Risk or resilience? Empathic abilities in patients with bipolar disorders and their first-degree relatives

Seidel, Eva-Maria; Habel, Ute; Finkelmeyer, Andreas; Hasmann, Alexander; Dobmeier, Matthias; Derntl, Birgit

doi:10.1016/j.jpsychires.2011.11.006

Cited by 53 publications

(49 citation statements)

References 42 publications

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“…This confirms the findings of Shamay-Tsoory et al, 5 where such a deficit was found in remitted bipolar patients, and of Cusi et al, 6 who studied patients in a mild depressed state. In the Seidel et al 12 study, a deficit in cognitive empathy was observed with increased severity of residual hypomanic and depressive symptoms. The lack of significance in differences in cognitive empathy for positive stimuli in manic patients may have been due to the small sample size.…”

Section: Discussionmentioning

confidence: 90%

Increased affective empathy in bipolar patients during a manic episode

Bodnar

Rybakowski

2017

Rev. Bras. Psiquiatr.

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Objective: To assess both cognitive and affective empathy in patients with bipolar disorder (BD) during an acute manic or depressive episode. Methods: The study included 25 patients with BD (aged 35614 years) during an acute manic episode, 25 bipolar patients (aged 41614 years) during a depressive episode, and 25 healthy control subjects (aged 36611 years). Cognitive and affective empathy were assessed using the Multifaceted Empathy Test. Results: In both manic and depressive patients, a significant deficit in cognitive empathy was demonstrated. However, indices of affective empathy were significantly higher in the manic group than in depressed and control subjects. In the depressed patients, indices did not differ from those of healthy controls. For affective empathy, a significant positive correlation was found with intensity of manic symptoms and a negative correlation was found with intensity of depressive symptoms. No such correlations were observed with cognitive empathy. Conclusion: We found evidence of increased affective empathy (overempathizing) during a manic episode in bipolar patients. This phenomenon may be connected with disturbances in emotion inhibition related to anastrophic thinking and associated with increased activity of mirror neurons, all of which occur during a manic episode.

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Section: Discussionmentioning

confidence: 90%

Increased affective empathy in bipolar patients during a manic episode

Bodnar

Rybakowski

2017

Rev. Bras. Psiquiatr.

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“…Moreover, people with a diagnosis of BD often describe themselves as less empathic, low assess their ability to adopt the perspective of others and empathic concern [31]. Interesting results on this subject were contributed by Eva-Maria Seidel and her co-workers [32]. The authors defined empathy as a complex competence, involving not only understanding of the emotions of others, but also understanding and regulating own emotional experiences.…”

Section: Empathy and Affective Disordersmentioning

confidence: 99%

“…This suggests that the ability of compassion is dependent on the current emotional state of the individual and may vary with changes in the symptoms. The last of the conclusions made by the Eva-Maria Seidel and her colleagues [32] says that patients with BD have impaired ability to identify and predict the emotions that they would experience if they were in some situation, described to them by researcher during the test.…”

Section: Empathy and Affective Disordersmentioning

confidence: 99%

Theory of mind, empathy and moral emotions in patients with affective disorders

Epa¹,

Dudek²

2015

Arch Psych Psych

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SummaryAim of the study. The aim of this paper is to present the selected aspects of social functioning of persons with diagnose of bipolar disorder (BD) or major depressive disorder (MDD). The main focus is on analyzing the functioning of theory of mind, empathy and moral emotions among groups of patients. Considerations also apply the possible mechanisms underlying the impairments of mentioned areas. Material and methods. The analysis of present literature related to the subject.Results. There are a lot of studies confirming the presence of handicap of theory of mind, empathy and moral emotions in patients with affective disorders. Conclusions: Disturbances of social cognition and moral emotions are common among persons with BD or MDD. Raising awareness of the problems affecting this area may contribute to a better understanding of patients and help the clinicians in conducting effective therapy. bipolar disorder / major depressive disorder / theory of mind / empathy / moral emotions

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“…Social cognition --and specially emotion recognition --has been proposed as an endophenotype of BD, given that it may be observed even in first-degree relatives 8 and subjects at high risk. 9 Several neuroimaging studies have explored the neural correlates of this trait deficit of emotion recognition in BD.…”

Section: Introductionmentioning

confidence: 99%

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

Benito

Lahera

Herrera

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To analyze the recognition, identification, and discrimination of facial emotions in a sample of outpatients with bipolar disorder (BD). Methods: Forty-four outpatients with diagnosis of BD and 48 matched control subjects were selected. Both groups were assessed with tests for recognition (Emotion Recognition-40 --ER40), identification (Facial Emotion Identification Test --FEIT), and discrimination (Facial Emotion Discrimination Test --FEDT) of facial emotions, as well as a theory of mind (ToM) verbal test (Hinting Task). Differences between groups were analyzed, controlling the influence of mild depressive and manic symptoms. Results: Patients with BD scored significantly lower than controls on recognition (ER40), identification (FEIT), and discrimination (FEDT) of emotions. Regarding the verbal measure of ToM, a lower score was also observed in patients compared to controls. Patients with mild syndromal depressive symptoms obtained outcomes similar to patients in euthymia. A significant correlation between FEDT scores and global functioning (measured by the Functioning Assessment Short Test, FAST) was found. Conclusions: These results suggest that, even in euthymia, patients with BD experience deficits in recognition, identification, and discrimination of facial emotions, with potential functional implications.

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Risk or resilience? Empathic abilities in patients with bipolar disorders and their first-degree relatives

Cited by 53 publications

References 42 publications

Increased affective empathy in bipolar patients during a manic episode

Increased affective empathy in bipolar patients during a manic episode

Theory of mind, empathy and moral emotions in patients with affective disorders

Deficits in recognition, identification, and discrimination of facial emotions in patients with bipolar disorder

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