The British Journal of Psychiatry (2008) 192: 67-68. doi: 10.1192/bjp.bp.107.039784
© 2008 The Royal College of Psychiatrists
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SHORT REPORTS

Facial affect recognition in individuals at clinical high risk for psychosis

Jean Addington, PhD

Centre for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Ontario, and Department of Psychiatry, University of Calgary, Alberta, Canada

David Penn, PhD

Department of Psychology, University of North Carolina, Chapel Hill, USA

Scott W. Woods, MD

Yale University School of Medicine, New Haven, Connecticut, USA

Donald Addington, MD

Department of Psychiatry, University of Calgary, Alberta, Canada

Diana O. Perkins, MD

Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina, USA.

Correspondence: Jean Addington, Centre for Addiction and Mental Health, 250 College Street, Toronto, Ontario M5T 1R8, Canada. Email: jean_addington{at}camh.net

Declaration of interest

None. Funding detailed in Acknowledgements.

Facial affect discrimination and identification were assessed in 86 clinical high-risk individuals and compared with 50 individuals with first-episode psychosis, 53 with multi-episode schizophrenia and 55 non-psychiatric controls. On the identification task the non-psychiatric controls performed significantly better than all other groups, and on discrimination significantly better than both patient groups. Deficits in facial affect recognition appear to be present before the onset of psychosis and may be a vulnerability marker.


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