Surgical Masks Impair People's Ability To Accurately Classify Emotional Expressions, Except For Anger

Background: Recently, the need to continuously wear surgical masks in everyday life has drawn the attention of neuroscientists and psychologists to the negative effects of face covering on social processing. A very recent but not very homogeneous literature has highlighted large costs in the ability to recognize emotions. Methods Here it was investigated how surgical masks covering impaired the recognition of facial mimicry in a large group of 220 undergraduate Italian students. Sex differences in emotion recognition were also observed in 2 subgroups of 94 age-matched participants. Subjects were presented with 112 pictures displaying the faces of 8 actors (4 women and 4 men) wearing or not wearing real facemasks, and expressing 7 emotional states (neutrality, surprise, happiness, sadness, disgust, anger and fear). The task consisted in categorizing the emotion while indicating the recognizability degree with a 3-point Likert scale. Scores underwent repeated measures ANOVAs. Results Overall, face masking reduced emotion recognition by 31%. All emotions were affected by mask covering except for anger. Face covering was most detrimental for sadness and disgust, both relying on mouth and nose inspection. Women showed a better performance for subtle expressions such as surprise and sadness, both in masked and natural conditions, and men for fear recognition (in natural but especially masked conditions). Conclusions Anger display was unaffected by masking, since corrugated forehead and frowning eyebrows were clearly exposed. Unlike digitally created masks, real masks were able to show inhalation-related sucking associated with startle reaction (in surprise, and especially fear expressions), thus providing further cues for emotion recognition.