Variation in self and familiar facial recognition in bipolar disorder patients at different clinical stages

Shanshan Liu; Yuan Jia; Xinzi Liu; Rui Ma; Sisi Zheng; Hong Zhu; Mengya Yin; Hongxiao Jia

doi:10.1016/j.actpsy.2023.103903

Variation in self and familiar facial recognition in bipolar disorder patients at different clinical stages

Acta Psychol (Amst). 2023 May:235:103903. doi: 10.1016/j.actpsy.2023.103903. Epub 2023 Apr 3.

Authors

Shanshan Liu¹, Yuan Jia¹, Xinzi Liu¹, Rui Ma², Sisi Zheng¹, Hong Zhu¹, Mengya Yin³, Hongxiao Jia⁴

Affiliations

¹ The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.
² Department of Psychological Science, University of California, Irvine, CA, USA.
³ Children's Health Care Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China. Electronic address: yinmengya@mail.ccmu.edu.cn.
⁴ The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China; Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China. Electronic address: jhxlj@ccmu.edu.cn.

PMID: 37018931
DOI: 10.1016/j.actpsy.2023.103903

Abstract

Previous studies suggest a close relationship between self-disorders and schizophrenia or unipolar depression. However, few studies have explored the characteristics of self-processing in bipolar disorder (BD) during different clinical states. This study compared the differences in self-face recognition (SFR) among patients with bipolar mania (BPM), bipolar depression (BPD), bipolar remission (RM), and healthy controls (HC). Images of subject's own face, a familiar face, and an unfamiliar face were combined in pairs at a certain proportion to obtain three types of blended images. We then compared the tendency between BD and HC while judging two kinds of blended faces emerging from presentation software. The results showed that the BPM and BPD groups seemed to lack an advantage in self-recognition. Self-processing and familiarity processing were significantly enhanced in BPM patients, while only familiarity processing was enhanced in BPD. The severity of clinical symptoms was not significantly correlated with self-bias or familiarity bias in BD.

Keywords: Bipolar depression; Bipolar disorder; Bipolar mania; Self-disorders; Self-face recognition.

MeSH terms

Bipolar Disorder* / diagnosis
Depressive Disorder*
Facial Recognition*
Humans
Recognition, Psychology
Schizophrenia*