Correlation of empathy with cognitive function in patients with cerebral small vessel disease

中华行为医学与脑科学杂志 Pub Date : 2020-03-20 DOI:10.3760/CMA.J.CN371468-20190930-00702

Chen Chen, Xiaojing Wang, Shanshan Cao, Jun Zhang, Q. Wei, Lei Zhang, Kai Wang

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Abstract

Objective To explore the empathy of patients with cerebral small vessel disease (CSVD) and its relationship with cognitive functions. Methods A total of 35 patients with CSVD and 26 normal controls with matching gender, age and education were enrolled.The Chinese version of the interpersonal reactivity index (IRI-C) and the multifaceted empathy test(MET) were used to assess the empathy of the participants.The montreal cognitive assessment scale (MoCA), the Hamilton anxiety scale(HAMA), and the Hamilton depression scale (HAMD) were applied to assess participants' overall cognitive function and emotional state.SPSS 19.0 software was used to analyze the differences between the CSVD group and the control group, while the influencing factors of empathy were studied by Pearson correlation analysis. Results The total scores of IRI, perspective taking(PT), fantasy(FS) and empathy concern(EC) of CSVD patients ((37.25±11.71), (6.94±4.35), (9.45±4.68) and (16.40±4.34)) were lower than those of the control group ((50.61±11.07), (11.84±3.90), (13.23±5.01), (19.69±3.03)), and the differences were statistically significant (IRI score: t=4.506, P 0.05). The MET-C results showed that there was a difference in the correct number of empathic emotion recognition between the two groups(CVSD group: (25.08±6.77), control group: (32.30±3.42), t=4.978, P 0.05). Pearson correlation analysis showed that the total score of IRI and PT in the CSVD group were positively correlated with education level (r=0.374, 0.471, both P<0.05). PT was positively correlated with MoCA score (r=0.458, P=0.006). PD was positively correlated with HAMA score and HAMD score (r=0.521, 0.541, both P<0.05). The correct number of emotion recognition was positively correlated with education level (r=0.600, P<0.001) and MoCA score (r=0.665, P<0.001), and negatively correlated with HAMA score(r=-0.445, P<0.05) and HAMD score (r=-0.421, P<0.05). Conclusion The empathy of patients with CSVD is lower than that of the normal group, and it is manifested as a decline in cognitive empathy, which is positively related to the overall cognitive function. Key words: Cerebral small vessel disease; Empathy; Cognitive function

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脑血管病患者共情与认知功能的关系

目的探讨脑血管病(CSVD)患者共情状态及其与认知功能的关系。方法选取35例CSVD患者和26例性别、年龄、文化程度相匹配的正常对照。采用中国版的人际反应指数(IRI-C)和多面共情测验(MET)来评估被试的共情能力。采用蒙特利尔认知评估量表(MoCA)、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估被试的整体认知功能和情绪状态。采用SPSS 19.0软件分析CSVD组与对照组的差异，采用Pearson相关分析研究共情的影响因素。结果CSVD患者IRI、观点采取(PT)、幻想(FS)、共情关注(EC)总分((37.25±11.71)、(6.94±4.35)、(9.45±4.68)、(16.40±4.34))低于对照组((50.61±11.07)、(11.84±3.90)、(13.23±5.01)、(19.69±3.03))，差异有统计学意义(IRI评分:t=4.506, P 0.05)。MET-C结果显示，两组共情情绪识别正确率差异有统计学意义(CVSD组:(25.08±6.77)，对照组:(32.30±3.42)，t=4.978, P < 0.05)。Pearson相关分析显示，CSVD组IRI、PT总分与文化程度呈正相关(r=0.374、0.471,P均<0.05)。PT与MoCA评分呈正相关(r=0.458, P=0.006)。PD与HAMA评分、HAMD评分呈正相关(r=0.521、0.541,P均<0.05)。情绪识别正确率与受教育程度(r=0.600, P<0.001)、MoCA评分(r=0.665, P<0.001)呈正相关，与HAMA评分(r=-0.445, P<0.05)、HAMD评分(r=-0.421, P<0.05)呈负相关。结论CSVD患者共情能力低于正常组，表现为认知共情能力下降，与整体认知功能呈正相关。关键词:脑血管病;同理心;认知功能

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来源期刊

中华行为医学与脑科学杂志

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发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.