Selective cognitive empathy deficit in adolescents with restrictive anorexia nervosa.
Selective cognitive empathy deficit in adolescents with restrictive anorexia nervosa.
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DOI：
10.2147/ndt.s50214
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发表时间：
2013
影响因子：
3.2
通讯作者：
Muratori F
中科院分区：
文献类型：
--
作者：
Calderoni S;Fantozzi P;Maestro S;Brunori E;Narzisi A;Balboni G;Muratori F
越来越多但相互矛盾的文献表明，患有厌食症神经限制性类型(AN-R)的受试者的同理心能力发生了变化。本研究旨在研究纯A-R青少年的认知和情感移情特征。作为标准化临床和研究方案的一部分，人际反应指数(IRI)是衡量同理心的有效和可靠的自我报告工具，对32名患有AN-R的女性青少年和41名年龄和性别匹配的健康对照(HC)进行了测试。相关分析被用来评估同理心评分和心理病理测量之间的联系。患者在认知移情(CE)上的得分显著低于对照组，而在情感移情(AE)上的得分与对照组无显著差异。CE的缺陷与疾病的严重程度无关，也与相关的精神病理学无关。这些结果虽然是初步的，但提示CE能力异常可能是AN-R的一个稳定特征，不仅在临床治疗中应该考虑，而且在预防和治疗干预中也应该考虑到。
A growing, but conflicting body of literature suggests altered empathic abilities in subjects with anorexia nervosa-restricting type (AN-R). This study aims to characterize the cognitive and affective empathic profiles of adolescents with purely AN-R. As part of a standardized clinical and research protocol, the Interpersonal Reactivity Index (IRI), a valid and reliable self-reported instrument to measure empathy, was administered to 32 female adolescents with AN-R and in 41 healthy controls (HC) comparisons, matched for age and gender. Correlational analyses were performed to evaluate the links between empathy scores and psychopathological measures. Patients scored significantly lower than HC on cognitive empathy (CE), while they did not differ from controls on affective empathy (AE). The deficit in CE was not related to either disease severity nor was it related to associated psychopathology. These results, albeit preliminary, suggest that a dysfunctional pattern of CE capacity may be a stable trait of AN-R that should be taken into account not only for the clinical management, but also in preventive and therapeutic intervention.