Montag, C., Brandt, L., Lehmann, A., de Millas, W., Falkai, P., Gaebel, W., Hasan, A., Hellmich, M., Janssen, B., Juckel, G., Karow, A., Klosterkoetter, J., Lambert, M., Maier, W., Mueller, H., Puetzfeld, V, Schneider, F., Stuetzer, H., Wobrock, T., Vernaleken, I. B., Wagner, M., Heinz, A., Bechdolf, A. and Gallinat, J. (2020). Cognitive and emotional empathy in individuals at clinical high risk of psychosis. Acta Psychiatr. Scand., 142 (1). S. 40 - 52. HOBOKEN: WILEY. ISSN 1600-0447

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Abstract

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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Montag, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Brandt, L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lehmann, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Millas, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Falkai, P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gaebel, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hasan, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Janssen, B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Juckel, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karow, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Klosterkoetter, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lambert, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Maier, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Puetzfeld, VUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schneider, F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stuetzer, H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wobrock, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vernaleken, I. B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wagner, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heinz, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bechdolf, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gallinat, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-333993
DOI: 10.1111/acps.13178
Journal or Publication Title: Acta Psychiatr. Scand.
Volume: 142
Number: 1
Page Range: S. 40 - 52
Date: 2020
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1600-0447
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ULTRA-HIGH RISK; 1ST-EPISODE PSYCHOSIS; SCHIZOPHRENIA-PATIENTS; SOCIAL COGNITION; STRUCTURED INTERVIEW; 1ST-DEGREE RELATIVES; ASPERGER-SYNDROME; MIND; DEFICITS; PEOPLEMultiple languages
PsychiatryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/33399

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