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首页> 外文期刊>Schizophrenia bulletin >Performance-based empathy mediates the influence of working memory on social competence in Schizophrenia
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Performance-based empathy mediates the influence of working memory on social competence in Schizophrenia

机译：基于绩效的同理心在精神分裂症中介导工作记忆对社会能力的影响

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Empathic deficits have been linked to poor functioning in schizophrenia, but this work is mostly limited to self-report data. This study examined whether performance-based empathy measures account for incremental variance in social competence and social attainment above and beyond self-reported empathy, neurocognition, and clinical symptoms. Given the importance of working memory in theoretical models of empathy and in the prediction of functioning in schizophrenia, we also examined whether empathy mediates the relationship between working memory and functioning. Sixty outpatients and 45 healthy controls were compared on performance-based measures of 3 key components of empathic responding, including facial affect perception, emotional empathy (affective responsiveness), and cognitive empathy (emotional perspective-taking). Participants also completed measures of self-reported empathy, neurocognition, clinical symptoms, and social competence and attainment. Patients demonstrated lower accuracy than controls across the 3 performance-based empathy measures. Among patients, these measures showed minimal relations to self-reported empathy but significantly correlated with working memory and other neurocognitive functions as well as symptom levels. Furthermore, cognitive empathy explained significant incremental variance in social competence (δR 2 =. 07, P . 05) and was found to mediate the relation between working memory and social competence. Performance-based measures of empathy were sensitive to functionally relevant disturbances in schizophrenia. Working memory deficits appear to have an important effect on these disruptions in empathy. Empathy is emerging as a promising new area for social cognitive research and for novel recovery-oriented treatment development.
机译：共情缺陷与精神分裂症的不良功能有关，但这项工作主要限于自我报告数据。这项研究检查了基于绩效的共情指标是否能够说明自我报告的共情，神经认知和临床症状以外的社会能力和社会成就的差异。鉴于工作记忆在共情理论模型和精神分裂症功能预测中的重要性，我们还研究了共情是否介导了工作记忆与功能之间的关系。比较了60名门诊患者和45名健康对照者基于绩效的共情反应3个关键组成部分的衡量指标，包括面部情感感知，情感共情（情感反应）和认知共情（采取情感观点）。参与者还完成了自我报告的移情，神经认知，临床症状以及社交能力和成就的测量。在基于3个基于表现的共情测验中，患者的准确性低于对照组。在患者中，这些措施显示出与自我报告的同理关系最小，但与工作记忆和其他神经认知功能以及症状水平显着相关。此外，认知共情解释了社会能力的显着增加方差（δR2 =。07，P <。05），并被发现可以调节工作记忆与社会能力之间的关系。基于绩效的共情测量对精神分裂症的功能相关障碍敏感。工作记忆缺陷似乎对移情中的这些破坏有重要影响。移情正在成为社会认知研究和面向康复的新型治疗发展的有希望的新领域。

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