Specificity of facial expression labeling deficits in childhood psychopathology

  • Guyer A
  • Mcclure E
  • Adler A
 et al. 
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BACKGROUND: We examined whether face-emotion labeling deficits are illness-specific or an epiphenomenon of generalized impairment in pediatric psychiatric disorders involving mood and behavioral dysregulation.

METHOD: Two hundred fifty-two youths (7-18 years old) completed child and adult facial expression recognition subtests from the Diagnostic Analysis of Nonverbal Accuracy (DANVA) instrument. Forty-two participants had bipolar disorder (BD), 39 had severe mood dysregulation (SMD; i.e., chronic irritability, hyperarousal without manic episodes), 44 had anxiety and/or major depressive disorders (ANX/MDD), 35 had attention-deficit/hyperactivity and/or conduct disorder (ADHD/CD), and 92 were controls. Dependent measures were number of errors labeling happy, angry, sad, or fearful emotions.

RESULTS: BD and SMD patients made more errors than ANX/MDD, ADHD/CD, or controls when labeling adult or child emotional expressions. BD and SMD patients did not differ in their emotion-labeling deficits.

CONCLUSIONS: Face-emotion labeling deficits differentiate BD and SMD patients from patients with ANX/MDD or ADHD/CD and controls. The extent to which such deficits cause vs. result from emotional dysregulation requires further study.

Author-supplied keywords

  • Bipolar disorder
  • Emotion recognition
  • Emotion regulation
  • Pediatrics

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  • Amanda E. Guyer

  • Erin B. Mcclure

  • Abby D. Adler

  • Melissa A. Brotman

  • Brendan A. Rich

  • Alane S. Kimes

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