Recognition of Self-Generated Facial Emotions Is Impaired in Schizophrenia

Individuals with schizophrenia have difficulties in recognizing facial emotions in others. This study investigated whether this impairment also exists for self-generated expressions. Nineteen patients with schizophrenia and 19 comparison subjects were filmed while producing facial expressions in response to a visual model or a written sentence. After 2 months, all subjects were asked to rate their own emotional expressions. These ratings were compared with the evaluations of 12 healthy independent raters. With respect to the comparison subjects, the patients produced less expressive responses and were less able to recognize their own expressions. Moreover, patients were totally unaware of these impairments.