1. Association between autistic features and empathy in Chinese patients with chronic schizophrenia.
- Author
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Ma Z, Chang ZH, Zhou HX, Wang DM, and Zhang XY
- Subjects
- Humans, Female, Male, Adult, Chronic Disease, Autistic Disorder psychology, Schizophrenic Psychology, Middle Aged, China, Psychiatric Status Rating Scales, Severity of Illness Index, Young Adult, Neuropsychological Tests, East Asian People, Empathy physiology, Schizophrenia physiopathology, Schizophrenia complications
- Abstract
Objectives: It is common for patients with schizophrenia to exhibit symptoms of autism. Both autism spectrum disorders and schizophrenia share similar patterns of empathy deficits. This study purposed to explore the association between autistic features and empathy in Chinese patients with chronic schizophrenia., Methods: We enrolled 857 patients with chronic schizophrenia. The Positive and Negative Syndrome Scale (PANSS), Repeatable Battery for the Assessment of Neuropsychological 7 Status (RBANS), and Interpersonal Reactivity Index (IRI) were employed to assess the participants' clinical symptoms, neurocognition, and empathy, respectively. The severity of autistic symptoms was assessed with the PANSS Autism Severity Scale (PAUSS), with PAUSS scores ≥ 30 were considered to have significant autistic features., Results: 114 schizophrenia patients (13.3%) had autistic features. Compared to schizophrenia patients without autistic features, those with autistic features had more severe clinical symptoms, and poorer neurocognition and empathic abilities. Female sex and empathic concerns were independently associated with autistic features in patients with chronic schizophrenia., Conclusions: Our results suggest that autistic features tend to manifest quite commonly among patients with chronic schizophrenia. Empathy deficits are strongly associated with autistic features in patients with chronic schizophrenia, strengthening the view that autistic features may characterize a subgroup of schizophrenia patients., Competing Interests: Declarations. Conflict of interest: No conflict of interest was disclosed for each author. Ethical Statement: This study was approved by the Ethics Committee of the First Affiliated Hospital of Shanxi Medical University. The authors asset that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. Each patient signed a written informed consent form before participating in the trial and after they had been provided with a detailed explanation of the study., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.)
- Published
- 2025
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