Introduction

Facial emotion processing impairments have been consistently demonstrated among patients with pediatric bipolar disorder (PBD). However, less is known about other domains of nonverbal emotion recognition in this group. Therefore, the aim of the current study was to investigate emotion identification for body postures in addition to facial expressions among PBD patients and matched healthy comparison (HC) subjects.

Method

Youth with PBD (n = 25) and HC subjects (n = 25), equal on intellectual and demographic variables, completed the body postures and faces subtests of the Diagnostic Analysis of Nonverbal Accuracy-2 scale (DANVA-2) along with diagnostic and clinical assessments.

Results

Compared to HC, PBD patients made significantly more errors identifying emotion in both body postures and faces. Poorer performance on the faces subtest was associated with more problematic peer functioning. Greater manic symptoms were associated with poorer performance on negative emotional stimuli but not positive.

Conclusions

In addition to impairments in facial emotion processing, youth with PBD also show impairments in the ability to correctly identify emotion from body postures. In this group, greater manic symptomatology appears to impair processing for negative facial expressions and body postures, but not positive ones. Interestingly, facial emotion processing impairments appear to be a better indicator of real-world psychosocial difficulties among PBD patients compared to body postures. Psychosocial treatments for youth with PBD should focus on improving the ability to accurately identify and respond to various facial and body postural cues, as well as symptom management and emotion regulation strategies.

中文翻译：

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躁郁症儿科患者体位和面部表情情感识别错误。

介绍

在小儿双相情感障碍（PBD）的患者中，面部情绪加工障碍已得到一致证明。但是，对于这一组中非语言情感识别的其他领域知之甚少。因此，本研究的目的是研究PBD患者和匹配的健康比较（HC）受试者中除面部表情外的身体姿势情绪识别。

方法

拥有PBD（n = 25）和HC科目（n = 25）的年轻人，在智力和人口统计学上均相等，完成了身体姿势和非语言能力诊断分析量表2（DANVA-2）的子测验，以及临床评估。

结果

与HC相比，PBD患者在识别身体姿势和面部表情时犯了更多的错误。面部子测试的性能较差与同伴功能更成问题有关。较大的躁狂症状与负面情绪刺激下的不良表现有关，而与正面情绪无关。

结论

除了面部情感处理能力受损外，患有PBD的年轻人还显示出从身体姿势正确识别情感的能力受损。在这一组中，较大的躁狂症状似乎会削弱负面表情和身体姿势的处理能力，但不会损害正面表情和身体姿势的处理能力。有趣的是，与身体姿势相比，面部情感加工障碍似乎是PBD患者中现实社会心理困难的更好指标。对患有PBD的年轻人的社会心理治疗应着重于提高准确识别和响应各种面部和身体姿势提示的能力，以及症状管理和情绪调节策略。