Affective empathy in schizophrenia: a meta-analysis

Bonfils, Kelsey A.; Lysaker, Paul H.; Minor, Kyle S.; Salyers, Michelle P.

doi:10.1016/j.schres.2016.03.037

Cited by 70 publications

(58 citation statements)

References 98 publications

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“…Our stable schizophrenic patients reported elevated religiosity scores compared to the control group, similarly to other samples [1,3,4]. Regarding empathy measures, these patients showed differences in the three components of the interpersonal reactivity index (IRI): Lower perspective-taking and emphatic concern, as well as more personal distress than the comparison group (Table 1), thus agreeing with previous findings using similar measures [21,22,27,28,42]. These findings, however, did not provide robust enough evidence to sustain the conjecture of a singular deficit in affective empathy in schizophrenia [24,26,44,45].…”

Section: Discussionsupporting

confidence: 90%

“…Personal distress, as measured by IRI, has been considered an index of self-oriented feelings of anxiety rather than other-oriented processes involved in empathy, and it might not represent affective empathy [19,26]. Bonfils et al [22] insisted that high levels of personal distress in patients with schizophrenia may hinder their ability to empathically respond to others, and work against successful empathic interaction. Additionally, it is important to note that IRI was developed over three decades ago, and it was not originally intended to distinguish between cognitive and affective empathy.…”

Section: Discussionmentioning

confidence: 99%

“…Empathy as a cognitive domain is clearly impaired in schizophrenia [22]. Research on empathy has focused in two general domains: Cognitive and affective empathy.…”

Section: Introductionmentioning

confidence: 99%

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Religiosity and Psychotic Ideation in Stable Schizophrenia: A Role for Empathic Perspective-Taking

Duñó

Oliva

Tobeña

et al. 2020

Behavioral Sciences

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The relationship between religiosity and different components of empathy was explored in schizophrenia patients. A total of 81 stable schizophrenia patients and 95 controls from the nearby community completed self-reported questionnaires assessing religiosity and empathy (through the Interpersonal Reactivity Index, IRI). Patients with schizophrenia showed higher religiousness than controls and they presented less perspective-taking and empathic concern but increased personal distress in IRI scores. Regression analyses unveiled an association between religiosity and perspective-taking in schizophrenics after adjusting for age, gender, and psychotic symptoms. In conclusion, religiosity in patients with schizophrenia may be linked to variations in perspective- taking as a component of empathy.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Religiosity and Psychotic Ideation in Stable Schizophrenia: A Role for Empathic Perspective-Taking

Duñó

Oliva

Tobeña

et al. 2020

Behavioral Sciences

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“…Even though alterations of emotional responsivity have been reported as a core feature of the 'group of schizophrenia' (11), affective aspects of social cognition including empathy have been far less studied than its cognitive dimensions, that is, theory of mind (ToM) (12,13). A recent meta -analysis (14) reported deficits with intermediate effect sizes (Hedges' g = 0.36) in emotional empathy in individuals with schizophrenia. The strongest effect sizes were detected in studies with 'performance-based' (Hedges' g = 1.31) and not self-report (Hedges' g = 0.22) measures of emotional empathy.…”

Section: Introductionmentioning

confidence: 99%

Cognitive and emotional empathy in individuals at clinical high risk of psychosis

Montag

Brandt

Lehmann

et al. 2020

Acta Psychiatr Scand

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and emotional empathy in individuals at clinical high risk of psychosis. Background: Impairments of social cognition are considered core features of schizophrenia and are established predictors of social functioning. However, affective aspects of social cognition including empathy have far less been studied than its cognitive dimensions. The role of empathy in the development of schizophrenia remains largely elusive. Methods: Emotional and cognitive empathy were investigated in large sample of 120 individuals at Clinical High Risk of Psychosis (CHR-P) and compared with 50 patients with schizophrenia and 50 healthy controls. A behavioral empathy assessment, the Multifaceted Empathy Test, was implemented, and associations of empathy with cognition, social functioning, and symptoms were determined. Results: Our findings demonstrated significant reductions of emotional empathy in individuals at CHR-P, while cognitive empathy appeared intact. Only individuals with schizophrenia showed significantly reduced scores of cognitive empathy compared to healthy controls and individuals at CHR-P. Individuals at CHR-P were characterized by significantly lower scores of emotional empathy and unspecific arousal for both positive and negative affective valences compared to matched healthy controls and patients with schizophrenia. Results also indicated a correlation of lower scores of emotional empathy and arousal with higher scores of prodromal symptoms. Conclusion: Findings suggest that the tendency to 'feel with' an interaction partner is reduced in individuals at CHR-P. Altered emotional reactivity may represent an additional, early vulnerability marker, even if cognitive mentalizing is grossly unimpaired in the prodromal stage. Different mechanisms might contribute to reductions of cognitive and emotional empathy in different stages of non-affective psychotic disorders and should be further explored.

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“…En Navarra, actualmente, es una prioridad la mejora de la calidad asistencial de las personas diagnosticadas con este trastorno y otros relacionados, por lo que los servicios sanitarios y sociosanitarios que atienden a estas personas y sus familiares están promoviendo cambios que fomenten la adecuada coordinación entre los profesionales y el abordaje integral 5 . Durante los últimos años, una parte importante de la investigación sobre esquizofrenia y otros trastornos psicóticos se ha centrado en conocer los déficits en diversos componentes y procesos de la cognición social, entre ellos las habilidades empáticas, así como la influencia y la relación de estas alteraciones con otras variables como la sintomatología clínica, el rendimiento neurocognitivo y el funcionamiento social [6][7][8] . Sin embargo, los estudios que analizan la relación entre la cognición social en general (en particular la empatía) y la calidad de vida en personas con diagnóstico en esquizofrenia son muy escasos 9,10 .…”

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Empathy, social cognition and subjective quality of life in schizophrenia

Martin

Secades

López-Goñi

et al. 2017

An Sist Sanit Navar

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Fundamento. Las personas con diagnóstico de esquizofrenia presentan déficits en empatía que se han relacionado con su pobre funcionamiento psicosocial. Los objetivos fueron: 1) analizar la relación entre empatía, cognición social, y calidad de vida en sujetos con diagnós-tico de esquizofrenia y otros trastornos psicóticos 2) evaluar estas variables según la gravedad del cuadro clínico Material y métodos. Participaron 41 pacientes divididos en dos grupos según el nivel de gravedad del cuadro clínico. Se aplicó una batería de pruebas: el Índi-ce de Reactividad Interpersonal (IRI), escala GEOPTE de Cognición Social para la psicosis, Instrumento de Evaluación de la Calidad de Vida de la Organización Mundial de la Salud -Versión breve (WHOQOL-BREF), Escala de Impresión Clínica Global (CGI), Escala para la evaluación de Síntomas Positivos (SAPS) y Síntomas Negativos (SANS).resultados. Las subescalas angustia personal y fantasía del IRI presentaron una relación directa con la escala GEOPTE, e inversa con varias dimensiones de calidad de vida del WHOQOL-BREF. La escala GEOPTE, tuvo una relación inversa con todas las dimensiones de la calidad de vida evaluadas. El grupo levemente enfermo obtuvo puntuaciones significativamente menores en fantasía (15,44 vs. 20,12; p=,001) y significativamente más elevadas en salud psicológica (58,63 vs. 45,40; p=0,017) y ambiente (67,00 vs. 53,68; p=0,006).conclusiones. Se halla relación entre empatía, cognición social y calidad de vida subjetiva en personas con diagnóstico de esquizofrenia en programas de rehabilitación psicosocial, Asimismo, destaca la existencia de diferencias relevantes en estas variables según el nivel de gravedad del cuadro clínico.Palabras clave. Cognición social. Empatía. Calidad de vida. Esquizofrenia. Índice de reactividad interpersonal. aBstractBackground. People diagnosed with schizophrenia present empathy deficits that have been related to their poor psychosocial functioning. The objectives were: 1) analyse the relation between empathy, social cognition and quality of life in subjects diagnosed with schizophrenia and other psychotic disorders; 2) evaluate these variables according to the severity of the features.Methods. Forty-one patients, divided into two groups according to the level of severity, were included. A battery of tests was applied: Interpersonal Reactivity Index (IRI), GEOPTE scale of social cognition for psychosis, World Health Organization Quality of Life Assessment: Brief Version (WHOQOL-BREF), Clinical Global Impression scale (CGI), Scale for the Assessment of Positive Symptoms (SAPS) and Negative Symptoms (SANS).results. There was a direct relationship between personal anxiety and fantasy sub-scales of the IRI and the GEOPTE scale, and an inverse relationship with several dimensions of quality of life of the WHOQOL-BREF. The GEOPTE scale had an inverse relation with all the dimensions of quality of life evaluated. The mildly sick group obtained scores that were significantly lower in fantasy (15.44 vs. 20.12; p=0.001) and significantly h...

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Affective empathy in schizophrenia: a meta-analysis

Cited by 70 publications

References 98 publications

Religiosity and Psychotic Ideation in Stable Schizophrenia: A Role for Empathic Perspective-Taking

Religiosity and Psychotic Ideation in Stable Schizophrenia: A Role for Empathic Perspective-Taking

Cognitive and emotional empathy in individuals at clinical high risk of psychosis

Empathy, social cognition and subjective quality of life in schizophrenia

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