Positive Classification Advantage of Categorizing Emotional Faces in Patients With Major Depressive Disorder

This study investigated whether patients with MDD (major depressive disorder) have deficits in emotional face classification as well as the perceptual mechanism. We found that, compared with the control group, MDD patients exhibited slower speed and lower accuracy in emotional face classification. In normal controls, happy faces were classified faster than sad faces, i.e., positive classification advantage (PCA), which disappeared under the inverted condition. MDD patients showed PCA similar to the control group, although the inversion effects of happy and sad faces were more evident. These data suggest that the dysfunction of categorizing emotional faces in MDD patients could be due to general impairment in decoding facial expressions, reflecting the more common perceptual motion defects in face expression classification.