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强迫症中的两种共情系统:心理化和经验分享。

Two systems for empathy in obsessive-compulsive disorder: mentalizing and experience sharing.

作者信息

Pino Maria C, De Berardis Domenico, Mariano Melania, Vellante Federica, Serroni Nicola, Valchera Alessandro, Valenti Marco, Mazza Monica

机构信息

Dipartimento di Medicina Clinica, Sanità Pubblica, Scienze della Vita e dell'Ambiente, Università degli studi dell'Aquila, L'Aquila, Italy.

Dipartimento di Salute Mentale, U.O.S. Servizio di Diagnosi e Cura, Teramo, Italy.

出版信息

Braz J Psychiatry. 2016 Oct-Dec;38(4):307-313. doi: 10.1590/1516-4446-2015-1679. Epub 2016 Mar 22.

DOI:10.1590/1516-4446-2015-1679
PMID:27007147
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7111355/
Abstract

OBJECTIVE

: To investigate empathic abilities in patients with obsessive-compulsive disorder (OCD) compared to control subjects. OCD is characterized by persistent obsessions and compulsions. Previous studies have proposed specific emotion recognition deficits in patients with OCD. The ability to recognize emotion is part of the broad construct of empathy that incorporates mentalizing and experience-sharing dimensions.

METHODS

: Twenty-four subjects with a diagnosis of OCD and 23 control subjects underwent empathic measures.

RESULTS

: Patients with OCD compared to control subjects showed deficits in all mentalizing measures. They were incapable of understanding the mental and emotional states of other people. On the other hand, in the sharing experience measures, the OCD group was able to empathize with the emotional experience of other people when they expressed emotions with positive valence, but were not able to do when the emotional valence was negative.

CONCLUSION

: Our results suggest that patients with OCD show a difficulty in mentalizing ability, whereas the deficit in sharing ability is specific for the negative emotional valence.

摘要

目的

研究强迫症(OCD)患者与对照组相比的共情能力。强迫症的特征是持续的强迫观念和强迫行为。先前的研究提出强迫症患者存在特定的情绪识别缺陷。情绪识别能力是共情这一广泛概念的一部分,共情还包括心理化和经验分享维度。

方法

24名被诊断为强迫症的受试者和23名对照受试者接受了共情测量。

结果

与对照组相比,强迫症患者在所有心理化测量中均表现出缺陷。他们无法理解他人的心理和情绪状态。另一方面,在经验分享测量中,强迫症组在他人表达正性情绪时能够对其情绪体验产生共情,但在情绪为负性时则无法做到。

结论

我们的结果表明,强迫症患者在心理化能力方面存在困难,而分享能力的缺陷则特定于负性情绪效价。

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