UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Variation in recognition of happy and sad facial expressions and self-reported depressive symptom severity: A prospective cohort study

Bone, JK; Lewis, G; Button, KS; Duffy, L; Harmer, CJ; Munafò, MR; Penton-Voak, IS; ... Lewis, G; + view all (2019) Variation in recognition of happy and sad facial expressions and self-reported depressive symptom severity: A prospective cohort study. Journal of Affective Disorders , 257 pp. 461-469. 10.1016/j.jad.2019.06.025. (In press). Green open access

[thumbnail of Bone et al.pdf]
Preview
Text
Bone et al.pdf - Published Version

Download (330kB) | Preview

Abstract

Objective: Cognitive theories suggest people with depression interpret self-referential social information negatively. However, it is unclear whether these biases precede or follow depression. We investigated whether facial expression recognition was associated with depressive symptoms cross-sectionally and longitudinally. Methods: Prospective cohort study of people who had visited UK primary care in the past year reporting depressive symptoms (n = 509). Depressive symptoms were measured using the Patient Health Questionnaire (PHQ-9) at four time-points, 2 weeks apart. A computerised task assessed happy and sad facial expression recognition at three time-points (n = 505 at time 1). The unbiased hit rate measured ability to recognise emotions accounting for any general tendency to identify the emotion when it was not present. Results: The sample included the full range of depressive symptom severity, with 45% meeting diagnostic criteria for depression. There was no evidence that happy or sad unbiased hit rates were associated with concurrent or subsequent depressive symptoms. There was weak evidence that, for every additional face incorrectly classified as happy, concurrent PHQ-9 scores reduced by 0.05 of a point (95% CI = -0.10 to 0.002, p = 0.06 after adjustment for confounders). This association was strongest for more ambiguous facial expressions (interaction term p<0.001). Limitations: This was an observational study with relatively short follow-up (6 weeks) and small changes in depressive symptoms and emotion recognition. Only 7% of invited patients consented to participate. Conclusions: Reduced misclassifications of ambiguous faces as happy could be a state marker of depression, but was not associated with subsequent depressive symptoms. Future research should focus on the interpretation of ambiguous social information

Type: Article
Title: Variation in recognition of happy and sad facial expressions and self-reported depressive symptom severity: A prospective cohort study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jad.2019.06.025
Publisher version: https://doi.org/10.1016/j.jad.2019.06.025
Language: English
Additional information: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: Depression, Facial expressions, Emotion recognition, Cognition, Cohort study
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10078515
Downloads since deposit
89Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item