Sohn Hong-Suk, Lee Do-Hyeong, Lee Kyung-Jun, Noh Eun Chung, Choi Soo-Hee, Jang Joon Hwan, Kim Yong Chul, Kang Do-Hyung
Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea.
Interdisciplinary Program of Neuroscience, Seoul National University, Seoul, Republic of Korea.
Psychiatry Investig. 2016 Jan;13(1):34-42. doi: 10.4306/pi.2016.13.1.34. Epub 2015 Oct 13.
The aims of this study were to evaluate differences in empathic abilities between patients with complex regional pain syndrome (CRPS) Type I and healthy control subjects (HCs) and to assess correlations between empathic abilities and multidimensional aspects of pain.
Empathic ability was measured in 32 patients with CRPS Type I and in 36 HCs using the Interpersonal Reactivity Index (IRI). A comprehensive assessment of pain was conducted in the patient group using the West Haven-Yale Multidimensional Pain Inventory (WHYMPI). Psychiatric symptoms were assessed using the Beck Depression and Anxiety Inventories (BDI and BAI), and quality of life was evaluated using the WHO Quality of Life (WHOQOL-BREF) questionnaire.
Patients with CRPS showed impaired cognitive and emotional empathic abilities compared with HCs. Significantly lower levels of perspective taking and empathic concern and higher levels of personal distress on the IRI were exhibited by the patient group. Perspective taking and personal distress were associated with affective distress and poor quality of life in social contexts (BDI, BAI, and WHOQOL). However, empathic concern was positively correlated with pain severity and social support from others (WHYMPI).
A tendency toward self-oriented distress in social cognition was exhibited among patients with CRPS Type I. Impaired empathic ability was shown to have potentially negative effects on subjective emotional outcomes and social performance in the lives of patients. Interventions to improve emotional awareness and theory of mind would be beneficial for enhancing social functioning in patients with CRPS Type I.
本研究旨在评估Ⅰ型复杂性区域疼痛综合征（CRPS）患者与健康对照者（HCs）之间共情能力的差异，并评估共情能力与疼痛多维度方面的相关性。
使用人际反应指数（IRI）对32例Ⅰ型CRPS患者和36例HCs进行共情能力测量。使用西黑文-耶鲁多维疼痛量表（WHYMPI）对患者组进行疼痛综合评估。使用贝克抑郁和焦虑量表（BDI和BAI）评估精神症状，并使用世界卫生组织生活质量量表（WHOQOL-BREF）问卷评估生活质量。
与HCs相比，CRPS患者的认知和情感共情能力受损。患者组在IRI上的观点采择和共情关注水平显著较低，而个人痛苦水平较高。观点采择和个人痛苦与情感困扰以及社交环境中的生活质量差（BDI、BAI和WHOQOL）相关。然而，共情关注与疼痛严重程度和他人的社会支持（WHYMPI）呈正相关。
Ⅰ型CRPS患者在社会认知中表现出以自我为导向的痛苦倾向。共情能力受损对患者生活中的主观情绪结果和社会表现具有潜在负面影响。改善情绪意识和心理理论的干预措施将有助于提高Ⅰ型CRPS患者的社会功能。
