A multimethod, multichannel assessment of affective flattening in schizophrenia.

Flat affect was examined across multiple contexts (during interviews and emotional films), multiple channels of expression (facial and vocal), and different assessment techniques (clinical ratings, observational ratings of facial expression, and acoustic analyses) in 23 medication-free schizophrenic patients. Patients participated in three different interviews during which either clinical ratings were made or their voices were audiotaped for later acoustic analyses. Patients were also videotaped while they viewed positive and negative emotional films. The videotapes were then coded for the frequency, intensity, and duration of positive and negative facial expressions. Results indicated that general clinical ratings were related across different interviews. However, only those items specific to affective flattening bore significant relationships to vocal and facial expressiveness. Vocal expressiveness and negative facial expressiveness were related, but vocal expressiveness was not related to positive facial expressiveness.

• Publication year

  1994

• Venue

  Psychiatry Research

• Publication date

  1994-11-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1016/0165-1781(94)90008-6PMID 7761554
• 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.

• Drugs and the treatment of psychiatric disorders

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  1993influential reference
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  1989influential reference
• The brief psychiatric rating scale (BPRS) : Recent developments in ascertainment and scaling. Introduction

  1988cited by this paper
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  1987cited by this paper
• Rating scales in research: the case of negative symptoms.

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  1985cited by this paper
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• A diagnostic interview: the schedule for affective disorders and schizophrenia.

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• The Pharmacological Basis of Therapeutics

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  2008cites this paper
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  2008cites this paper
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