ArticleSchizophrenia research. Cognition2018
The relationship between clinical insight and cognitive and affective empathy in schizophrenia.
Article in Schizophrenia research. Cognition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing social cognition in patients with schizophrenia and healthy controls using the reading the mind in the eyes test (RMET): a systematic review and meta-regression.Psychological medicine · 2024Pooled it
- Relationships between empathy, symptoms, and functioning in first episode psychosis.Schizophrenia research · 2026Trial
- Neural effects of cathodal transcranial direct current stimulation over left supramarginal gyrus on cognitive empathy for pain.Cognitive, affective & behavioral neuroscience · 2026Article
- Differential impacts of audiovisual information on empathic accuracy in people with schizophrenia and high social anhedonia.Psychological medicine · 2026Article
- Validation of the Arabic version of the self-assessment of social cognitive impairments (ACSo) tool among a sample of patients with schizophrenia.Schizophrenia research. Cognition · 2026Article
- No Sex-based Differences in Self-reported Empathy between Patients with Schizophrenia and Control Subjects.Actas espanolas de psiquiatria · 2024Article
- Empathic disequilibrium as a new framework for understanding individual differences in psychopathology.Frontiers in psychology · 2023Article
- Emotion regulation and delusion-proneness relate to empathetic tendencies in a transdiagnostic sample.Frontiers in psychiatry · 2022Article
- General description of cognitive deficits in schizophrenia and assessment tools in Lebanon: A scoping review.Schizophrenia research. Cognition · 2021Article
- Empathic disequilibrium in two different measures of empathy predicts autism traits in neurotypical population.Molecular autism · 2020Article
- Exploring the Neural Correlates in Adopting a Realistic View: A Neural Structural and Functional Connectivity Study With Female Nurses.Frontiers in human neuroscience · 2019Article
Corrections and comments
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSchizophrenia is often associated with poor clinical insight (unawareness of mental illness and its symptoms) and deficits in empathy, which are important for social functioning. Cognitive empathy has been linked to clinical insight while affective empathy and its role in insight and pathology have received mixed evidence.
methodsInstruments assessing symptomatology (Positive and Negative Syndrome Scale; PANSS), clinical insight (Scales to assess awareness of mental disorders; SUMD), and cognitive and affective empathy were administered to 22 participants with first episode and chronic schizophrenia and 21 healthy controls. Self-report, parent-report, and performance based measures were used to assess cognitive and affective empathy (The interpersonal reactivity index; IRI/Reading the Mind in the Eyes Test/Faux Pas) to reduce bias and parse shared variance.
resultsAge of onset, gender, and symptomatology emerged as significant predictors of poor clinical insight. Additionally, the fantasy subscale of the IRI as reported by parents emerged as a positive predictor while the personal distress (parent report) subscale emerged as a negative predictor of awareness into mental illness. There were significant differences on performance-based measures of empathy between the control and schizophrenia groups.
conclusionFindings suggest that affective empathy is relatively intact across phases of illness whereas cognitive empathy abilities are compromised and could be targets for psychotherapy intervention.
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