CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(12): 982-985
DOI: 10.1590/0004-282X20160154
ARTICLE

Patients with multiple sclerosis present low levels of empathy

Pacientes com esclerose múltipla apresentam baixos níveis de empatia
Marcos Barbosa de Almeida
1   Universidade Católica de Santos, Departamento de Psicologia, Santos SP, Brasil;
,
Luana Carramilo Going
1   Universidade Católica de Santos, Departamento de Psicologia, Santos SP, Brasil;
2   Universidade Metropolitana de Santos, Programa de Pós-Graduação, Santos SP, Brasil;
,
Yara Dadalti Fragoso
2   Universidade Metropolitana de Santos, Programa de Pós-Graduação, Santos SP, Brasil;
3   Universidade Metropolitana de Santos, Departamento de Neurologia, Santos SP, Brasil.
› Author Affiliations

ABSTRACT

Multiple sclerosis (MS) is a chronic neuroimmunological disease that mainly affects young adults, leading to neurological disabilities over the course of their lives. Many psychiatric conditions have been reported in patients with MS, but there are remarkably few studies assessing empathy among these patients.

Methods

This is a single center, cross-sectional study, of 34 patients with MS and 34 matched control subjects. A specific questionnaire (empathy quotient) was used.

Results

Patients with MS showed significantly lower levels of empathy. This finding was not correlated with disease duration, degree of disability, drugs for treating MS or lesion load on resonance magnetic imaging.

Conclusion

Decreased empathy is a frequent condition in patients with MS and should be addressed in order to diminish the psychosocial burden of this neurological disease.

RESUMO

Esclerose múltipla (EM) é uma doença crçnica neuroimune que afeta principalmente adultos jovens, levando a incapacidades neurológicas ao longo do curso de suas vidas. Diversas condições psiquiátricas foram relatadas em pacientes com EM, porém existem muito poucos trabalhos que avaliam empatia nestes pacientes.

Métodos

Este foi um estudo transversal e unicêntrico com 34 pacientes com EM e 34 controles saudáveis pareados. Um questionário específico foi utilizado (Quociente de Empatia).

Resultados

Os pacientes com EM mostraram níveis significativamente mais baixos de empatia. Este achado não estava correlacionado com a duração da doença, grau de incapacidade, droga utilizada no tratamento da EM ou carga lesional na ressonância magnética.

Conclusão

Redução da empatia parece ser uma condição frequente em pacientes com EM e deve ser abordada para diminuir a carga psicossocial nos pacientes que apresentam esta doença neurológica.



Publication History

Received: 06 July 2016

Accepted: 01 September 2016

Article published online:
06 September 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Cerqueira AC, Semionato de Andrade P, Godoy Barreiros JM, Teixeira AL, Nardi AE. Psychiatric disorders in patients with multiple sclerosis. Compr Psychiatry. 2015;63:10-4. doi:10.1016/j.comppsych.2015.08.001
  • 2 Tallantyre EC, Bø L, Al-Rawashdeh O, Owens T, Polman CH, Lowe JS et al. Clinico-pathological evidence that axonal loss underlies disability in progressive multiple sclerosis. Mult Scler. 2010;16(4):406-11. doi:10.1177/1352458510364992
  • 3 Carlozzi AF, Bull KS, Stein LB, Ray K, Barnes L. Empathy theory and practice: a survey of psychologists and counselors. J Psychol. 2002;136(2):161-70. doi:10.1080/00223980209604147
  • 4 Ben-Ami Bartal I, Decety J, Mason P. Empathy and pro-social behavior in rats. Science. 2011;334(6061):1427-30. doi:10.1126/science.1210789
  • 5 Freidin E, Carballo F, Bentosela M. Direct reciprocity in animals: the roles of bonding and affective processes. Int J Psychol. 2015. doi:10.1002/ijop.12215
  • 6 Van Horn JD, Irimia A, Torgerson CM, Chambers MC, Kikinis R, Toga AW. Mapping connectivity damage in the case of Phineas Gage. PLoS One. 2012;7(5):e37454. doi:10.1371/journal.pone.0037454
  • 7 Thiebaut de Schotten M, Dell’Acqua F, Ratiu P, Leslie A, Howells H, Cabanis E et al. From Phineas Gage and Monsieur Leborgne to H.M.: revisiting disconnection syndromes. Cereb Cortex. 2015;25(12):4812-27. doi:10.1093/cercor/bhv173
  • 8 Nienhuis JB, Owen J, Valentine JC, Winkeljohn Black S, Halford TC, Parazak SE et al. Therapeutic alliance, empathy, and genuineness in individual adult psychotherapy: a meta-analytic review. Psychother Res. 2016;7:1-13. doi:10.1080/10503307.2016.1204023
  • 9 Valk P, Amor S. Preactive lesions in multiple sclerosis. Curr Opin Neurol. 2009;22(3):207-13. doi:10.1097/WCO.0b013e32832b4c7
  • 10 Kraemer M, Herold M, Uekermann J, Kis B, Wiltfang J, Daum I et al. Theory of mind and empathy in patients at an early stage of relapsing remitting multiple sclerosis. Clin Neurol Neurosurg. 2013;115(7):1016-22. doi:10.1016/j.clineuro.2012.10.027
  • 11 Gleichgerrcht E, Tomashitis B, Sinay V. The relationship between alexithymia, empathy and moral judgment in patients with multiple sclerosis. Eur J Neurol. 2015;22(9):1295-303. doi:10.1111/ene.12745
  • 12 Polman CH, Reingold SC, Banwell B, Clanet M, Cohen JA, Filippi M et al. Diagnostic criteria for multiple sclerosis: 2010 Revisions to the McDonald criteria. Ann Neurol..2011;69(2):292-302. doi:10.1002/ana.22366
  • 13 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70. doi:10.1111/j.1600-0447.1983.tb09716.x
  • 14 Baron-Cohen S, Wheelwright S. The empathy quotient: an investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. J Autism Dev Disord. 2004;34(2):163-75. doi:10.1023/B:JADD.0000022607.19833.00
  • 15 Rodrigues J, Lopes A, Giger JC et al. Escalas de medição do Quociente de Empatia/Sistematização: um ensaio de validação para a população portuguesa. Psicologia.. 2011;25:73-89.
  • 16 Schiffer B, Pawliczek C, Müller BW, Gizewski ER, Walter H. Why don’t men understand women? Altered neural networks for reading the language of male and female eyes. PLoS One. 2013;8(4):e60278. doi:10.1371/journal.pone.0060278
  • 17 Baron-Cohen S, Cassidy S, Auyeung B, Allison C, Achoukhi M, Robertson S et al. Attenuation of typical sex differences in 800 adults with autism vs. 3,900 controls. PLoS One. 2014;9(7):e102251. doi:10.1371/journal.pone.0102251
  • 18 Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444-52. doi:10.1212/WNL.33.11.1444
  • 19 Lawrence EJ, Shaw P, Baker D, Baron-Cohen S, David AS. Measuring empathy: reliability and validity of the Empathy Quotient. Psychol Med. 2004;34(5):911-9. doi:10.1017/S0033291703001624
  • 20 Giovannetti AM, Brambilla L, Torri Clerici V, Antozzi C, Mantegazza R, Černiauskaitė M et al. Difficulties in adjustment to multiple sclerosis: vulnerability and unpredictability of illness in the foreground. Disabil Rehabil. 2016:1-7. doi:10.3109/09638288.2016.1170212
  • 21 Uccelli MM. The impact of multiple sclerosis on family members: a review of the literature. Neurodegener Dis Manag. 2014;4(2):177-85. doi:10.2217/nmt.14.6
  • 22 Lysandropoulos AP, Havrdova E; ParadigMS Group. ‘Hidden’ factors influencing quality of life in patients with multiple sclerosis. Eur J Neurol. 2015;22[Suppl 2]:28-33. doi:10.1111/ene.12801