Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence
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...
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| Format: | Article |
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Frontiers Media S.A.
2023-06-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1160357/full |
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| author | Muxin Gong Muxin Gong Lei Yao Xiaodan Ge Zhenru Liu Caiyi Zhang Yujing Yang Nousayhah Amdanee Chengdong Wang Xiangrong Zhang Xiangrong Zhang Xiangrong Zhang |
| author_facet | Muxin Gong Muxin Gong Lei Yao Xiaodan Ge Zhenru Liu Caiyi Zhang Yujing Yang Nousayhah Amdanee Chengdong Wang Xiangrong Zhang Xiangrong Zhang Xiangrong Zhang |
| author_sort | Muxin Gong |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-13T05:27:33Z |
| format | Article |
| id | doaj.art-90fd2aad95ec4959b23474c121b4a79f |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-13T05:27:33Z |
| publishDate | 2023-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-90fd2aad95ec4959b23474c121b4a79f2023-06-15T05:25:20ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-06-011410.3389/fpsyt.2023.11603571160357Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violenceMuxin Gong0Muxin Gong1Lei Yao2Xiaodan Ge3Zhenru Liu4Caiyi Zhang5Yujing Yang6Nousayhah Amdanee7Chengdong Wang8Xiangrong Zhang9Xiangrong Zhang10Xiangrong Zhang11Department of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, Xuzhou Medical University, Xuzhou, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, Xuzhou Medical University, Xuzhou, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Geriatric Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, The Affiliated Xuzhou Oriental Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Psychiatry, Xuzhou Medical University, Xuzhou, ChinaDepartment of Geriatric Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, Jiangsu, ChinaObjectiveTo 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1160357/fullschizophrenic patientsneuropsychologyviolenceaggressivenessempathy |
| spellingShingle | Muxin Gong Muxin Gong Lei Yao Xiaodan Ge Zhenru Liu Caiyi Zhang Yujing Yang Nousayhah Amdanee Chengdong Wang Xiangrong Zhang Xiangrong Zhang Xiangrong Zhang Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence Frontiers in Psychiatry schizophrenic patients neuropsychology violence aggressiveness empathy |
| title | Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| title_full | Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| title_fullStr | Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| title_full_unstemmed | Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| title_short | Empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| title_sort | empathy deficit in male patients with schizophrenia and its relationships with impulsivity and premeditated violence |
| topic | schizophrenic patients neuropsychology violence aggressiveness empathy |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1160357/full |
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