ArticleJournal of abnormal psychology2019
Alterations in facial expressivity in youth at clinical high-risk for psychosis.
Article in Journal of abnormal psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Humanizing "multimodal" digital phenotyping of serious mental illness.Journal of psychopathology and clinical science · 2026Article
- Computerized assessments of emotional expression and emotional reactivity predict negative symptoms in individuals at clinical high-risk for psychosis.Psychological medicine · 2026Article
- Facial expressions and emotional experience during social interaction in autism and schizophrenia.Schizophrenia (Heidelberg, Germany) · 2026Article
- Subtle impairments of facial emotion expressions in individuals at ultra-high risk for psychosis.Frontiers in psychiatry · 2026Article
- Spontaneous head movements during virtual clinical interviews help predict 12-months clinical outcomes in youth at clinical high risk for psychosis.Schizophrenia (Heidelberg, Germany) · 2025Article
- Collecting language, speech acoustics, and facial expression to predict psychosis and other clinical outcomes: strategies from the AMP® SCZ initiative.Schizophrenia (Heidelberg, Germany) · 2025Article
- Moderation Effect of Emotional Expressivity on the Associations Between Schizotypal Traits, Autistic Traits and Social Pleasure.PsyCh journal · 2025Article
- Automated analysis of clinical interviews indicates altered head movements during social interactions in youth at clinical high-risk for psychosis.Schizophrenia (Heidelberg, Germany) · 2025Article
- Functional magnetic resonance imaging of depression: a bibliometrics and meta-analysis.Annals of general psychiatry · 2024Article
- Disrupted coherence between autonomic activation and emotional expression in individuals at clinical high risk for psychosis.Journal of psychopathology and clinical science · 2024Article
- Emotional tone in clinical high risk for psychosis: novel insights from a natural language analysis approach.Frontiers in psychiatry · 2024Article
- Clinical high risk for psychosis syndrome is associated with reduced neural responding to unpleasant images.Journal of psychopathology and clinical science · 2023Article
- Facial expressions in adolescent-parent interactions and mental health: A proof-of-concept study.Emotion (Washington, D.C.) · 2023Article
- Detecting at-risk mental states for psychosis (ARMS) using machine learning ensembles and facial features.Schizophrenia research · 2023Article
- Review
- Genuine and non-genuine smiles in individuals meeting criteria for a clinical high-risk syndrome.Early intervention in psychiatry · 2022Article
- Alterations in facial expressions of emotion: Determining the promise of ultrathin slicing approaches and comparing human and automated coding methods in psychosis risk.Emotion (Washington, D.C.) · 2022Article
- How do social factors relate to blunted facial affect in schizophrenia? A digital phenotyping study using ambulatory video recordings.Journal of psychiatric research · 2022Article
- Computerized analysis of facial expressions in serious mental illness.Schizophrenia research · 2022Article
- Racial and Ethnic Biases in Computational Approaches to Psychopathology.Schizophrenia bulletin · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Negative symptoms, such as blunted facial affect, are core features of psychotic disorders that predict poor functional outcome. However, it is unknown whether these impairments occur prior to the onset of psychosis. Understanding this phenomenon in the psychosis risk period has significant relevance for elucidating pathogenic processes, as well as potential for informing a viable new behavioral marker for broader social dysfunction and clinical course. The current study sought to determine the nature of facial expression deficits among individuals at clinical high-risk (CHR) for developing psychosis using a comprehensive approach, incorporating clinical interview ratings and automated facial expression coding analysis. A total of 42 CHR and 42 control participants completed clinical interviews and digitally taped segments were submitted into an automated, computerized tool to assess for 7 facial expressions (joy, anger, surprise, fear, contempt, disgust, sadness). Furthermore, relationships between facial expressions and social functioning and available scores on a psychosis conversion risk calculator from a total of 78 participants (39 CHR and 39 controls) were examined. Relationships between measures were also investigated (data was available for the Prodromal Inventory of Negative Symptoms among 33 CHR and 25 controls). Findings from clinical interview indicated that the CHR group exhibited elevated blunting. Furthermore, automated analyses showed that the CHR group displayed blunting in expressions of joy but surprisingly, increased anger facial expressions. Lastly, irregularities in facial expressions were related to decreased social functioning and increased psychosis conversion risk calculator scores, signaling heightened likelihood of conversion to psychosis. These findings suggest that alterations in facial expressivity occur early in the pathogenesis of psychosis and provide evidence for the efficacy of higher resolution measures of facial expressivity in psychosis research. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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