背景:从理论上讲,患有边缘性人格障碍(BPD)的人经历了较低的认知移情,但情感移情增强。尽管荟萃分析解决了认知移情,情感移情仍未被探索。这项预先注册的系统评价和荟萃分析调查了具有BPD或高BPD特征的个体相对于健康比较的情感移情。使用多维方法,包括,早期的情感同理心,情绪传染,和同情的关注。
方法:SCOPUS的系统搜索,PubMed,Medline完成,和PsycINFO(2022年6月27日,2023年5月14日和2024年7月1日)完成。纳入的研究将具有BPD/高BPD特征的人的情感移情与健康比较进行了比较,利用实验或自我报告设计,并且是同行评审或博士学位论文。使用纽卡斯尔-渥太华量表评估偏倚风险。
结果:在确定的22项符合条件的研究中,结果显示,具有BPD/高BPD特征的个体表现出明显更高的情绪传染(Npurched=1797,g=-1.10,95%CI[-1.57,-0.62])。在共情方面没有发现显着差异(Npurched=1545,g=0.06,95%CI[-0.10,0.22]),或对愤怒的早期情感移情(Npurched=245,g=0.28,95%CI[-0.0.53,1.09])和幸福,(Npowered=189,g=0.34,95%CI[-0.1.50,2.18])。
结论:很少有包括早期情感移情的研究,更广泛的文献和研究异质性中的方法论缺陷表明,在解释这些影响时,强调有针对性的研究的必要性。
结论:虽然具有BPD/高BPD特征的个体更有可能通过情绪传染主观体验他人的痛苦,在早期情感同理心或直接同情和关心他人的能力方面没有发现差异。
BACKGROUND: Individuals with Borderline Personality Disorder (BPD) are theorized to experience lower cognitive empathy but heightened affective empathy. Despite meta-analyses addressing cognitive empathy, affective empathy remains unexplored. This pre-registered systematic
review and meta-analysis investigated affective empathy in individuals with BPD or high BPD traits relative to healthy comparisons, using a multidimensional approach including, early affective empathy, emotion contagion, and empathic concern.
METHODS: Systematic search of SCOPUS, PubMed, Medline COMPLETE, and PsycINFO (June 27, 2022, May 14, 2023, and July 1, 2024) was completed. Included studies compared affective empathy in those with BPD/high BPD traits with healthy comparisons, utilized experimental or self-report designs, and were peer-reviewed or PhD theses. Risk of bias was assessed using the Newcastle-Ottawa Scale.
RESULTS: Among 22 eligible studies identified, results revealed individuals with BPD/high BPD traits showed significantly higher emotion contagion (Npooled = 1797, g = -1.10, 95 % CI [-1.57, -0.62]). No significant differences were found in empathic concern (Npooled = 1545, g = 0.06, 95 % CI [-0.10, 0.22]), or early affective empathy for anger (Npooled = 245, g = 0.28, 95 % CI [-0.0.53, 1.09]) and happiness, (Npooled = 189, g = 0.34, 95 % CI [-0.1.50, 2.18]).
CONCLUSIONS: Few included studies for early affective empathy, methodological shortcomings in the broader literature and study heterogeneity suggest caution when interpreting these effects, emphasizing the need for targeted research.
CONCLUSIONS: While individuals with BPD/high BPD traits are more likely to subjectively experience others\' distress through emotion contagion, no differences were found in early affective empathy or ability to direct sympathy and concern towards others.