Predictors of social functioning and quality of life in schizophrenia and autism spectrum disorder

Corbera, Sílvia; Wexler, Bruce E.; Bell, Morris D.; Pearlson, Godfrey D.; Mayer, Sophy; Pittman, Brian; Belamkar, Vaishali; Assaf, Michal

doi:10.1016/j.psychres.2021.114087

Cited by 11 publications

(3 citation statements)

References 72 publications

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“…In the present study, there were significant differences in empathy among VSCH patients compared to NV-SCH patients. In line with prior studies ( 44 , 60–62 ), the VSCH patients in the present paper had considerably more impaired empathy, particularly affective empathy and cognitive empathy. Research indicates that violent patients face challenges with empathic reasoning.…”

Section: Discussionsupporting

confidence: 92%

Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence

Gong

Yao²,

Ge³

et al. 2023

Front. Psychiatry

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ObjectiveTo explore the pattern of empathy characteristics in male patients with schizophrenia (SCH) and to examine whether empathy deficit is associated with impulsivity and premeditated violence.MethodsOne hundred and fourteen male SCH patients were enrolled in this study. The demographic data of all patients were collected and the subjects were divided into two groups, namely, the violent group, including 60 cases, and the non-violent group, comprising 54 cases, according to the Modified Overt Aggression Scale (MOAS). The Chinese version of the Interpersonal Reactivity Index-C (IRI-C) was used to evaluate empathy and the Impulsive/Predicted Aggression Scales (IPAS) was employed to assess the characteristics of aggression.ResultsAmong the 60 patients in the violent group, 44 patients had impulsive aggression (IA) and 16 patients had premeditated aggression (PM) according to the IPAS scale. In the violent group, the scores of the four subfactors of the IRI-C, i.e., perspective taking (PT), fantasy (FS), personal distress (PD), and empathy concern (EC), were significantly lower than in the non-violent group. Stepwise logistic regression showed that PM was independent influencing factor for violent behaviors in SCH patients. Correlation analysis revealed that EC of affective empathy was positively correlated with PM but not with IA.ConclusionSCH patients with violent behavior had more extensive empathy deficits compared with non-violent SCH patients. EC, IA and PM are independent risk factors of violence in SCH patients. Empathy concern is an important index to predict PM in male patients with SCH.

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Section: Discussionsupporting

confidence: 92%

Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence

Gong

Yao²,

Ge³

et al. 2023

Front. Psychiatry

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show abstract

“…Previous studies have investigated levels of empathy in these groups. In schizophrenia patients, cognitive empathy was found to be impaired ( Montag et al, 2007 , 2020 ; Derntl et al, 2009 ; Corbera et al, 2021 ), but results regarding affective empathy were inconsistent with some studies reporting impairments in affective empathy ( Derntl et al, 2009 ; Corbera et al, 2021 ), and others finding no impairment in both behavior measures and self-rated affective empathy compared to healthy controls ( Montag et al, 2007 ; Berger et al, 2019 ). Furthermore, affective empathy has been found to be impaired in CHR compared to both schizophrenia patients and healthy controls, but cognitive empathy remained intact in this CHR group ( Montag et al, 2020 ).…”

Section: Introductionmentioning

confidence: 92%

Benefits of Social Contact in Individuals With Psychotic Symptoms: Do Closeness of the Contact and Empathic Skills Make the Difference?

et al. 2021

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Objectives: Social contact is known to be beneficial for humans’ mental health. Individuals with psychotic symptoms (PS) tend to show poorer social and interpersonal functioning. However, in this patient population, social contact may be crucial for their mental wellbeing and treatment success. Additionally, closeness of social contact (familiar versus less familiar others), rather than only the presence or absence of social contacts, may play an important role. Empathy may heighten the beneficial effects of social/close contact on mental health, facilitating interactions. We investigated the association between social contact and closeness of contact on mental health, defined as positive symptoms, positive affect and negative affect in PS and control participants, with empathy as a moderator.Methods: Participants were 16–30 years old. Information regarding social/close contact and mental health was obtained using the experience sampling method in individuals with PS (n = 29) and healthy controls (n = 28). Empathy was measured using a self-report questionnaire.Results: Social contact was associated with higher positive affect in the total sample. Contact with close as opposed to less close others was related to better mental health: It was associated with lower positive symptoms in the PS group, and with more positive affect in the total sample. Empathy moderated the association between closeness of contact and positive affect in the total sample, in which the combination of higher levels of empathy combined with the presence of close contact was associated with higher positive affect in the total sample. However, the direct association between empathy and positive affect was not significant per group of contact.Conclusion: The results suggest that social contact, but especially contact with a close other is important for mental health outcomes: Contact with close others is beneficial for positive affect in the total sample and for positive symptoms in individuals with PS.

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“…Mediation analysis of the associations between standardized symptom profiles scores and well-being as measured by the OQ-45 total score and the mediating role of functioning as measured by the WHODAS (Fig. 3 describes that reduced empathy in patients with ASD mostly affects social functioning negatively, but not well-being (Corbera et al, 2021).…”

Section: Tablementioning

confidence: 99%

Transdiagnostic Psychiatry: Symptom Profiles and Their Direct and Indirect Relationship With Well-Being

Kist¹,

Collard²,

Vrijsen³

et al. 2022

Biological Psychiatry

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Predictors of social functioning and quality of life in schizophrenia and autism spectrum disorder

Cited by 11 publications

References 72 publications

Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence

Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence

Benefits of Social Contact in Individuals With Psychotic Symptoms: Do Closeness of the Contact and Empathic Skills Make the Difference?

Transdiagnostic Psychiatry: Symptom Profiles and Their Direct and Indirect Relationship With Well-Being

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