Facial emotion recognition in bipolar disorder: a critical review.

OBJECTIVE Literature review of the controlled studies in the last 18 years in emotion recognition deficits in bipolar disorder. METHOD A bibliographical research of controlled studies with samples larger than 10 participants from 1990 to June 2008 was completed in Medline, Lilacs, PubMed and ISI. Thirty-two papers were evaluated. RESULTS Euthymic bipolar disorder presented impairment in recognizing disgust and fear. Manic BD showed difficult to recognize fearful and sad faces. Pediatric bipolar disorder patients and children at risk presented impairment in their capacity to recognize emotions in adults and children faces. Bipolar disorder patients were more accurate in recognizing facial emotions than schizophrenic patients. DISCUSSION Bipolar disorder patients present impaired recognition of disgust, fear and sadness that can be partially attributed to mood-state. In mania, they have difficult to recognize fear and disgust. Bipolar disorder patients were more accurate in recognizing emotions than depressive and schizophrenic patients. Bipolar disorder children present a tendency to misjudge extreme facial expressions as being moderate or mild in intensity. CONCLUSION Affective and cognitive deficits in bipolar disorder vary according to the mood states. Follow-up studies re-testing bipolar disorder patients after recovery are needed in order to investigate if these abnormalities reflect a state or trait marker and can be considered an endophenotype. Future studies should aim at standardizing task and designs.

• Publication year

  2009

• Venue

  Revista Brasileira de Psiquiatria

• Publication date

  2009-04-05

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1590/S1516-44462009000200015PMID 19578691
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Face emotion labeling deficits in children with bipolar disorder and severe mood dysregulation

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• Facial emotion labeling deficits in children and adolescents at risk for bipolar disorder.

  2008cited by this paper
• Evidence for deficient modulation of amygdala response by prefrontal cortex in bipolar mania.

  2008cited by this paper
• Is a lack of disgust something to fear? A functional magnetic resonance imaging facial emotion recognition study in euthymic bipolar disorder patients.

  2007cited by this paper
• Facial emotion processing in acutely ill and euthymic patients with pediatric bipolar disorder.

  2007cited by this paper
• The effect of gender on emotion perception in schizophrenia and bipolar disorder

  2007cited by this paper
• Affective neural circuitry during facial emotion processing in pediatric bipolar disorder.

  2007cited by this paper
• Neural activation during encoding of emotional faces in pediatric bipolar disorder.

  2007cited by this paper
• Attention bias to threat faces in children with bipolar disorder and comorbid lifetime anxiety disorders.

  2007cited by this paper
• Neuropsychological deficits and functional impairment in bipolar depression, hypomania and euthymia.

  2007cited by this paper
• Impaired emotion processing in remitted patients with bipolar disorder.

  2006cited by this paper
• Alterações neuropsicológicas no transtorno bipolar

  2006cited by this paper
• Explicit and implicit facial affect recognition in manic and depressed States of bipolar disorder: a functional magnetic resonance imaging study.

  2006cited by this paper
• [Neuropsychological disturbances in bipolar disorder].

  2006cited by this paper
• Impact of neurocognitive function on academic difficulties in pediatric bipolar disorder: A clinical translation.

  2006cited by this paper
• Limbic hyperactivation during processing of neutral facial expressions in children with bipolar disorder.

  2006cited by this paper
• Facial affect recognition in bipolar disorder : a functional magnetic resonance imaging study.

  2005cited by this paper
• Evidence for theory of mind deficits in euthymic patients with bipolar disorder

  2005cited by this paper
• Cognitive generation of affect in hypomania: an fMRI study.

  2004cited by this paper
• Anomalous prefrontal-subcortical activation in familial pediatric bipolar disorder: a functional magnetic resonance imaging investigation.

  2004cited by this paper
• Subcortical and ventral prefrontal cortical neural responses to facial expressions distinguish patients with bipolar disorder and major depression.

  2004cited by this paper
• Behavioural and neurocognitive responses to sad facial affect are attenuated in patients with mania

  2004cited by this paper
• Cognitive impairment in euthymic bipolar patients: implications for clinical and functional outcome.

  2004cited by this paper
• Neuropsychological performance in pediatric bipolar disorder.

  2004cited by this paper
• Perception of facial expressions of emotion in bipolar disorder.

  2004cited by this paper
• Facial affect recognition deficits in bipolar disorder

  2003cited by this paper
• The perception of emotional chimeric faces in patients with depression, mania and unilateral brain damage

  2003cited by this paper
• Facial emotion recognition in schizophrenia: intensity effects and error pattern.

  2003cited by this paper
• Facial expression recognition in adolescents with mood and anxiety disorders.

  2003cited by this paper
• Developmental differences in neuronal engagement during implicit encoding of emotional faces: an event-related fMRI study.

  2003cited by this paper
• Enhanced recognition of disgust in bipolar illness.

  2002cited by this paper
• Schizophrenia and affective disorder show different visual scanning behavior for faces: a trait versus state-based distinction?

  2002cited by this paper
• Brain Activation during Facial Emotion Processing

  2002cited by this paper
• Impaired recognition of facial emotion in mania.

  2002cited by this paper
• The neuropsychology and neuroanatomy of bipolar affective disorder: a critical review.

  2001cited by this paper
• The neurobiology of social cognition.

  2001cited by this paper
• fMRI during affect discrimination in bipolar affective disorder.

  2000cited by this paper
• Diagnostic Characteristics of 93 Cases of a Prepubertal and Early Adolescent Bipolar Disorder Phenotype by Gender, Puberty and Comorbid Attention Deficit Hyperactivity Disorder

  2000cited by this paper
• Impairments in judgment of chimeric faces by schizophrenic and affective patients.

  1999cited by this paper
• Facial affect recognition and information processing in schizophrenia and bipolar disorder.

  1998cited by this paper
• Neural responses to facial and vocal expressions of fear and disgust

  1998cited by this paper
• Cue availability and affect perception in schizophrenia.

  1996cited by this paper
• Le Decodage De Prototypes Emotionnels Faciaux

  1995cited by this paper
• [Decoding facial emotional prototypes].

  1995cited by this paper
• Impaired recognition of affect in facial expression in depressed patients.

  1992cited by this paper
• Differential impact of right and left hemisphere lesions on facial emotion and object imagery.

  1991cited by this paper
• Affect, Affective Disorder and Schizophrenia

  1990cited by this paper
• Constants across cultures in the face and emotion.

  1971cited by this paper

• Effective connectivity of implicit emotion processing in adolescent psychiatric inpatients: Dynamic causal modeling across bipolar disorder and other psychopathologies.

  2026cites this paper
• Face recognition in neuropsychological assessment

  2025cites this paper
• Reduced prefrontal response to fearful faces in recent mothers with bipolar disorder and its association with mother-infant interaction and infant development.

  2025cites this paper
• A critical overview of emotion processing assessment in non-affective and affective psychoses

  2024cites this paper
• Development of a tool for infant facial emotion recognition (InFER) for postpartum mothers with mental illnesses.

  2024cites this paper
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  2023cites this paper
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  2023cites this paper
• The Association Between Emotion Recognition and Internalizing Problems in Children and Adolescents: A Three-Level Meta-Analysis

  2023cites this paper
• Network dysfunction of sadness facial expression processing and morphometry in euthymic bipolar disorder

  2023cites this paper
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  2022cites this paper
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• Neuromodulation of facial emotion recognition in health and disease: A systematic review.

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• Self-regulation in youth with bipolar disorder

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• Neuropsychological performance facilitates emotion recognition in bipolar disorder

  2022cites this paper
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• Emotion regulation in pediatric bipolar disorder: A meta-analysis of published studies.

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  2020cites this paper
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  2020cites this paper
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  2020cites this paper
• Emotional body language: Social cognition deficits in bipolar disorder.

  2020cites this paper
• Facial emotion recognition deficits in patients with bipolar disorder and their healthy parents.

  2020cites this paper
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  2019cites this paper
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  2019cites this paper
• Emotional memory in bipolar disorder: Impact of multiple episodes and childhood trauma.

  2019cites this paper
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• Emotion recognition in objects in patients with neurological disease.

  2019cites this paper
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• Is aberrant affective cognition an endophenotype for affective disorders? – A monozygotic twin study

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  2018cites this paper
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  2018cites this paper
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  2018cites this paper
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• Title Enhanced Positive Emotional Reactivity Undermines Empathy in Behavioral Variant Frontotemporal Dementia

  2018cites this paper
• Interventions for Improving Affective Abilities in Adolescents: An Integrative Review Across Community and Clinical Samples of Adolescents

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• Development of the Korean Facial Emotion Stimuli: Korea University Facial Expression Collection 2nd Edition

  2017cites this paper
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  2017cites this paper
• Functional brain laterality in adulthood ADHD

  2017cites this paper
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  2017cites this paper
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  2017cites this paper
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  2016cites this paper
• Facial Emotion Recognition in Bipolar Disorder and Healthy Aging

  2016cites this paper
• Facial emotion recognition in euthymic patients with bipolar disorder and their unaffected first-degree relatives.

  2016cites this paper
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  2016cites this paper
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  2016cites this paper
• Socio-demographic and Clinical Correlates of Facial Expression Recognition Disorder in the Euthymic Phase of Bipolar Patients

  2016cites this paper
• Neurocognitive Functioning in Bipolar Disorder: A Comprehensive Review of Recent Data

  2015cites this paper
• Generating Facial Emotions for Diagnosis and Training

  2015cites this paper
• A voxel-based morphometry study of gray matter correlates of facial emotion recognition in bipolar disorder.

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  2015cites this paper
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  2014cites this paper
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  2014cites this paper
• Impaired Theory of Mind in Psychotic and Affective Disorders

  2014cites this paper
• Colour and emotional intensity

  2014cites this paper
• Facial emotion recognition and its correlation with executive functions in bipolar I patients and healthy controls.

  2014cites this paper
• Facial emotion recognition in first-episode schizophrenia and bipolar disorder with psychosis.

  2014cites this paper
• Reduced levels of vasopressin and reduced behavioral modulation of oxytocin in psychotic disorders.

  2014cites this paper
• The impact of limbic system morphology on facial emotion recognition in bipolar I disorder and healthy controls

  2013cites this paper
• Intérêt et limites de l’étude de l’expression faciale des émotions en psychiatrie

  2013cites this paper
• A comparative study of deficit pattern in theory of mind and emotion regulation methods in evaluating patients with bipolar disorder and normal individuals

  2013cites this paper
• Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder.

  2013cites this paper
• Emotion perception abnormalities across sensory modalities in bipolar disorder with psychotic features and schizophrenia.

  2013cites this paper
• Affect recognition across manic and euthymic phases of bipolar disorder in Han-Chinese patients.

  2013cites this paper
• Is the non‐verbal behavioural emotion‐processing profile of bipolar disorder impaired? A critical review

  2013cites this paper
• A unique emotional processing profile of euthymic bipolar disorder? A critical review.

  2013cites this paper
• Deficits in emotion recognition in pediatric bipolar disorder: the mediating effects of irritability.

  2013cites this paper
• The impact of limbic system morphology on facial emotion recognition in bipolar I disorder and healthy controls

  2013cites this paper
• More pronounced deficits in facial emotion recognition for schizophrenia than bipolar disorder.

  2013cites this paper
• Recognition of emotion from body language among patients with unipolar depression.

  2013cites this paper
• Cognitive Manic Symptoms in Bipolar Disorder Associated with Polymorphisms in the DAOA and COMT Genes

  2013cites this paper
• Facial emotion recognition in child psychiatry: a systematic review.

  2013cites this paper
• Review article Deficit of social cognition in mental disorders and the possibilities of its rehabilitation

  2012cites this paper
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  2012cites this paper
• Comparison of facial expression in patients with obsessive-compulsive disorder and schizophrenia using the Facial Action Coding System: a preliminary study

  2012cites this paper
• [Emotion endophenotypes in bipolar and schizophrenic disorders].

  2012cites this paper
• Einfluss der SSRI auf die Emotionsverarbeitung unter Berücksichtigung des 5-HTT Polymorphismus

  2012cites this paper
• An association between affective lability and executive functioning in bipolar disorder.

  2012cites this paper
• Speed of facial affect intensity recognition as an endophenotype of first-episode psychosis and associated limbic-cortical grey matter systems

  2012influential citation
• Emotion recognition in individuals at clinical high-risk for schizophrenia.

  2012cites this paper
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  2012cites this paper
• The impact of the CACNA1C risk allele on limbic structures and facial emotions recognition in bipolar disorder subjects and healthy controls.

  2012cites this paper
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  2012cites this paper
• Estudo comparativo da adição da terapia cognitivo comportamental e da psicoeducação ao tratamento padrão do transtorno bipolar em idosos

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  2011cites this paper