Abstract

BackgroundAlthough the deficits of empathy in schizophrenia spectrum disorders has been recognized in previous studies, little is known about the associations between empathy and schizotypal traits. In this study, we examined the associations among empathy, schizotypy and affective states using the psychological network analysis in a college sample to better understand the social cognition deficits in schizophrenia.MethodsCollege students (n=1486; male = 574, female = 912; mean age=18.8 years; SD=0.85) were recruited and all of them finished self-reported questionnaire capturing empathy (Interpersonal Reactivity Index, IRI; four subscales: perspective taking, empathic concern, fantasy, personal distress), schizotypy (Wisconsin Psychosis Proneness Scales, including social anhedonia, physical anhedonia, magical ideation and perceptual aberration scales) and affective states (Depression, Anxiety and Stress Scale, 21 items). There were significant sex differences on IRI (female > male for all four subscales, ps < 0.01), DASS depression (male > female, p < 0.01) and schizotypal traits (male > female, ps < 0.05) Psychological networks were constructed taking the subscales of measures as nodes and the edges representing the partial correlation between each pair of nodes controlling all other nodes were estimated using Gaussian graphical model in male and female sample, respectively. Also, the centrality indices, including strength, closeness and betweenness were calculated to identify the central nodes in the network.ResultsIn males, cognitive empathy (perspective taking and fantasy) showed strong connections with physical anhedonia, while affective empathy (empathic concern) connected with social anhedonia and stress. Personal distress connected with magical ideation and anxiety; fantasy connected with magical ideation. Regarding the centrality, perceptual aberration had the strongest strength, followed by stress; social anhedonia had the highest closeness and betweenness. In females, cognitive empathy (perspective taking and fantasy) showed strong connection with physical anhedonia, affective empathy (empathic concern) connected with social anhedonia. Personal distress connected with anxiety; fantasy connected with magical ideation. Stress showed strongest strength, followed by anxiety and magical ideation; anxiety had highest betweenness; fantasy had highest closeness followed by social anhedonia.DiscussionIn the present study, we found that cognitive empathy was strongly connected with physical anhedonia, while affective empathy connected with social anhedonia, regardless of sex. In addition, our findings suggested different network interactions among empathy, schizotypal traits and affective states between males and females. The perceptual aberration and social anhedonia play a central role in the network of males while stress and anxiety are important in females.

Highlights

  • Primary negative symptoms of schizophrenia contribute heavily to functional disability

  • The current study investigated whether patients are able to perform the same cognitive control task that is able to dissociate input and output gating processes in a general population, and explored whether schizophrenia patients inappropriately use suboptimal cognitive control strategies

  • The current study supports the feasibility of using the cognitive control task selected to investigate gating mechanisms in the schizophrenia patient population

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Summary

Background

Children of parents with schizophrenia or bipolar disorder display neurocognitive deficits. Studies of schizophrenia offspring and bipolar offspring at the same age are lacking. The objective was to compare neurocognitive abilities in 7-year-old children of parents with schizophrenia or bipolar disorder with neurocognitive abilities in children of parents without these disorders. Methods: In this nationwide cohort study we assessed 522 7-year-old children (schizophrenia offspring: N=202, bipolar offspring: N=120, and controls=200) with a detailed and well validated neurocognitive test battery. We compared the neurocognitive test scores of the three study groups. Results: Children of parents with schizophrenia showed neurocognitive deficits, whereas children of parents with bipolar disorder displayed neurocognitive abilities comparable to the control group

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