Girón M, Gómez-Beneyto M
Department of Internal Medicine and Psychiatry, University of Alicante, Spain.
Schizophr Bull. 1998;24(4):619-27. doi: 10.1093/oxfordjournals.schbul.a033353.
Empathy plays a central role in social relationships, and lack of empathy has been suggested as part of expressed emotion in the relatives of patients with schizophrenia. The aim of this research is to measure empathy in the relatives of schizophrenia patients and to establish the relationship between lack of empathy and relapse. Eighty schizophrenia patients were followed up in a 2-year prospective cohort study. Relatives' empathy, defined as the ability to perceive the patient's mood state, was measured at the beginning of the study with a questionnaire given after a 10-minute interaction between the patient and his or her relative. Several other attitudinal, clinical, and social variables were also measured. A significant relationship was found between poor empathic attitude and relapse. Lack of treatment compliance, negative symptoms, unemployment, and poor premorbid adjustment were also associated with relapse. In a multivariate analysis, the association between poor empathic attitude and relapse was maintained. Statistical control of the relatives' critical attitude showed that each kind of attitude predicts relapse independently.
同理心在社会关系中起着核心作用，并且缺乏同理心被认为是精神分裂症患者亲属情感表达的一部分。本研究的目的是测量精神分裂症患者亲属的同理心，并确定缺乏同理心与复发之间的关系。在一项为期两年的前瞻性队列研究中，对80名精神分裂症患者进行了随访。亲属的同理心定义为感知患者情绪状态的能力，在研究开始时，通过在患者与其亲属进行10分钟互动后发放的问卷进行测量。还测量了其他一些态度、临床和社会变量。发现共情态度差与复发之间存在显著关系。治疗依从性差、阴性症状、失业和病前适应不良也与复发有关。在多变量分析中，共情态度差与复发之间的关联依然存在。对亲属批评态度的统计控制表明，每种态度都能独立预测复发。
