The correlation between fractional amplitude of low-frequency fluctuation-based resting-state functional magnetic resonance imaging and facial emotion recognition ability in patients with first-episode schizophrenia

Our aim was to analyse the correlation between the fractional amplitude of low-frequency fluctuation (fALFF) and facial emotion recognition (FER) ability in patients with first-episode schizophrenia (FSZ). A total of 28 patients with FSZ and 33 healthy controls (HCs) completed visual search tasks for FER ability. Regions of interest (ROIs) related to facial emotion were obtained from a previous meta-analysis. Pearson correlation analysis was performed to understand the correlation between fALFF and FER ability. Our results indicated that the patients performed worse than the HCs in the accuracy performances of happy FER and fearful FER. The previous meta-analysis results showed that the brain regions related to FER included the bilateral amygdala (AMY)/hippocampus (HIP), right fusiform gyrus (FFG), and right supplementary motor area (SMA). Pearson correlation showed that the fALFF of the right FFG was associated with high-load fearful FER accuracy (r = -0.43, p = 0.022). Multiple regression analysis showed that the fALFF of the right FFG was an independent contributor to fearful FER accuracy. Our study indicates that FER ability is correlated with resting-state intrinsic activity in brain regions related to facial emotion, which may provide a reference for the study of FER in schizophrenia.