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

Brendan A. Rich, Mary E. Grimley, Mariana Schmajuk, Karina Blair, Robert James Blair, Ellen Leibenluft

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Children with narrow phenotype bipolar disorder (NP-BD; i.e., history of at least one hypomanic or manic episode with euphoric mood) are deficient when labeling face emotions. It is unknown if this deficit is specific to particular emotions, or if it extends to children with severe mood dysregulation (SMD; i.e., chronic irritability and hyperarousal without episodes of mania). Thirty-nine NP-BD, 31 SMD, and 36 control subjects completed the emotional expression multimorph task, which presents gradations of facial emotions from 100% neutrality to 100% emotional expression (happiness, surprise, fear, sadness, anger, and disgust). Groups were compared in terms of intensity of emotion required before identification occurred and accuracy. Both NP-BD and SMD youth required significantly more morphs than controls to label correctly disgusted, surprised, fearful, and happy faces. Impaired face labeling correlated with deficient social reciprocity skills in NP-BD youth and dysfunctional family relationships in SMD youth. Compared to controls, patients with NP-BD or SMD require significantly more intense facial emotion before they are able to label the emotion correctly. These deficits are associated with psychosocial impairments. Understanding the neural circuitry associated with face-labeling deficits has the potential to clarify the pathophysiology of these disorders.

Original languageEnglish (US)
Pages (from-to)529-546
Number of pages18
JournalDevelopment and Psychopathology
Volume20
Issue number2
DOIs
StatePublished - Mar 1 2008

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Bipolar Disorder
Emotions
Happiness
Family Relations
Anger
Fear
Phenotype

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

Face emotion labeling deficits in children with bipolar disorder and severe mood dysregulation. / Rich, Brendan A.; Grimley, Mary E.; Schmajuk, Mariana; Blair, Karina; Blair, Robert James; Leibenluft, Ellen.

In: Development and Psychopathology, Vol. 20, No. 2, 01.03.2008, p. 529-546.

Research output: Contribution to journalArticle

Rich, Brendan A. ; Grimley, Mary E. ; Schmajuk, Mariana ; Blair, Karina ; Blair, Robert James ; Leibenluft, Ellen. / Face emotion labeling deficits in children with bipolar disorder and severe mood dysregulation. In: Development and Psychopathology. 2008 ; Vol. 20, No. 2. pp. 529-546.
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