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When Being Social Is Costly: Empathy's Role for Risk States, Acute Symptoms, and Cumulative Disease Severity of Depression.

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Title: When Being Social Is Costly: Empathy's Role for Risk States, Acute Symptoms, and Cumulative Disease Severity of Depression.
Authors: Choi D; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany., Usemann PL; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Förster K; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.; Child and Adolescent Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Science, Universität Hamburg, Hamburg, Germany., Zahn R; Department of Psychological Medicine, Centre for Affective Disorders, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK., Hammes V; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Stein F; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Thomas-Odenthal F; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Teutenberg L; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Flinkenflügel K; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Hubbert J; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Jurischka C; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Krieger J; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Leehr EJ; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Meinert S; Institute for Translational Psychiatry, University of Münster, Münster, Germany.; Institute for Translational Neuroscience, University of Münster, Münster, Germany., Hahn T; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Repple J; Institute for Translational Psychiatry, University of Münster, Münster, Germany.; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.; Cooperative Brain Imaging Center - CoBIC, Goethe University Frankfurt, Frankfurt, Germany., Opel N; Department of Psychiatry & Neuroscience, Charité University Medicine Berlin, Berlin, Germany.; German Centre for Mental Health (DZPG), Berlin, Germany., Jamalabadi H; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.; Division of Neurology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Jansen A; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Straube B; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Nenadić I; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Dannlowski U; Institute for Translational Psychiatry, University of Münster, Münster, Germany., Kircher T; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Alexander N; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany., Kanske P; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.; Department of Psychology, Faculty of Psychology and Educational Sciences, Babeş-Bolyai University, Cluj-Napoca, Romania.
Source: Journal of clinical psychology [J Clin Psychol] 2026 Jul 28. Date of Electronic Publication: 2026 Jul 28.
Publication Type: Journal Article
Journal Info: Publisher: Wiley Country of Publication: United States NLM ID: 0217132 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-4679 (Electronic) Linking ISSN: 00219762 NLM ISO Abbreviation: J Clin Psychol Subsets: MEDLINE
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  Data: <searchLink fieldCode="AU" term="%22Choi+D%22">Choi D</searchLink>; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.<br /><searchLink fieldCode="AU" term="%22Usemann+PL%22">Usemann PL</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Förster+K%22">Förster K</searchLink>; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.; Child and Adolescent Psychotherapy, Institute of Psychology, Faculty of Psychology and Movement Science, Universität Hamburg, Hamburg, Germany.<br /><searchLink fieldCode="AU" term="%22Zahn+R%22">Zahn R</searchLink>; Department of Psychological Medicine, Centre for Affective Disorders, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK.<br /><searchLink fieldCode="AU" term="%22Hammes+V%22">Hammes V</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Stein+F%22">Stein F</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Thomas-Odenthal+F%22">Thomas-Odenthal F</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Teutenberg+L%22">Teutenberg L</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Flinkenflügel+K%22">Flinkenflügel K</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Hubbert+J%22">Hubbert J</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Jurischka+C%22">Jurischka C</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Krieger+J%22">Krieger J</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Leehr+EJ%22">Leehr EJ</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Meinert+S%22">Meinert S</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.; Institute for Translational Neuroscience, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Hahn+T%22">Hahn T</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Repple+J%22">Repple J</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.; Cooperative Brain Imaging Center - CoBIC, Goethe University Frankfurt, Frankfurt, Germany.<br /><searchLink fieldCode="AU" term="%22Opel+N%22">Opel N</searchLink>; Department of Psychiatry & Neuroscience, Charité University Medicine Berlin, Berlin, Germany.; German Centre for Mental Health (DZPG), Berlin, Germany.<br /><searchLink fieldCode="AU" term="%22Jamalabadi+H%22">Jamalabadi H</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.; Division of Neurology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.<br /><searchLink fieldCode="AU" term="%22Jansen+A%22">Jansen A</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Straube+B%22">Straube B</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Nenadić+I%22">Nenadić I</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Dannlowski+U%22">Dannlowski U</searchLink>; Institute for Translational Psychiatry, University of Münster, Münster, Germany.<br /><searchLink fieldCode="AU" term="%22Kircher+T%22">Kircher T</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Alexander+N%22">Alexander N</searchLink>; Department of Psychiatry and Psychotherapy, Faculty of Medicine, Philipps-Universität Marburg, Marburg, Germany.; Center for Mind, Brain and Behavior, University of Marburg, Marburg, Germany.<br /><searchLink fieldCode="AU" term="%22Kanske+P%22">Kanske P</searchLink>; Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.; Department of Psychology, Faculty of Psychology and Educational Sciences, Babeş-Bolyai University, Cluj-Napoca, Romania.
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