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Schizophrenia patients are impaired in empathic accuracy

Published online by Cambridge University Press:  28 April 2011

J. Lee ,
J. Zaki ,
P.-O. Harvey ,
K. Ochsner  and
M. F. Green
J. Lee*
Affiliation:
Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
J. Zaki
Affiliation:
Department of Psychology, Columbia University, New York, NY, USA
P.-O. Harvey
Affiliation:
Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
K. Ochsner
Affiliation:
Department of Psychology, Columbia University, New York, NY, USA
M. F. Green
Affiliation:
Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
*
*Address for correspondence: J. Lee, Ph.D., 300 Medical Plaza Room 2261, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA 90095-6968, USA. (Email: jungheelee@ucla.edu)
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Abstract

Background

Empathy is crucial for successful social relationships. Despite its importance for social interactions, little is known about empathy in schizophrenia. This study investigated the degree to which schizophrenia patients can accurately infer the affective state of another person (i.e. empathic accuracy).

Method

A group of 30 schizophrenia patients and 22 healthy controls performed an empathic accuracy task on which they continuously rated the affective state of another person shown in a video (referred to as the ‘target’). These ratings were compared with the target's own continuous self-rating of affective state; empathic accuracy was defined as the correlation between participants' ratings and the targets' self-ratings. A separate line-tracking task was administered to measure motoric/attentional factors that could account for group differences in performance. Participants' self-rated empathy was measured using the Interpersonal Reactivity Index, and targets' self-rated emotional expressivity was measured using the Berkeley Expressivity Questionnaire.

Results

Compared with controls, schizophrenia patients showed lower empathic accuracy although they performed the motoric tracking task at high accuracy. There was a significant group×target expressivity interaction such that patients showed a smaller increase in empathic accuracy with higher levels of emotional expressivity by the target, compared with controls. Patients' empathic accuracy was uncorrelated with self-reported empathy or clinical symptoms.

Conclusions

Schizophrenia patients showed lower empathic accuracy than controls, and their empathic accuracy was less influenced by the emotional expressivity of the target. These findings suggest that schizophrenia patients benefit less from social cues of another person when making an empathic judgement.

Keywords

Empathic accuracyexpressivityschizophreniasocial cognition
Type
Original Articles
Information
Psychological Medicine , Volume 41 , Issue 11 , November 2011 , pp. 2297 - 2304
Copyright
Copyright © Cambridge University Press 2011

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References

Ames, DR, Kammrath, LK (2004). Mind-reading and metacognition: narcissism, not actual competence, predicts self-estimated ability. Journal of Nonverbal Behavior 24, 187–209.CrossRefGoogle Scholar
Bartz, JA, Zaki, J, Bolger, N, Hollander, E, Ludwig, N, Kolevzon, A, Ochsner, K (2010). Oxytocin selectively improves empathic accuracy. Psychological Science 21, 1426–1428.CrossRefGoogle ScholarPubMed
Benedetti, F, Bernasconi, A, Bosia, M, Cavallaro, R, Dallaspezia, S, Falini, A, Poletti, S, Radaelli, D, Riccaboni, R, Scotti, G, Smeraldi, E (2009). Functional and structural brain correlates of theory of mind and empathy deficits in schizophrenia. Schizophrenia Research 114, 154–160.CrossRefGoogle ScholarPubMed
Blair, RJR (2005). Responding to the emotions of others: dissociating forms of empathy through the study of typical and psychiatric populations. Consciousness and Cognition 14, 698–718.CrossRefGoogle Scholar
Carton, J, Kessler, E, Pape, C (1999). Nonverbal decoding skills and relationship to well-being in adults. Journal of Nonverbal Behavior 23, 91–100.CrossRefGoogle Scholar
Davis, M (1983). Measuring individual differences in empathy: evidence for a multidimensional approach. Journal of Personality and Social Psychology 44, 113–126.CrossRefGoogle Scholar
Davis, MH (1994). Empathy: A Social Psychological Approach. Westview Press: Boulder, CO.Google Scholar
Davis, MH, Kraus, LA (1997). Personality and empathic accuracy. In Empathic Accuracy(ed. Ickes, W), pp. 144–168. Guilford: New York.Google Scholar
de Vignemont, F, Singer, T (2006). The empathic brain: how, when and why? Trends in Cognitive Science 10, 435–441.CrossRefGoogle Scholar
Decety, J, Jackson, PL (2004). The functional architecture of human empathy. Behavioral and Cognitive Neuroscience Review 3, 71–100.CrossRefGoogle ScholarPubMed
Derntl, B, Finkelmeyer, A, Toygar, TK, Hulsmann, A, Schneider, F, Falkenberg, DI, Habel, U (2009). Generalized deficit in all core components of empathy in schizophrenia. Schizophrenia Research 108, 197–206.CrossRefGoogle ScholarPubMed
Eisenberg, N, Miller, PA (1987). The relation of empathy to prosocial and related behaviors. Psychological Bulletin 101, 91–119.CrossRefGoogle ScholarPubMed
First, MB, Gibbon, M, Spitzer, RL, Williams, JBW, Benjamin, L (1996). Structured Clinical Interview for DSM-IV Axis II Personality Disorders. New York State Psychiatric Institute: New York.Google Scholar
First, MB, Spitzer, RL, Gibbon, M, Williams, JBW (1997). Structured Clinical Interview for DSM-IV Axis I Disorders – Patient Edition. New York State Psychiatric Institute: New York.Google Scholar
Flury, JM, Ickes, W, Schweinle, W (2009). The borderline empathy effect: do high BPD individuals have greater empathic ability? Or are they just more difficult to “read”? Journal of Research in Personality 42, 312–332.CrossRefGoogle Scholar
Gallese, V, Keysers, C, Rizzolatti, G (2004). A unifying view of the basis of social cognition. Trends in Cognitive Science 8, 396–403.CrossRefGoogle ScholarPubMed
Gesn, PR, Ickes, W (1999). The development of meaning contexts for empathic accuracy: channels and sequence effects. Journal of Personality and Social Psychology 77, 746–761.CrossRefGoogle Scholar
Green, MF, Penn, DL, Bentall, R, Carpenter, WT, Gaebel, W, Gur, RC, Kring, AM, Park, S, Silverstein, SM, Heinssen, R (2008). Social cognition in schizophrenia: an NIMH workshop on definitions, assessment, and research opportunities. Schizophrenia Bulletin 34, 1211–1220.CrossRefGoogle ScholarPubMed
Gross, JJ (2000). The Berkeley Expressivity Questionnaire. In Commissioned Reviews on 300 Psychological Tests(ed. Maltby, J, Lewis, CA and Hill, A), pp. 465–467. Edwin Mellen Press: Lampeter, UK.Google Scholar
Haker, H, Rossler, W (2009). Empathy in schizophrenia: impaired resonance. European Archives of Psychiatry and Clinical Neuroscience 259, 352–361.CrossRefGoogle ScholarPubMed
Hall, JA (1979). Gender, gender roles, and nonverbal communication skills. In Skills in Nonverbal Communication: Individual Differences(ed. Rosenthal, R), pp. 32–67. Oelgeschlager, Gunn, & Hain: Cambridge, MA.Google Scholar
Henry, JD, Bailey, PE, Rendell, PG (2008). Empathy, social functioning and schizotypy. Psychiatry Research 160, 15–22.CrossRefGoogle ScholarPubMed
Ickes, W, Buysse, AHP, Rivers, K, Erickson, J, Hankock, M, Kelleher, J, Gesn, PR (2000). On the difficulty of distinguishing “good” and “poor” perceivers: a social relations analysis of empathic accuracy data. Personal Relationships 7, 219–234.CrossRefGoogle Scholar
Ickes, W, Stinson, L, Bissonnette, V, Garcia, S (1990). Naturalistic social cognition: empathic accuracy in mixed-sex dyads. Journal of Personality and Social Psychology 59, 730–742.CrossRefGoogle Scholar
Lee, SJ, Kang, DH, Kim, CW, Gu, BM, Park, JY, Choi, CH, Shin, NY, Lee, JM, Kwon, JS (2010). Multi-level comparison of empathy in schizophrenia: an fMRI study of a cartoon task. Psychiatry Research: Neuroimaging 181, 121–129.CrossRefGoogle ScholarPubMed
Leitman, DI, Foxe, JJ, Butler, PD, Saperstein, A, Revheim, N, Javitt, DC (2005). Sensory contributions to impaired prosodic processing in schizophrenia. Biological Psychiatry 58, 56–61.CrossRefGoogle ScholarPubMed
Leitman, DI, Hoptman, MJ, Foxe, JJ, Saccente, E, Wylie, GR, Nierenberg, J, Jalbrzikowski, M, Lim, KO, Javitt, DC (2007). The neural substrates of impaired prosodic detection in schizophrenia and its sensorial antecedents. American Journal of Psychiatry 164, 474–482.CrossRefGoogle ScholarPubMed
Levenson, RW, Ruef, AM (1992). Empathy: a physiological substrate. Journal of Personality and Social Psychology 63, 234–246.CrossRefGoogle ScholarPubMed
Marangoni, C, Garcia, S, Ickes, W, Teng, G (1995). Empathic accuracy in a clinically relevant setting. Journal of Personality and Social Psychology 68, 854–869.CrossRefGoogle Scholar
Montag, C, Heinz, A, Kunz, D, Gallinat, J (2007). Self-reported empathic abilities in schizophrenia. Schizophrenia Research 92, 85–89.CrossRefGoogle ScholarPubMed
Preston, SD, de Waal, FB (2002). Empathy: its ultimate and proximate bases. Behavioral and Brain Sciences 25, 1–71.CrossRefGoogle ScholarPubMed
Shamay-Tsoory, SG, Shur, S, Harari, H, Levkovitz, Y (2007). Neurocognitive basis of impaired empathy in schizophrenia. Neuropsychology 21, 431–438.CrossRefGoogle ScholarPubMed
Singer, T (2006). The neuronal basis and ontogeny of empathy and mind reading: review of literature and implications for future research. Neurosciecne and Biobehavioral Reviews 30, 855–863.CrossRefGoogle ScholarPubMed
Singer, T, Lamm, C (2009). The social neuroscience of empathy. Annals of the New York Academy of Sciences 1156, 81–96.CrossRefGoogle ScholarPubMed
Snodgrass, SE, Hecht, MA, Ploutz-Snyder, R (1998). Interpersonal sensitivity: expressivity or perceptivity? Journal of Personality and Social Psychology 74, 238–249.CrossRefGoogle ScholarPubMed
Sparks, A, McDonald, S, Lino, B, O'Donnell, M, Green, MJ (2010). Social cognition, empathy and functional outcome in schizophrenia. Schizophrenia Research 122, 172–178.CrossRefGoogle ScholarPubMed
Ventura, J, Lukoff, D, Nuechterlein, KH, Liberman, RP, Green, MF, Shaner, A (1993). Brief Psychiatric Rating Scale (BPRS) expanded version: scales, anchor points, and administration manual. International Journal of Methods in Psychiatric Research 3, 227–243.Google Scholar
Zaki, J, Bolger, N, Ochsner, K (2008). It takes two: the interpersonal nature of empathic accuracy. Psychological Science 19, 399–404.CrossRefGoogle ScholarPubMed
Zaki, J, Bolger, N, Ochsner, K (2009 a). Unpacking the informational bases of empathic accuracy. Emotion 9, 478–487.CrossRefGoogle ScholarPubMed
Zaki, J, Hennigan, K, Weber, J, Ochsner, KN (2010). Social cognitive conflict resolution: contributions of domain-general and domain-specific neural systems. Journal of Neuroscience 30, 8481–8488.CrossRefGoogle ScholarPubMed
Zaki, J, Ochsner, K (2009). The need for a cognitive neuroscience of naturalistic social cognition. Annals of the New York Academy of Sciences 1167, 16–30.CrossRefGoogle ScholarPubMed
Zaki, J, Ochsner, K (in press). Re-integrating the study of accuracy into social cognition research. Psychological Inquiry.Google Scholar
Zaki, J, Weber, J, Bolger, N, Ochsner, K (2009 b). The neural bases of empathic accuracy. Proceedings of the National Acadamy of Sciences USA 106, 11382–11387.CrossRefGoogle ScholarPubMed