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Pediatric anxiety associated with altered facial emotion recognition
Institution:1. Department of Psychology, University of Windsor, Windsor, ON, Canada;2. Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA;3. Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA;4. Department of Psychiatry, Texas A&M Health Sciences Center, Bryan, TX, USA;1. Department of Psychology, University of Cincinnati, USA;2. Anxiety Disorders Center, Hartford Hospital/Institute of Living, USA;3. University of Louisville, USA;4. VA VISN 20 Northwest Network Mental Illness Research, Education and Clinical Center (MIRECC), USA;5. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, USA;6. Department of Psychological and Brain Sciences, University of Massachusetts Amherst, USA;7. School of Psychology, University of Southern Mississippi, USA;8. Department of Psychology, Florida State University, USA;1. Melbourne Neuropsychiatry Centre, The University of Melbourne and Melbourne Health, Parkville, Victoria, Australia;2. University of Oregon, Eugene, OR;3. Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Victoria, Australia;4. The University of Melbourne, Parkville, Victoria, Australia;5. Centre for Adolescent Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia;6. Developmental Imaging, Murdoch Children’s Research Institute, Parkville, Victoria, Australia;1. Department of Psychology, University of Toledo, United States;2. Department of Neurosciences, University of Toledo, United States;3. Department of Emergency Medicine, ProMedica Hospital, United States;1. King’s College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neurosciences, London SE5 8AF, UK;2. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain;3. CIBER Fisiopatologia Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain;4. Clinical Sciences Department, School of Medicine, University of Barcelona, Spain;5. Illia University, Department of Psychology, Tbilisi, Georgia
Abstract:Multiple psychiatric disorders are associated with difficulties in facial emotion recognition. However, generalized anxiety disorder may be associated with more accurate recognition of others’ emotional expressions, particularly expressions of happiness and fear, which index safety and threat. Children aged 9–14 from a community sample (N = 601) completed a facial emotion labeling task. Children’s symptoms of depressive and anxiety syndromes were assessed by self- and parent-report. Elevated symptoms of generalized anxiety disorder were associated with more accurate facial emotion recognition (β = 0.16, p = 0.007), specifically recognition of happiness (β = 0.17, p = 0.002) and fear (β = 0.15, p = 0.006). Elevated depressive symptoms were associated with less accurate facial emotion recognition (β = −0.12, p = 0.018), specifically happiness (β = −0.15, p = 0.002). Elevated symptoms of separation anxiety disorder were also associated with less accurate facial emotion recognition (β = −0.16, p = 0.003), specifically happiness (β = −0.15, p = 0.006) and fear (β = −0.15, p = 0.005), which highlights the importance of distinguishing between anxiety syndromes. Results held when adjusting for child age and sex. Evidence that symptoms of generalized anxiety disorder are associated with more accurate recognition of happiness and fear is consistent with theories of heightened social vigilance and support a transdiagnostic role of facial emotion recognition that may inform the psychosocial development of youth with anxiety and depressive symptoms.
Keywords:Anxiety  Depression  Emotion recognition  Facial emotion recognition
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