额叶梗死对共情的影响

Effect of frontal lobe infarction on empathy

目的探讨额叶梗死对共情的影响。方法采用中国改良版多维共情测试量表(IRI-C)对82例急性额叶梗死患者(额叶梗死组)和82名健康成人(对照组)进行研究。额叶梗死组根据梗死面积、大小等因素进一步分析。结果额叶梗死组词语流畅性测验评分明显低于对照组(P<0.05)。额叶梗死组IRI-C总分、认知共情总分、情感共情总分以及观点采纳、想象力、共情性关心、个人痛苦评分均显著低于对照组(均P<0.05)。左侧额叶梗死亚组IRI-C总分、认知共情总分及观点采纳、想象力评分显著低于右侧额叶梗死亚组(均P<0.05)。额叶皮质梗死亚组患者IRI-C总分、认知共情总分及观点采纳、想像力、个人痛苦评分均显著低于额叶皮质下梗死亚组(均P<0.05)。前额叶皮质梗死亚组患者IRI-C总分、认知共情总分及观点采纳、想像力、个人痛苦评分均明显低于非前额叶皮质梗死亚组(均P<0.05)。腔隙性额叶梗死亚组和非腔隙性额叶梗死亚组患者IRI-C各项评分差异无统计学意义(均P>0.05)。结论额叶梗死患者存在认知和情感共情受损。不同部位的额叶梗死,对共情的影响有所不同。额叶梗死面积的大小对共情的影响不明显。

Objective To explore the effect of frontal lobe infarction on empathy.Methods Eighty-two patients with acute frontal lobe infarction(frontal lobe infarction group)and 82 healthy adults(control group)were studied by the modified Chinese version of multi-dimensional empathy inventory(IRI-C).The frontal lobe infarction group was further analyzed according to infarction area,size and so on.Results The score of verbal fluency test in frontal lobe infarction group was significantly lower than that in control group(P<0.05).The total scores of IRI-C,cognitive empathy,emotional empathy and scores of opinion adoption,imagination,empathic care and personal pain in infrontal lobe infarction group were significantly lower than those in control group(all P<0.05).The total scores of IRI-C,cognitive empathy and scores of opinion adoption,imagination in the left frontal lobe infarction subgroup were significantly lower than those in the right frontal lobe infarction subgroup(all P<0.05).The total scores of IRI-C,cognitive empathy and scores of opinion adoption,imagination and personal pain in the cortical infarction subgroup were significantly lower than those in the subcortical infarction subgroup(all P<0.05).The total scores of IRI-C,cognitive empathy and scores of opinion adoption,imagination and personal pain in the prefrontal infarction subgroup were significantly lower than those in the non-prefrontal infarction subgroup(all P<0.05).There was no statistically significant difference in the scores of IRI-C between lacunar frontal infarction subgroup and non-lacunar frontal infarction subgroup(all P>0.05).Conclusions There are empathy deficits in patients with frontal lobe infarction,which are manifested in the impairment of cognitive empathy and emotional empathy.The location of frontal lobe infarction has different effects on empathy.The size of frontal infarction area has no significant effect on empathy.