Evidence map›Paper›PMID 25052782›Full record

ArticleSchizophrenia research2014

Emotion recognition deficits in schizophrenia-spectrum disorders and psychotic bipolar disorder: Findings from the Bipolar-Schizophrenia Network on Intermediate Phenotypes (B-SNIP) study.

Anthony C Ruocco, James L Reilly, Leah H Rubin, Alex R Daros, Elliot S Gershon, Carol A Tamminga, Godfrey D Pearlson, S Kristian Hill, Matcheri S Keshavan, Ruben C Gur and 1 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Schizophrenia research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Facial emotion recognition deficits in bipolar disorder: A systematic review and meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
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  6. The Future of Perceptual Dysregulation in Psychiatric Nosology.Current topics in behavioral neurosciences · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 11 institutions in 2 countries.

Anthony C RuoccoDepartment of Psychiatry, University of Illinois at Chicago, Chicago, USA. Electronic address: anthony.ruocco@gmail.com.
James L ReillyDepartment of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, USA.
Leah H RubinDepartment of Psychiatry, University of Illinois at Chicago, Chicago, USA.
Alex R DarosDepartment of Psychology, University of Toronto Scarborough, Toronto, Canada.
Elliot S GershonDepartment of Psychiatry, University of Chicago, Chicago, USA.
Carol A TammingaDepartment of Psychiatry, University of TX Southwestern Medical Center, Dallas, USA.
Godfrey D PearlsonDepartment of Psychiatry, Yale University, New Haven, CT, USA.
S Kristian HillDepartment of Psychology, Rosalind Franklin University of Medicine and Science, North Chicago, USA.
Matcheri S KeshavanDepartment of Psychiatry, Harvard Medical School at Beth Israel Deaconess Medical Center, Boston, USA.
Ruben C GurDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
John A SweeneyDepartments of Psychiatry and Pediatrics, University of Texas Southwestern Medical Center, Dallas, USA.
Beth Israel Deaconess Medical Center · USCalifornia University of Pennsylvania · USNorthwestern University · USRosalind Franklin University of Medicine and Science · USSaint Anthony College of Nursing · USSouthwestern Medical CenterThe University of Texas Southwestern Medical Center · USUniversity of Chicago · USUniversity of Illinois Chicago · USUniversity of Toronto · CAYale University · US

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077851 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2007 to 2019
$7.8M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077945 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2007 to 2019
$7.6M
Stability of Biotypes: a Longitudinal EvaluationR01MH078113 · NIMH · WAYNE STATE UNIVERSITY · PI KESHAVAN, MATCHERI S. · 2007 to 2019
$6.2M
Stability of Biotypes: a Longitudinal Evaluation (STABLE)R01MH103368 · NIMH · UNIVERSITY OF CHICAGO · PI GERSHON, ELLIOT S, KEEDY, SARAH K · 2015 to 2019
$4.5M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077852 · NIMH · UNIVERSITY OF MARYLAND BALTIMORE · PI THAKER, GUNVANT K · 2007 to 2010
$3.5M
Bipolar & Schizophrenia Consortium for Parsing Intermediate PhenotypesR01MH077862 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI SWEENEY, JOHN A · 2007 to 2010
$3.1M
Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096913 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI TAMMINGA, CAROL A · 2013 to 2015
$950k
Schizophrenia Pharmacogenetics: cognition and symptom response to antipsychoticsK08MH083888 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BISHOP, JEFFREY R · 2009 to 2013
$899k
Enhancing Cognition in SchizophreniaK23MH072767 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HILL, SCOT KRISTIAN · 2006 to 2010
$794k
CIHRNCATS NIH HHS UL1 TR000430NIMH NIH HHS K08 MH083888NIMH NIH HHS K23 MH072767NIMH NIH HHS MH072767NIMH NIH HHS MH077851NIMH NIH HHS MH077852NIMH NIH HHS MH077862NIMH NIH HHS MH077945NIMH NIH HHS MH078113NIMH NIH HHS MH083888NIMH NIH HHS R01 MH077851NIMH NIH HHS R01 MH077852NIMH NIH HHS R01 MH077862NIMH NIH HHS R01 MH077945NIMH NIH HHS R01 MH078113NIMH NIH HHS R01 MH096913NIMH NIH HHS R01 MH103368
6 · The paper itself

Abstract

backgroundDifficulty recognizing facial emotions is an important social-cognitive deficit associated with psychotic disorders. It also may reflect a familial risk for psychosis in schizophrenia-spectrum disorders and bipolar disorder.

objectiveThe objectives of this study from the Bipolar-Schizophrenia Network on Intermediate Phenotypes (B-SNIP) consortium were to: 1) compare emotion recognition deficits in schizophrenia, schizoaffective disorder and bipolar disorder with psychosis, 2) determine the familiality of emotion recognition deficits across these disorders, and 3) evaluate emotion recognition deficits in nonpsychotic relatives with and without elevated Cluster A and Cluster B personality disorder traits.

methodParticipants included probands with schizophrenia (n=297), schizoaffective disorder (depressed type, n=61; bipolar type, n=69), bipolar disorder with psychosis (n=248), their first-degree relatives (n=332, n=69, n=154, and n=286, respectively) and healthy controls (n=380). All participants completed the Penn Emotion Recognition Test, a standardized measure of facial emotion recognition assessing four basic emotions (happiness, sadness, anger and fear) and neutral expressions (no emotion).

resultsCompared to controls, emotion recognition deficits among probands increased progressively from bipolar disorder to schizoaffective disorder to schizophrenia. Proband and relative groups showed similar deficits perceiving angry and neutral faces, whereas deficits on fearful, happy and sad faces were primarily isolated to schizophrenia probands. Even non-psychotic relatives without elevated Cluster A or Cluster B personality disorder traits showed deficits on neutral and angry faces. Emotion recognition ability was moderately familial only in schizophrenia families.

conclusionsEmotion recognition deficits are prominent but somewhat different across psychotic disorders. These deficits are reflected to a lesser extent in relatives, particularly on angry and neutral faces. Deficits were evident in non-psychotic relatives even without elevated personality disorder traits. Deficits in facial emotion recognition may reflect an important social-cognitive deficit in patients with psychotic disorders.

Indexed as

EmotionsRecognition, PsychologySchizophrenic PsychologySocial PerceptionAdolescentAdultAgedBipolar DisorderFacial ExpressionFamilyFemaleHumansMaleMiddle AgedPattern Recognition, VisualPhenotypeBipolar disorderEmotion recognitionFamily studyPsychosisSchizoaffective disorderSchizophrenia

Identifiers

PMID25052782
PMCPMC4152415
OpenAlexW2124868530

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.