Differential mask effects on emotion recognition and eye movements in Psychotic-like experiences and autism: Insights from hidden Markov Modeling

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Harry Kam Hung Tsui, Sherry Kit Wa Chan, Abby Chi Kiu Cheung, Tsz Wa Yeung, Janet Hui-wen Hsiao

Published: 01 Oct 2025, Last Modified: 12 Nov 2025Journal of Psychiatric ResearchEveryoneRevisionsCC BY-SA 4.0
Abstract: Highlights•Masks impaired performances and eye movements of emotion recognition across groups.•Only PLEs presented maladaptive eye movements due to masks compared to controls.•ASD showed consistent deficits in accuracy, speed, and visual scanning consistency.•Subclinical psychotic symptoms linked to poorer mask-related accuracy in PLEs group.•Imaginative cognition related to mask-induced changes in ASD's visual patterns.