The relationship between empathy, emotion processing and clinical insight in remitted schizophrenia patients

Bhagyavathi, Haralahalli D; Mehta, Urvakhsh Meherwan; Thirthalli, Jagadisha

doi:10.1007/s00406-013-0484-2

Cited by 8 publications

(7 citation statements)

References 17 publications

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“…Quee and colleagues [53] showed that social cognition and neurocognition independently predicted insight in prolonged, but not first episode samples. The ability to recognize and appreciate the affective states of others [92], and perhaps even empathize with them [93], has also been linked to insight.…”

Section: Deficits In Social Cognition and Poor Metacognitionmentioning

confidence: 99%

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Vohs

George

Leonhardt

et al. 2016

Expert Review of Neurotherapeutics

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Introduction: Poor insight, or unawareness of some major aspect of mental illness, is a major barrier to wellness when it interferes with persons seeking out treatment or forming their own understanding of the challenges they face. One barrier to addressing impaired insight is the absence of a comprehensive model of how poor insight develops. Areas covered: To explore this issue we review how poor insight is the result of multiple phenomena which interfere with the construction of narrative accounts of psychiatric challenges, rather than a single social or biological cause.Expert Commentary: We propose an integrative model of poor insight in schizophrenia which involves the interaction of symptoms, deficits in neurocognition, social cognition, metacognition, and stigma. Emerging treatments for poor insight including therapies which focus on the development of metacognition are discussed.

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Section: Deficits In Social Cognition and Poor Metacognitionmentioning

confidence: 99%

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Vohs

George

Leonhardt

et al. 2016

Expert Review of Neurotherapeutics

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“…To date, several psychological processes have been associated with illness insight including theory of mind (Quee et al, 2011), metacognitive performance (Lalova et al, 2013;Gaweda et al, 2015), social cognition (Vaskinn et al, 2013), empathy (Bhagyavathi et al, 2014) and reflection about self and others (Van Der Meer et al, 2013). Therefore, it is recommended that measures of these psychological mechanisms should be included in future studies investigating the effects of antipsychotics on insight.…”

Section: Discussionmentioning

confidence: 96%

Effects of antipsychotics on insight in schizophrenia

Misiak

Frydecka

Beszłej

et al. 2016

International Clinical Psychopharmacology

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We aimed to investigate whether antipsychotics differentially impact insight and whether these effects appear because of improvement in psychopathological manifestation in 132 first-episode schizophrenia patients and 201 acutely relapsed schizophrenic patients, who were followed up for 12 weeks. Olanzapine and risperidone were administered to first-episode schizophrenia patients, whereas acutely relapsed schizophrenic patients were treated with olanzapine, perazine and ziprasidone. The Positive And Negative Syndrome Scale (PANSS) was used to assess psychopathology. Insight was assessed using the G12 item of PANSS. Unadjusted mixed-model regression analysis indicated a significant improvement in the PANSS G12 item score in both groups. There were no significant differences between distinct treatment subgroups of patients in terms of improvement in the PANSS G12 item score. After adjustment for the trajectories of changes in symptom dimensions, a decrease in the PANSS G12 item score was because of an improvement in positive, negative and excitement symptoms. A decrease in the PANSS G12 item score was also related to an increase in the severity of depressive symptomatology. Our results indicate that antipsychotics exert similar effects on insight in acute psychosis. These effects are likely because of an improvement in psychopathological manifestation. The improvement in insight might be related to the development of depressive symptoms.

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“…Another study found that empathy, emotion perception and social perception all were significantly associated with clinical insight, but only empathy and emotion recognition were significant predictors of clinical insight in multiple linear regression analyses (Bhagyavathi, Mehta, & Thirthalli, 2014). These findings suggest that the ability to process social information is related to the ability to make self-judgments, including whether one has a psychotic illness.…”

Section: Introductionmentioning

confidence: 95%

“…To our knowledge, the study by Bhagyavathi et al (2014) is the only one that has investigated how social perception relates to clinical insight. Although social perception was not the strongest social cognitive contributor to clinical insight in that study, it may in fact be of particular interest to clinical insight.…”

Section: Introductionmentioning

confidence: 99%

Social Perception Predicts Awareness of Illness in Persons With Schizophrenia

Feyer

Andersson²,

Büchmann³

et al. 2020

J Nerv Ment Dis

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Lack of clinical insight in patients with schizophrenia is an obstacle to optimal treatment. Social cognition is one of several variables central to insight deficits in schizophrenia. The aim of this study was to investigate clinical insight in relation to one domain of social cognition, social perception, while controlling for effects of non-social cognition and symptom severity. Clinical insight was measured in fifty-five patients with schizophrenia or schizoaffective disorder, using the Birchwood Insight Scale. Relationships across Domains was used to assess Social Perception. Social perception predicted one of three subscales of clinical insight; "Awareness of illness", and was the only unique contributor to this subscale. This indicates that social perception is linked to clinical insight through awareness of illness.More research is needed to fully understand the relationship between social and non-social cognition and symptoms in relation to clinical insight.

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The relationship between empathy, emotion processing and clinical insight in remitted schizophrenia patients

Cited by 8 publications

References 17 publications

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Effects of antipsychotics on insight in schizophrenia

Social Perception Predicts Awareness of Illness in Persons With Schizophrenia

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