Greater empathic abilities and resting state brain connectivity differences in psychotherapists compared to non-psychotherapists

Cortical folding in distinguishing first-episode bipolar and unipolar depression

BACKGROUNDS

Clinical studies to date have yet to establish distinct boundaries between depression in bipolar disorder (BD) and unipolar depression (UD), leading to misdiagnoses and even exacerbation of the conditions. This study aimed to explore the distinctions in the local gyrification index (LGI) between BD and UD, and to evaluate its potential diagnostic value as a biomarker.

METHODS

LGI values across 68 cortical regions were measured from 42 patients with BD, 45 patients with UD, and 45 healthy controls (HCs) based on the Desikan-Killiany atlas. General linear model was performed to compare LGI values among the three groups. XGBoost classifier was implemented to develop a binary classification model for distinguishing BD from UD. Additionally, the correlation between clinical characteristics and LGI values was investigated separately within the BD and UD groups.

RESULTS

Compared to HCs, individuals with BD and UD exhibited significantly reduced LGI values in various cortical regions. Nine LGI regions in the BD group displayed reduced values compared to the UD group, except for a singular increase in the left frontal pole (ηp2 = 0.173; P = 0.006). No significant association was found between LGI values and clinical characteristics within the patient groups. The XGBoost classifier achieved a distinction accuracy of 73.7 % between BD and UD, with the left frontal pole making the most significant contribution to the model.

CONCLUSIONS

The findings suggest that LGI could be a relatively stable neuroimaging biomarker for distinguishing between BD and UD.

Empathy-related differences in the anterior cingulate functional connectivity of regular cannabis users when compared to controls

It has been reported that cannabis consumption affects the anterior cingulate cortex (ACC), a structure with a central role in mediating the empathic response. In this study, we compared psychometric scores of empathy subscales, between a group of regular cannabis users (85, users) and a group of non-consumers (51, controls). We found that users have a greater Emotional Comprehension, a cognitive empathy trait involving the understanding of the "other" emotional state. Resting state functional MRI in a smaller sample (users = 46, controls = 34) allowed to identify greater functional connectivity (FC) of the ACC with the left somatomotor cortex (SMC), in users when compared to controls. These differences were also evident within the empathy core network, where users showed greater within network FC. The greater FC showed by the users is associated with emotional representational areas and empathy-related regions. In addition, the differences in psychometric scores suggest that users have more empathic comprehension. These findings suggest a potential association between cannabis use, a greater comprehension of the other's affective state and the functional brain organization of the users. However, further research is needed to explore such association, since many other factors may be at play.

Meta-analysis of functional neuroimaging and dispositional variables for clinical empathy

Clinical empathy refers to the ability of healthcare providers (HP) to recognize and understand what patients feel. While neuroimaging investigations have identified a neural network of empathy, activation consistency of brain regions and their specific functions in clinical empathy remains unclear. Herein, we conducted meta-analyses of dispositional assessments using random-effects models and functional neuroimaging using Seed-based d Mapping with Permutation of Subject Images to ascertain the shared neural processes consistently identified as relevant to clinical empathy. The dispositional meta-analysis (n = 15) revealed that HP exhibited higher scores on empathic concern and perspective taking. The HP neuroimaging meta-analysis (n = 11) identified consistent activation of the anterior mid-cingulate cortex, anterior insula, and ventrolateral prefrontal cortex (vlPFC) while HP vs. controls comparison (n = 9) did not yield robust alterations. The vlPFC mediated positive and negative functional connectivity of the insula. We revisited the framework of emotion regulation in clinical empathy. The empathetic agent flexibly shifts between affective regulatory strategies to meet contextual demands, with vlPFC figuring as the key region where this neural mechanism takes place.

Affective and cognitive brain-networks are differently integrated in women and men while experiencing compassion

Different theoretical models have proposed cognitive and affective components in empathy and moral judgments encompassing compassion. Furthermore, gender differences in psychological and neural functions involving empathic and moral processing, as well as compassionate experiences, have been reported. However, the neurobiological function regarding affective and cognitive integration underlying compassion and gender-associated differences has not been investigated. In this study, we aimed to examine the interaction between cognitive and emotional components through functional connectivity analyzes and to explore gender differences for the recruitment and interaction of these components. Thirty-six healthy participants (21–56 years; 21 women) were exposed to social images in an fMRI session to judge whether the stimuli elicited compassion. The results showed a different connectivity pattern for women and men of the insular cortex, the dorsomedial prefrontal cortex (dmPFC), the orbitofrontal cortex (OFC), and the cingulate cortex. The integration of affective and cognitive components follows a complex functional connectivity pattern that is different for both genders. These differences may indicate that men largely make compassionate judgments based on contextual information, while women tend to notably take internal and introspective processes into account. Women and men can use different affective and cognitive routes that could converge in similar learning of moral values, empathic experiences and compassionate acts.