Computerized analysis of facial expression reveals objective indices of blunted facial affect.
Journal:
European archives of psychiatry and clinical neuroscience
PMID:
37878034
Abstract
Blunted affect is associated with severe mental illness, particularly schizophrenia. Mechanisms of blunted affect are poorly understood, potentially due to a lack of phenomenological clarity. Here, we examine clinician rated blunted affect and computerized facial metrics derived from ambulatory video assessment using machine learning. With high predictive accuracy (80-82%), we found that head orientation, eye movement, and facets of mouth movement were associated with clinical ratings of blunted affect. Features denoting larger muscle movements were associated with social cognition (R = 0.37) and cognition (R = 0.40). Findings provide potential insights on psychological and pathophysiological contributors to blunted affect.