Visual processing of social context during mental state perception in schizophrenia.

OBJECTIVE: To examine schizophrenia patients' visual attention to social contextual information during a novel mental state perception task. METHOD: Groups of healthy participants (n = 26) and schizophrenia patients (n = 24) viewed 7 image pairs depicting target characters presented context-free and context-embedded (i.e., within an emotion-congruent social context). Gaze position was recorded with the EyeLink I Gaze Tracker while participants performed a mental state inference task. Mean eye movement variables were calculated for each image series (context-embedded v. context-free) to examine group differences in social context processing. RESULTS: The schizophrenia patients demonstrated significantly fewer saccadic eye movements when viewing context-free images and significantly longer eye-fixation durations when viewing context-embedded images. Healthy individuals significantly shortened eye-fixation durations when viewing context-embedded images, compared with context-free images, to enable rapid scanning and uptake of social contextual information; however, this pattern of visual attention was not pronounced in schizophrenia patients. In association with limited scanning and reduced visual attention to contextual information, schizophrenia patients' assessment of the mental state of characters embedded in social contexts was less accurate. CONCLUSION: In people with schizophrenia, inefficient integration of social contextual information in real-world situations may negatively affect the ability to infer mental and emotional states from facial expressions.

Emotional context processing is impaired in schizophrenia.

INTRODUCTION: Following considerable evidence for impaired context processing and facial emotion recognition in schizophrenia, this study examined the ability of schizophrenia patients to utilise contextual information when judging the meaning of facial expressions. METHODS: 22 healthy and 20 schizophrenia participants completed the "vignette-face" task (Carroll & Russell, 1996) in which target facial expressions are preceded by vignettes describing situational information that is discrepant in affective valence; judgements reflect either the dominance of the emotional context or the facial expression. Measures of basic facial emotion recognition and executive function were also obtained. RESULTS: On the vignette-face task, schizophrenia patients did not utilise contextual information for specific story-face pairs, whereas controls more commonly judged the emotion in line with contextual information. Most consistently, the responses of schizophrenia patients reflected neither situational nor facial cues when contextual cues suggested a complex mental state paired with a negative or threat-related expression (e.g., anger, fear, sadness). Facial affect processing ability was a significant predictor of the successful social context integration in the vignette-face task. CONCLUSION: The reduced influence of context upon threat-related expressions in schizophrenia may contribute to the misperception of threat in situations where contextual information should appease such an interpretation.