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Self-reported empathic abilities in schizophrenia.

C Montag1, A Heinz, D Kunz

  • 1Klinik für Psychiatrie und Psychotherapie, Charité Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany. christian.montag@charite.de

Schizophrenia Research
|March 14, 2007
PubMed
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Schizophrenia patients show reduced cognitive empathy (perspective-taking) but intact emotional empathy (concern for others). These empathy deficits are not explained by symptoms or neurocognition, but worsen with illness duration.

Area of Science:

  • Psychiatry
  • Neuroscience
  • Psychology

Background:

  • Schizophrenia is associated with impaired empathic abilities, impacting disease outcome.
  • Deficits in cognitive empathy (theory of mind) are established, but affective empathy remains under-investigated.

Purpose of the Study:

  • To investigate multiple dimensions of empathy in schizophrenia patients.
  • To differentiate between cognitive and affective empathy deficits in this population.

Main Methods:

  • Assessed empathy using the Interpersonal Reactivity Index (IRI) in 45 schizophrenia patients and 45 matched healthy controls.
  • Administered a neuropsychological test battery to control for cognitive deficits.

Main Results:

  • Schizophrenia patients scored lower in cognitive empathy (perspective-taking) and higher in personal distress.

Related Experiment Videos

  • Affective empathy (concern for others) did not differ between groups.
  • Empathy scores were not explained by symptoms or neurocognition; reduced perspective-taking correlated with longer illness duration.

    • Conclusions:

    • Schizophrenia is characterized by reduced cognitive empathy but relatively preserved emotional empathy.
    • Findings support a model of differential disturbances in cognitive and emotional empathy in schizophrenia.
    • These distinct empathy impairments may have implications for treatment and patient outcomes.