Skip to main content
Top
Published in: BMC Psychiatry 1/2024

Open Access 01-12-2024 | Research

Depressive symptoms and visual attention to others’ eyes in healthy individuals

Authors: Thomas Suslow, Dennis Hoepfel, Anette Kersting, Charlott Maria Bodenschatz

Published in: BMC Psychiatry | Issue 1/2024

Login to get access

Abstract

Background

Eye contact is a fundamental part of social interaction. In clinical studies, it has been observed that patients suffering from depression make less eye contact during interviews than healthy individuals, which could be a factor contributing to their social functioning impairments. Similarly, results from mood induction studies with healthy persons indicate that attention to the eyes diminishes as a function of sad mood. The present screen-based eye-tracking study examined whether depressive symptoms in healthy individuals are associated with reduced visual attention to other persons’ direct gaze during free viewing.

Methods

Gaze behavior of 44 individuals with depressive symptoms and 49 individuals with no depressive symptoms was analyzed in a free viewing task. Grouping was based on the Beck Depression Inventory using the cut-off proposed by Hautzinger et al. (2006). Participants saw pairs of faces with direct gaze showing emotional or neutral expressions. One-half of the face pairs was shown without face masks, whereas the other half was presented with face masks. Participants’ dwell times and first fixation durations were analyzed.

Results

In case of unmasked facial expressions, participants with depressive symptoms looked shorter at the eyes compared to individuals without symptoms across all expression conditions. No group difference in first fixation duration on the eyes of masked and unmasked faces was observed. Individuals with depressive symptoms dwelled longer on the mouth region of unmasked faces. For masked faces, no significant group differences in dwell time on the eyes were found. Moreover, when specifically examining dwell time on the eyes of faces with an emotional expression there were also no significant differences between groups. Overall, participants gazed significantly longer at the eyes in masked compared to unmasked faces.

Conclusions

For faces without mask, our results suggest that depressiveness in healthy individuals goes along with less visual attention to other persons’ eyes but not with less visual attention to others’ faces. When factors come into play that generally amplify the attention directed to the eyes such as face masks or emotions then no relationship between depressiveness and visual attention to the eyes can be established.
Appendix
Available only for authorised users
Literature
1.
go back to reference Harper RG, Wiens AN, Matarazzo JD. Nonverbal communication: the state of the art. New York: Wiley; 1978. Harper RG, Wiens AN, Matarazzo JD. Nonverbal communication: the state of the art. New York: Wiley; 1978.
3.
go back to reference Henderson JM, Williams CC, Falk RJ. Eye movements are functional during face learning. Mem Cognit. 2005;33:98–106.PubMedCrossRef Henderson JM, Williams CC, Falk RJ. Eye movements are functional during face learning. Mem Cognit. 2005;33:98–106.PubMedCrossRef
5.
go back to reference Cary MS. The role of gaze in the initiation of conversation. Soc Psychol. 1978;41:269–71.CrossRef Cary MS. The role of gaze in the initiation of conversation. Soc Psychol. 1978;41:269–71.CrossRef
6.
go back to reference Robson KS. The role of eye-to-eye contact in maternal-infant attachment. J Child Psychol Psychiatry. 1967;8:13–25.PubMedCrossRef Robson KS. The role of eye-to-eye contact in maternal-infant attachment. J Child Psychol Psychiatry. 1967;8:13–25.PubMedCrossRef
8.
go back to reference Batki A, Baron-Cohen S, Wheelwright S, Connellan J, Ahluwalia J. Is there an innate gaze module? Evidence from human neonates. Infant Behav Dev. 2000;23:223–9.CrossRef Batki A, Baron-Cohen S, Wheelwright S, Connellan J, Ahluwalia J. Is there an innate gaze module? Evidence from human neonates. Infant Behav Dev. 2000;23:223–9.CrossRef
9.
go back to reference Kendon A. Some functions of gaze-direction in social interaction. Acta Psychol. 1967;26:22–63.CrossRef Kendon A. Some functions of gaze-direction in social interaction. Acta Psychol. 1967;26:22–63.CrossRef
10.
11.
go back to reference Argyle M, Lefebvre L, Cook M. The meaning of five patterns of gaze. Eur J Soc Psychol. 1974;4:125–36.CrossRef Argyle M, Lefebvre L, Cook M. The meaning of five patterns of gaze. Eur J Soc Psychol. 1974;4:125–36.CrossRef
13.
go back to reference Kellerman J, Lewis J, Laird JD. Looking and loving: the effects of mutual gaze on feelings of romantic love. J Res Pers. 1989;23:145–61.CrossRef Kellerman J, Lewis J, Laird JD. Looking and loving: the effects of mutual gaze on feelings of romantic love. J Res Pers. 1989;23:145–61.CrossRef
14.
go back to reference Ellsworth PC, Carlsmith JM, Henson A. The stare as a stimulus to flight in human subjects: a series of field experiments. J Pers Soc Psychol. 1972;21:302–11.PubMedCrossRef Ellsworth PC, Carlsmith JM, Henson A. The stare as a stimulus to flight in human subjects: a series of field experiments. J Pers Soc Psychol. 1972;21:302–11.PubMedCrossRef
15.
go back to reference Emery NJ. The eyes have it: the neuroethology, function and evolution of social gaze. Neurosci Biobehav Rev. 2000;24:581–604.PubMedCrossRef Emery NJ. The eyes have it: the neuroethology, function and evolution of social gaze. Neurosci Biobehav Rev. 2000;24:581–604.PubMedCrossRef
16.
go back to reference Senju A, Johnson MH. The eye contact effect: mechanisms and development. Trends Cogn Sci. 2009;13:127–34.PubMedCrossRef Senju A, Johnson MH. The eye contact effect: mechanisms and development. Trends Cogn Sci. 2009;13:127–34.PubMedCrossRef
17.
go back to reference Conty L, George N, Hietanen JK. Watching eyes effects: when others meet the self. Conscious Cogn. 2016;45:184–97.PubMedCrossRef Conty L, George N, Hietanen JK. Watching eyes effects: when others meet the self. Conscious Cogn. 2016;45:184–97.PubMedCrossRef
18.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013.CrossRef
19.
go back to reference Kupferberg A, Bicks L, Hasler G. Social functioning in major depressive disorder. Neurosci Biobehav Rev. 2016;69:313–32.PubMedCrossRef Kupferberg A, Bicks L, Hasler G. Social functioning in major depressive disorder. Neurosci Biobehav Rev. 2016;69:313–32.PubMedCrossRef
20.
go back to reference Allen NB, Badcock PB. The social risk hypothesis of depressed mood: evolutionary, psychosocial, and neurobiological perspectives. Psychol Bull. 2003;129:887–913.PubMedCrossRef Allen NB, Badcock PB. The social risk hypothesis of depressed mood: evolutionary, psychosocial, and neurobiological perspectives. Psychol Bull. 2003;129:887–913.PubMedCrossRef
21.
go back to reference Blanchard JJ, Horan WP, Brown SA. Diagnostic differences in social anhedonia: a longitudinal study of schizophrenia and major depressive disorder. J Abnorm Psychol. 2001;110:363–71.PubMedCrossRef Blanchard JJ, Horan WP, Brown SA. Diagnostic differences in social anhedonia: a longitudinal study of schizophrenia and major depressive disorder. J Abnorm Psychol. 2001;110:363–71.PubMedCrossRef
22.
go back to reference Hinchliffe M, Lancashire M, Roberts FJ. Eye-contact and depression: a preliminary report. Br J Psychiatry. 1970;117:571–2.PubMedCrossRef Hinchliffe M, Lancashire M, Roberts FJ. Eye-contact and depression: a preliminary report. Br J Psychiatry. 1970;117:571–2.PubMedCrossRef
23.
go back to reference Fiquer JT, Moreno RA, Brunoni AR, Barros VB, Fernandes F, Gorenstein C. What is the nonverbal communication of depression? Assessing expressive differences between depressive patients and healthy volunteers during clinical interviews. J Affect Disord. 2018;238:636–44.PubMedCrossRef Fiquer JT, Moreno RA, Brunoni AR, Barros VB, Fernandes F, Gorenstein C. What is the nonverbal communication of depression? Assessing expressive differences between depressive patients and healthy volunteers during clinical interviews. J Affect Disord. 2018;238:636–44.PubMedCrossRef
24.
go back to reference Fiquer JT, Boggio PS, Gorenstein C. Talking bodies: nonverbal behavior in the assessment of depression severity. J Affect Disord. 2013;150:1114–9.PubMedCrossRef Fiquer JT, Boggio PS, Gorenstein C. Talking bodies: nonverbal behavior in the assessment of depression severity. J Affect Disord. 2013;150:1114–9.PubMedCrossRef
25.
go back to reference Fossi L, Faravelli C, Paoli M. The ethological approach to the assessment of depressive disorders. J Nerv Ment Dis. 1984;172:332–41.PubMedCrossRef Fossi L, Faravelli C, Paoli M. The ethological approach to the assessment of depressive disorders. J Nerv Ment Dis. 1984;172:332–41.PubMedCrossRef
26.
go back to reference Tse WS, Bond AJ. Serotonergic intervention affects both social dominance and affiliative behaviour. Psychopharmacology. 2002;161:324–30.PubMedCrossRef Tse WS, Bond AJ. Serotonergic intervention affects both social dominance and affiliative behaviour. Psychopharmacology. 2002;161:324–30.PubMedCrossRef
27.
go back to reference Natale M. Induction of mood states and their effect on gaze behaviors. J Consult Clin Psychol. 1977;45:960.CrossRef Natale M. Induction of mood states and their effect on gaze behaviors. J Consult Clin Psychol. 1977;45:960.CrossRef
28.
go back to reference Hills PJ, Lewis MB. Sad people avoid the eyes or happy people focus on the eyes? Mood induction affects facial feature discrimination. Br J Psychol. 2011;102:260–74.PubMedCrossRef Hills PJ, Lewis MB. Sad people avoid the eyes or happy people focus on the eyes? Mood induction affects facial feature discrimination. Br J Psychol. 2011;102:260–74.PubMedCrossRef
29.
go back to reference Hunter L, Roland L, Ferozpuri A. Emotional expression processing and depressive symptomatology: Eye-tracking reveals differential importance of lower and middle facial areas of interest. Depress Res Treat. 2020;2020:1049851.PubMedPubMedCentral Hunter L, Roland L, Ferozpuri A. Emotional expression processing and depressive symptomatology: Eye-tracking reveals differential importance of lower and middle facial areas of interest. Depress Res Treat. 2020;2020:1049851.PubMedPubMedCentral
30.
go back to reference Wu L, Pu J, Allen JJ, Pauli P. Recognition of facial expressions in individuals with elevated levels of depressive symptoms: an eye-movement study. Depress Res Treat. 2012;2012:249030.PubMedPubMedCentral Wu L, Pu J, Allen JJ, Pauli P. Recognition of facial expressions in individuals with elevated levels of depressive symptoms: an eye-movement study. Depress Res Treat. 2012;2012:249030.PubMedPubMedCentral
32.
go back to reference Armstrong T, Olatunji BO. Eye tracking of attention in the affective disorders: a meta-analytic review and synthesis. Clin Psychol Rev. 2012;32:704–23.PubMedPubMedCentralCrossRef Armstrong T, Olatunji BO. Eye tracking of attention in the affective disorders: a meta-analytic review and synthesis. Clin Psychol Rev. 2012;32:704–23.PubMedPubMedCentralCrossRef
33.
go back to reference Günther V, Kropidlowski A, Schmidt FM, Koelkebeck K, Kersting A, Suslow T. Attentional processes during emotional face perception in social anxiety disorder: a systematic review and meta-analysis of eye-tracking findings. Prog Neuropsychopharmacol Biol Psychiatry. 2021;111:110353.PubMedCrossRef Günther V, Kropidlowski A, Schmidt FM, Koelkebeck K, Kersting A, Suslow T. Attentional processes during emotional face perception in social anxiety disorder: a systematic review and meta-analysis of eye-tracking findings. Prog Neuropsychopharmacol Biol Psychiatry. 2021;111:110353.PubMedCrossRef
34.
go back to reference Galvin KL, Tomlin D, Joubert L, Story L. Effects of widespread community use of face masks on communication, participation, and quality of life in Australia during the COVID-19 pandemic. Cogn Res Princ Implic. 2022;7:88.PubMedPubMedCentralCrossRef Galvin KL, Tomlin D, Joubert L, Story L. Effects of widespread community use of face masks on communication, participation, and quality of life in Australia during the COVID-19 pandemic. Cogn Res Princ Implic. 2022;7:88.PubMedPubMedCentralCrossRef
35.
go back to reference Rabadan V, Ricou C, Latinus M, Aguillon-Hernandez N, Wardak C. Facial mask disturbs ocular exploration but not pupil reactivity. Front Neurosci. 2022;16:1033243.PubMedPubMedCentralCrossRef Rabadan V, Ricou C, Latinus M, Aguillon-Hernandez N, Wardak C. Facial mask disturbs ocular exploration but not pupil reactivity. Front Neurosci. 2022;16:1033243.PubMedPubMedCentralCrossRef
36.
go back to reference Hautzinger M, Keller F, Kühner C. Beck depressions-Inventar BDI-II. Revision. Frankfurt am Main: Harcourt Test Services; 2006. Hautzinger M, Keller F, Kühner C. Beck depressions-Inventar BDI-II. Revision. Frankfurt am Main: Harcourt Test Services; 2006.
37.
go back to reference American Psychiatric Association. Diagnostic and statistical Manual of Mental disorders. DSM-IV). 4th ed. Washington: American Psychiatric Association; 1994. American Psychiatric Association. Diagnostic and statistical Manual of Mental disorders. DSM-IV). 4th ed. Washington: American Psychiatric Association; 1994.
38.
go back to reference Izard CE, Dougherty FE, Bloxom BM, Kotsch WE. The Differential emotions Scale: A method of measuring the subjective experience of discrete emotions. Nashville, TN: Vanderbilt University; 1974. Izard CE, Dougherty FE, Bloxom BM, Kotsch WE. The Differential emotions Scale: A method of measuring the subjective experience of discrete emotions. Nashville, TN: Vanderbilt University; 1974.
39.
go back to reference Merten J, Krause R. DAS (Differentielle Affekt Skala). Arbeiten Der Fachrichtung Psychologie Der Universität Des Saarlandes. Nr. 173. Saarbrücken: Fachrichtung Psychologie; 1993. Merten J, Krause R. DAS (Differentielle Affekt Skala). Arbeiten Der Fachrichtung Psychologie Der Universität Des Saarlandes. Nr. 173. Saarbrücken: Fachrichtung Psychologie; 1993.
40.
go back to reference Kotsch WE, Gerbing DW, Schwartz LE. The construct validity of the Differential emotions Scale as adapted for children and adolescents. In: Izard CE, editor. Measuring emotions in infants and children. Cambridge: Cambridge University Press; 1982. pp. 251–78. Kotsch WE, Gerbing DW, Schwartz LE. The construct validity of the Differential emotions Scale as adapted for children and adolescents. In: Izard CE, editor. Measuring emotions in infants and children. Cambridge: Cambridge University Press; 1982. pp. 251–78.
41.
go back to reference Fuenzalida C, Emde RN, Pannabecker BJ, Stenberg C. Validation of the Differential emotions Scale in 613 mothers. Motiv Emot. 1981;5:37–45.CrossRef Fuenzalida C, Emde RN, Pannabecker BJ, Stenberg C. Validation of the Differential emotions Scale in 613 mothers. Motiv Emot. 1981;5:37–45.CrossRef
42.
go back to reference Lehrl S, Mehrfachwahl-Wortschatz-Intelligenztest. MWT-B. 5th ed. Balingen: Spitta; 2005. Lehrl S, Mehrfachwahl-Wortschatz-Intelligenztest. MWT-B. 5th ed. Balingen: Spitta; 2005.
43.
go back to reference Ebner NC, Riediger M, Lindenberger U. FACES - a database of facial expressions in young, middle-aged, and older women and men: development and validation. Behav Res Methods. 2010;42:351–62.PubMedCrossRef Ebner NC, Riediger M, Lindenberger U. FACES - a database of facial expressions in young, middle-aged, and older women and men: development and validation. Behav Res Methods. 2010;42:351–62.PubMedCrossRef
46.
go back to reference Shariff AF, Tracy JL. What are emotion expressions for? Curr Dir Psychol Sci. 2011;20:395–99.CrossRef Shariff AF, Tracy JL. What are emotion expressions for? Curr Dir Psychol Sci. 2011;20:395–99.CrossRef
47.
go back to reference Eisenbarth H, Alpers GW. Happy mouth and sad eyes: scanning emotional facial expressions. Emotion. 2011;11:860–65.PubMedCrossRef Eisenbarth H, Alpers GW. Happy mouth and sad eyes: scanning emotional facial expressions. Emotion. 2011;11:860–65.PubMedCrossRef
48.
go back to reference Schurgin MW, Nelson J, Iida S, Ohira H, Chiao JY, Franconeri SL. Eye movements during emotion recognition in faces. J Vis. 2014;14:1–16.CrossRef Schurgin MW, Nelson J, Iida S, Ohira H, Chiao JY, Franconeri SL. Eye movements during emotion recognition in faces. J Vis. 2014;14:1–16.CrossRef
50.
go back to reference Calvo MG, Fernández-Martín A, Gutiérrez-García A, Lundqvist D. Selective eye fixations on diagnostic face regions of dynamic emotional expressions: KDEF-dyn database. Sci Rep. 2018;8:17039.ADSPubMedPubMedCentralCrossRef Calvo MG, Fernández-Martín A, Gutiérrez-García A, Lundqvist D. Selective eye fixations on diagnostic face regions of dynamic emotional expressions: KDEF-dyn database. Sci Rep. 2018;8:17039.ADSPubMedPubMedCentralCrossRef
51.
go back to reference Beaudry O, Roy-Charland A, Perron M, Cormier I, Tapp R. Featural processing in recognition of emotional facial expressions. Cogn Emot. 2014;28:416–32.PubMedCrossRef Beaudry O, Roy-Charland A, Perron M, Cormier I, Tapp R. Featural processing in recognition of emotional facial expressions. Cogn Emot. 2014;28:416–32.PubMedCrossRef
52.
go back to reference Ellgring H. Non-verbal communication in depression. Cambridge: Cambridge University Press; 1989. Ellgring H. Non-verbal communication in depression. Cambridge: Cambridge University Press; 1989.
53.
go back to reference Hames JL, Hagan CR, Joiner TE. Interpersonal processes in depression. Annu Rev Clin Psychol. 2013;9:355–77.PubMedCrossRef Hames JL, Hagan CR, Joiner TE. Interpersonal processes in depression. Annu Rev Clin Psychol. 2013;9:355–77.PubMedCrossRef
54.
go back to reference Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates. Am J Psychiatry. 2008;165:969–77.PubMedCrossRef Beck AT. The evolution of the cognitive model of depression and its neurobiological correlates. Am J Psychiatry. 2008;165:969–77.PubMedCrossRef
55.
go back to reference Price J, Sloman L, Gardner R Jr, Gilbert P, Rohde P. The social competition hypothesis of depression. Br J Psychiatry. 1994;164:309–15.PubMedCrossRef Price J, Sloman L, Gardner R Jr, Gilbert P, Rohde P. The social competition hypothesis of depression. Br J Psychiatry. 1994;164:309–15.PubMedCrossRef
56.
go back to reference Hagen EH. Evolutionary theories of depression: a critical review. Can J Psychiatry. 2011;56:716–26.PubMedCrossRef Hagen EH. Evolutionary theories of depression: a critical review. Can J Psychiatry. 2011;56:716–26.PubMedCrossRef
57.
go back to reference Orth U, Robins RW. Understanding the Link between Low Self-Esteem and Depression. Curr Dir Psychol Sci. 2013;22:455–60.CrossRef Orth U, Robins RW. Understanding the Link between Low Self-Esteem and Depression. Curr Dir Psychol Sci. 2013;22:455–60.CrossRef
58.
go back to reference Mahadevan N, Gregg AP, Sedikides C. Daily fluctuations in social status, self-esteem, and clinically relevant emotions: testing hierometer theory and social rank theory at a within-person level. J Pers. 2023;91:519–36.PubMedCrossRef Mahadevan N, Gregg AP, Sedikides C. Daily fluctuations in social status, self-esteem, and clinically relevant emotions: testing hierometer theory and social rank theory at a within-person level. J Pers. 2023;91:519–36.PubMedCrossRef
59.
go back to reference Terburg D, Aarts H, van Honk J. Memory and attention for social threat: anxious hypercoding-avoidance and submissive gaze aversion. Emotion. 2012;12:666–72.PubMedCrossRef Terburg D, Aarts H, van Honk J. Memory and attention for social threat: anxious hypercoding-avoidance and submissive gaze aversion. Emotion. 2012;12:666–72.PubMedCrossRef
61.
go back to reference Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149–60.PubMedCrossRef Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149–60.PubMedCrossRef
62.
go back to reference Peterson MF, Lin J, Zaun I, Kanwisher N. Individual differences in face-looking behavior generalize from the lab to the world. J Vis. 2016;16:12.PubMedCrossRef Peterson MF, Lin J, Zaun I, Kanwisher N. Individual differences in face-looking behavior generalize from the lab to the world. J Vis. 2016;16:12.PubMedCrossRef
63.
go back to reference Guy N, Pertzov Y. The robustness of individual differences in gaze preferences toward faces and eyes across face-to-face experimental designs and its relation to social anxiety. J Vis. 2023;23:15.PubMedPubMedCentralCrossRef Guy N, Pertzov Y. The robustness of individual differences in gaze preferences toward faces and eyes across face-to-face experimental designs and its relation to social anxiety. J Vis. 2023;23:15.PubMedPubMedCentralCrossRef
Metadata
Title
Depressive symptoms and visual attention to others’ eyes in healthy individuals
Authors
Thomas Suslow
Dennis Hoepfel
Anette Kersting
Charlott Maria Bodenschatz
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2024
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-024-05633-2

Other articles of this Issue 1/2024

BMC Psychiatry 1/2024 Go to the issue