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Review: emotion identification deficits are associated with functional impairments in people with schizophrenia

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Question: What is the strength of the relationship between emotional perception and function in people with schizophrenia and what factors moderate this relationship?

Outcomes: Strength of the association between emotion perception and functional outcomes in people with schizophrenia spectrum disorders. Emotion perception was assessed with: emotion identification tasks (assigning a qualitative label eg, happy or sad, to emotional facial or vocal expressions) and emotion differentiation tasks (assessing the ability to identify differences between intensities of emotional expressions). Function was assessed in four domains: ‘social behaviour in the milieu’ (staff rated assessments of behaviour across a range of treatment settings); social skills (evaluated by role plays and a rating of specific interactional skills such as eye contact); social problem solving (ability to generate solutions to everyday social problems); and community functioning (encompassing behaviours and activities related to independent living skills such as social or work functioning).


Design: Systematic review and meta-analysis.

Data sources: PubMed and PsychInfo were searched for English language studies published up …

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  • Competing interests None.

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