Abstract
Emotional facial expression recognition (EFER) has been reported to be impaired in alcoholics. Interpersonal problems have also been reported as a major issue to this population. However, research with long-term abstinent alcoholics is scarce. We aimed at assessing the correlation between EFER, using computer-generated stimuli, and interpersonal problems using the interpersonal circumplex model, of alcoholics in different stages of abstinence. We assessed EFER skills, interpersonal problems, depression, and anxiety symptoms of alcoholics across three stages of abstinence, non-abstinent (N = 7), short-term abstinent (N = 7), and long-term abstinent (N = 11), and controls (N = 8). Non-abstinent alcoholics presented more interpersonal problems related to dominance than short-term abstinent and more depression than long-term abstinent and control group. However, there were no major differences on the EFER among groups. Results suggested that alcoholic interpersonal problems and EFER may function independently, that non-abstinent alcoholics have more problems than alcoholics in other stages of abstinence, and that interpersonal problems decrease with abstinence.
Resumen
Se ha informado que el reconocimiento de la expresión facial emocional (REFE) está deteriorado en alcohólicos. Los problemas interpersonales también se han informado como un problema importante para esta población. Sin embargo, la investigación con alcohólicos abstinentes a largo plazo es escasa. Nuestro objetivo fue evaluar la correlación entre REFE, usando estímulos generados por computadora y problemas interpersonales, usando el modelo circumplexo interpersonal, de alcohólicos en diferentes etapas de abstinencia. Evaluamos las habilidades de REFE, los problemas interpersonales, los síntomas de depresión y ansiedad de los alcohólicos en tres etapas de abstinencia, no abstinencia (N = 7), abstinencia a corto plazo (N = 7) y abstinencia a largo plazo (N = 11) y controles (N = 8). Los alcohólicos no abstinentes tenían más problemas interpersonales relacionados con el dominio que los abstinentes a corto plazo y más depresión que los abstinentes a largo plazo y los controles. Sin embargo, no hubo diferencias importantes en REFE entre los grupos. Los resultados sugirieron que los problemas interpersonales de los alcohólicos y REFE pueden funcionar de forma independiente, que los alcohólicos no abstinentes tienen más problemas que los alcohólicos en diferentes etapas de abstinencia y que los problemas interpersonales disminuyen con la abstinencia.
Resumo
O reconhecimento de expressões faciais de emoção (REFE) tem sido relatado como prejudicado em alcoolistas. Problemas interpessoais também têm sido relatados como um problema importante para essa população. No entanto, a pesquisa com alcoolistas abstinentes de longo prazo é escassa. Nosso objetivo foi avaliar a correlação entre a REFE, usando estímulos gerado por computador e problemas interpessoais, usando o modelo do circumplexo interpessoal, de alcoolistas em diferentes estágios de abstinência. Avaliamos habilidades de REFE, problemas interpessoais, sintomas de depressão e ansiedade de alcoolistas em três estágios de abstinência, não abstinentes (N = 7), abstinentes de curto prazo (N = 7) e abstinentes de longo prazo (N = 11) e controles (N = 8). Alcoolistas não abstinentes apresentaram mais problemas interpessoais relacionados à dominância que abstinentes de curto prazo e mais depressão que os abstinentes de longo prazo e controles. No entanto, não houve grandes diferenças no REFE entre os grupos. Os resultados sugeriram que os problemas interpessoais dos alcoolistas e REFE podem funcionar independentemente, que os alcoolistas não abstinentes têm mais problemas do que os alcoolistas em diferentes estágios de abstinência e que os problemas interpessoais diminuem com a abstinência.
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References
Acharya, R., & Dolan, M. (2012). Impact of antisocial and psychopathic traits on emotional facial expression recognition in alcohol abusers. Personality and Mental Health, 6(2), 126–137. https://doi.org/10.1002/pmh.179
Barford, K. A., Zhao, K., & Smillie, L. D. (2015). Mapping the interpersonal domain: Translating between the Big Five, HEXACO, and Interpersonal Circumplex. Personality and Individual Differences, 86, 232–237. https://doi.org/10.1016/j.paid.2015.05.038
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. Psychological Corporation.
Berg, H. E., Ballard, E. D., Luckenbaugh, D. A., Nugent, A. C., Ionescu, D. F., & Zarate, C. A. (2016). Recognition of emotional facial expressions in anxious and nonanxious depression. Comprehensive Psychiatry, 70, 1–8. https://doi.org/10.1016/j.comppsych.2016.06.007
Bora, E., & Zorlu, N. (2017). Social cognition in alcohol use disorder: A meta-analysis. In Addiction (Vol. 112, Issue 1, pp. 40–48). Blackwell Publishing Ltd. https://doi.org/10.1111/add.13486.
Boudreaux, M. J., Ozer, D. J., Oltmanns, T. F., & Wright, A. G. C. (2018). Development and Validation of the Circumplex Scales of Interpersonal Problems. 30(5), 594–609.
Carvalho, L. de F., & Rocha, G. M. A. da. (2009). Tradução e adaptação cultural do Outcome Questionnaire (OQ-45) para o Brasil. Psico-USF, 14(3), 309–316.https://doi.org/10.1590/s1413-82712009000300007
Castellano, F., Bartoli, F., Crocamo, C., Gamba, G., Tremolada, M., Santambrogio, J., Clerici, M., & Carrà, G. (2015). Facial emotion recognition in alcohol and substance use disorders: A meta-analysis. In Neuroscience and biobehavioral reviews (Vol. 59, pp. 147–154). Elsevier Ltd. https://doi.org/10.1016/j.neubiorev.2015.11.001
Charlet, K., Schlagenhauf, F., Richter, A., Naundorf, K., Dornhof, L., Weinfurtner, C. E. J., König, F., Walaszek, B., Schubert, F., Müller, C. A., Gutwinski, S., Seissinger, A., Schmitz, L., Walter, H., Beck, A., Gallinat, J., Kiefer, F., & Heinz, A. (2014). Neural activation during processing of aversive faces predicts treatment outcome in alcoholism. Addiction Biology, 19(3), 439–451. https://doi.org/10.1111/adb.12045
Creupelandt, C., D’Hondt, F., de Timary, P., Falagiarda, F., Collignon, O., & Maurage, P. (2020). Selective visual and crossmodal impairement in the discrimination of anger and fear expressions in severe alcohol use disorder. Drug and Alcohol Dependence, 213, 108079. https://doi.org/10.1016/j.drugalcdep.2020.108079
D’Hondt, F., de Timary, P., Bruneau, Y., & Maurage, P. (2015). Categorical perception of emotional facial expressions in alcohol-dependence. Drug and Alcohol Dependence, 156, 267–274. https://doi.org/10.1016/j.drugalcdep.2015.09.017
Davies, H., Wolz, I., Leppanen, J., Fernandez-Aranda, F., Schmidt, U., & Tchanturia, K. (2016). Facial expression to emotional stimuli in non-psychotic disorders: A systematic review and meta-analysis. In Neuroscience and Biobehavioral Reviews (Vol. 64, pp. 252–271). Elsevier Ltd. https://doi.org/10.1016/j.neubiorev.2016.02.015
Dethier, M., El Hawa, M., Duchateau, R., & Blairy, S. (2014). Emotional facial expression recognition and expressivity in type i and type ii alcohol dependent patients. Journal of Nonverbal Behavior, 38(1), 89–105. https://doi.org/10.1007/s10919-013-0161-1
Donadon, Mariana Fortunata, & de Lima Osório, F. (2014). Recognition of facial expressions by alcoholic patients: A systematic literature review. In Neuropsychiatric Disease and Treatment (Vol. 10, pp. 1655–1663). Dove Medical Press Ltd. https://doi.org/10.2147/NDT.S65376
Donadon, M.F., & Osório, F. L. (2017). Current alcohol dependence and emotional facial expression recognition: A cross-sectional study. Revista de Psiquiatria Clinica, 44(3). https://doi.org/10.1590/0101-60830000000120
Fioravanti-Bastos, A. C. M., Cheniaux, E., & Landeira-Fernandez, J. (2011). Development and validation of a short-form version of the Brazilian state-trait anxiety inventory. Psicologia: Reflexao e Critica, 24(3), 485–494. https://doi.org/10.1590/S0102-79722011000300009
First MB, Williams JBW, Karg RS, S. R. (2017). Entrevista Clínica Estruturada para os Transtornos do DSM-5 (SCID-5-CV) (5th ed.). Artmed.
Foisy, M. L., Philippot, P., Verbanck, P., Pelc, I., Van Der Straten, G., & Kornreich, C. (2005). Emotional facial expression decoding impairment in persons dependent on multiple substances: Impact of a history of alcohol dependence. Journal of Studies on Alcohol, 66(5), 673–681. https://doi.org/10.15288/jsa.2005.66.673
Foisy, M. L., Kornreich, C., Fobe, A., D’Hondt, L., Pelc, I., Hanak, C., Verbanck, P., & Philippot, P. (2007). Impaired emotional facial expression recognition in alcohol dependence: Do these deficits persist with midterm abstinence? Alcoholism: Clinical and Experimental Research, 31(3), 404–410. https://doi.org/10.1111/j.1530-0277.2006.00321.x
Forni-Santos, L., & Osório, F. L. (2015). Influence of gender in the recognition of basic facial expressions: A critical literature review. World Journal of Psychiatry, 5(3), 342. https://doi.org/10.5498/wjp.v5.i3.342
Freitas-Magalhães, A. (2018). Facial action coding system--manual of scientific codification of the human face.
Gomes-Oliveira, M. H., Gorenstein, C., Neto, F. L., Andrade, L. H., & Wang, Y. P. (2012). Validação da versão Brasileira em Português do Inventário de Depressão de Beck-II numa amostra da comunidade. Revista Brasileira De Psiquiatria, 34(4), 389–394. https://doi.org/10.1016/j.rbp.2012.03.005
Henrique, I. F. S., De Micheli, D., Lacerda, R. B. de, Lacerda, L. A. de, & Formigoni, M. L. O. de S. (2004). Validation of the Brazilian version of Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Revista Da Associação Médica Brasileira (1992), 50(2), 199–206. https://doi.org/10.1590/S0104-42302004000200039
Hoffman, L. A., Lewis, B., & Nixon, S. J. (2019). Neurophysiological and interpersonal correlates of emotional face processing in alcohol use disorder. Alcoholism: Clinical and Experimental Research, 43(9), 1928–1936. https://doi.org/10.1111/acer.14152
Humeniuk, R., & World Health Organization. (2010). The Alcohol, smoking and substance involvement screening test (ASSIST) : Manual for use in primary care. World Health Organization.
Jack, R. E., Garrod, O. G. B., & Schyns, P. G. (2014). Dynamic facial expressions of emotion transmit an evolving hierarchy of signals over time. Current Biology, 24(2), 187–192. https://doi.org/10.1016/j.cub.2013.11.064
Kornreich, C., Philippot, P., Foisy, M. L., Blairy, S., Raynaud, E., Dan, B., Hess, U., Noël, X., Pelc, I., & Verbanck, P. (2002). Impaired emotional facial expression recognition is associated with interpersonal problems in alcoholism. Alcohol and Alcoholism, 37(4), 394–400. https://doi.org/10.1093/alcalc/37.4.394
Kornreich, C., Petit, G., Rolin, H., Ermer, E., Campanella, S., Verbanck, P., & Maurage, P. (2016). Decoding of nonverbal language in alcoholism: A perception or a labeling problem? Psychology of Addictive Behaviors, 30(2), 175–183. https://doi.org/10.1037/adb0000147
Kornreich, C., Blairy, S., Philippot, P., Hess, U., Noël, X., Streel, E., Le Bon, O., Dan, B., Pelc, I., & Verbanck, P. (2001). Deficits in recognition of emotional facial expression are still present in alcoholics after mid- to long-term abstinence. Journal of Studies on Alcohol, 62(4), 533–542. https://doi.org/10.15288/jsa.2001.62.533
Lambert, M. J., & Finch, A. E. (1999). The outcome questionnaire. In The use of psychological testing for treatment planning and outcomes assessment, 2nd ed. (pp. 831–869). Lawrence Erlbaum Associates Publishers.
Lannoy, S., Benzerouk, F., Maurage, P., Barrière, S., Billieux, J., Naassila, M., Kaladjian, A., & Gierski, F. (2019). Disrupted fear and sadness recognition in binge drinking: A combined group and individual analysis. Alcoholism: Clinical and Experimental Research, 43(9), 1978–1985. https://doi.org/10.1111/acer.14151
Le Berre, A. P. (2019). Emotional processing and social cognition in alcohol use disorder. Neuropsychology, 33(6), 808–821. https://doi.org/10.1037/neu0000572
Maurage, P., Campanella, S., Philippot, P., Charest, I., Martin, S., & De Timary, P. (2009). Impaired emotional facial expression decoding in alcoholism is also present for emotional prosody and body postures. Alcohol and Alcoholism, 44(5), 476–485. https://doi.org/10.1093/alcalc/agp037
Maurage, P., de Timary, P., & D’Hondt, F. (2017). Heterogeneity of emotional and interpersonal difficulties in alcohol-dependence: A cluster analytic approach. Journal of Affective Disorders, 217, 163–173. https://doi.org/10.1016/j.jad.2017.04.005
Maurage, Pierre., Campanella, S., Philippot, P., Martin, S., & De Timary, P. (2008). Face processing in chronic alcoholism: A specific deficit for emotional features. Alcoholism: Clinical and Experimental Research, 32(4), 600–606. https://doi.org/10.1111/j.1530-0277.2007.00611.x
Mueller, S. E., Degen, B., Petitjean, S., Wiesbeck, G. A., & Walter, M. (2009). Gender differences in interpersonal problems of alcohol-dependent patients and healthy controls. International Journal of Environmental Research and Public Health, 6(12), 3010–3022. https://doi.org/10.3390/ijerph6123010
Petit, G., Deschietere, G., Loas, G., Luminet, O., & de Timary, P. (2019). Link between anhedonia and depression during early alcohol abstinence: Gender matters. Alcohol and Alcoholism, 55(1), 71–77. https://doi.org/10.1093/alcalc/agz090
Philippot, Pierre, Kornreich, C., Blairy, S., Baert, I., Dulk, A. Den, Bon, O. Le, Streel, E., Hess, U., Pelc, I., & Verbanck, P. (1999). Alcoholics’deficits in the decoding of emotional facial expression. Alcoholism: Clinical and Experimental Research, 23(6), 1031–1038. https://doi.org/10.1111/j.1530-0277.1999.tb04221.x
Quaglino, V., De Wever, E., & Maurage, P. (2015). Relations between cognitive abilities, drinking characteristics, and emotional recognition in alcohol dependence: A preliminary exploration. Alcoholism: Clinical and Experimental Research, 39(10), 2032–2038. https://doi.org/10.1111/acer.12841
Schmitz, C. (2012). LimeSurvey: An open source survey tool. LimeSurvey Project Hamburg, Germany. URL http://www.limesurvey.org.
Silva, S. M. da, Alves, I. C. B., Peixoto, E. M., Rocha, G. M. A., & Nakano, T. de C. (2016). Outcome Questionnaire (OQ-45.2): avaliação das propriedades psicométricas via modelo bifactor e tri. Psico (Porto Alegre), 47(4), 298–308. https://doi.org/10.15448/1980-8623.2016.4.24600
Singular Inversions, I. (2004). Facegen Modeller 3.18. Vancouver, BC
Spielberger, C. D., Gorsuch, R. C., & Lushene, R. E. (1970). Manual for the state trait anxiety inventory. Consulting Psychologists Press.
SPSS, I. (2019). IBM SPSS statistics for Windows, version 25 (p. 440). IBM Corp.
Yang, T., Luft, C. D. B., Sun, P., Bhattacharya, J., & Banissy, M. J. (2020). Investigating age‐related neural compensation during emotion perception using electroencephalography. Brain Sciences, 10(2). https://doi.org/10.3390/brainsci10020061
Zwick, J. C., & Wolkenstein, L. (2017). Facial emotion recognition, theory of mind and the role of facial mimicry in depression. Journal of Affective Disorders, 210, 90–99. https://doi.org/10.1016/j.jad.2016.12.022
Acknowledgements
The authors would like to express their gratitude to Dra Maria da Penha Zago and to the community of Alcoholics Anonymous for allowing data collection with patients and members. We thank Karina Agnez Cordeiro, Lucas Bernardo Christ Machado, Naiara Tetzner Ramos, and Thays Machado da Cruz for their assistance with data collection.
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Koehler, V.B., Tokumaru, R.S. Does emotional facial expression recognition and interpersonal problems differ among alcoholics in different abstinence stages?. Trends in Psychol. 32, 43–60 (2024). https://doi.org/10.1007/s43076-022-00186-3
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DOI: https://doi.org/10.1007/s43076-022-00186-3