although they are able to identify them. Our results confirm a deficit in the recognition of the authenticity of emotions in patients with Parkinson's disease attributable to the disruption of extrapiramidal limbic circuit between ventral striatum and orbitomesial-prefrontal cortex.

EXPRESS: Facial Occlusion with Medical Masks: Impacts on Emotion Recognition Rates for Emotion Types and Intensities.

During the COVID-19 pandemic, mask-wearing became prominent or required worldwide as a predominant preventative strategy up until and even after vaccines became widely available. Because masks make emotion recognition more challenging for both the face and voice, medical and behavioral/mental health providers became aware of the disruptions this generated in practitioner-patient relationships. The current set of studies utilized two adult samples, first from United States college students (N = 516) and second from the U.S. American general public (N = 115), to document the severity and types of errors in facial expression recognition that were exacerbated by medical mask occlusion. Using a within-subjects experimental design and a well-validated test of emotion recognition that incorporated multi-ethnic adult facial stimuli, both studies found that happy, sad, and angry faces were significantly more difficult to interpret with masks than without, with lesser effects for fear. Both high- and low-intensity emotions were more difficult to interpret with masks, with a greater relative change for high-intensity emotions. The implications of these findings for medical and behavioral/mental health practitioners are briefly described, with emphasis on strategies that can be taken to mitigate the impact in healthcare settings.

The Effects of Nocturnal Hypoxemia on Cognitive Performance in Andean Highlanders.

Background: Many Andean highlanders exposed to chronic hypoxemia are susceptible to excessive erythrocytosis (EE) and chronic mountain sickness (CMS). Nocturnal hypoxemia is more marked than diurnal hypoxemia and includes sustained and intermittent components. The potential for cognitive impairments related to nocturnal hypoxemia in this population has not been extensively studied, but improved understanding may provide opportunities for the prevention of long-term effects of EE and CMS. Methods: To examine this relationship, 48 participants residing permanently at 4,340 m completed an overnight sleep study and a battery of cognitive function tests that examined a broad range of cognitive domains. Results: Greater nocturnal hypoxemia was associated with longer reaction times on Balloon Analogue Risk Task (BART) (p < 0.01) and Emotion Recognition Test (ERT) (p < 0.01). Longer completion times of Trail Making Task were also associated with increased nocturnal hypoxemia (p = 0.03). Increased hematocrit was similarly associated with longer reaction times on the ERT (p = 0.01) and the BART (p = 0.01). Conclusion: Overall, our results showed that increased nocturnal hypoxemia and higher hematocrit were associated with impairments in cognitive performance in individuals residing permanently at high altitude.

Emotion specificity, coherence, and cultural variation in conceptualizations of positive emotions: a study of body sensations and emotion recognition

ABSTRACT The present study examines the association between people’s interoceptive representation of physical sensations and the recognition of vocal and facial expressions of emotion. We used body maps to study the granularity of the interoceptive conceptualisation of 11 positive emotions (amusement, awe, compassion, contentment, desire, love, joy, interest, pride, relief, and triumph) and a new emotion recognition test (Emotion Expression Understanding Test) to assess the ability to recognise emotions from vocal and facial behaviour. Overall, we found evidence for distinct interoceptive conceptualizations of 11 positive emotions across Asian American, European American, and Latino/a American cultures, as well as the reliable identification of emotion in facial and vocal expressions. Central to new theorising about emotion-related representation, the granularity of physical sensations did not covary with emotion recognition accuracy, suggesting that two kinds of emotion conceptualisation processes might be distinct.

Disgust-specific impairment of facial emotion recognition in Parkinson's disease patients with mild cognitive impairment.

This study investigated the association between cognitive function and facial emotion recognition (FER) in patients with Parkinson's disease (PD) and mild cognitive impairment (PD-MCI). We enrolled 126 participants from Taiwan, including 63 patients with idiopathic PD and 63 matched healthy controls. The PD group was divided into two groups: those with normal cognitive function (PD-NC) and those with MCI (PD-MCI). Participants underwent a modality emotion recognition test and comprehensive cognitive assessment. Our findings reveal that patients with PD-MCI exhibit significantly impaired FER, especially in recognizing "disgust," compared with patients with PD-NC and healthy adults (P = .001). This deficit correlates with executive function, attention, memory, and visuospatial abilities. Attention mediates the relationship between executive function and "disgust" FER. The findings highlight how patients with PD-MCI are specifically challenged when recognizing "disgust" and suggest that cognitive training focusing on cognitive flexibility and attention may improve their FER abilities. This study contributes to our understanding of the nuanced relationship between cognitive dysfunction and FER in patients with PD-MCI, emphasizing the need for targeted interventions.

Abstract 143: Social cognition impairments in patients with isolated cerebellar stroke

Introduction/Purpose Recent studies point to an important role for the cerebellum in nonmotor functions, primarily including higher cognitive functions and affect. However, the available evidence on the cerebellar contribution to social cognitive faculties are currently sparse and the exact role of the cerebellum in social cognition is yet to be elucidated. The present study aimed to investigate the impairments in social cognition in a group of patients who suffered from isolated cerebellar stroke. We hypothesized that patients in earlier stages of their stroke and patients with posterior cerebellar lesions would be more affected in the social cognition domain than the rest of the group. Materials/Methods We tested 30 patients with isolated ischemic cerebellar stroke and 30 age, sex‐ and education‐matched healthy controls. Patients were classified according to the duration after stroke (acute, subacute and chronic) as well as the location of the cerebellar lesion. A cognitive battery primarily focusing on social cognition was performed and included Montreal Cognitive Assessment (MoCA), Reading the Mind in the Eyes Test, Penn CNB Emotion Recognition Test, Faux Pas test, Tromso Social Intelligent Scale, The Social‐Emotional Expertise Scale and Geriatric Depression Scale. A thorough neurological examination was performed and Brief Ataxia Rating Scale was administered to assess ataxia symptoms specifically. The results were analyzed according to the timeline of ischemic insult and location of the lesions (e.g. anterior cerebellum, posterior cerebellum, right and left cerebellar hemispheres). Results Our results revealed a significant difference for the Penn Emotion Recognition Test pointing to significantly reduced anger recognition in the cerebellar stroke group compared to the healthy controls (p&lt;0.05). The Faux‐Pas test revealed a significant impairment confined to the affective theory of mind section of the test (p&lt;0.05). Data from the Reading the mind in the Eyes test did not reveal statistical significance between the cerebellar stroke and control groups (p&gt;0.05). However, when analyzed for subgroups, the performance score was significantly lower in patients with left posterior cerebellar stroke (p=0.015). The scales and the MOCA test did not show significant differences among the patients and the healthy controls (p&gt;0.05). Conclusion Our findings provide critical information regarding the cerebellar contributions on the social cognition network and expands the available evidence regarding the impairment in the social cognition following cerebellar stroke. Further research comprising more patients and detailed neuroimaging data will be able to illuminate the details of social cognition after cerebellar insult.

Effects of executive function on age-related emotion recognition decline varied by sex

This study delves into the criticality of Emotion recognition (ER) as a pivotal component of social functionality and psychological well-being, focusing on its susceptibility to aging and sex-related differences. Underpinned by the 'frontal aging hypothesis,' which posits a particular vulnerability of executive functions to the aging process, this study aims to unravel the intricate dynamics of how aging influences ER in both sexes, emphasizing the mediating role of executive functions. A cohort of 127 healthy adults underwent the Multi-Modality Emotion Recognition Test mobile application to assess facial ER and cross-modal matching abilities. Comprehensive neuropsychological assessments supplemented this to evaluate various facets of executive function. The analysis indicated a pronounced decline in ER performance among older adults, with no significant sex differences across age groups. However, gender-specific patterns emerged in the aging-ER relationship. For males, cognitive flexibility (β = 0.399, p < 0.001) and inhibition (β = 0.329, p = 0.020) were partial mediators. In females, working memory (β = −0.297, p = 0.023) and selective attention (β = 0.290, p = 0.042) moderated the aging-facial ER link, with inhibition (β = 0.284, p = 0.015) also playing a partial mediating role. Additionally, inhibition (β = 0.194, p = 0.043) moderated the relationship between aging and the female's cross-modal matching. The findings highlight a gender-differentiated impact of executive functions on age-related ER decline. This underscores the need for gender-tailored approaches in enhancing ER, particularly in an aging population.

Emotion recognition in amyotrophic lateral sclerosis in a dynamic environment

ObjectiveThe aim of our study was to measure the ability of ALS patients to process dynamic facial expressions as compared to a control group of healthy subjects and to correlate this ability in ALS patients with neuropsychological, clinical and neurological measures of the disease. MethodsSixty-three ALS patients and 47 healthy controls were recruited. All the ALS patients also underwent i) the Geneva Emotion Recognition Test (GERT) in which ten actors express 14 types of dynamic emotions in brief video clips with audio, ii) the Edimburgh Cognitive and Behavioral ALS Screen (ECAS) test; iii) the ALS Functional Rating Scale Revised (ALSFRS-R) and iv) the Medical Research Council (MRC) for the evaluation of muscle strength. All the healthy subjects enrolled in the study underwent the GERT. ResultsThe recognition of irritation and pleasure was significantly different between ALS patients and the control group. The amusement, despair, irritation, joy, sadness and surprise had been falsely recognized differently between the two groups. Specific ALS cognitive impairment was associated with bulbar-onset phenotype (OR = 14,3889; 95%CI = 3,96-52,16). No association was observed between false emotion recognition and cognitive impairment (F(1,60)=,56,971, p=,45,333). The number of categorical errors was significantly higher in the ALS patients than in the control group (27,66 ± 7,28 vs 17,72 ± 5,29; t = 8723; p = 0.001). ConclusionsALS patients show deficits in the dynamic processing of a wide range of emotions. These deficits are not necessarily associated with a decline in higher cognitive functions: this could therefore lead to an underestimation of the phenomenon.

The capacity of cognitive tests to detect generalized anxiety disorder (GAD): A pilot study

Cognitive impairment remains understudied in generalized anxiety disorder (GAD), despite the high prevalence and substantial burden associated with this disorder. We aimed to assess cognitive impairment in patients with GAD and evaluate the ability of cognitive tests to detect this disorder. Because of its high rate of comorbidity, we also examined how other anxiety disorders and current major depressive episodes affected our results. We tested 263 consecutive general practice outpatients. We used the GAD-7 and the Mini International Neuropsychiatric Interview (MINI) to detect anxiety and mood disorders. We assessed cognitive performance with the Stroop test, a facial emotion recognition test, and the trail-making test (TMT). Compared to patients without GAD, patients with GAD were significantly slower to complete the TMT(B-A) and faster to recognize emotions, especially negative ones such as disgust and anger. When controlling for other anxiety disorders and current major depressive episode, GAD retained a significant effect on the TMT(B-A), but not on the emotion recognition test. The TMT(B-A) could detect GAD with good accuracy (area under the curve (AUC) = 0.83, maximal Youden's index = 0.56), which was by no means comparable to the GAD-7 (AUC = 0.97, Youden's index = 0.81). While it is not efficient enough to replace the GAD-7 as a diagnostic tool, the capacity of the TMT(B-A) to detect GAD emphasizes the importance of cognitive flexibility impairment in GAD.

Neurocognitive functioning and emotional recognition in first-episode psychosis: protocol for a follow- up study

IntroductionAlthough deficits in neurocognitive functioning and emotional recognition impact treatment outcomes in schizophrenia since the development of the first psychotic episode (FEP), there is still a lack of longer follow-up studies showing the course of these deficits over time.ObjectivesOur objective is to investigate the changes of cognitive functioning over years in a cohort of patients, since their FEP.Methods This study is developed as a follow-up of the project Biomarkers in schizophrenia- integration of complementary methods in longitudinal follow-up of FEP, that was conducted in several Croatian psychiatric clinics during the period from 2014 to 2019. A cohort of patients with FEP took part in the project with psychopathology, neurocognitive functioning and emotional recognition assessment at two time points- at baseline, during the subacute phase of a psychotic episode, and after 18 months of follow-up. In this study, patients with FEP who completed the baseline assessment of the project (n=159), will be contacted and included in the follow- up. Follow-up assessment will consist of sociodemographic data including information of their treatment so far, battery of neurocognitive tests (Rey Auditory Verbal Learning Test, Rey–Osterrieth complex figure Test, Wechsler paired memory, trail making test a &amp; b, Digit symbol, Digit span, Semantic &amp; Phonetic Fluency, Stroop 1, 2, 3 and Block design test), emotional recognition test (Penn Emotion Recognition Task) and several scales assessing psychopathology (Positive and Negative Syndrome Scale, Self-evaluation of Negative Symptoms, Scale for the Assessment of Negative Symptoms), functioning (Global Assessment of Functioning, WHO Disability Assessment Scale 2.0), quality of life and recovery. The study is funded by the University of Zagreb programmes (Project No. 10106-23-2394).ResultsWe plan to analyze the differences between the three time points (baseline, 18 months, 5 years), taking in account possible correlations with psychopathology, functioning, quality of life and different treatment options.ConclusionsIdentifying specific deficits can help in providing more effective treatment plan including various interventions that can improve treatment outcomes in schizophrenia.Disclosure of InterestNone Declared

AN EEG-BASED EMOTION RECOGNITION MODEL USING AN INTERACTION DESIGN FRAMEWORK AND DEEP LEARNING

This research makes significant advances in the field of emotion recognition by presenting a new generative adversarial network (GAN) model that integrates deep learning with electroencephalography (EEG). To achieve more accurate data production and real data matching, the model utilizes self-attention and residual neural networks. Additionally, this process is accomplished by substituting an autoencoder for the discriminator in the GAN, and incorporating a reconstruction loss function. We include the self-attention mechanism and residual block in the building of the model to overcome the vanishing gradient problem. This allows the model to acquire information related to emotions in a more in-depth manner, which ultimately results in an improvement in the emotion detection accuracy. The DEAP and MAHNOB-HCI datasets are chosen for the experimental validation portion of this research. These datasets are subsequently compared and analyzed with traditional deep learning methods and well-known emotion identification algorithms. Based on these findings, it is evident that the model that we propose performs exceptionally well on the emotion recognition test, which offers substantial support for studies and applications in this field. In addition, within the context of emotion detection systems, this study places particular emphasis on the crucial role that interaction design frameworks play in enhancing both the user experience and the usability of the system. By pushing the emotion recognition technology boundaries, a new paradigm for the application of deep learning in EEG emotion recognition is provided with this comprehensive research contribution.

An ecological momentary cognitive assessment study of over-attribution of threat and suicide risk factors in people with serious mental illness

IntroductionPeople with serious mental illness (SMI; schizophrenia, schizoaffective disorder, bipolar disorder) are at increased risk of suicidal ideation (SI). Over-attribution of social threat, or attributing threatening emotions to neutral faces, may contribute to social isolation through increased social avoidance and decreased social approach motivation. These factors are related to suicide, as well as perceived burdensomeness (PB) and thwarted belongingness (TB). This study examined how over-attribution of threat relates to PB, TB, and social motivations. MethodN = 273 participants with SMI were assessed for current SI and behavior, and were stratified into SI (N = 130) vs. non-SI (N = 143) groups. Participants completed smartphone surveys (via ecological momentary assessments [EMA]) 3×/day for 10 days. They also completed the Mobile Ecological Test of Emotion Recognition (METER) 1×/day. Linear mixed models and multi-level mediation tested the relationships between over-attribution of threat, METER performance, PB/TB, and social motivations. ResultsParticipants with and without SI did not significantly differ in over-attribution of threat or METER performance. In separate models, there was a relationship of over-attribution of threat with increased PB (B = 1.00, SE = 0.21, t = 4.72, p < .001), reduced social approach motivation (B = -0.74, SE = 0.22, t = −3.33, p < .001), and increased social avoidance (B = 0.90, SE = 0.24, t = 3.70, p < .001), all significant when adjusting for facial affect recognition ability. A model examining social motivations as a mediator between over-attribution of threat and PB/TB was not significant. ConclusionThese results suggest that over-attribution of threat relates to interpersonal constructs related to SI irrespective of facial affect abilities. This study may inform understanding of social cognitive processes related to suicide in SMI.

An assessment of dynamic facial emotion recognition and theory of mind in children with ADHD: An eye-tracking study.

Deficits in social cognition in attention deficit hyperactivity disorder (ADHD) have been associated with difficulties in functioning. Since recognizing emotional facial expressions is essential for developing the perceptual components of the theory of mind (ToM), it is important to assess this relationship in children with ADHD. This study therefore compared the recognition of emotional stimuli and gaze patterns between children with ADHD and healthy children using eye-tracking with dynamic facial images. It also examined the relationship between facial emotion recognition accuracy, gaze patterns, ToM scores, and ADHD symptoms. Children with ADHD aged 8-13 (n = 47) and a control group (n = 38) completed a facial emotion recognition test, ToM tests, and the Conners' Parent Rating Scale. Participants' gaze patterns in response to dynamic facial emotion expressions were recorded using eye-tracking technology. Children with ADHD exhibited significantly lower accuracy in the recognition of the facial expressions of disgust and anger. The percentage fixation in the eye region was also significantly lower for happy, angry, sad, disgusted, and neutral emotions in the children with ADHD compared to the control group. No relationship was determined between the percentage of fixations on facial areas of interests and ADHD symptoms or ToM tests. This study provides evidence that children with ADHD experience deficits in visual attention to emotional cues. In addition, it suggests that facial emotion recognition deficits in children with ADHD represent a separate domain of social cognition that develops independently of ToM skills and core symptoms. Understanding and treating the social difficulties of individuals with ADHD may help improve their social functioning.

Motor development and emotion recognition among young rural children: The mediating role of working memory

This study explored the relationship between motor development and emotion recognition among young rural children and the mediating role of working memory. A total of 187 children (girls= 41.71%) aged 3-6 years from rural kindergartens in the Henan Province in China participated in the study Their motor development, working memory, and emotion recognition were assessed using the Big Muscle Motor Development Test-Second Edition (fGMD-2), Beads Memory Task, and Emotion Recognition Test. Following a mediating model, results showed that motor development positively predicted working memory, while working memory predicted emotion recognition. The direct and positive predictive effect of motor development on emotion recognition was also significant. The findings suggest that rural children's motor development is a resource for children's emotional recognition, with the mediating role of working memory as a developmental mechanism. We should pay attention to the importance of rural children's motor development in their growth process.

Clinical and psychometric characteristics of cognitive and negative disorders in schizophrenia

To establish the characteristics of clinical manifestations and cognitive tests in patients with schizophrenia, with a predominance of cognitive and negative disorders. We examined 76 patients, 66 in the main group, 10 in the comparison group, who were treated in Psychiatric Hospital No. 1 and Psychiatric Hospital No. 4 (Moscow). Clinical-psychopathological, psychometric and statistical methods were used. Features of cognitive functioning were studied using the Frontal Assessment Battery (FAB) and the Edinburgh Cognitive and Behavioural Amyotrophic Lateral Sclerosis (ALS) Screen (ECAS). Emotional intelligence scores were assessed using the Ekman Face Emotion Recognition (EFER) test. Patients with schizophrenia showed dominance of one of 3 types of deficit symptoms: cognitive, emotional, and volitional. Cognitive functions were significantly reduced in patients with schizophrenia when compared with the comparison group (mean FAB score (M±SD) 13.44±2.97 in patients with schizophrenia vs. 16.10±1.70 in the comparison group; t=4.10; p<0.001). Cognitive functions were particularly reduced in patients with volitional deficit (mean EFER total score 42.40±9.0 in patients with volitional deficit vs. 47.21±633 in patients with cognitive deficit; t=2.12; p=0.039; mean FAB score 12.83±3.29 in patients with volitional deficit vs. 16.10±1.70 in the comparison group; t=4.24; p<0.001; mean ECAS score specific to ALS 78.80±9.07 in patients with volitional deficit vs. 84.50±6.71 in the comparison group; t=2.18; p=0.034). The greatest contribution to the development of cognitive disorders in schizophrenia is made by dysfunction of frontal (especially) and temporal cortex. Executive functions, speech skills and verbal fluency are most severely damaged.

Effectiveness of Recovery-Oriented cognitive therapy on Emotion Recognition and Quality of Life in Patients with Schizophrenia

The purpose of this study was to investigate the effectiveness of recovery-oriented cognitive therapy on emotion recognition and quality of life in patients with schizophrenia. The research method was a quasi-experimental design with a pre-test, post-test, and follow-up with a control group. The study population included all schizophrenia patients hospitalized in round-the-clock neuro-psychiatric centers in Tehran in the year 2022. The sample size consisted of 30 individuals (15 in the experimental group and 15 in the control group) selected from the population using convenience sampling and were allocated to either the control or experimental groups. For the experimental group, recovery-oriented cognitive therapy was administered while the control group remained on a waiting list. The research tools included the Facial Emotion Recognition Test (Ekman &amp; Friesen, 1976) and the Quality of Life Questionnaire (World Health Organization, 1996). The results indicated that recovery-oriented cognitive therapy had a significant impact on emotion recognition and quality of life in the post-test and follow-up stages. The findings of this research provide useful information regarding recovery-oriented cognitive therapy, and psychologists and psychiatrists can use this intervention to improve emotion recognition and quality of life in patients with schizophrenia.