Gender Differences in Empathic Ability and Facial Emotion Recognition of Schizophrenic Patients

성별에 따른 조현병 환자의 공감 능력 및 얼굴 정서 인식 능력의 차이

  • Kim, Ki-Chang (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Son, Jung-Woo (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Ghim, Hei-Rhee (Department of Psychology, Chungbuk National University) ;
  • Lee, Sang-Ick (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Shin, Chul-Gin (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Kim, Sie-Kyeong (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Ju, Gawon (Department of Neuropsychiatry, College of Medicine, Chungbuk National University) ;
  • Eom, Jin-Sup (Department of Psychology, Chungbuk National University) ;
  • Jung, Myung-Sook (Department of Welfare Psychology, Kkottongnae University) ;
  • Park, Min (Department of Psychological Rehabilitation, Korea Nazarene University) ;
  • Moon, Eunok (Department of Psychology, Chungbuk National University) ;
  • Cheon, Young-Un (Department of Psychology, Chungbuk National University)
  • 김기창 (충북대학교 의과대학 정신건강의학교실) ;
  • 손정우 (충북대학교 의과대학 정신건강의학교실) ;
  • 김혜리 (충북대학교 심리학과) ;
  • 이상익 (충북대학교 의과대학 정신건강의학교실) ;
  • 신철진 (충북대학교 의과대학 정신건강의학교실) ;
  • 김시경 (충북대학교 의과대학 정신건강의학교실) ;
  • 주가원 (충북대학교 의과대학 정신건강의학교실) ;
  • 엄진섭 (충북대학교 심리학과) ;
  • 정명숙 (꽃동네대학교 복지심리학과) ;
  • 박민 (나사렛대학교 심리재활학과) ;
  • 문은옥 (충북대학교 심리학과) ;
  • 천영운 (충북대학교 심리학과)
  • Received : 2014.01.13
  • Accepted : 2014.01.22
  • Published : 2014.02.28

Abstract

Objectives The aim of the present study was to investigate gender difference in empathic ability and recognition of facial emotion expression in schizophrenic patients. Methods Twenty-two schizophrenic outpatients (11 men and 11 women) and controls (10 men and 12 women) performed both the scale of Empathic Quotient (EQ) and facial emotion recognition test. We compared the scores of EQ and the facial emotion recognition test among each group according to diagnosis and gender. Results We found a significant sex difference in the scores of EQ and the facial emotion recognition test in the schizophrenic patients. And there were significantly negative correlation between the score of the facial emotion recognition test and the scores of Positive and Negative Symptom Scale (PANSS) in female schizophrenic patients. However, in male schizophrenic patients, there were no significant correlations between the score of each test and the scores of PANSS. Conclusions This study suggests that the sex difference in empathic ability and facial emotion recognition would be very important in chronic schizophrenic patients. Investigation of sex effects in empathic ability and facial emotion recognition in chronic schizophrenic patients would present an important solution for constructing optimal rehabilitation program.

Keywords

References

  1. Park JW, Yoo BK, Kwon SM, Kim TS, Kim YT, Kwon DH, et al. Theory of mind and empathy in schizophrenia. J Korean Soc Biol Ther Psychiatry 2007;13:222-231.
  2. Park EH. Individual difference in empathizing and systemizing [dissertation]. Cheongju: Chungbuk University;2008.
  3. Langdon R, Coltheart M, Ward PB. Empathetic perspective-taking is impaired in schizophrenia: evidence from a study of emotion attribution and theory of mind. Cogn Neuropsychiatry 2006;11:133-155. https://doi.org/10.1080/13546800444000218
  4. Chun YG. Empathy and interpersonal skills of the schizophrenic patients [dissertation]. Daegu: Keimyung University;2004.
  5. Son AR, Kim JW, Hwang ST, Choi EA, Kim SE. Judgemental capacity for the appropriateness of facial affect and intention in patients with schizophrenia. Korean J Clin Psychol 2004;23:327-338.
  6. Park SH, Yoon SA, Kim MS. Deficits of facial affect perception in patients with schizophrenia. Korean J Clin Psychol 2007;26:845-865. https://doi.org/10.15842/kjcp.2007.26.4.003
  7. Baron-Cohen S. The extreme male brain theory of autism. Trends Cogn Sci 2002;6:248-254. https://doi.org/10.1016/S1364-6613(02)01904-6
  8. Choi HO, Ghim HR. Sex and major differences in mindreading abilities, empathizing, and systemizing traits: data from Korean college students. Korean J Dev Psychol 2010;23:119-139.
  9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. 4th ed. Washington, DC: American Psychiatric Association;2000.
  10. Yoo SW, Kim YS, Noh JS, Oh KS, Kim CH, Namkoong K, et al. Validity of Korean version of the MINI international neuropsychiatric interview. Anxiety Mood 2006;2:50-55.
  11. Yeom TH, Park YS, Oh KJ, Kim JG, Lee YH. Korean Wechsler Adult Intelligence Scale (K-WAIS) Manual. Seoul: Handbook Guidance; 1992.
  12. Baron-Cohen S. Essential Difference: Male and Female Brains and the Truth about Autism. Translated by Lee SB, Kim HR. Seoul: Bada Books;2007.
  13. Baron-Cohen S, Wheelwright S, Jolliffe T. Is there a "language of the eyes"? evidence from normal adults, and adults with autism or asperger syndrome. Visual Cogn 1997;4:311-331. https://doi.org/10.1080/713756761
  14. Cho KJ, Park SJ, Song IH, Ghim HR. Developmental changes in emotional-states and facial expression. Korean J Sci Emot Sensib 2007;10:127-138.
  15. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261-276. https://doi.org/10.1093/schbul/13.2.261
  16. Toussaint L, Webb JR. Gender differences in the relationship between empathy and forgiveness. J Soc Psychol 2005;145:673-685. https://doi.org/10.3200/SOCP.145.6.673-686
  17. Weiss EM, Kohler CG, Brensinger CM, Bilker WB, Loughead J, Delazer M, et al. Gender differences in facial emotion recognition in persons with chronic schizophrenia. Eur Psychiatry 2007;22:116-122. https://doi.org/10.1016/j.eurpsy.2006.05.003
  18. Hofer A, Benecke C, Edlinger M, Huber R, Kemmler G, Rettenbacher MA, et al. Facial emotion recognition and its relationship to symptomatic, subjective, and functional outcomes in outpatients with chronic schizophrenia. Eur Psychiatry 2009;24:27-32. https://doi.org/10.1016/j.eurpsy.2008.06.008
  19. McClure EB. A meta-analytic review of sex differences in facial expression processing and their development in infants, children, and adolescents. Psychol Bull 2000;126:424-453. https://doi.org/10.1037/0033-2909.126.3.424
  20. Chan RC, Li H, Cheung EF, Gong QY. Impaired facial emotion perception in schizophrenia: a meta-analysis. Psychiatry Res 2010;178: 381-390. https://doi.org/10.1016/j.psychres.2009.03.035
  21. Derntl B, Seidel EM, Schneider F, Habel U. How specific are emotional deficits? A comparison of empathic abilities in schizophrenia, bipolar and depressed patients. Schizophr Res 2012;142:58-64. https://doi.org/10.1016/j.schres.2012.09.020