OBJECTIVE: This study sought to determine whether affective
abnormalities could be detected in home movies of children who later
developed schizophrenia. METHOD: Trained observers coded facial expressions
of emotion of 32 schizophrenic patients and 31 of their healthy siblings
from home movies made when they were children. All of the patients met the
DSM-III criteria for schizophrenia with onset in late adolescence or early
adulthood. The sibling comparison subjects had no history of psychiatric
illness. Nine emotions and a neutral category were rated. RESULTS: Analyses
revealed significantly lower proportions of joy expressions among the total
expressions of the preschizophrenic female subjects than among the same-sex
healthy siblings. This difference extended from infancy through
adolescence. Among the male subjects, there were inconsistent differences
between diagnostic groups in expressions of joy across age levels. However,
both the preschizophrenic male subjects and the preschizophrenic female
subjects showed greater negative affect than their same-sex comparison
groups. CONCLUSIONS: These findings lend support to the assumption that
vulnerability to schizophrenia may be subtly manifested in emotional
behavior long before the onset of clinical symptoms.
Abstract Teaser