Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation
Background Children with bipolar disorder (BD) or severe mood dysregulation (SMD) show behavioural and neural deficits during facial emotion processing. In those with other psychiatric disorders, such deficits have been associated with reduced attention to eye regions while looking at faces. Methods...
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| Veröffentlicht in: | Journal of psychiatry & neuroscience 2013-11, Vol.38 (6), p.407-416 |
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| creator | Kim, Pilyoung, PhD Rosen, Brooke H., BA Razdan, Varun, BS Haring, Catherine T., BA Jenkins, Sarah E., BA Deveney, Christen M., PhD Brotman, Melissa A., PhD Blair, R. James R., PhD Pine, Daniel S., MD Leibenluft, Ellen, MD Baker, Chris I., PhD Arizpe, Joseph, BS |
| description | Background Children with bipolar disorder (BD) or severe mood dysregulation (SMD) show behavioural and neural deficits during facial emotion processing. In those with other psychiatric disorders, such deficits have been associated with reduced attention to eye regions while looking at faces. Methods We examined gaze fixation patterns during a facial emotion labelling task among children with pediatric BD and SMD and among healthy controls. Participants viewed facial expressions with varying emotions (anger, fear, sadness, happiness, neutral) and emotional levels (60%, 80%, 100%) and labelled emotional expressions. Results Our study included 22 children with BD, 28 with SMD and 22 controls. Across all facial emotions, children with BD and SMD made more labelling errors than controls. Compared with controls, children with BD spent less time looking at eyes and made fewer eye fixations across emotional expressions. Gaze patterns in children with SMD tended to fall between those of children with BD and controls, although they did not differ significantly from either of these groups on most measures. Decreased fixations to eyes correlated with lower labelling accuracy in children with BD, but not in those with SMD or in controls. Limitations Most children with BD were medicated, which precluded our ability to evaluate medication effects on gaze patterns. Conclusion Facial emotion labelling deficits in children with BD are associated with impaired attention to eyes. Future research should examine whether impaired attention to eyes is associated with neural dysfunction. Eye gaze deficits in children with BD during facial emotion labelling may also have treatment implications. Finally, children with SMD exhibited decreased attention to eyes to a lesser extent than those with BD, and these equivocal findings are worthy of further study. |
| doi_str_mv | 10.1503/jpn.120232 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3819155</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A350573426</galeid><els_id>1_s2_0_S1180488213500825</els_id><sourcerecordid>A350573426</sourcerecordid><originalsourceid>FETCH-LOGICAL-c755t-c7204655ec3c290adf26da7f3b9c614c00e821d81585eb663be4ec37e35a88213</originalsourceid><addsrcrecordid>eNqVk2tv0zAUhiMEYmPwhR-ALBAIkDp8iXP5gjRNXCZNIDH4bLnOSevi2J2djO7fc7KOtUWVEIrkxDmP38Q-75tlTxk9ZpKKd4ulP2accsHvZYcsr6oJz0V-H59ZRSc45wfZo5QWlFJOmXyYHXBR00JIdpitzrqlthEa0tqV7m3wpA8EriGRZojWz0irjdWOQBduqk5PwbmxYD0xc-uaCJ78sv2cTO0yOB1JY1OIDUQSIklwBRFIF0JDmusUYTa4m888zh602iV4cns_yn58_PD99PPk_Ouns9OT84kppexx5DQvpAQjDK-pblpeNLpsxbQ2BcsNpVBx1lRMVhKmRSGmkCNbgpAaN87EUfZ-rbscph00BnwftVPLaDsdr1XQVu1WvJ2rWbhSomI1kxIFXt8KxHA5QOpVZ5PBM9AewpAUtoCWNaU5-zea57JmnPNR9cVf6CIM0eNJIFVURVnweouaaQfK-jbgL5pRVJ0ISWUpcl4gNdlDzcAD7id4aC2-3uGf7-HN0l6qbeh4D4RXA501e1Xf7CxApodVP9NDSurs4tt_sF922Vdb7By06-cpuGE0UdoF365BE0NCp7V3TWZ07JJQGBS1DgrCz7ZtcYf-SQYCL28BnYx2bdTe2LThsOVM0HLjL0ATX1mIymA6LC75OaZo01WVuKLqYsxkfuNM9E2FTvgNi20rZw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1468676295</pqid></control><display><type>article</type><title>Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Kim, Pilyoung, PhD ; Rosen, Brooke H., BA ; Razdan, Varun, BS ; Haring, Catherine T., BA ; Jenkins, Sarah E., BA ; Deveney, Christen M., PhD ; Brotman, Melissa A., PhD ; Blair, R. James R., PhD ; Pine, Daniel S., MD ; Leibenluft, Ellen, MD ; Baker, Chris I., PhD ; Arizpe, Joseph, BS</creator><creatorcontrib>Kim, Pilyoung, PhD ; Rosen, Brooke H., BA ; Razdan, Varun, BS ; Haring, Catherine T., BA ; Jenkins, Sarah E., BA ; Deveney, Christen M., PhD ; Brotman, Melissa A., PhD ; Blair, R. James R., PhD ; Pine, Daniel S., MD ; Leibenluft, Ellen, MD ; Baker, Chris I., PhD ; Arizpe, Joseph, BS</creatorcontrib><description>Background Children with bipolar disorder (BD) or severe mood dysregulation (SMD) show behavioural and neural deficits during facial emotion processing. In those with other psychiatric disorders, such deficits have been associated with reduced attention to eye regions while looking at faces. Methods We examined gaze fixation patterns during a facial emotion labelling task among children with pediatric BD and SMD and among healthy controls. Participants viewed facial expressions with varying emotions (anger, fear, sadness, happiness, neutral) and emotional levels (60%, 80%, 100%) and labelled emotional expressions. Results Our study included 22 children with BD, 28 with SMD and 22 controls. Across all facial emotions, children with BD and SMD made more labelling errors than controls. Compared with controls, children with BD spent less time looking at eyes and made fewer eye fixations across emotional expressions. Gaze patterns in children with SMD tended to fall between those of children with BD and controls, although they did not differ significantly from either of these groups on most measures. Decreased fixations to eyes correlated with lower labelling accuracy in children with BD, but not in those with SMD or in controls. Limitations Most children with BD were medicated, which precluded our ability to evaluate medication effects on gaze patterns. Conclusion Facial emotion labelling deficits in children with BD are associated with impaired attention to eyes. Future research should examine whether impaired attention to eyes is associated with neural dysfunction. Eye gaze deficits in children with BD during facial emotion labelling may also have treatment implications. Finally, children with SMD exhibited decreased attention to eyes to a lesser extent than those with BD, and these equivocal findings are worthy of further study.</description><identifier>ISSN: 1180-4882</identifier><identifier>EISSN: 1488-2434</identifier><identifier>DOI: 10.1503/jpn.120232</identifier><identifier>PMID: 23906351</identifier><identifier>CODEN: JPNEEF</identifier><language>eng</language><publisher>Ottawa, ON: Canadian Medical Association</publisher><subject>Adolescent ; Adult and adolescent clinical studies ; Biological and medical sciences ; Bipolar disorder ; Bipolar Disorder - physiopathology ; Bipolar disorders ; Case-Control Studies ; Child ; Child psychology ; Emotional disorders ; Eye ; Face ; Facial Expression ; Female ; Fixation, Ocular - physiology ; Fundamental and applied biological sciences. Psychology ; Humans ; Indexing in process ; Male ; Medical Education ; Medical sciences ; Mood disorders ; Mood Disorders - physiopathology ; Movements ; Neuropsychology ; Pediatrics ; Photic Stimulation ; Physiological aspects ; Psychiatry ; Psychoanalysis ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Psychopathology. Psychiatry ; Research Papers ; Social Perception</subject><ispartof>Journal of psychiatry & neuroscience, 2013-11, Vol.38 (6), p.407-416</ispartof><rights>Canadian Medical Association</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2013 Joule Inc.</rights><rights>Copyright Canadian Medical Association Nov 2013</rights><rights>2013 Canadian Medical Association 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c755t-c7204655ec3c290adf26da7f3b9c614c00e821d81585eb663be4ec37e35a88213</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819155/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3819155/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27901307$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23906351$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Pilyoung, PhD</creatorcontrib><creatorcontrib>Rosen, Brooke H., BA</creatorcontrib><creatorcontrib>Razdan, Varun, BS</creatorcontrib><creatorcontrib>Haring, Catherine T., BA</creatorcontrib><creatorcontrib>Jenkins, Sarah E., BA</creatorcontrib><creatorcontrib>Deveney, Christen M., PhD</creatorcontrib><creatorcontrib>Brotman, Melissa A., PhD</creatorcontrib><creatorcontrib>Blair, R. James R., PhD</creatorcontrib><creatorcontrib>Pine, Daniel S., MD</creatorcontrib><creatorcontrib>Leibenluft, Ellen, MD</creatorcontrib><creatorcontrib>Baker, Chris I., PhD</creatorcontrib><creatorcontrib>Arizpe, Joseph, BS</creatorcontrib><title>Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation</title><title>Journal of psychiatry & neuroscience</title><addtitle>J Psychiatry Neurosci</addtitle><description>Background Children with bipolar disorder (BD) or severe mood dysregulation (SMD) show behavioural and neural deficits during facial emotion processing. In those with other psychiatric disorders, such deficits have been associated with reduced attention to eye regions while looking at faces. Methods We examined gaze fixation patterns during a facial emotion labelling task among children with pediatric BD and SMD and among healthy controls. Participants viewed facial expressions with varying emotions (anger, fear, sadness, happiness, neutral) and emotional levels (60%, 80%, 100%) and labelled emotional expressions. Results Our study included 22 children with BD, 28 with SMD and 22 controls. Across all facial emotions, children with BD and SMD made more labelling errors than controls. Compared with controls, children with BD spent less time looking at eyes and made fewer eye fixations across emotional expressions. Gaze patterns in children with SMD tended to fall between those of children with BD and controls, although they did not differ significantly from either of these groups on most measures. Decreased fixations to eyes correlated with lower labelling accuracy in children with BD, but not in those with SMD or in controls. Limitations Most children with BD were medicated, which precluded our ability to evaluate medication effects on gaze patterns. Conclusion Facial emotion labelling deficits in children with BD are associated with impaired attention to eyes. Future research should examine whether impaired attention to eyes is associated with neural dysfunction. Eye gaze deficits in children with BD during facial emotion labelling may also have treatment implications. Finally, children with SMD exhibited decreased attention to eyes to a lesser extent than those with BD, and these equivocal findings are worthy of further study.</description><subject>Adolescent</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Bipolar disorder</subject><subject>Bipolar Disorder - physiopathology</subject><subject>Bipolar disorders</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child psychology</subject><subject>Emotional disorders</subject><subject>Eye</subject><subject>Face</subject><subject>Facial Expression</subject><subject>Female</subject><subject>Fixation, Ocular - physiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Indexing in process</subject><subject>Male</subject><subject>Medical Education</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Mood Disorders - physiopathology</subject><subject>Movements</subject><subject>Neuropsychology</subject><subject>Pediatrics</subject><subject>Photic Stimulation</subject><subject>Physiological aspects</subject><subject>Psychiatry</subject><subject>Psychoanalysis</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Psychopathology. Psychiatry</subject><subject>Research Papers</subject><subject>Social Perception</subject><issn>1180-4882</issn><issn>1488-2434</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqVk2tv0zAUhiMEYmPwhR-ALBAIkDp8iXP5gjRNXCZNIDH4bLnOSevi2J2djO7fc7KOtUWVEIrkxDmP38Q-75tlTxk9ZpKKd4ulP2accsHvZYcsr6oJz0V-H59ZRSc45wfZo5QWlFJOmXyYHXBR00JIdpitzrqlthEa0tqV7m3wpA8EriGRZojWz0irjdWOQBduqk5PwbmxYD0xc-uaCJ78sv2cTO0yOB1JY1OIDUQSIklwBRFIF0JDmusUYTa4m888zh602iV4cns_yn58_PD99PPk_Ouns9OT84kppexx5DQvpAQjDK-pblpeNLpsxbQ2BcsNpVBx1lRMVhKmRSGmkCNbgpAaN87EUfZ-rbscph00BnwftVPLaDsdr1XQVu1WvJ2rWbhSomI1kxIFXt8KxHA5QOpVZ5PBM9AewpAUtoCWNaU5-zea57JmnPNR9cVf6CIM0eNJIFVURVnweouaaQfK-jbgL5pRVJ0ISWUpcl4gNdlDzcAD7id4aC2-3uGf7-HN0l6qbeh4D4RXA501e1Xf7CxApodVP9NDSurs4tt_sF922Vdb7By06-cpuGE0UdoF365BE0NCp7V3TWZ07JJQGBS1DgrCz7ZtcYf-SQYCL28BnYx2bdTe2LThsOVM0HLjL0ATX1mIymA6LC75OaZo01WVuKLqYsxkfuNM9E2FTvgNi20rZw</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Kim, Pilyoung, PhD</creator><creator>Rosen, Brooke H., BA</creator><creator>Razdan, Varun, BS</creator><creator>Haring, Catherine T., BA</creator><creator>Jenkins, Sarah E., BA</creator><creator>Deveney, Christen M., PhD</creator><creator>Brotman, Melissa A., PhD</creator><creator>Blair, R. James R., PhD</creator><creator>Pine, Daniel S., MD</creator><creator>Leibenluft, Ellen, MD</creator><creator>Baker, Chris I., PhD</creator><creator>Arizpe, Joseph, BS</creator><general>Canadian Medical Association</general><general>Joule Inc</general><general>CMA Impact, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131101</creationdate><title>Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation</title><author>Kim, Pilyoung, PhD ; Rosen, Brooke H., BA ; Razdan, Varun, BS ; Haring, Catherine T., BA ; Jenkins, Sarah E., BA ; Deveney, Christen M., PhD ; Brotman, Melissa A., PhD ; Blair, R. James R., PhD ; Pine, Daniel S., MD ; Leibenluft, Ellen, MD ; Baker, Chris I., PhD ; Arizpe, Joseph, BS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c755t-c7204655ec3c290adf26da7f3b9c614c00e821d81585eb663be4ec37e35a88213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Bipolar disorder</topic><topic>Bipolar Disorder - physiopathology</topic><topic>Bipolar disorders</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child psychology</topic><topic>Emotional disorders</topic><topic>Eye</topic><topic>Face</topic><topic>Facial Expression</topic><topic>Female</topic><topic>Fixation, Ocular - physiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Indexing in process</topic><topic>Male</topic><topic>Medical Education</topic><topic>Medical sciences</topic><topic>Mood disorders</topic><topic>Mood Disorders - physiopathology</topic><topic>Movements</topic><topic>Neuropsychology</topic><topic>Pediatrics</topic><topic>Photic Stimulation</topic><topic>Physiological aspects</topic><topic>Psychiatry</topic><topic>Psychoanalysis</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Psychopathology. Psychiatry</topic><topic>Research Papers</topic><topic>Social Perception</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Pilyoung, PhD</creatorcontrib><creatorcontrib>Rosen, Brooke H., BA</creatorcontrib><creatorcontrib>Razdan, Varun, BS</creatorcontrib><creatorcontrib>Haring, Catherine T., BA</creatorcontrib><creatorcontrib>Jenkins, Sarah E., BA</creatorcontrib><creatorcontrib>Deveney, Christen M., PhD</creatorcontrib><creatorcontrib>Brotman, Melissa A., PhD</creatorcontrib><creatorcontrib>Blair, R. James R., PhD</creatorcontrib><creatorcontrib>Pine, Daniel S., MD</creatorcontrib><creatorcontrib>Leibenluft, Ellen, MD</creatorcontrib><creatorcontrib>Baker, Chris I., PhD</creatorcontrib><creatorcontrib>Arizpe, Joseph, BS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of psychiatry & neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Pilyoung, PhD</au><au>Rosen, Brooke H., BA</au><au>Razdan, Varun, BS</au><au>Haring, Catherine T., BA</au><au>Jenkins, Sarah E., BA</au><au>Deveney, Christen M., PhD</au><au>Brotman, Melissa A., PhD</au><au>Blair, R. James R., PhD</au><au>Pine, Daniel S., MD</au><au>Leibenluft, Ellen, MD</au><au>Baker, Chris I., PhD</au><au>Arizpe, Joseph, BS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation</atitle><jtitle>Journal of psychiatry & neuroscience</jtitle><addtitle>J Psychiatry Neurosci</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>38</volume><issue>6</issue><spage>407</spage><epage>416</epage><pages>407-416</pages><issn>1180-4882</issn><eissn>1488-2434</eissn><coden>JPNEEF</coden><abstract>Background Children with bipolar disorder (BD) or severe mood dysregulation (SMD) show behavioural and neural deficits during facial emotion processing. In those with other psychiatric disorders, such deficits have been associated with reduced attention to eye regions while looking at faces. Methods We examined gaze fixation patterns during a facial emotion labelling task among children with pediatric BD and SMD and among healthy controls. Participants viewed facial expressions with varying emotions (anger, fear, sadness, happiness, neutral) and emotional levels (60%, 80%, 100%) and labelled emotional expressions. Results Our study included 22 children with BD, 28 with SMD and 22 controls. Across all facial emotions, children with BD and SMD made more labelling errors than controls. Compared with controls, children with BD spent less time looking at eyes and made fewer eye fixations across emotional expressions. Gaze patterns in children with SMD tended to fall between those of children with BD and controls, although they did not differ significantly from either of these groups on most measures. Decreased fixations to eyes correlated with lower labelling accuracy in children with BD, but not in those with SMD or in controls. Limitations Most children with BD were medicated, which precluded our ability to evaluate medication effects on gaze patterns. Conclusion Facial emotion labelling deficits in children with BD are associated with impaired attention to eyes. Future research should examine whether impaired attention to eyes is associated with neural dysfunction. Eye gaze deficits in children with BD during facial emotion labelling may also have treatment implications. Finally, children with SMD exhibited decreased attention to eyes to a lesser extent than those with BD, and these equivocal findings are worthy of further study.</abstract><cop>Ottawa, ON</cop><pub>Canadian Medical Association</pub><pmid>23906351</pmid><doi>10.1503/jpn.120232</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult and adolescent clinical studies Biological and medical sciences Bipolar disorder Bipolar Disorder - physiopathology Bipolar disorders Case-Control Studies Child Child psychology Emotional disorders Eye Face Facial Expression Female Fixation, Ocular - physiology Fundamental and applied biological sciences. Psychology Humans Indexing in process Male Medical Education Medical sciences Mood disorders Mood Disorders - physiopathology Movements Neuropsychology Pediatrics Photic Stimulation Physiological aspects Psychiatry Psychoanalysis Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Research Papers Social Perception |
| title | Impaired fixation to eyes during facial emotion labelling in children with bipolar disorder or severe mood dysregulation |
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