A multimethod, multichannel assessment of affective flattening in schizophrenia

Ann M. Kring, Murray Alpert, John M. Neale, Philip D. Harvey

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


Flat affect was examined across multiple contexts (during interviews and emotional films), multiple channels of expression (facial and vocal), and different assessment techniques (clinical ratings, observational ratings of facial expression, and acoustic analyses) in 23 medication-free schizophrenic patients. Patients participated in three different interviews during which either clinical ratings were made or their voices were audiotaped for later acoustic analyses. Patients were also videotaped while they viewed positive and negative emotional films. The videotapes were then coded for the frequency, intensity, and duration of positive and negative facial expressions. Results indicated that general clinical ratings were related across different interviews. However, only those items specific to affective flattening bore significant relationships to vocal and facial expressiveness. Vocal expressiveness and negative facial expressiveness were related, but vocal expressiveness was not related to positive facial expressiveness.

Original languageEnglish (US)
Pages (from-to)211-222
Number of pages12
JournalPsychiatry Research
Issue number2
StatePublished - Nov 1994
Externally publishedYes


  • acoustic analyses
  • Brief Psychiatric Rating Scale
  • Emotional expression
  • flat affect
  • Scale for the Assessment of Negative Symptoms

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)


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