Self-assessment of empathy uncovers defective self-awareness in mild cognitive impairment.

IF 2.6 3区心理学 Q3 NEUROSCIENCES

Neuropsychology Pub Date : 2023-10-01 Epub Date: 2023-03-16 DOI:10.1037/neu0000896

Davide Quaranta, Chiara Cerami, Naike Caraglia, Emanuele Maria Costantini, Sonia Di Tella, Maria Caterina Silveri, Stefano Cappa, Simona Gaudino, Camillo Marra, Alessandra Dodich

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引用次数: 0

Abstract

Objective: Self-assessment scales are broadly used to evaluate empathy in neurological patients, but it is conceivable that some discrepancy with caregiver evaluation may emerge as consequence of reduced self-awareness. The aim of the present study was to verify the presence of discrepancies in the self-assessment of empathy in subjects with mild cognitive impairment (MCI) and to explore their neural correlates.

Method: Twenty MCI patients and 38 healthy controls (HCs) underwent the Interpersonal Reactivity Index (IRI), exploring the following four aspects of empathy: perspective taking (PT), fantasy, empathic concern, and personal distress. The questionnaire was administered in two modalities: self-administered, and administered to an informant, and the scores were compared. The correlation between discrepancies and regional cortical thickness was assessed.

Results: The self-administered version of IRI showed higher PT scores in MCI as compared to HC (p = .017), with no differences detected in the other subscales. The difference between the scores obtained in the self-administered and in the informant-administered IRI-PT was significantly higher in MCI than in HCs (p = .006).

Conclusion: The self-assessment of empathy in subjects with MCI may be misleading because of a tendency toward an overestimation of the PT ability, typically considered as a cognitive component of empathy. Our results may reflect a particular aspect of reduced self-awareness in MCI subjects. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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移情的自我评估揭示了轻度认知障碍中自我意识的缺陷。

目的：自我评估量表被广泛用于评估神经系统患者的同理心，但可以想象，由于自我意识的降低，可能会出现与照顾者评估的一些差异。本研究的目的是验证轻度认知障碍（MCI）受试者在移情自我评估中是否存在差异，并探讨其神经相关性。方法：对20名MCI患者和38名健康对照（HC）进行人际反应指数（IRI）测试，探讨移情的四个方面：视角转换（PT）、幻想、移情关怀和个人痛苦。问卷采用两种方式进行管理：自我管理和由线人管理，并对得分进行比较。评估差异与区域皮质厚度之间的相关性。结果：与HC相比，自我管理版本的IRI在MCI中显示出更高的PT得分（p=.017），在其他分量表中没有发现差异。自我管理和线人管理的IRI-PT在MCI中获得的分数之间的差异显著高于HC（p=0.006）。结论：MCI受试者的移情自我评估可能具有误导性，因为PT能力往往被高估，通常被认为是移情的认知组成部分。我们的研究结果可能反映了MCI受试者自我意识下降的一个特定方面。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuropsychology 医学-神经科学

CiteScore

4.10

自引率

4.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.