Emotion perception in schizophrenia: an eye movement study comparing the effectiveness of risperidone vs. haloperidol.

Abstract:

:We used a psychophysiological marker of visual attention (the visual scanpath) to investigate the effects of atypical (risperidone) vs. typical (haloperidol) antipsychotic medication on facial emotion perception in schizophrenia (n=28) and healthy control (n=28) groups. Of the schizophrenia subjects, 15 were prescribed risperidone. Visual scanpaths to 'happy', 'sad' and 'neutral' faces were recorded using video-oculography, and concurrent emotion-recognition accuracy was assessed using multiple-option tasks. Compared to control subjects, both schizophrenia subgroups showed a restriction in visual scanning (reduced total fixation number and decreased scanpath length). Haloperidol-treated schizophrenia subjects exhibited an additional and consistent pattern of reduced attention (fixation) to salient features for neutral and happy. By contrast, risperidone-treated subjects showed a relatively greater attention to salient features for these expressions, in which they did not differ from controls. Recognition accuracy for happy and neutral showed a similar lack of impairment. These findings suggest that risperidone may play a specific role in schizophrenia in the ability to attend to salient features, and to integrate this information into an accurate percept for neutral and positive expressions in particular.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Williams LM,Loughland CM,Green MJ,Harris AW,Gordon E

doi

10.1016/s0165-1781(03)00166-5

subject

Has Abstract

pub_date

2003-08-30 00:00:00

pages

13-27

issue

1

eissn

0165-1781

issn

1872-7123

pii

S0165178103001665

journal_volume

120

pub_type

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