Facial emotion recognition in people with schizophrenia and a history of violence: a mediation analysis

Viola Bulgari, Mattia Bava, Giulia Gamba, Francesco Bartoli, Alessandra Ornaghi, Valentina Candini, Maria Teresa Ferla, Mariateresa Ferla, Marta Cricelli, Giorgio Bianconi, Cesare Massimo Cavalera, Giovanni Conte, Alberto Stefana, Marco Picchioni, Laura Iozzino, Cristina Crocamo, Giuseppe Carrà

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)


Evidence for an association between impaired facial emotion recognition and violence in people with schizophrenia is inconclusive. In particular, the role of misidentification patterns involving specific emotions such as anger and the influence of clinical characteristics on this association remain unclear. In this study, we compared facial emotion recognition performance in age- and gender-matched schizophrenia spectrum disorders subjects with (N = 52) and without (N = 52) a history of violence. Data on current symptom severity, Cluster B personality status, past victimization, and alcohol and substance misuse were also collected. Compared to those without, subjects with a history of violence showed worse facial emotion recognition performances, involving anger, fear, disgust, sadness, and happiness. When formally testing the reporting of angry faces, evidence of enhanced sensitivity to anger was not supported. Finally, when the impact of current symptoms was assessed, higher severity of activation symptoms, including motor hyperactivity, elevated mood, excitement and distractibility, mediated the relationship between history of violence and poor facial emotion recognition performance. As a whole, our findings seem to support the role of perceptual deficits involving different emotions as well as of a mediation played by activation symptoms. Facial emotion recognition deficits associated with the propensity to violence, as well certain symptoms mediating their relationship, should be targeted by specific treatment approaches.
Lingua originaleEnglish
pagine (da-a)1-9
Numero di pagine9
RivistaEuropean Archives of Psychiatry and Clinical Neuroscience
Stato di pubblicazionePubblicato - 2019


  • Facial emotion recognition
  • Mediation analysis
  • Schizophrenia
  • Violence


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