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St. Paul's/Hollywood Library
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9 a.m. - 5 p.m.
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*open the 2nd and 4th Saturday
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Elevated accuracy in recognition of subliminal happy facial expressions in patients with panic disorder after psychotherapy.
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- Author(s): Zirong Qian; Yunbo Yang; Domschke, Katharina; Gerlach, Alexander L.; Hamm, Alfons; Richter, Jan; Herrmann, Martin J.; Deckert, Jürgen; Arolt, Volker; Zwanzger, Peter; Lotze, Martin; Pfleiderer, Bettina; Wittchen, Hans-Ulrich; Lang, Thomas; Ströhle, Andreas; Konrad, Carsten; Rief, Winfried; Suslow, Thomas; Jansen, Andreas; Kircher, Tilo
- Source:
Frontiers in Psychiatry; 2024, p1-9, 9p- Subject Terms:
- Source:
- Additional Information
- Abstract: Background: Individuals with anxiety disorders (ADs) often display hypervigilance to threat information, although this response may be less pronounced following psychotherapy. This study aims to investigate the unconscious recognition performance of facial expressions in patients with panic disorder (PD) posttreatment, shedding light on alterations in their emotional processing biases. Methods: Patients with PD (n=34) after (exposure-based) cognitive behavior therapy and healthy controls (n=43) performed a subliminal affective recognition task. Emotional facial expressions (fearful, happy, or mirrored) were displayed for 33 ms and backwardly masked by a neutral face. Participants completed a forced choice task to discriminate the briefly presented facial stimulus and an uncovered condition where only the neutral mask was shown. We conducted a secondary analysis to compare groups based on their four possible response types under the four stimulus conditions and examined the correlation of the false alarm rate for fear responses to non-fearful (happy, mirrored, and uncovered) stimuli with clinical anxiety symptoms. Results: The patient group showed a unique selection pattern in response to happy expressions, with significantly more correct "happy" responses compared to controls. Additionally, lower severity of anxiety symptoms after psychotherapy was associated with a decreased false fear response rate with nonthreat presentations. Conclusion: These data suggest that patients with PD exhibited a "happy-face recognition advantage" after psychotherapy. Less symptoms after treatment were related to a reduced fear bias. Thus, a differential facial emotion detection task could be a suitable tool to monitor response patterns and biases in individuals with ADs in the context of psychotherapy. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Frontiers in Psychiatry is the property of Frontiers Media S.A. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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