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Published in: Neurological Sciences 6/2014

01-06-2014 | Original Article

Addiction and empathy: a preliminary analysis

Authors: Valentina Ferrari, Enrico Smeraldi, Giampiero Bottero, Ernestina Politi

Published in: Neurological Sciences | Issue 6/2014

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Abstract

Addicted patients show impaired social functioning. Chronic drug consumption may lead to impairments in decoding empathic cues. The aim of the study is to explore empathy abilities in addicted patients and the hypothesis of a differential impairment between affective and cognitive empathy. 62 addicted patients and 40 healthy volunteers were evaluated using the empathy quotient (EQ) and its subscales cognitive empathy (factor 1), emotional empathy (factor 2), social skills (factor 3). Patients scored statistically significantly lower than controls in EQ total score, in particular in factor 2. No difference was found in factor 1 and in factor 3. Consistent with previous findings, our study suggests specific impairment in emotional empathy combined with preserved cognitive empathy. These findings show important clinical implication in the development of specific rehabilitative programmes for the empowerment of empathy abilities and interpersonal skills that constitute important components in the prevention of relapse.
Literature
1.
go back to reference Baron-Cohen S (2011) Zero Degrees of Empathy. Penguin Group, London Baron-Cohen S (2011) Zero Degrees of Empathy. Penguin Group, London
2.
go back to reference Van Overwalle F (2009) Social cognition and the brain: a meta-analysis. Hum Brain Mapp 30(3):829–858PubMedCrossRef Van Overwalle F (2009) Social cognition and the brain: a meta-analysis. Hum Brain Mapp 30(3):829–858PubMedCrossRef
3.
go back to reference Chakrabarti B, Baron-Cohen S (2006) Empathizing: neurocognitive developmental mechanisms and individual differences. Prog Brain Res 156:403–417PubMedCrossRef Chakrabarti B, Baron-Cohen S (2006) Empathizing: neurocognitive developmental mechanisms and individual differences. Prog Brain Res 156:403–417PubMedCrossRef
4.
go back to reference Lawrence EJ, Shaw P, Baker D, Baron-Cohen S, David AS (2004) Measuring empathy: reliability and validity of the Empathy Quotient. Psychol Med 34:911–924PubMedCrossRef Lawrence EJ, Shaw P, Baker D, Baron-Cohen S, David AS (2004) Measuring empathy: reliability and validity of the Empathy Quotient. Psychol Med 34:911–924PubMedCrossRef
5.
go back to reference Premack D, Woodruff G (1978) Does the chimpanzee have a theory of mind? Behav Brain Sci 1:515–526CrossRef Premack D, Woodruff G (1978) Does the chimpanzee have a theory of mind? Behav Brain Sci 1:515–526CrossRef
6.
go back to reference Stone V, Baron-Cohen S, Calder A, Keane J, Young A (2003) Acquired theory of mind impairments in individuals with bilateral amygdala lesions. Neuropsychologia 41:209–220PubMedCrossRef Stone V, Baron-Cohen S, Calder A, Keane J, Young A (2003) Acquired theory of mind impairments in individuals with bilateral amygdala lesions. Neuropsychologia 41:209–220PubMedCrossRef
7.
go back to reference Happe F, Brownell H, Winner E (1999) Acquired, theory of mind’ impairments following stroke. Cognition 70:211–240PubMedCrossRef Happe F, Brownell H, Winner E (1999) Acquired, theory of mind’ impairments following stroke. Cognition 70:211–240PubMedCrossRef
8.
go back to reference Harari H, Shamay-Tsoory SG, RavidM, Levkovitz Y (2010) Double dissociation between cognitive and affective empathy in borderline personality disorder. Psychiatry Res 175:277–279 Harari H, Shamay-Tsoory SG, RavidM, Levkovitz Y (2010) Double dissociation between cognitive and affective empathy in borderline personality disorder. Psychiatry Res 175:277–279
9.
go back to reference Shamay-Tsoory S, Harari H, Szepsenwol O, Levkovitz Y (2009) Neuropsychological evidence of impaired cognitive empathy in euthymic bipolar disorder. J Neuropsychiatry Clin Neurosci 21:59–67PubMedCrossRef Shamay-Tsoory S, Harari H, Szepsenwol O, Levkovitz Y (2009) Neuropsychological evidence of impaired cognitive empathy in euthymic bipolar disorder. J Neuropsychiatry Clin Neurosci 21:59–67PubMedCrossRef
10.
go back to reference Bornhofen C, McDonald S (2008) Treating deficits in emotion perception following traumatic brain injury. Neuropsychol Rehabil 18:22–44PubMedCrossRef Bornhofen C, McDonald S (2008) Treating deficits in emotion perception following traumatic brain injury. Neuropsychol Rehabil 18:22–44PubMedCrossRef
12.
go back to reference Frommann N, Streit M, Wolwer W (2003) Remediation of facial affect recognition impairments in patients with schizophrenia: a new training program. Psychiatry Res 117:281–284PubMedCrossRef Frommann N, Streit M, Wolwer W (2003) Remediation of facial affect recognition impairments in patients with schizophrenia: a new training program. Psychiatry Res 117:281–284PubMedCrossRef
13.
go back to reference Golan O, Baron-Cohen S (2006) Systemizing empathy: teaching adults with Asperger syndrome or high-functioning autism to recognize complex emotions using interactive multimedia. Dev Psychopathol 18:591–617PubMedCrossRef Golan O, Baron-Cohen S (2006) Systemizing empathy: teaching adults with Asperger syndrome or high-functioning autism to recognize complex emotions using interactive multimedia. Dev Psychopathol 18:591–617PubMedCrossRef
14.
go back to reference McDonald S, Tate R, Togher L, Bornhofen C, Long E, Gertler P (2008) Social skills treatment for people with severe, chronic acquired brain injuries: a multicenter trial. Arch Phys Med Rehabil 89:1648–1659PubMedCrossRef McDonald S, Tate R, Togher L, Bornhofen C, Long E, Gertler P (2008) Social skills treatment for people with severe, chronic acquired brain injuries: a multicenter trial. Arch Phys Med Rehabil 89:1648–1659PubMedCrossRef
15.
go back to reference Russell TA, Chu E, Phillips ML (2006) A pilot study to investigate the effectiveness of emotion recognition remediation in schizophrenia using the micro-expression training tool. Br J Clin Psychol 45:579–583PubMedCrossRef Russell TA, Chu E, Phillips ML (2006) A pilot study to investigate the effectiveness of emotion recognition remediation in schizophrenia using the micro-expression training tool. Br J Clin Psychol 45:579–583PubMedCrossRef
16.
go back to reference American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC
17.
go back to reference Bartek JK, Lindeman M, Hawks JH (1999) Clinical validation of characteristics of the alcoholic family. Nurs Diagn 10:158–168PubMedCrossRef Bartek JK, Lindeman M, Hawks JH (1999) Clinical validation of characteristics of the alcoholic family. Nurs Diagn 10:158–168PubMedCrossRef
18.
go back to reference Karno MP, Longabaugh R (2004) What do we know? Process analysis and the search for a better understanding of project MATCH’S anger-by-treatment matching effect. J Stud Alcohol 65:501–512PubMed Karno MP, Longabaugh R (2004) What do we know? Process analysis and the search for a better understanding of project MATCH’S anger-by-treatment matching effect. J Stud Alcohol 65:501–512PubMed
19.
go back to reference Marlatt G (1996) Taxonomy of high-risk situations for alcohol relapse: evolution and development of a cognitive-behavioral model. Addiction 91:S37–S49PubMedCrossRef Marlatt G (1996) Taxonomy of high-risk situations for alcohol relapse: evolution and development of a cognitive-behavioral model. Addiction 91:S37–S49PubMedCrossRef
20.
go back to reference Witkiewitz K, Villarroel NA (2009) Dynamic association between negative affect and alcohol lapses following alcohol treatment. J Consult Clin Psychol 77:633–644PubMedCentralPubMedCrossRef Witkiewitz K, Villarroel NA (2009) Dynamic association between negative affect and alcohol lapses following alcohol treatment. J Consult Clin Psychol 77:633–644PubMedCentralPubMedCrossRef
21.
go back to reference McCown W (1989) The relationship between impulsivity, empathy, and involvement in twelve step self-help substance abuse treatment groups. Br J Addict 84:391–393PubMedCrossRef McCown W (1989) The relationship between impulsivity, empathy, and involvement in twelve step self-help substance abuse treatment groups. Br J Addict 84:391–393PubMedCrossRef
22.
go back to reference McCown W (1990) The effect of impulsivity and empathy on abstinence of poly-substance abusers: a prospective study. Br J Addict 85:635–637PubMedCrossRef McCown W (1990) The effect of impulsivity and empathy on abstinence of poly-substance abusers: a prospective study. Br J Addict 85:635–637PubMedCrossRef
23.
go back to reference Martinotti G, Di Nicola M, Tedeschi D, Cundari S, Janiri L (2009) Empathy ability is impaired in alcohol-dependent patients. Am J Addict 18:157–161PubMedCrossRef Martinotti G, Di Nicola M, Tedeschi D, Cundari S, Janiri L (2009) Empathy ability is impaired in alcohol-dependent patients. Am J Addict 18:157–161PubMedCrossRef
24.
go back to reference Maurage P, Grynberg D, Noel X, Joassin F, Philippot P, Hanak C, Verbanck P, Luminet O, De Timary P, Campanella S (2011) Dissociation between affective and cognitive empathy in alcoholism: a specific deficit for the emotional dimension. Alcohol Clin Exp Res 35(9):1662–1668PubMed Maurage P, Grynberg D, Noel X, Joassin F, Philippot P, Hanak C, Verbanck P, Luminet O, De Timary P, Campanella S (2011) Dissociation between affective and cognitive empathy in alcoholism: a specific deficit for the emotional dimension. Alcohol Clin Exp Res 35(9):1662–1668PubMed
25.
go back to reference Dethier M, Blairy S (2012) Capacity for cognitive and emotional empathy in alcohol-dependent patients. Psychol Addict Behav 26(3):371–383PubMedCrossRef Dethier M, Blairy S (2012) Capacity for cognitive and emotional empathy in alcohol-dependent patients. Psychol Addict Behav 26(3):371–383PubMedCrossRef
26.
go back to reference Baron-Cohen S, Wheelwright S (2004) The Empathy Quotient: an investigation of adults with Asperger Syndrome or High Functioning Autism, and normal sex differences. J Autism Dev Disord 34(2):163–175 Baron-Cohen S, Wheelwright S (2004) The Empathy Quotient: an investigation of adults with Asperger Syndrome or High Functioning Autism, and normal sex differences. J Autism Dev Disord 34(2):163–175
27.
go back to reference Muncer SJ, Ling J (2006) Psychometric analysis of the Empathy Quotient (EQ) scale. Pers Individ Dif 40:1111–1119CrossRef Muncer SJ, Ling J (2006) Psychometric analysis of the Empathy Quotient (EQ) scale. Pers Individ Dif 40:1111–1119CrossRef
28.
go back to reference Bilder RM, Lipschutz-Broch L, Reiter G (1992) Intellectual deficits in first-episode schizophrenia: evidence for progressive deterioration. Schizophr Bull 18:437–448PubMedCrossRef Bilder RM, Lipschutz-Broch L, Reiter G (1992) Intellectual deficits in first-episode schizophrenia: evidence for progressive deterioration. Schizophr Bull 18:437–448PubMedCrossRef
29.
go back to reference Singer T (2006) The neuronal basis and ontogeny of empathy and mind reading: review of literature and implications for future research. Neurosci Biobehav Rev 30:855–863PubMedCrossRef Singer T (2006) The neuronal basis and ontogeny of empathy and mind reading: review of literature and implications for future research. Neurosci Biobehav Rev 30:855–863PubMedCrossRef
30.
go back to reference Reilly PM, Clark H, Shopshire MS, Lewis EW, Sorensen DJ (1994) Anger management and temper control: critical components of posttraumatic stress disorder and substance abuse treatment. J Psychoactive Drugs 26:401–407PubMedCrossRef Reilly PM, Clark H, Shopshire MS, Lewis EW, Sorensen DJ (1994) Anger management and temper control: critical components of posttraumatic stress disorder and substance abuse treatment. J Psychoactive Drugs 26:401–407PubMedCrossRef
Metadata
Title
Addiction and empathy: a preliminary analysis
Authors
Valentina Ferrari
Enrico Smeraldi
Giampiero Bottero
Ernestina Politi
Publication date
01-06-2014
Publisher
Springer Milan
Published in
Neurological Sciences / Issue 6/2014
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-013-1611-6

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