Processing of threat-related affect is delayed in delusion-prone individuals

Br J Clin Psychol. 2001 Jun;40(2):157-65. doi: 10.1348/014466501163607.

Abstract

Objectives: On the basis of previous reports of an attentional bias for threat-related emotional material in deluded schizophrenics (e.g. Bentall & Kaney, 1989), the present study examined the proposal that a similar bias would be demonstrated by delusion-prone individuals, reflected by longer response latencies for the task of processing threat-related facially displayed affects (e.g. anger, fear).

Design: A non-randomized matched group design was employed to examine the performance of delusion-prone individuals in comparison with a control group.

Methods: 50 psychiatrically healthy participants completed the Peters et al. Delusions Inventory (PDI) as an index of delusional ideation (Peters, Day, & Garety, 1996; Peters, Joseph, & Garety, 1999). Subjects were presented with a standard set of facial stimuli depicting happy, sad, neutral, fearful and angry emotion expressions (Mazurski & Bond, 1993). Reaction times for the task of identifying each type of affect were compared between groups of high and low scorers on the PDI.

Results: Highly delusion-prone individuals displayed a significant delay in processing angry facial expressions in comparison with low scorers on the PDI.

Conclusions: The increased response latency for processing angry expressions was interpreted as evidence of attentional bias for material posing a threat to the self, supporting previous cognitive data in relation to deluded patients. Threatening facial expressions may be regarded with increased significance by delusion-prone individuals, and it is possible that this bias is involved in the formation of delusional beliefs.

MeSH terms

  • Adolescent
  • Adult
  • Affect*
  • Anger
  • Attention
  • Delusions / complications
  • Delusions / psychology*
  • Facial Expression*
  • Fear
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reaction Time
  • Recognition, Psychology
  • Schizophrenia / complications
  • Time Factors
  • Visual Perception*