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Exploring the role of face processing in facial emotion recognition in schizophrenia

Published online by Cambridge University Press:  24 June 2014

Paola Rocca
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Filomena Castagna
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Tullia Mongini
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Cristiana Montemagni
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Roberta Rasetti
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Giuseppe Rocca
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
Filippo Bogetto
Department of Neuroscience, Psychiatric Section, University of Turin, Turin, Italy
E-mail address:



Impairment in emotion perception represents a fundamental feature of schizophrenia with important consequences in social functioning. A fundamental unresolved issue is the relationship between emotion perception and face perception. The aim of the present study was to examine whether facial identity recognition (Identity Discrimination) is a factor predicting facial emotion recognition in the context of the other factors, known as contributing to emotion perception, such as cognitive functions and symptoms.


We enrolled 58 stable schizophrenic out-patients and 47 healthy subjects. Facial identity recognition and emotion perception were assessed with the Comprehensive Affect Testing System. Different multiple regression models with backward elimination were performed in order to discover the relation of each significant variable with emotion perception.


In a regression including the six significant variables (age, positive symptomatology, Identity Discrimination, attentive functions, verbal memory-learning, executive functions) versus emotion processing, only attentive functions (standardised β = 0.264, p = 0.038) and Identity Discrimination (standardised β = 0.279, p = 0.029) reached a significant level. Two partial regressions were performed including five variables, one excluding attentive functions and the other excluding Identity Discrimination. When we excluded attentive functions, the only significant variable was Identity Discrimination (standardised β = 0.278, p = 0.032). When we excluded Identity Discrimination, both verbal memory-learning (standardised β = 0.261, p = 0.042) and executive functions (standardised β = 0.253, p = 0.048) were significant.


Our results emphasised the role of face perception and attentional abilities on affect perception in schizophrenia. We additionally found a role of verbal memory-learning and executive functions on emotion perception. The relationship between those above-mentioned variables and emotion processing could have implications for cognitive rehabilitation.

Research Article
Copyright © 2009 John Wiley & Sons A/S

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