Facial Emotion Identification Task Research Articles

Effect of mindfulness-based cognitive therapy vs. psychoeducational intervention on plasma brain-derived neurotrophic factor and cognitive function in bipolar patients: a randomized controlled trial.

Few controlled trials have assessed the benefits of Mindfulness Based Cognitive Therapy (MBCT) on cognitive functions and brain-derived neurotrophic factor (BDNF) in bipolar disorder (BD). This study aims to evaluate the impact of MBCT adjunctive treatment on these variables. Main hypothesis was that MBCT would improve cognitive functioning and BDNF more than Psychoeducation and TAU. Randomized, multicenter, prospective and single-blinded trial. Included BD outpatients randomly assigned to three treatment arms: MBCT plus treatment as usual (TAU), Psychoeducation plus Tau and TAU. Cognitive functions were assessed with Continuous Performance Test-III, Stroop Test, Trail Making Test, Digit Span and Letter-Number Sequencing from Wechsler Adult Intelligence Scale III, Face Emotion Identification Task and Face Emotion Discrimination Task. BDNF serum level was measured with ELISA. Patients were assessed at baseline, 8 weeks and 6 months. Eighty-four patients were recruited (TAU = 10, Psychoeducation = 34, MBCT = 40). No significant differences between treatment groups were found. MBCT does not achieve better results than Psychoeducation or TAU. Being Psychoeducation and TAU efficient interventions, as well as the scarce duration of a more complex intervention, such as MBCT, are suggested as explanatory variables of these results. ClinicalTrials.gov: NCT02133170. Registered 04/30/2014.

Recognition of children's emotional facial expressions among mothers reporting a history of childhood maltreatment.

Several studies have shown that child maltreatment is associated with both positive and negative effects on the recognition of facial emotions. Research has provided little evidence of a relation between maltreatment during childhood and young adults' ability to recognize facial displays of emotion in children, an essential skill for a sensitive parental response. In this study, we examined the consequences of different forms of maltreatment experienced in childhood on emotion recognition during parenthood. Participants included sixty-three mothers of children aged 2 to 5 years. Retrospective self-reports of childhood maltreatment were assessed using the short form of the Childhood Trauma Questionnaire (CTQ). Emotion recognition was measured using a morphed facial emotion identification task of all six basic emotions (anger, disgust, fear, happiness, sadness, and surprise). A Path Analysis via Structural Equation Model revealed that a history of physical abuse is related to a decreased ability to recognize both fear and sadness in children, whereas emotional abuse and sexual abuse are related to a decreased ability to recognize anger in children. In addition, emotional neglect is associated with an increased ability to recognize anger, whereas physical neglect is associated with less accuracy in recognizing happiness in children's facial emotional expressions. These findings have important clinical implications and expand current understanding of the consequences of childhood maltreatment on parents' ability to detect children's needs.

Cognitive Performance During Confinement and Sleep Restriction in NASA's Human Exploration Research Analog (HERA).

Maintaining optimal cognitive performance in astronauts during spaceflight is critical to crewmember safety and mission success. To investigate the combined effects of confinement, isolation, and sleep deprivation on cognitive performance during spaceflight, we administered the computerized neurobehavioral test battery “Cognition” to crew members of simulated spaceflight missions as part of NASA’s ground-based Human Exploration Research Analog project. Cognition was administered to N = 32 astronaut-like subjects in four 1-week missions (campaign 1) and four 2 weeks missions (campaign 2), with four crewmembers per mission. In both campaigns, subjects performed significantly faster on Cognition tasks across time in mission without sacrificing accuracy, which is indicative of a learning effect. On an alertness and affect survey, subjects self-reported significant improvement in several affective domains with time in mission. During the sleep restriction challenge, subjects in campaign 1 were significantly less accurate on a facial emotion identification task during a night of partial sleep restriction. Subjects in campaign 2 were significantly slower and less accurate on psychomotor vigilance, and slower on cognitive throughput and motor praxis tasks during a night of total sleep deprivation. On the survey, subjects reported significantly worsening mood during the sleep loss challenge on several affective domains. These findings suggest that confinement and relative isolation of up to 2 weeks in this environment do not induce a significant negative impact on cognitive performance in any of the domains examined by Cognition, although the concurrent practice effect may have masked some of the mission’s effects. Conversely, a night of total sleep deprivation significantly decreased psychomotor vigilance and cognitive throughput performance in astronaut-like subjects. This underscores the importance of using cognitive tests designed specifically for the astronaut population, and that survey a range of cognitive domains to detect the differential effects of the wide range of stressors common to the spaceflight environment.

Testing the magnocellular-pathway advantage in facial expressions processing for consistency over time

The ability to identify facial expressions rapidly and accurately is central to human evolution. Previous studies have demonstrated that this ability relies to a large extent on the magnocellular, rather than parvocellular, visual pathway, which is biased toward processing low spatial frequencies. Despite the generally consistent finding, no study to date has investigated the reliability of this effect over time. In the present study, 40 participants completed a facial emotion identification task (fearful, happy, or neutral faces) using facial images presented at three different spatial frequencies (low, high, or broad spatial frequency), at two time points separated by one year. Bayesian statistics revealed an advantage for the magnocellular pathway in processing facial expressions; however, no effect for time was found. Furthermore, participants’ RT patterns of results were highly stable over time. Our replication, together with the consistency of our measurements within subjects, underscores the robustness of this effect. This capacity, therefore, may be considered in a trait-like manner, suggesting that individuals may possess various ability levels for processing facial expressions that can be captured in behavioral measurements.

Comparing Multiple Domains of Social Cognition in Schizophrenic Patients with vs. without Paranoid Symptoms

BackgroundVarious investigations demonstrated social cognitive impairments in schizophrenic patients. The impairments in schizophrenia patients are also associated with an increase in paranoid symptoms. However, comparing multiple domains of social cognition in subtypes of schizophrenia has received less attention.ObjectivesThe current study aimed at comparing multiple domains of social cognition in schizophrenic patients and the normal population as well as schizophrenic patients with and without paranoid symptom.MethodsIn this causal-comparative study, 44 schizophrenic patients with paranoid symptoms and 18 patients without paranoid symptom admitted to three schizophrenia care centers in Shiraz, from June 1st, 2017 to July 2nd, 2017 were evaluated. The control group included 38 staff of the studied centers. The research tools were the face emotion identification task, hinting task, and ambiguous intentions hostility questionnaire (AIHQ).ResultsWe used the multivariate analysis of variance to compare the functioning of the sample groups. Based on the results, schizophrenic patients with/without paranoid symptoms exhibited worse performance than normal individuals in emotion perception (P = 0.01, P = 0.01) and theory of mind (P = 0.01, P = 0.01) tasks; however, patients with and without paranoid symptoms did not differ in these tasks. With respect to AIHQ, schizophrenia patients with/without paranoid symptoms inclined to use hostile (P = 0.01, P = 0.02, respectively) and blaming (P = 0.01, P = 0.02, respectively) attributions compared with normal subjects. Moreover, patients with paranoid symptoms inclined to use more hostile and blaming attributions compared to patients without paranoid symptoms.ConclusionsThree variables of emotion perception, theory of mind, and hostile and blaming attributions were able to distinguish schizophrenia patients from healthy individuals, while only hostile and blaming attributions were able to distinguish patients with paranoid symptoms and those without paranoid symptoms.

Early Signs of Emotional Recognition Deficits in Adolescent High-Binge Drinkers

Background: Emotional dysregulation, measured with face recognition tasks, is prevalent in alcohol use disorders (AUD), constituting a risk factor for alcohol use and relapse. It is not clear however whether emotional dysregulation is a by-product of alcohol consumption, or if it can act as a predisposing factor for AUD. Objective: Our aim was to examine early signs of emotional dysregulation in adolescent drinkers. Method: Twenty-four high-school students and 24 university students completed two tasks. On the first one, participants had to gradually increment the emotional content of different faces until they could perceive an emotional expression (emotion perception threshold task). We also examined the propensity to perceive fearful expressions in an emotion identification task. Participants were semantically primed with emotion words (i.e., “fear”), and they then had to indicate whether a neutral-fearful facial composite matched the prime. Results: Using repeated-measures ANOVAS, in the emotion perception threshold task, “happy” faces were the easiest to detect and “sad” ones the hardest. For high school students there was a differential response pattern depending on binge scores, such that High-binge drinkers found it easier to detect a sad face but harder to detect a happy one compared to Low-binge drinkers. In the facial emotion identification task, Low-binge drinkers observed more fearful expressions compared to High-binge drinkers. Conclusions: Differences in emotional processing in young adolescents depending on drinking habits point towards the relevance of emotional dysregulation as an early sign of AUD. These findings could help develop novel diagnostic and treatment tools for young populations.

Randomized Controlled Trial of Adjunctive Social Cognition and Interaction Training, Adjunctive Therapeutic Alliance Focused Therapy, and Treatment As Usual Among Persons With Serious Mental Illness.

As one of the areas of greatest concern for people with serious mental illness (SMI) are unmet social needs, psychosocial interventions have been developed to address them. The current study utilized a randomized controlled trial to examine the effectiveness of social cognition and interaction training (SCIT) versus a therapeutic alliance focused theraphy (TAFT) versus a treatment-as-usual (TAU) control group on social functioning and quality of life as primary outcomes and social cognition variables as secondary outcomes. Sixty-three persons between the ages of 24 and 69 years with SMI (41 men and 22 women), completers of the trial (23 in SCIT, 20 in TAFT, and 20 in TAU), were assessed at baseline, completion, and at a 3-month follow-up with measurements assessing social cognition (The Facial Emotion Identification Task, The Faux pas test, The Ambiguous Intentions Hostility Questionnaire) social functioning, (The Social Skills Performance Assessment, The Wisconsin Social Quality of Life Scale), and therapeutic alliance (adapted version for group of system for observing family therapy alliance). Results reveal that the two interventions were more effective than the control condition (TAU) in reducing attribution bias anger scores, SCIT was also effective in improving theory of mind (as can be seen in Faux pas test scores), and the TAFT in improving emotion recognition and reducing intentionality attribution bias scores. Improvement was related to therapeutic alliance which did not differ between the two intervention groups. Considering the role of alliance, it is recommended to consider the integration of the two studied interventions with other approaches that emphasize alliance and reflection. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT02380885.

Facial gender but not emotion distinguishes neural responses of 10- to 13-year-old children with social anxiety disorder from healthy and clinical controls

ObjectiveThe current study examined neural and behavioral responses to angry, happy and neutral faces in childhood social anxiety disorder (SAD). MethodBehavioral (reaction time and accuracy) and electrocortical measures (P100, N170, EPN, LPP) were assessed during a facial emotion identification task in children (age 10–13) with SAD (n = 32), clinical controls with mixed anxiety disorders (n = 30), and healthy controls (n = 33). ResultsOverall, there were no group differences in behavioral or neural responses to emotional faces. However, children with SAD showed an attenuated LPP to male relative to female faces, while the opposite pattern emerged in the other two groups. DiscussionStimulus gender, but not facial emotion drove group-specific effects, which became evident in later, more elaborate stages of attention processing. The present study provides preliminary indications of gender effects in childhood SAD which should be further investigated by future studies.

Prefrontal cortex stimulation does not affect emotional bias, but may slow emotion identification.

Transcranial direct current stimulation (tDCS) has recently garnered attention as a putative depression treatment. However, the cognitive mechanisms by which it exerts an antidepressant effect are unclear: tDCS may directly alter ‘hot’ emotional processing biases, or alleviate depression through changes in ‘cold’ (non-emotional) cognitive function. Here, 75 healthy participants performed a facial emotion identification task during 20 minutes of anodal or sham tDCS over the left dorsolateral prefrontal cortex (DLPFC) in a double-blind, within-subject crossover design. A subset of 31 participants additionally completed a task measuring attentional distraction during stimulation. Compared to sham stimulation, anodal tDCS of the left DLPFC resulted in an increase in response latency across all emotional conditions. Bayesian analysis showed definitively that tDCS exerted no emotion-dependent effect on behaviour. Thus, we demonstrate that anodal tDCS produces a general, rather than an emotion-specific, effect. We also report a preliminary finding in the subset of participants who completed the distractibility task: increased distractibility during active stimulation correlated significantly with the degree to which tDCS slowed emotion identification. Our results provide insight into the possible mechanisms by which DLPFC tDCS may treat symptoms of depression, suggesting that it may not alter emotional biases, but instead may affect ‘cold’ cognitive processes.

Lower Sensitivity to Happy and Angry Facial Emotions in Young Adults with Psychiatric Problems.

Many psychiatric problem domains have been associated with emotion-specific biases or general deficiencies in facial emotion identification. However, both within and between psychiatric problem domains, large variability exists in the types of emotion identification problems that were reported. Moreover, since the domain-specificity of the findings was often not addressed, it remains unclear whether patterns found for specific problem domains can be better explained by co-occurrence of other psychiatric problems or by more generic characteristics of psychopathology, for example, problem severity. In this study, we aimed to investigate associations between emotion identification biases and five psychiatric problem domains, and to determine the domain-specificity of these biases. Data were collected as part of the ‘No Fun No Glory’ study and involved 2,577 young adults. The study participants completed a dynamic facial emotion identification task involving happy, sad, angry, and fearful faces, and filled in the Adult Self-Report Questionnaire, of which we used the scales depressive problems, anxiety problems, avoidance problems, Attention-Deficit Hyperactivity Disorder (ADHD) problems and antisocial problems. Our results suggest that participants with antisocial problems were significantly less sensitive to happy facial emotions, participants with ADHD problems were less sensitive to angry emotions, and participants with avoidance problems were less sensitive to both angry and happy emotions. These effects could not be fully explained by co-occurring psychiatric problems. Whereas this seems to indicate domain-specificity, inspection of the overall pattern of effect sizes regardless of statistical significance reveals generic patterns as well, in that for all psychiatric problem domains the effect sizes for happy and angry emotions were larger than the effect sizes for sad and fearful emotions. As happy and angry emotions are strongly associated with approach and avoidance mechanisms in social interaction, these mechanisms may hold the key to understanding the associations between facial emotion identification and a wide range of psychiatric problems.

An investigation of the impact of facial affect recognition impairments in moderate to severe TBI on fatigue, depression, and quality of life

ABSTRACTIndividuals with moderate to severe traumatic brain injury (TBI) have been shown to experience significant problems in facial affect recognition (FAR). However, it is not known how these impairments relate to overall functioning and quality of life (QoL) following TBI. The aim of the current study was to test the hypothesis that worse performance on an FAR task would be associated with reduced QoL (related to social and emotional functioning), worse mood, and increased fatigue. Forty-seven individuals with TBI and 27 healthy controls (HCs) completed the facial emotion identification task (FEIT), as well as questionnaires assessing social and emotional QoL, mood, and fatigue. The TBI group performed significantly worse than HCs on the FEIT. A significant relationship between FAR and fatigue and QoL related to social and emotional functioning was documented, but in an unexpected direction: individuals who performed better on the FEIT reported poorer QoL and greater fatigue. Individuals who have better FAR may require increased effort to perform this task, and thus experience greater fatigue and poorer social and emotional QoL.

Fusiform Gyrus Dysfunction is Associated with Perceptual Processing Efficiency to Emotional Faces in Adolescent Depression: A Model-Based Approach.

While the extant literature has focused on major depressive disorder (MDD) as being characterized by abnormalities in processing affective stimuli (e.g., facial expressions), little is known regarding which specific aspects of cognition influence the evaluation of affective stimuli, and what are the underlying neural correlates. To investigate these issues, we assessed 26 adolescents diagnosed with MDD and 37 well-matched healthy controls (HCL) who completed an emotion identification task of dynamically morphing faces during functional magnetic resonance imaging (fMRI). We analyzed the behavioral data using a sequential sampling model of response time (RT) commonly used to elucidate aspects of cognition in binary perceptual decision making tasks: the Linear Ballistic Accumulator (LBA) model. Using a hierarchical Bayesian estimation method, we obtained group-level and individual-level estimates of LBA parameters on the facial emotion identification task. While the MDD and HCL groups did not differ in mean RT, accuracy, or group-level estimates of perceptual processing efficiency (i.e., drift rate parameter of the LBA), the MDD group showed significantly reduced responses in left fusiform gyrus compared to the HCL group during the facial emotion identification task. Furthermore, within the MDD group, fMRI signal in the left fusiform gyrus during affective face processing was significantly associated with greater individual-level estimates of perceptual processing efficiency. Our results therefore suggest that affective processing biases in adolescents with MDD are characterized by greater perceptual processing efficiency of affective visual information in sensory brain regions responsible for the early processing of visual information. The theoretical, methodological, and clinical implications of our results are discussed.

Effects of facial color on the subliminal processing of fearful faces

Recent studies have suggested that both configural information, such as face shape, and surface information is important for face perception. In particular, facial color is sufficiently suggestive of emotional states, as in the phrases: “flushed with anger” and “pale with fear.” However, few studies have examined the relationship between facial color and emotional expression. On the other hand, event-related potential (ERP) studies have shown that emotional expressions, such as fear, are processed unconsciously. In this study, we examined how facial color modulated the supraliminal and subliminal processing of fearful faces. We recorded electroencephalograms while participants performed a facial emotion identification task involving masked target faces exhibiting facial expressions (fearful or neutral) and colors (natural or bluish). The results indicated that there was a significant interaction between facial expression and color for the latency of the N170 component. Subsequent analyses revealed that the bluish-colored faces increased the latency effect of facial expressions compared to the natural-colored faces, indicating that the bluish color modulated the processing of fearful expressions. We conclude that the unconscious processing of fearful faces is affected by facial color.

Endogenous testosterone levels are associated with neural activity in men with schizophrenia during facial emotion processing

Growing evidence suggests that testosterone may play a role in the pathophysiology of schizophrenia given that testosterone has been linked to cognition and negative symptoms in schizophrenia. Here, we determine the extent to which serum testosterone levels are related to neural activity in affective processing circuitry in men with schizophrenia. Functional magnetic resonance imaging was used to measure blood-oxygen-level-dependent signal changes as 32 healthy controls and 26 people with schizophrenia performed a facial emotion identification task. Whole brain analyses were performed to determine regions of differential activity between groups during processing of angry versus non-threatening faces. A follow-up ROI analysis using a regression model in a subset of 16 healthy men and 16 men with schizophrenia was used to determine the extent to which serum testosterone levels were related to neural activity. Healthy controls displayed significantly greater activation than people with schizophrenia in the left inferior frontal gyrus (IFG). There was no significant difference in circulating testosterone levels between healthy men and men with schizophrenia. Regression analyses between activation in the IFG and circulating testosterone levels revealed a significant positive correlation in men with schizophrenia (r=.63, p=.01) and no significant relationship in healthy men. This study provides the first evidence that circulating serum testosterone levels are related to IFG activation during emotion face processing in men with schizophrenia but not in healthy men, which suggests that testosterone levels modulate neural processes relevant to facial emotion processing that may interfere with social functioning in men with schizophrenia.

Elevated Il-6 Levels Are Associated with Social Cognitive Impairment in Stable Patients with Schizophrenia.

Introduction Cognitive impairment is a core feature of schizophrenia, associated with significant social and functional impairment. Schizophrenia has also been associated with inflammation and immune changes. Recently it has been showed that IL-6, a pro-inflammatory cytokine, was associated with cognitive impairment. Objectives The aim of this study was to assess the associations between a pro-inflammatory cytokines (IL-6) and an anti-inflammatory cytokine (IL-4) with social cognition in a sample of stable patients with schizophrenia. Methods Social cognition was assessed using the Face Emotion Identification Task (FEIT) and the Hinting Task in 29 stable outpatients with schizophrenia. Blood was collected and cytokines (IL-4, IL-6) assays were realized (CBA method). Results IL-6 levels showed a significant inverse correlation with FEIT global score (p = 0.019, rho = -0.475) and a trend of significant inverse correlation with the Hinting Task (p = 0.079, rho = -0.332). However, IL-4 levels showed no significant association with the FEIT or the Hinting task (rho = 0.079 and 0,121; respectively). Conclusions Elevated IL-6 levels seem to play a role in social cognitive impairment in stable patients with schizophrenia. These results should be interpreted with caution due to the limited number of participants in the study.

Korean facial emotion recognition tasks for schizophrenia research.

ObjectiveDespite the fact that facial emotion recognition (FER) tasks using Western faces should be applied with caution to non-Western participants or patients, there are few psychometrically sound and validated FER tasks featuring Easterners' facial expressions for emotions. Thus, we aimed to develop and establish the psychometric properties of the Korean Facial Emotion Identification Task (K-FEIT) and the Korean Facial Emotion Discrimination Task (K-FEDT) for individuals with schizophrenia.MethodsThe K-FEIT and K-FEDT were administered to 42 Korean individuals with schizophrenia to evaluate their psychometric properties. To test the convergent and divergent validities, the Social Behavior Sequencing Task (SBST) and hinting task were administered as social-cognitive measures, and the Trail Making Test (TMT)-A and -B were administered as neurocognitive measures.ResultsAverage accuracy on the K-FEIT and K-FEDT were 63% and 74%, respectively, and internal consistencies of the K-FEIT and K-FEDT were 0.82 and 0.95, respectively. The K-FEIT and K-FEDT were significantly correlated with SBST and Hinting Task, but not with TMT-A and B.ConclusionFollowing replication studies in a larger sample, the K-FEIT and K-FEDT are expected to facilitate future studies targeting facial emotion recognition in schizophrenia in Korea. Limitations and directions for future research are discussed.

Metacognitive and social cognition approaches to understanding the impact of schizophrenia on social quality of life

While some studies view metacognition and social cognition as representing the same phenomenon, others suggest that they represent distinctive sets of abilities that are related to different outcomes. The current study used a cross-sectional design that includes samples of persons with schizophrenia (N=39) and healthy individuals (N=60) to further explore the distinction between social cognition and metacognition and their associations with social quality of life. The Face Emotion Identification Task (FEIT), Faux-Pas Task, Indiana Psychiatric Illness Interview (IPII), Metacognition Assessment Scale — Abbreviated (MAS-A), and Social Quality of Life Scale were administrated to all participants. Correlations, t-tests and regressions were conducted. Results showed that persons with schizophrenia performed more poorly on all measures than healthy controls. Social cognition and metacognition measures were related for the combined total sample, but only a few associations were found among both sub-samples. A diagnosis of schizophrenia and metacognitive capacity, but not social cognition, predicted social quality of life. Self-reflectivity had a negative relationship to social quality of life while understanding of others' minds had a positive relation to social quality of life. The current study provides evidence that many with schizophrenia experience deficits in both social cognition and metacognition and that those deficits may be distinct and have different kinds of relationships with social quality of life. Clinical implications include the need to emphasize narrative aspects of psychotherapy in order to promote metacognition.

Reward Expectation Modulates the Identification of Facial Expressions of Emotion in Antisocial Offenders

This study assessed the expectation effects of monetary reward and monetary response cost on the performance of 57 offenders and 47 controls in a facial emotion identification task, applying a randomised cross-over design with three experimental conditions (monetary reward, monetary response cost and no-contingency). Offenders showed a poor performance compared with normal controls when the condition was monetary reward, but no differences between groups were found for the two other conditions. Within group analysis, offenders performed better when their response involved a monetary cost than a monetary reward. These results suggest that offenders may have a specific, reward-oriented motivational pattern, in which the expectation of having a monetary reward interferes negatively with the identification of facially expressed emotions, whereas the expectation of monetary cost does not seem to interfere with their performance. So, the performance of antisocial offenders in emotional identification tasks seems to be monetary condition specific.

Body Actions Change the Appearance of Facial Expressions

Perception, cognition, and emotion do not operate along segregated pathways; rather, their adaptive interaction is supported by various sources of evidence. For instance, the aesthetic appraisal of powerful mood inducers like music can bias the facial expression of emotions towards mood congruency. In four experiments we showed similar mood-congruency effects elicited by the comfort/discomfort of body actions. Using a novel Motor Action Mood Induction Procedure, we let participants perform comfortable/uncomfortable visually-guided reaches and tested them in a facial emotion identification task. Through the alleged mediation of motor action induced mood, action comfort enhanced the quality of the participant’s global experience (a neutral face appeared happy and a slightly angry face neutral), while action discomfort made a neutral face appear angry and a slightly happy face neutral. Furthermore, uncomfortable (but not comfortable) reaching improved the sensitivity for the identification of emotional faces and reduced the identification time of facial expressions, as a possible effect of hyper-arousal from an unpleasant bodily experience.

Exploring facial emotion perception in schizophrenia using transcranial magnetic stimulation and spatial filtering

Schizophrenia patients have difficulty extracting emotional information from facial expressions. Perception of facial emotion can be examined by systematically altering the spatial frequency of stimuli and suppressing visual processing with temporal precision using transcranial magnetic stimulation (TMS). In the present study, we compared 25 schizophrenia patients and 27 healthy controls using a facial emotion identification task. Spatial processing was examined by presenting facial photographs that contained either high (HSF), low (LSF), or broadband/unfiltered (BSF) spatial frequencies. Temporal processing was manipulated using a single-pulse TMS delivered to the visual cortex either before (forward masking) or after (backward masking) photograph presentation. Consistent with previous studies, schizophrenia patients performed significantly below controls across all three spatial frequencies. A spatial frequency by forward/backward masking interaction effect demonstrated reduced performance in the forward masking component in the BSF condition and a reversed performance pattern in the HSF condition, with no significant differences between forward and backward masking in the LSF condition. However, the group by spatial frequency interaction was not significant. These findings indicate that manipulating visual suppression of emotional information at the level of the primary visual cortex results in comparable effects on both groups. This suggests that patients' deficits in facial emotion identification are not explained by low-level processes in the retino-geniculo-striate projection, but may rather depend on deficits of affect perception occurring at later integrative processing stages.