Interpersonal Reactivity Index Research Articles

Examining the Effects of a Brief, Fully Self-Guided Mindfulness Ecological Momentary Intervention on Empathy and Theory-of-Mind for Generalized Anxiety Disorder: Randomized Controlled Trial.

The utility of brief mindfulness ecological momentary interventions (EMIs) to improve empathy and theory-of-mind has been underinvestigated, particularly in generalized anxiety disorder (GAD). In this randomized controlled trial, we aimed to examine the efficacy of a 14-day, fully self-guided, mindfulness EMI on the empathy and theory-of-mind domains for GAD. Adults (aged ≥18 y) diagnosed with GAD were randomized to a mindfulness EMI (68/110, 61.8%) or self-monitoring app (42/110, 38.2%) arm. They completed the Interpersonal Reactivity Index self-report empathy measure and theory-of-mind test (Bell-Lysaker Emotion Recognition Task) at prerandomization, postintervention, and 1-month follow-up (1MFU) time points. Hierarchical linear modeling was conducted with the intent-to-treat principle to determine prerandomization to postintervention (pre-post intervention) and prerandomization to 1MFU (pre-1MFU) changes, comparing the mindfulness EMI to self-monitoring. Observed effects were generally stronger from pre-1MFU than from pre-post intervention time points. From pre-post intervention time points, the mindfulness EMI was more efficacious than the self-monitoring app on fantasy (the ability to imagine being in others' shoes; between-intervention effect size: Cohen d=0.26, P=.007; within-intervention effect size: Cohen d=0.22, P=.02 for the mindfulness EMI and Cohen d=-0.16, P=.10 for the self-monitoring app). From pre-1MFU time points, the mindfulness EMI, but not the self-monitoring app, improved theory-of-mind (a window into others' thoughts and intentions through abstract, propositional knowledge about their mental states, encompassing the ability to decipher social cues) and the fantasy, personal distress (stress when witnessing others' negative experiences), and perspective-taking (understanding others' perspective) empathy domains. The effect sizes were small to moderate (Cohen d=0.15-0.36; P<.001 to P=.01) for significant between-intervention effects from pre-1MFU time points. Furthermore, the within-intervention effect sizes for these significant outcomes were stronger for the mindfulness EMI (Cohen d=0.30-0.43; P<.001 to P=.03) than the self-monitoring app (Cohen d=-0.12 to 0.21; P=.001 to P>.99) from pre-1MFU time points. No between-intervention and within-intervention effects on empathic concern (feeling affection, compassion, and care when observing others in distress, primarily attending to their emotional well-being) were observed from pre-post intervention and pre-1MFU time points. The brief mindfulness EMI improved specific domains of empathy (eg, fantasy, personal distress, and perspective-taking) and theory-of-mind with small to moderate effect sizes in persons with GAD. Higher-intensity, self-guided or coach-facilitated, multicomponent mindfulness EMIs targeting the optimization of social relationships are likely necessary to improve the empathic concern domain in this population. ClinicalTrials.gov NCT04846777; https://clinicaltrials.gov/study/NCT04846777.

Algorithm-based modular psychotherapy vs. cognitive-behavioral therapy for patients with depression, psychiatric comorbidities and early trauma: a proof-of-concept randomized controlled trial.

Effect sizes of psychotherapies currently stagnate at a low-to-moderate level. Personalizing psychotherapy by algorithm-based modular procedures promisesimproved outcomes, greater flexibility, and a better fit between research and practice. However, evidence for the feasibility and efficacy of modular-based psychotherapy, using a personalized treatment algorithm, is lacking. This proof-of-concept randomized controlled trial was conducted in 70 adult outpatients with a primary DSM-5 diagnosis of major depressive disorder, a score higher than 18 on the 24-item Hamilton Rating Scale for Depression (HRSD-24), at least one comorbid psychiatric diagnosis according to the Structured Clinical Interview for DSM-5 (SCID-5), a history of at least "moderate to severe" childhood maltreatment on at least one domain of the Childhood Trauma Questionnaire (CTQ), and exceeding the cut-off value on at least one of three measures of early trauma-related transdiagnostic mechanisms: the Rejection Sensitivity Questionnaire (RSQ), the Interpersonal Reactivity Index (IRI), and the Difficulties in Emotion Regulation Scale-16 (DERS-16). Patients were randomized to 20 sessions of either standard cognitive-behavioral therapy alone (CBT) or CBT plus transdiagnostic modules according to a mechanism-based treatment algorithm (MoBa), over 16 weeks. We aimed to assess the feasibility of MoBa, and to compare MoBa vs. CBT with respect to participants' and therapists' overall satisfaction and ratings of therapeutic alliance (using the Working Alliance Inventory - Short Revised, WAI-SR), efficacy, impact on early trauma-related transdiagnostic mechanisms, and safety. The primary outcome for efficacy was the HRSD-24 score at post-treatment. Secondary outcomes included, among others, the rate of response (defined as a reduction of the HRSD-24 score by at least 50% from baseline and a score <16 at post-treatment), the rate of remission (defined as a HRSD-24 score ≤8 at post-treatment), and improvements in early trauma-related mechanisms of social threat response, hyperarousal, and social processes/empathy. We found no difficulties in the selection of the transdiagnostic modules in the individual patients, applying the above-mentioned cut-offs, and in the implementation of MoBa. Both participants and therapists reported higher overall satisfaction and had higher WAI-SR ratings with MoBa than CBT. Both approaches led to major reductions of depressive symptoms at post-treatment, with a non-significant superiority of MoBa over CBT. Patients randomized to MoBa were nearly three times as likely to experience remission at the end of therapy (29.4% vs. 11.4%; odds ratio, OR = 3.2, 95% CI: 0.9-11.6). Among mechanism-based outcomes, MoBa patients showed a significantly higher post-treatment effect on social processes/empathy (p<0.05) compared to CBT patients, who presented an exacerbation on this domain at post-treatment. Substantially less adverse events were reported for MoBa compared to CBT. These results suggest the feasibility and acceptability of an algorithm-based modular psychotherapy complementing CBT in depressed patients with psychiatric comorbidities and early trauma. While initial evidence of efficacy was observed, potential clinical advantages and interindividual heterogeneity in treatment outcomes will have to be investigated in fully powered confirmation trials.

Virtual and augmented reality to develop empathy: a systematic literature review

AbstractRecent research suggests that Virtual Reality (VR) and Augmented Reality (AR) as immersive technologies are effective in developing empathy. The main reason behind this assumption is that immersive technologies allow people to experience perspective-taking. However, there is a lack of systematic literature reviews that summarize the current state of research on VR and AR to elicit empathy. This paper reports a systematic literature review of 37 academic papers published between 2007 and 2023. The following categories were analyzed in this review: field of education, data collection instruments, sample size, statistically significant results, technologies used, research design, advantages, limitations, and future research. The main findings of this review provide an overview of the current state of research on immersive technologies to elicit empathy and the future challenges in this field. Some of the main findings involve: VR/AR immersion devices are effective and appealing to participants; the Interpersonal Reactivity Index was found to be the most relevant self-report measure; and larger sample sizes (over 100 participants) are vital in VR/AR-based empathy research to provide a quantitative perspective on participants distribution.

Perspective taking as a transdiagnostic risk factor for interpersonal dysfunction

ObjectiveNumerous psychiatric populations have demonstrated reduced tendency to adopt others’ perspectives relative to those without psychiatric illness; yet, the clinical implications of these deficits remain unclear. We examined whether impairments in perspective-taking are prospectively associated with symptom severity and functional outcomes in an acute psychiatric sample. We hypothesized that poorer perspective-taking would prospectively predict more severe depressive symptoms, functional impairment, and relationship problems. MethodParticipants were 421 adults seeking psychiatric treatment at a partial hospital program. Participants completed the following self-report questionnaires at admission and discharge: Interpersonal Reactivity Index, Patient Health Questionnaire, Work and Social Adjustment Scale, and Behavior and Symptom Identification Scale. We conducted cross-lagged panel models to estimate directional effects. ResultsConsistent with hypotheses, more frequent perspective-taking was significantly and prospectively associated with less overall functional impairment (β = −0.08, p = 0.04) and fewer relationship problems (β = −0.11, p = 0.02). When modelled together, perspective-taking remained a significant and bidirectional predictor of relationship problems, but not overall functional impairment. Inconsistent with hypotheses, perspective-taking did not prospectively predict depressive symptoms. ConclusionsResults suggest that perspective-taking deficits are uniquely associated with relationship problems among adults with severe mental illness and highlight a potential target for future intervention.

Examining the Empathy factors in Science Class (EfSC) Between Early and Late Adolescents

Objectives This study aims to validate the Empathy factors in Science Class (EfSC; Chun et al., 2018) as a measure for scientific empathy in early and late adolescents. Methods The instrument consists of scientific empathy with others and empathy with the problem situation. To achieve this objective, a survey was conducted on 215 middle school students (early adolescents) and 473 high school students (late adolescents). Confirmatory factor analysis and multi-group analysis were employed to validate the instrument. Additionally, domain-general aspects of EfSC were explored by correlating empathetic factors with the Interpersonal Reactivity Index (IRI; Davis, 1980) and scientific inquiry ability with the Test of Science Process Skills (TSPS: Kwon &amp; Kim, 1994). Results The results revealed a high correlation between most factors of EfSC and IRI, indicating convergent validity. However, a relatively low correlation was observed with TSPS, suggesting a domain-specific nature of EfSC. Analysis of group features based on age and gender showed that factors related to empathy with others were influenced by age and gender, while factors related to empathy with problem situations were influenced by the interaction of age and gender. Further exploration indicated that females and high school students exhibited superior abilities in empathizing with others. In contrast, males, especially high school students, demonstrated higher abilities in empathy with problem situations. An analysis of variance (ANOVA) supported these findings. Conclusions This study contributes to the ongoing discourse on whether EfSC is a suitable instrument for assessing scientific empathy across the adolescence span. The nuanced differences observed in empathy factors based on age and gender underscore the importance of considering developmental and gender-related variations in assessing scientific empathy.

Empathic responses, Sociotropy and autonomy

The study examines the relationship between sociotropy, autonomy, and empathy in interpersonal relationships among Indian adults aged 18-40. A correlational research design was used, with 225 participants meeting the criteria of high school education and English proficiency. The Sociotropy-Autonomy Scale and Interpersonal Reactivity Index were employed to measure participants' levels of sociotropy, autonomy and empathy. The findings of the study reveal no significant relationship between sociotropy, autonomy, and empathy in interpersonal relationships.

Does Medical Curriculum Impact on Empathy? A Longitudinal Study in a Sample of Undergraduate Medical Students

AbstractEmpathy in medical students is receiving increasing attention as it is fundamental to build and develop a functional patient-physician relationship. When looking at its determinants, demographic and academic factors seem to concur in shaping empathy in this population. Although data show strong gender differences and changes in empathy throughout medical school, it is not clear the direction of these changes and whether gender and curriculum features modulate them. This longitudinal study examined changes in empathy and explored gender differences throughout the medical school. Four consecutive cohorts of Italian medical students (N = 336) completed the Jefferson Scale of Empathy – Student (JSE-S) and the Interpersonal Reactivity Index (IRI) in their second year of study (before any clinical clerkship and communication skills courses) and fifth year of study (after a 2-year clinical clerkship and communication skills courses). Analysis of variance for repeated-measures revealed that, beyond the effect of gender, JSE-S total score and IRI Perspective Taking increased, whereas IRI Personal Distress and IRI Fantasy significantly decreased throughout medical school. No significant change in IRI Empathic Concern emerged over time. Student’s t-tests showed that female students displayed significantly higher mean scores than their male counterparts for all empathy measures in both their second and fifth years of medical training. The findings suggest that the medical curriculum affects self-reported empathy dimensions among undergraduate medical students. Further research is needed to deepen the understanding of the educational factors that promote the changes in empathy levels during medical training.

Exploring the Impact of CHATBOT AI on Empathic Responses and Emotional Intelligence: A Mixed-Methods Study

Abstract: This study investigates the impact of Artificial Intelligence (AI) CHATBOTS on users' empathic abilities and emotional intelligence (EI). The study includes a comparative analysis of people who use and don't use AI CHATBOTS for emotional support. The objectives included assessing how the effect of AI CHATBOTS on empathy affects users' empathic responses, investigating changes in emotional intelligence associated with the use of AI CHATBOTS, and identifying factors contributing to the effectiveness of AI CHATBOTS in improving empathy ability. The method involved a comparative study of 140 participants between the ages of 18 and 25, divided into users and non-users of an AI CHATBOT aimed at providing emotional support. Data collection included self-report surveys measuring CHATBOT usage, Interpersonal Reactivity index (IRI), and emotional intelligence (EI). Statistical analysis reveals significant differences in scores for perspective taking, fantasy, and personal distress between users and non-users of AI CHATBOTS, suggesting that technology-mediated empathy may be associated with specific aspects of empathic responses. Qualitative analysis of participants' responses reveals different experiences and perceptions related to the use of AI CHATBOTS, such as emotional and academic support and platform choice (e.g., CHATGPT, SNAPCHAT). The findings provide valuable insight into the complex relationship between technology-mediated empathy and human emotional responses. In conclusion, this study highlights the importance of considering the role of technology in shaping human interactions and emotional experiences. This result suggests that exposure to AI CHATBOTS may influence empathic responses and aspects of emotional intelligence. However, further research is recommended to explore the underlying mechanisms and ethical considerations related to AI-mediated empathy.

Implications of perceived empathy from spouses during pregnancy for health-related quality of life among pregnant women: a cross-sectional study in Anhui, China

BackgroundEmpathy is a critical component of nursing care, impacting both nurses’ and patients’ outcomes. However, perceived empathy from spouses during pregnancy and its impact on health-related quality of life (HRQoL) are unclear. This study aimed to examine pregnant women’s perceived empathy from their spouses and assess the relation of perceived empathy on HRQoL.MethodsThis cross-sectional study, performed in the obstetric clinics or wards of four well-known hospitals in Anhui Province, China, included 349 pregnant women in the second or third trimester; participants were recruited by convenience sampling and enrolled from October to December 2021. A general information questionnaire, the Interpersonal Reactivity Index (IRI), a purpose-designed empathy questionnaire and the Medical Outcomes Study 12-item Short-Form Health Survey (SF-12) were used to evaluate the pregnant women’s general information, perceptions of empathy and HRQoL. Data were analysed using SPSS 22 at a threshold of P < 0.05. Descriptive analysis, Pearson correlation analysis, Student’s t test, ANOVA, and multiple regression analysis were used for analysis.ResultsThe pregnant women’s total empathy, physical component summary (PCS) and mental component summary (MCS) scores were 41.6 ± 9.0, 41.6 ± 7.6, and 47.7 ± 9.1, respectively. Correlation analysis revealed that the purpose-designed empathy questionnaire items were significantly positively correlated with perspective taking and empathic concern but were not correlated with the personal distress dimension and were only partially correlated with the fantasy dimension. Maternal physical condition during pregnancy, planned pregnancy, and occupational stress were predictors of the PCS score (β = 0.281, P < 0.01; β = 0.132, P = 0.02; β = -0.128, P = 0.02). The behavioural empathy item of our purpose-designed empathy questionnaire and empathic concern were important predictors of the MCS score (β = 0.127, P = 0.02; β = 0.158, P < 0.01), as well as other demographic and obstetric information, explaining 22.0% of the variance in MCS scores totally (F = 12.228, P < 0.01).ConclusionsPregnant women perceived lower empathy from their spouses and reported lower HRQoL. Perceived empathy, particularly behavioural empathy, may significantly impact pregnant women’s MCS scores but has no effect on their PCS scores. Strategies that foster perceived empathy from spouses among pregnant women are essential for facilitating healthy pregnancies and potentially improving maternal and child health.

A Longitudinal Investigation of Alexithymia as a Predictor of Empathy, Emotional Functioning, Resilience, and Life Satisfaction Two Years after Brain Injury

To examine the unique contribution of alexithymia at 1 year after traumatic brain injury (TBI) to the prospective prediction of emotional and social health outcomes at 2 years post-injury. Multicenter, longitudinal cohort study. Data were collected during Year 1 and Year 2 post-injury follow-up interviews across four TBI Model System (TBIMS) centers. Persons with TBI (N = 175; 134 men and 41 women) who had English fluency and were capable of providing self-report data. Primary independent variable was the Toronto Alexithymia Scale-20. Outcome measures included the Interpersonal Reactivity Index, National Institute of Health Toolbox Emotion Battery Anger, Difficulty with Emotion Regulation Scale, Connor-Davidson Resilience Scale, Posttraumatic Stress Disorder Checklist-Civilian, Satisfaction With Life Scale, General Anxiety Disorder-7, Patient Health Questionnaire-9, suicidal ideation, and problematic substance use. Simple adjusted models demonstrated that after controlling for the specific outcome at Year 1, TAS-20 scores significantly predicted Year 2 scores for perspective taking, physical aggression, emotion dysregulation, resilience, anxiety, depression, and suicidal ideation. All of these predictive findings except for physical aggression were maintained in the fully adjusted models that also controlled for age, sex, education level, number of prior TBIs, and motor and cognitive functioning. Compared to those with lower alexithymia scores, persons with TBI who had higher alexithymia scores at 1-year post-injury reported poorer emotional health at 2 years after TBI, even after controlling for Year 1 outcome scores, sociodemographics, and injury-related factors. These results support the need to assess for elevated alexithymia and to provide interventions targeting alexithymia early in the TBI recovery process.

Couples’ empathy and sensitive responsiveness to a crying baby simulator

Emotional empathy has been linked to prosocial behaviors and is deemed crucial for parenting and caring for infants. This study examined whether emotional empathy (dispositional and in response to infant crying) is associated with sensitive responsiveness, as observed in 221 heterosexual couples (half of whom were expecting their first child) during a standardized caregiving situation. Simulators resembling real infants were used. Caregiving performed by each partner individually and as a couple was observed using the Ainsworth sensitivity scale. The partners rated their own empathy and their perceived partner’s empathy toward the infant simulator. The Polish version of the Interpersonal Reactivity Index was used to measure dispositional emotional empathy (empathic concern, EC; personal distress, PD). Multilevel modeling showed that self-reported and partner-reported empathy elicited by the infant simulator mediated the association between dispositional empathic concern and sensitive responsiveness during caretaking. Women were more empathic and responsive while caring for the infant simulator, and couple sensitive responsiveness was predicted by higher dispositional EC and lower PD in women but not in men. Our findings suggest that dispositional empathy and empathic reactions toward an infant simulator might translate into better adjustment to parenthood and more responsive parenting and coparenting.

Delusional ideation is associated with social imagery: Felt presence, social anxiety, empathy and loneliness

Recent research suggests that delusional ideation (DI) may have social component to its phenomenology and underlying mechanisms. This study investigated associations between delusional ideation and factors of social imagery in healthy adults using the COVID-19 pandemic as a context of increased social threat perception. 1,854 participants completed an online survey. DI was assessed using the Peters Delusional Ideation (PDI) scale, and social imagery was investigated using the Other Experiences Questionnaire (OEQ, felt presence), the Liebowitz Social Anxiety Scale (LSAS), the Interpersonal Reactivity Index (IRI, empathy), and the UCLA Loneliness Scale. All aspects of social imagery were positively associated with DI. The strongest predictor of PDI score was felt presence, followed by loneliness, LSAS social fear dimension, IRI (empathic concern and empathy for fictional characters) scales. We propose that delusions and social imagery may share common mechanisms and increased propensity for imagining others may contribute to development of delusions.

The Influence of Affective Empathy on Online News Belief: The Moderated Mediation of State Empathy and News Type.

The belief in online news has become a topical issue. Previous studies demonstrated the role emotion plays in fake news vulnerability. However, few studies have explored the effect of empathy on online news belief. This study investigated the relationship between trait empathy, state empathy, belief in online news, and the potential moderating effect of news type. One hundred and forty undergraduates evaluated 50 online news pieces (25 real, 25 fake) regarding their belief, state empathy, valence, arousal, and familiarity. Trait empathy data were collected using the Chinese version of the Interpersonal Reactivity Index. State empathy was positively correlated with affective empathy in trait empathy and believability, and affective empathy was positively correlated with believability. The influence of affective empathy on news belief was partially mediated by state empathy and regulated by news type (fake, real). We discuss the influence of empathy on online news belief and its internal processes. This study shares some unique insights for researchers, practitioners, social media users, and social media platform providers.

Does being emotionally intelligent and empathic predict deception detection accuracy?

ABSTRACT Research into individual differences in deception detection and judgment brought into question the existence of a good liar-catcher. The current study aimed to investigate the role of trait empathy and emotional intelligence (EI) ability in detecting unemotional lies. One hundred and fifty volunteers were given the Interpersonal Reactivity Index and the Mayer-Salovey-Caruso Emotional Intelligence Test, then they watched a sequence of 14 interviews concerning truthful vs. deceptive holidays. For each videotaped interview, detection accuracy, detection confidence, and detection criteria were assessed. Results confirmed the chance-like ability to detect deception. The empathic trait of perspective-taking and the EI ability to perceive emotions predicted detection accuracy, albeit with a modest effect. Receivers’ judgment accuracy was principally determined by the sender to be evaluated, confirming that detection accuracy is mainly explained by the sender, rather than the receiver's characteristics. Confidence appeared unrelated to detection accuracy.

Empathy and Schizotypy: A Network Comparison of the Interpersonal Reactivity Index in High and Low Schizotypy Groups.

Empathy is a multifaceted concept that is vital to effective social functioning; yet, it is impaired in high schizotypy groups. Furthermore, empathy has been found to be a mediator in the relationship between schizotypy and social functioning, highlighting the importance of empathy as a driver in social outcomes. Despite this, the four-factor structure of a widely-used measure of empathy-the Interpersonal Reactivity Index (IRI)-has been found to be psychometrically weak in high schizotypy samples. As such, this study aimed to assess differences in the item-level network of the IRI between high (n = 427) and low schizotypy groups (n = 470). The results reveal that there are significant differences in the structure of these networks, though they evidence similar strengths. Within the high schizotypy group, the network structure was consistent with the four-factor structure of the IRI subscales; items from each subscale clustered together and were distinct from those in the other subscales. By contrast, the low schizotypy group evidenced six clusters that did not mirror the IRI subscales. These results suggest that the item-level structure of the IRI is dependent upon the level of schizotypy of the sample, with the high schizotypy group's network functioning similarly to what would be expected from the original four-factor structure.

Spanish version of Multidimensional Mentalizing Questionnaire (MMQ): Translation, adaptation and psychometric properties in a Chilean population.

This paper presents the first translation and adaptation of the Multidimensional Mentalizing Questionnaire (MMQ) into Spanish for a native Spanish-speaking sample in Chile. The study examines the psychometric properties and internal consistency of the translated MMQ. The instrument undergoes modifications based on a confirmatory factor analysis of the original structure, resulting in the elimination of items with cross-loadings and improvement in model fit. The modified scale is then analyzed, demonstrating strong psychometric properties. Convergent evidence is assessed by correlating MMQ subscales with the Interpersonal Reactivity Index (IRI) and Empathy Quotient (EQ), while divergent evidence is assessed by correlating aggressive traits using the Buss-Perry Aggression Questionnaire (BPAQ). The study also explores gender differences and age. Results reveal positive correlations between good mentalizing and empathy, particularly cognitive empathy, supporting the significance of positive mentalization in empathy. Negative mentalization is associated with difficulties in perspective-taking and social skills, as well as aggressive traits. Gender differences in mentalizing capacities are observed, and negative aspects of mentalization decrease with age. The availability of the Spanish translation of the MMQ, the first self-reporting scale measuring mentalization adapted to Chilean population, contributes to research aiming to understand its relationship with other psychological phenomena in different cultural context and facilitating clinical interventions with different population groups. We therefore encourage further investigation into cultural, gender and age differences in mentalization.

Association of empathy with clinical symptoms and cognitive function in chronic schizophrenia patients with and without suicide attempts.

Cognitive impairment is recognized as a risk factor for suicide in schizophrenia (SZ) patients. Despite empathy being an important aspect of social cognition, the association between suicidal behavior and empathy has received little attention. We aimed to compare empathy and neurocognition in SZ patients with and without suicide attempts (SAs), and to explore the relationship between empathy, neurocognition, and clinical symptoms in SZ patients with and without SAs. Data on SAs and socio-demographic characteristics were collected from 628 chronic SZ patients. The patients' symptomatology was measured by the Positive and Negative Syndrome Scale (PANSS). Empathy and neurocognition were assessed with the Interpersonal Reactivity Index (IRI) and Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), respectively. Patients with SAs performed better on all IRI domains (except for Perspective Taking) and total scores. Regression results showed that negative symptoms, positive symptoms, and duration of illness were independently associated with IRI total score in patients without SAs (adjusted R2 = 0.048). In patients without SAs, negative symptoms, general psychopathology, education, age, and sex were independently associated with RBANS total score (adjusted R2 = 0.265), while in patients with SAs, education, PANSS total score, and age at onset were independently associated with RBANS total score (adjusted R2 = 0.456). Our results show that SZ patients with SAs may have better empathic performance than patients without SAs. In chronic SZ patients, negative and positive symptoms may have different effects on cognition in the SAs and non-SAs groups.

Does empathy make us less maximizers? Empirical proof against rational choice

We analyzed how empathy affects rational decision-making during a conflict situation. The study collected empirical evidence from eighty volunteers who participated in a laboratory experiment where Palacio et al.'s (2015) 2x2 Conflict Game, as well as Davis's Interpersonal Reactivity Index (IRI) were used to measure empathy and rational choice. Volunteers were divided into four groups, two of which played with the same person, while the other two played with a random partner. The study found that dimensions of empathy can both increase and decrease rational choice, with no single effect. Interestingly, the study also found that proximity to empathic situations promotes altruistic behavior. The results were correlated using a Generalized Linear Model. Overall, this study provides important insights into how empathy can influence decision-making during conflict, which has implications for fields such as psychology and economics.

Associations between perfectionism and empathy in psychiatry and neurology residents

BACKGROUND: Empathy is considered a key element in doctor-patient relationship that may positively influence communication and outcomes. However, the correlation of empathy with perfectionism, which prevalence and rates among students are increasing, remains understudied.&#x0D; AIM: The aim is to study the associations between perfectionism and empathy in psychiatry and neurology residents.&#x0D; MATERIALS AND METHODS: Psychiatry and neurology residents (n = 100) aged 22–29 filled out the following validated instruments: “Three-Factor Perfectionism Inventory” (N.G. Garanyan, et al.) and “The Interpersonal Reactivity Index (IRI)” (M. Davis). The sample was divided into three groups with high (n = 37), medium (n = 33) and low (n = 30) levels of perfectionism.&#x0D; RESULTS: Residents with high level of perfectionism have higher level of personal distress (p 0.01). In this group were also observed significant positive associations between general level of perfectionism and empathic concern (p 0.05); socially prescribed perfectionism and personal distress (p 0.05), fantasy (p 0.05), empathic concern (p 0.05); perfectionistic cognitive style and personal distress (p 0.01). In residents with medium level of perfectionism a positive correlation exists between self-oriented perfectionism and perspective taking (p 0.05). In residents with low level of perfectionism perspective taking negatively correlated with general level of perfectionism (p 0.01) and self-oriented perfectionism (p 0.05); a positive correlation exists between socially prescribed perfectionism and personal distress (p 0.01).&#x0D; CONCLUSIONS: These findings allow to identify socially prescribed perfectionism and perfectionistic cognitive style, that associated with personal distress, as targets of psychological correction.

Right-sizing interprofessional team training for serious-illness communication: A strength-based approach

ObjectivePalliative care communication skills help tailor care to patients' goals. With a palliative care physician shortage, non-physicians must gain these serious illness communication skills. Historically, trainings have targeted physician-only groups; our goal was to train interprofessional teams. MethodsWorkshops were conducted to teach palliative care communication skills and interprofessional communication. Participants completed surveys which included questions from the Interpersonal Reactivity Index, the Ekman Faces tool, the Consultation and Relational Empathy measure, open-ended questions about empathy, and measures of effective interprofessional practice. ResultsParticipants felt the workshop improved their ability to listen (p < 0.001), understand patients' concerns (p < 0.001), and show compassion (p = 0.008). It increased the perceived value of peer observation (p < 0.001) and ability to reflect (p = 0.02) during complex conversations. Different types of professionals adopted different communication goals, though all affirmed the importance of active listening. Participants felt they improved their ability to work within an interprofessional team. ConclusionsThe course effectively trained 71 clinicians, the majority non-physicians, in serious illness communication and interprofessional team communication skills, and could be reproduced in similar settings. InnovationWe adapted an approach common to physician-only trainings to diverse interprofessional groups, added a team-based component using Applied Improvisation, and demonstrated its effectiveness.