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  Empathy in depression: Egocentric and altercentric biases and the role of alexithymia

Hoffmann, F., Banzhaf, C., Kanske, P., Gärtner, M., Bermpohl, F., & Singer, T. (2016). Empathy in depression: Egocentric and altercentric biases and the role of alexithymia. Journal of Affective Disorders, 199, 23-29. doi:10.1016/j.jad.2016.03.007.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-0029-D674-F Version Permalink: http://hdl.handle.net/21.11116/0000-0003-1D99-1
Genre: Journal Article

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 Creators:
Hoffmann, Ferdinand1, Author              
Banzhaf, Christian2, Author
Kanske, Philipp1, Author              
Gärtner, Matti3, Author
Bermpohl, Felix2, Author
Singer, Tania1, Author              
Affiliations:
1Department Social Neuroscience, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634552              
2Department of Psychiatry and Psychotherapy, Charité University Medicine Berlin, Germany, ou_persistent22              
3Department Psychiatry, Charité University Medicine Berlin, Germany, ou_persistent22              

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Free keywords: Depression; Empathy; Alexithymia; Egocentric bias
 Abstract: Background Major depressive disorder (MDD) has been associated with empathy deficits. The exact nature of these deficits and their relation to concurrent alexithymia remain unknown. Here we tested under which conditions MDD patients with high and low alexithymia show deficient empathy, particularly investigating empathic abilities when inhibition of self-related emotional states is needed and when it is not. Methods Healthy controls (low: n=28, high: n=14) and currently depressed MDD patients (low: n=11, high: n=18) with low or high alexithymia performed an emotional egocentricity paradigm based on tactile stimulation. This task measures empathic judgements, when emotional states of self and other differ and inhibition of self-related emotional states is needed, and when they do not and thus empathic judgments can be based on simple projection mechanisms. Results Only alexithymia but not depression decreased empathy, in situations when simple projection sufficed. However, when inhibition of self-related emotional states was needed, MDD patients showed an egocentric bias during empathic judgments and an altercentric bias during self emotion judgments, the latter suggesting heightened emotional contagion, both independent of alexithymia. Across the entire sample, alexithymia decreased the size of the egocentric bias. Limitations This study was based on a relatively sample size. Conclusions These results suggest that MDD patients show intact empathic judgments, when simple projection is required and no concurrent alexithymia is present. In situations when incongruent emotional states of self and other have to be resolved, MDD patients are prone to egocentric and altercentric biases.

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Language(s): eng - English
 Dates: 2016-02-202015-09-142016-03-062016-03-162016-07-15
 Publication Status: Published in print
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1016/j.jad.2016.03.007
PMID: 27060429
Other: Epub 2016
 Degree: -

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Title: Journal of Affective Disorders
Source Genre: Journal
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Affiliations:
Publ. Info: -
Pages: - Volume / Issue: 199 Sequence Number: - Start / End Page: 23 - 29 Identifier: ISSN: 0165-0327
CoNE: https://pure.mpg.de/cone/journals/resource/954925480595