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Articles

Sex differences in facial emotion recognition in health and psychotic disorders

, , , , , & show all
Pages 108-122 | Received 16 Sep 2018, Accepted 06 Feb 2019, Published online: 21 Feb 2019
 

ABSTRACT

Background

Previous studies examining sex-differences in facial emotion recognition (FER) in psychosis yielded inconsistent results. Although females are considered to be superior in FER in health, it remains unclear whether the specific sex-difference is present in psychosis. We aimed to examine whether women and men differ in FER ability in health and in psychosis, and to explore potential sex differences in the illness’ effects on FER.

Methods

Remitted psychotic patients and controls were assessed using the CANTAB Emotion Recognition Task (ERT) examining accuracies/response latencies in identifying basic emotional expressions. General linear model was performed to assess the effects of group, sex and their interactions on ERT performance.

Results

Healthy females showed FER advantage in comparison to healthy males, while the aforementioned sex-difference was not observed in remitted psychotic patients. Our results also demonstrated the existence of overall FER deficit in psychosis in comparison to healthy controls, as well as the differential illness' effects on the recognition accuracy of facial expression of anger in males and females—suggesting that females with psychotic disorders undergo more profound deterioration of FER ability than their male counterparts.

Conclusion

The assessment of sex-differences in FER and other important features of psychosis is important for better understanding of its neurobiological basis and for the development of targeted treatments for improved functioning.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

Authors of this work (N.M, I.S, Z.P and M.M) have been partially supported by the project funded by the Ministry of Education Science and Technological Development of the Republic of Serbia (No III41029).

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