PMID- 17188789
OWN - NLM
STAT- MEDLINE
DCOM- 20070424
LR  - 20071115
IS  - 0278-5846 (Print)
IS  - 0278-5846 (Linking)
VI  - 31
IP  - 2
DP  - 2007 Mar 30
TI  - Facial expressivity during the clinical interview as a predictor functional 
      disability in schizophrenia. a pilot study.
PG  - 475-81
AB  - Despite the central role of nonverbal behavior in regulating social interactions, 
      its relationship to functional disability in schizophrenia has received little 
      empirical attention. This study aimed at assessing the relationship of patients' 
      spontaneous facial expressivity during the clinical interview to clinician-rated 
      and self-reported measures of functional disability. The nonverbal behavior of 28 
      stabilized patients with schizophrenia was analyzed by using the Ethological 
      Coding System for Interviews (ECSI). Functional disability was assessed using the 
      Global Assessment of Functioning (GAF) scale and the Sheehan Disability Scale 
      (DISS). Partial correlation analysis controlling for the confounding effects of 
      neuroleptic treatment showed that facial expressivity was correlated with the GAF 
      score (r=0.42, P=0.03) and the scores on the subscales of the DISS measuring work 
      (r=-0.52, P=0.005) and social (r=-0.50, P=0.007) disability. In a multiple 
      regression model, nonverbal behavior explained variation in patients' work and 
      social disability better than negative symptoms. The results of this pilot study 
      suggest that deficits in encoding affiliative signals may play a role in 
      determining or aggravating functional disability in schizophrenia. One clinical 
      implication of this finding is that remediation training programs designed to 
      improve nonverbal communication could also serve as a useful adjunct for 
      improving work and social functioning in patients with schizophrenia.
FAU - Troisi, Alfonso
AU  - Troisi A
AD  - Department of Neurosciences, University of Rome Tor Vergata, via G.A. Guattani, 
      00161, Rome, Italy. alfonso.troisi@uniroma2.it
FAU - Pompili, Enrico
AU  - Pompili E
FAU - Binello, Luigi
AU  - Binello L
FAU - Sterpone, Alessandro
AU  - Sterpone A
LA  - eng
PT  - Journal Article
DEP - 20061226
PL  - England
TA  - Prog Neuropsychopharmacol Biol Psychiatry
JT  - Progress in neuro-psychopharmacology & biological psychiatry
JID - 8211617
SB  - IM
MH  - Adult
MH  - *Disability Evaluation
MH  - *Facial Expression
MH  - Female
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Middle Aged
MH  - Nonverbal Communication
MH  - Pilot Projects
MH  - Predictive Value of Tests
MH  - Psychiatric Status Rating Scales
MH  - Schizophrenia/*diagnosis/*physiopathology
MH  - *Schizophrenic Psychology
EDAT- 2006/12/26 09:00
MHDA- 2007/04/25 09:00
CRDT- 2006/12/26 09:00
PHST- 2006/04/23 00:00 [received]
PHST- 2006/11/11 00:00 [revised]
PHST- 2006/11/14 00:00 [accepted]
PHST- 2006/12/26 09:00 [pubmed]
PHST- 2007/04/25 09:00 [medline]
PHST- 2006/12/26 09:00 [entrez]
AID - S0278-5846(06)00410-6 [pii]
AID - 10.1016/j.pnpbp.2006.11.016 [doi]
PST - ppublish
SO  - Prog Neuropsychopharmacol Biol Psychiatry. 2007 Mar 30;31(2):475-81. doi: 
      10.1016/j.pnpbp.2006.11.016. Epub 2006 Dec 26.