Facial Emotion Recognition in Patients With Euthymic Bipolar Disorder I and II

The facial emotion recognition is a basic social skill for successful social interactions. Several meta-analyses and recent studies found impairments of the perception of facial emotions in patients with euthymic bipolar disorder. Few studies compared recognition of facial emotions impairments during euthymia in patients with bipolar disorder type 1 and 2. These studies included low population samples (N<60). There were discrepancies in results of these studies. Szanto suggested that facial emotion recognition impairments were correlated with suicidal risk and social isolation. These impairments should be taking into account regarding psycho-social treatments in patients with bipolar disorder.

This study aims to evaluate facial emotion recognition in patients with bipolar I and II disorders compared to healthy controls, using the facial emotion recognition test (TREF). The objective of the present study is to compare TREF scores in a group of patients with bipolar 1, a group of patients with bipolar 2 disorder and a group with healthy controls. In addition, the investigators will investigate the relationships between TREF scores and levels of self-esteem and mental well-being.

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Key information

Conditions

Social Cognition Bipolar Disorder I and II Facial Affect Facial Emotion Recognition

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CHU Amiens

Amiens, 80480, France

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patient group :
Male or female patients, between 18 and 60 years old
Diagnosis of Bipolar Disorder I or Bipolar Disorder II according to DSM-IV criteria, using the French version of the Mini-International Neuropsychiatric Interview (MINI)
Strictly euthymic defined by Hamilton Depression Rating Scale (17 items) ≤ 5 and Young Mania Rating Scale ≤ 5 for at least two months.
Native French speakers
Affiliated to the French social security system
Giving their written informed consent

Control group :

Male or female control subjects, aged between 18 and 60 years old, assessed using TREF
Native French speakers
Giving their written informed consent

Exclusion criteria

Patient group :
History of mental retardation assessed by the French version of the National Adult Reading Test
Neurological illness or any clinical condition that could affect cognitive performance (history of head injury with loss of consciousness lasting more than 5 minutes multiple sclerosis, stroke etc.)
Electroconvulsive therapy within the last 6 months
Alcohol and Drug dependence (except tobacco and caffeine) according to DSM-IV criteria using the French version of the Mini-International Neuropsychiatric Interview (MINI).
Learning disability or difficulty with fluent use of the French language
Patient with mandatory care
Long-Term use of non-psychotropic medication with psychotropic effects (opiates, Baclofen)

Control group :

History of mental retardation estimated by the French version of the National Adult Reading Test
Neurological illness or any clinical condition that could affect cognitive performance (history of head injury with loss of consciousness lasting more than 5 minutes multiple sclerosis, stroke etc.)
Current Mood disorder/ Lifetime Psychotic Disorder according to DSM-IV criteria using the French version of the Mini-International Neuropsychiatric Interview (MINI)
Neither history of psychotic or affective disorders in a first-degree family member
Alcohol and Drug dependence (except tobacco and caffeine) according to DSM-IV criteria using the French version of the Mini-International Neuropsychiatric Interview (MINI)
Learning disability or difficulty with fluent use of the French language
Long-Term use of non-psychotropic drugs with psychotropic effects (opiates, Baclofen) and psychotropic drugs

Treatment and study plan

Facial emotion recognition test

Other

Facial emotion recognition test (TREF), questionnaires including self-administered questionnaires

Primary outcomes

variation of TREF scores in tree groups of subjects

Time frame: 16 months

TREF scores in tree groups of subjects (group of patients with bipolar disorder 1, group of patients with bipolar disorder 2 and group of healthy controls.

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire, Amiens

Other

Collaborators

Centre Hospitalier Philippe Pinel, Amiens
Centre Hospitalier le Vinatier
Centre de santé mentale MGEN
Pôle Ressource Évaluation et Réhabilitation Psycho-sociale, EPSM de l'Oise

Registry information

Acronym: REF-BIP

Important dates

Study start: 2020
Primary completion: 2023
Study completion: 2023
First posted: Jun 28, 2023
Registry last updated: Nov 19, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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