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Psychological functioning in survivors of COVID-19: Evidence from recognition of fearful facial expressions.

ABSTRACT: Evidence about the psychological functioning in individuals who survived the COVID-19 infectious is still rare in the literature. In this paper, we investigated fearful facial expressions recognition, as a behavioural means to assess psychological functioning. From May 15th, 2020 to January 30th, 2021, we enrolled sixty Italian individuals admitted in multiple Italian COVID-19 post-intensive care units. The detection and recognition of fearful facial expressions were assessed through an experimental task grounded on an attentional mechanism (i.e., the redundant target effect). According to the results, our participants showed an altered behaviour in detecting and recognizing fearful expressions. Specifically, their performance was in disagreement with the expected behavioural effect. Our study suggested altered processing of fearful expressions in individuals who survived the COVID-19 infectious. Such a difficulty might represent a crucial sign of psychological distress and it should be addressed in tailored psychological interventions in rehabilitative settings and after discharge.

SUBMITTER: Scarpina F

PROVIDER: S-EPMC8297857 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Psychological functioning in survivors of COVID-19: Evidence from recognition of fearful facial expressions.

Scarpina Federica F Godi Marco M Corna Stefano S Seitanidis Ionathan I Capodaglio Paolo P Mauro Alessandro A

PloS one 20210722 7

Evidence about the psychological functioning in individuals who survived the COVID-19 infectious is still rare in the literature. In this paper, we investigated fearful facial expressions recognition, as a behavioural means to assess psychological functioning. From May 15th, 2020 to January 30th, 2021, we enrolled sixty Italian individuals admitted in multiple Italian COVID-19 post-intensive care units. The detection and recognition of fearful facial expressions were assessed through an experime ...[more]

PMID: 34292994

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Project description:One of the crucial features defining basic emotions and their prototypical facial expressions is their value for survival. Childhood traumatic experiences affect the effective recognition of facial expressions of negative emotions, normally allowing the recruitment of adequate behavioral responses to environmental threats. Specifically, anger becomes an extraordinarily salient stimulus unbalancing victims' recognition of negative emotions. Despite the plethora of studies on this topic, to date, it is not clear whether this phenomenon reflects an overall response tendency toward anger recognition or a selective proneness to the salience of specific facial expressive cues of anger after trauma exposure. To address this issue, a group of underage Sierra Leonean Ebola virus disease survivors (mean age 15.40 years, SE 0.35; years of schooling 8.8 years, SE 0.46; 14 males) and a control group (mean age 14.55, SE 0.30; years of schooling 8.07 years, SE 0.30, 15 males) performed a forced-choice chimeric facial expressions recognition task. The chimeric facial expressions were obtained pairing upper and lower half faces of two different negative emotions (selected from anger, fear and sadness for a total of six different combinations). Overall, results showed that upper facial expressive cues were more salient than lower facial expressive cues. This priority was lost among Ebola virus disease survivors for the chimeric facial expressions of anger. In this case, differently from controls, Ebola virus disease survivors recognized anger regardless of the upper or lower position of the facial expressive cues of this emotion. The present results demonstrate that victims' performance in the recognition of the facial expression of anger does not reflect an overall response tendency toward anger recognition, but rather the specific greater salience of facial expressive cues of anger. Furthermore, the present results show that traumatic experiences deeply modify the perceptual analysis of philogenetically old behavioral patterns like the facial expressions of emotions.

Project description:Facial mimicry is commonly defined as the tendency to imitate-at a sub-threshold level-facial expressions of other individuals. Numerous studies support a role of facial mimicry in recognizing others' emotions. However, the underlying functional mechanism is unclear. A prominent hypothesis considers facial mimicry as based on an action-perception loop, leading to the prediction that facial mimicry should be observed only when processing others' facial expressions. Nevertheless, previous studies have also detected facial mimicry during observation of emotional bodily expressions. An emergent alternative hypothesis is that facial mimicry overtly reflects the simulation of an "emotion", rather than the reproduction of a specific observed motor pattern. In the present study, we tested whether blocking mimicry ("Bite") on the lower face disrupted recognition of happy expressions conveyed by either facial or body expressions. In Experiment 1, we tested participants' ability to identify happy, fearful and neutral expressions in the Bite condition and in two control conditions. In Experiment 2, to ensure that such a manipulation selectively affects emotion recognition, we tested participants' ability to recognize emotional expressions, as well as the actors' gender, under the Bite condition and a control condition. Finally, we investigated the relationship between dispositional empathy and emotion recognition under the condition of blocked mimicry. Our findings demonstrated that blocking mimicry on the lower face hindered recognition of happy facial and body expressions, while the recognition of neutral and fearful expressions was not affected by the mimicry manipulation. The mimicry manipulation did not affect the gender discrimination task. Furthermore, the impairment of happy expression recognition correlated with empathic traits. These results support the role of facial mimicry in emotion recognition and suggest that facial mimicry reflects a global sensorimotor simulation of others' emotions rather than a muscle-specific reproduction of an observed motor expression.

Dataset Information

Psychological functioning in survivors of COVID-19: Evidence from recognition of fearful facial expressions.

Publications

Psychological functioning in survivors of COVID-19: Evidence from recognition of fearful facial expressions.

Similar Datasets

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