Empathy in patients with schizophrenia and antisocial personality disorder

Introduction Violent behavior has been linked to deficits in social cognition, namely cognitive and affective aspects of empathy. Schizophrenia and antisocial personality disorder have been associated with violence and empathy deficits. Objectives Our main objective is to search for differences in...

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Main Authors: K. Tasios, A. Douzenis, R. Gournellis, I. Michopoulos
Format: Article
Language:English
Published: Cambridge University Press 2023-03-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933823009203/type/journal_article
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author K. Tasios
A. Douzenis
R. Gournellis
I. Michopoulos
author_facet K. Tasios
A. Douzenis
R. Gournellis
I. Michopoulos
author_sort K. Tasios
collection DOAJ
description Introduction Violent behavior has been linked to deficits in social cognition, namely cognitive and affective aspects of empathy. Schizophrenia and antisocial personality disorder have been associated with violence and empathy deficits. Objectives Our main objective is to search for differences in empathy between patients with schizophrenia who have committed a violent offence, patients with schizophrenia with no history of violent offence and patients with antisocial personality disorder. Methods A total sample of Ν=100 participants was divided into four groups: 1) 27 patients with schizophrenia and history of committing a violent offence, 2) 23 patients with schizophrenia with no history of committing a violent offence, 3) 25 participants with antisocial personality disorder and 4) 25 general population participants comprising the control group. Symptoms of schizophrenia were rated using the Positive(P), Negative(N) and General Psychopathology (G) subscales of the Positive and Negative Syndrome Scale (PANSS). Empathy was evaluated using a) The Empathy Quotient (EQ). Theory Of Mind was evaluated using a) The First Order False Belief task, b) The Hinting task, c) The Faux pas Recognition Test and d) The Reading the Mind in the Eyes Test (Revised). Results The four groups differed in PANSS scoring (p<0.001), EQ scoring (p<0.001) and Theory of Mind tests (p<0.001), but this difference was only significant between the controls and the three groups of patients. The three groups of patients did not differ to each other in any of the Theory of Mind tests. No difference was also found between the two groups of psychotic patients. Conclusions Patients with antisocial personality disorder, schizophrenia and schizophrenia with a history of violent offence do not seem to perform differently in affective and cognitive empathy tests. Disclosure of Interest None Declared
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spelling doaj.art-d7d48f01e20e43e98abf943af5323f5f2023-11-17T05:09:20ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S428S42810.1192/j.eurpsy.2023.920Empathy in patients with schizophrenia and antisocial personality disorderK. Tasios0A. Douzenis1R. Gournellis2I. Michopoulos32nd Department of Psychiatry, Medical School, “Attikon” Hospital, National and Kapodistrian University of Athens, Athens, Greece2nd Department of Psychiatry, Medical School, “Attikon” Hospital, National and Kapodistrian University of Athens, Athens, Greece2nd Department of Psychiatry, Medical School, “Attikon” Hospital, National and Kapodistrian University of Athens, Athens, Greece2nd Department of Psychiatry, Medical School, “Attikon” Hospital, National and Kapodistrian University of Athens, Athens, Greece Introduction Violent behavior has been linked to deficits in social cognition, namely cognitive and affective aspects of empathy. Schizophrenia and antisocial personality disorder have been associated with violence and empathy deficits. Objectives Our main objective is to search for differences in empathy between patients with schizophrenia who have committed a violent offence, patients with schizophrenia with no history of violent offence and patients with antisocial personality disorder. Methods A total sample of Ν=100 participants was divided into four groups: 1) 27 patients with schizophrenia and history of committing a violent offence, 2) 23 patients with schizophrenia with no history of committing a violent offence, 3) 25 participants with antisocial personality disorder and 4) 25 general population participants comprising the control group. Symptoms of schizophrenia were rated using the Positive(P), Negative(N) and General Psychopathology (G) subscales of the Positive and Negative Syndrome Scale (PANSS). Empathy was evaluated using a) The Empathy Quotient (EQ). Theory Of Mind was evaluated using a) The First Order False Belief task, b) The Hinting task, c) The Faux pas Recognition Test and d) The Reading the Mind in the Eyes Test (Revised). Results The four groups differed in PANSS scoring (p<0.001), EQ scoring (p<0.001) and Theory of Mind tests (p<0.001), but this difference was only significant between the controls and the three groups of patients. The three groups of patients did not differ to each other in any of the Theory of Mind tests. No difference was also found between the two groups of psychotic patients. Conclusions Patients with antisocial personality disorder, schizophrenia and schizophrenia with a history of violent offence do not seem to perform differently in affective and cognitive empathy tests. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S0924933823009203/type/journal_article
spellingShingle K. Tasios
A. Douzenis
R. Gournellis
I. Michopoulos
Empathy in patients with schizophrenia and antisocial personality disorder
European Psychiatry
title Empathy in patients with schizophrenia and antisocial personality disorder
title_full Empathy in patients with schizophrenia and antisocial personality disorder
title_fullStr Empathy in patients with schizophrenia and antisocial personality disorder
title_full_unstemmed Empathy in patients with schizophrenia and antisocial personality disorder
title_short Empathy in patients with schizophrenia and antisocial personality disorder
title_sort empathy in patients with schizophrenia and antisocial personality disorder
url https://www.cambridge.org/core/product/identifier/S0924933823009203/type/journal_article
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AT adouzenis empathyinpatientswithschizophreniaandantisocialpersonalitydisorder
AT rgournellis empathyinpatientswithschizophreniaandantisocialpersonalitydisorder
AT imichopoulos empathyinpatientswithschizophreniaandantisocialpersonalitydisorder