Empathy in schizophrenia: A meta-analysis of the Interpersonal Reactivity Index

PSYCHIATRY RESEARCH

卷:249

Review

Bonfils, Kelsey A.¹  Lysaker, Paul H.^2,3  Minor, Kyle S.¹  Salyers, Michelle P.¹ 

[1] Indiana Univ Purdue Univ, Dept Psychol, 402 N Blackford St, Indianapolis, IN 46205 USA

[2] Roudebush VA Med Ctr, Psychiat Rehabil & Recovery Ctr, 1481 W 10th St, Indianapolis, IN USA

[3] Indiana Univ Sch Med, Dept Psychiat, 340 W 10th St, Indianapolis, IN 46202 USA

关键词: Social cognition;    Duration of illness;    Perspective-taking;    Fantasy;    Personal distress;   

DOI  :  10.1016/j.psychres.2016.12.033

来源: Elsevier

【 摘 要 】

Empathy is a complex construct, thought to contain multiple components. One popular measurement paradigm, the Interpersonal Reactivity Index (IRI), has been used extensively to measure empathic tendencies in schizophrenia research across four domains: empathic concern, perspective-taking, personal distress, and fantasy. However, no recent meta-analysis has been conducted for all four factors of this scale. The goal of this meta-analysis was to examine self-reported empathic tendencies for each factor of the IRI in people with schizophrenia as compared to healthy controls. A literature search revealed 32 eligible schizophrenia studies. The Hedges' g standardized difference effect size was calculated for each component using a random effects meta-analytic model. Compared to healthy controls, schizophrenia samples reported significantly reduced tendencies for empathic concern, perspective-taking, and fantasy, but significantly greater tendencies for personal distress. Duration of illness significantly moderated the results for perspective-taking such that those with a longer duration exhibited greater deficits; percent female significantly moderated the results for personal distress such that samples with more females exhibited reduced effect sizes. Future work is needed to examine the impact of heightened personal distress on the empathic tendencies and abilities of those with schizophrenia, including the possible role of emotion regulation.

【 授权许可】

Free