Relations between empathy and anxiety dimensions in inpatient adolescents

Background and objectives: A better understanding of the relationships between empathy and internalizing disorders is needed to plan therapeutic interventions for children and adolescents. Several studies have revealed positive relations of internalizing symptoms to personal distress and affective empathy. However, there is a lack of studies that take into account the multidimensional nature of anxiety in its relation to empathy.

Design: Structural equation modeling was used to test the moderated mediation model of the relations between empathy, depression and anxiety dimensions and the moderating role of gender on these associations in inpatient adolescents.

Method: A total of 403 inpatient adolescents aged 12–17 years completed the Basic Empathy Scale, the Multidimensional Anxiety Scale for Children, and the Beck Depression Inventory-II.

Results: Affective empathy was positively related to all the anxiety dimensions – most strongly to separation/panic and humiliation/rejection anxiety, whereas cognitive empathy was negatively related to social and separation/panic anxiety. Relations between affective and cognitive empathy and anxiety were partly mediated by depressive symptoms. No evidence of a moderating role of gender has been found.

Conclusions: Our results suggest that processes associated with empathy may play a role in the development or maintenance of anxiety symptoms.     

The relation between anxiety disorder and experiential avoidance in inpatient adolescents

The current study aimed to examine the relation between experiential avoidance and anxiety disorders, as well as the usefulness of the Avoidance and Fusion Questionnaire for Youth (AFQ-Y; Greco, Lambert, & Baer, 2008) in detecting anxiety disorder in a sample of adolescent inpatients. First, the relation between experiential avoidance and anxiety among inpatient adolescents was investigated from categorical and dimensional points of view, making use of self-report and parent report, as well as clinical interview, while controlling for depression and externalizing problems. Second, we sought to establish the clinical utility value of the AFQ-Y by determining the sensitivity, specificity, and clinical cutoff score of this measure in predicting anxiety disorder. To this end, a sample of inpatient adolescents (N = 111) with a mean age of 16.14 (SD = 1.39) years completed the AFQ-Y, alongside interview- and questionnaire-based measures of psychopathology. Results showed a significant relation between anxiety disorder and experiential avoidance, independent of depression. Receiver operating characteristics analysis revealed that the AFQ-Y has moderate accuracy (area under the curve = .815, SE = .047, p < .001) in discriminating adolescents with a diagnosis of any anxiety disorder (cutoff score 26.5; sensitivity = .74, specificity = .76). Given the comorbidity of anxiety and depression in this sample, this cutoff is not indicative of pure anxiety disorder but may be helpful in predicting those with emotional disorders in general.     

A twin study of computer anxiety in Turkish adolescents

The present study investigated computer anxiety within a sample of Turkish twins aged 10-18. A total of 185 twin-pairs participated in the study. Of the twins, 64 pairs (34.6 percent) were monozygotic (MZ) and 121 pairs (65.4 percent) were dizygotic (DZ). Of the 121 DZ twins, 54 pairs (44.63 percent) were same-sex twins and 67 pairs (55.37 percent) were opposite-sex twins. Computer anxiety was assessed using Computer Anxiety Rating Scale-Turkish Version (CARS-TV), one of the three main scales of "Measuring Technophobia Instruments" developed by Rosen and Weil. The results of paired t test comparisons showed no significant differences in MZ and same-sex DZ twin-pairs' levels of computer anxiety. On the other hand, a significant difference was found in opposite-sex DZ twin-pairs' level of computer anxiety. Interesting enough, males appeared to be more computer anxious than their female co-twins. In the present study, using Falconer's formula, heritability estimate for computer anxiety was derived from correlations based on MZ and DZ twins' mean scores on CARS-TV. The results showed that 57 percent of the variance in computer anxiety was from genetics and 41.5 percent was from nonshared environmental factors. Shared environmental influence, on the other hand, was very small and negligible. Interpretations of results and potential directions for future research are presented.     

Social problem-solving in depressed,conduct-disordered,and normal adolescents

Although past theory and research implicate social problem-solving deficits in both depression and aggressive disorders, research examining carefully diagnosed groups of adolescent depressed and conduct-disordered groups had not previously been conducted. In the current study three groups of adolescents (major depression, conduct-disordered, and normal) were studied using two social problem-solving measures. Both the Means-Ends Problem-Solving task (MEPS) and the Social Situations Analysis measure (SSA) failed to show social problem-solving problem deficits in the depressed group relative to their normal age peers, but did provide corroborative evidence for social problem-solving deficits in the conduct-disordered sample. Relative to the other two groups, the conduct-disordered adolescents were found to generate fewer means to a social end, to anticipate fewer obstacles in the pursuit of solutions to interpersonal situations, and to generate fewer assertive behavioral solutions to difficult social situations. The results are discussed in relation to other work with depressed and aggressive youth, and directions for future research are given.     

Contribution of ADHD symptoms to substance problems and delinquency in conduct-disordered adolescents

We examined adolescents with conduct disorder (CD) and substance problems to determine if those with attention deficit hyperactivity disorder (ADHD) symptomatology had more severe delinquency and substance involvement. ADHD symptomatology was assessed in two ways: (1) by self-reports using the Diagnostic Interview Schedule for Children (DISC) and (2) by use of DISC plus reports of others (parents, program staff, and program teacher). We divided boys into three ADHD groups based on DISC: those who met criteria, those who reported at least eight current symptoms, and those who reported fewer than eight symptoms. We also divided the same boys into two groups: those with reports of ADHD by two or more sources and those without this multisource ADHD. Examining these definitions of ADHD revealed that boys with either self- or multisource ADHD had more CD symptoms, earlier age of CD onset, more substance dependence diagnoses, and more comorbid depression and anxiety.This investigation was supported by the National Institute on Drug Abuse Grant No. DAO6941.     

Gender differences in coping and daily stress in conduct-disordered and non-conduct-disordered adolescents

Research shows that conduct disorder (CD) manifests differently in boys and girls, yet little is known about specific characteristics of girls with CD. This study examined gender differences in stress and coping in both CD (n = 69) and non-conduct-disordered (NCD) adolescents (n = 64). Results indicated similar patterns of gender differences in stress and coping, although CD adolescents reported a higher frequency of stress and maladaptive coping strategies than NCDs. Girls reported more daily stress and greater use of coping associated with both social relationships and emotional venting. A significant interaction effect distinguished girls with CD from other groups by their higher level of daily stress, more frequent use of self-injurious behavior and emotion-focused coping, and deficits in active coping.     

Peer interactions of conduct-disordered,anxious-withdrawn,and well-adjusted black adolescents

The relationship between behavior problems and adolescent peer relations was examined in 30 black male adolescents divided into three equal-sized groups on the basis of individual psychosocial functioning (conduct-disordered, anxious-withdrawn, well-adjusted). Groups were matched on age, IQ, and father absence. An observational method was used to evaluate dominance, conflict, affect, and social competence manifested with a friend and with a well-adjusted stranger. Conduct-disordered and anxious-withdrawn adolescents displayed less social competence and less positive affect than well-adjusted adolescents when interacting with both friends and strangers. Anxious-withdrawn adolescents evidenced more personal apprehension than their well-adjusted counterparts. All groups showed greater leadership ability, talked more, and showed less personal apprehension with friends than with strangers. The findings support the role of peer relations in the maintenance and exacerbation of adolescent psychosocial difficulties.This research was supported by funding to the Department of Psychology at Memphis State University granted through the Centers of Excellence Program of the State of Tennessee. This article is based on a master's thesis submitted by the first author to the Department of Psychology at Memphis State University.     

Career exploration in adolescents: The role of anxiety, attachment, and parenting style

The aim of the study was to examine the role of parent-adolescent attachment, adolescent anxiety and parenting style in the career exploration process and in career satisfaction. Three kinds of anxiety were considered: general trait anxiety, fear of failing in one’s career and fear of disappointing one’s parents. The participants were 283 French high school students on the threshold of one of the most important school transitions. The results varied by gender. For girls, general anxiety and neglectful style were negatively related to career exploration; secure attachment and fear of failing were positively related to it. For boys, fear of disappointing parents was positively related to career exploration. Attachment to parents, authoritative style, general anxiety, and fear of failing were related to some career exploration satisfaction scores, though differently for boys and girls. The differences between boys and girls in the roles played by anxiety, attachment and parenting style are discussed.     

Rorschach object relations of adolescents who committed homicide.

We investigated the object relations of adolescents who committed homicide. A clinical sample of 55 adolescents who committed homicide did not differ from a comparison group of nonviolent delinquents on Rorschach measures of object differentiation, mutuality of autonomy, and aggressive content. However, the subgroup of adolescents who committed homicides in the context of another crime (e.g., robbery or burglary) did manifest significantly lower object relations (poorer object differentiation and more victim responses) than the subgroup of adolescents whose homicides were committed in the context of an interpersonal conflict or dispute with the victim. These findings support the need for differentiated classification of violent individuals as urged by Megargee (1970) over 20 years ago.     

Adult attachment theory and Rorschach Inkblot Method: A systematic literature review

This critical appraisal and synthesis review explores the literature on the evidence of Rorschach Inkblot Method variables as measures of the attachment theory. We searched for publications making use of EBSCO Discovery Service (EDS) which included 41 databases of which Academic Search Premier, ScienceDirect, PsycARTICLES, and PsycINFO yielded the most results. Inclusion criteria were published studies concerning Rorschach and attachment theory where participants were older than 18 years. Non-academic literature and studies not published in English were excluded. We synthesised the evidence following the narrative approach of Petticrew and Roberts (2006 Petticrew, M., & Roberts, H. (Eds.). (2006). Systematic reviews in social sciences: A practical guide. Oxford, UK: Blackwell Publishing Ltd. https://doi.org/10.1002/9780470754887[Crossref] , [Google Scholar]). Findings suggest texture, oral responses, and Rorschach oral dependency strongly associated with attachment security, with other variables indicating weaker associations with attachment.     

A comprehensive treatment program for inpatient adolescents

A unit-wide behavioral program for inpatient adolescents was developed and implemented on a coeducational residential unit for six months. Significant clinical reductions were achieved in broken windows, emergency restraint usage, PRNs, medication dosages and the percent of clients receiving psychotropic medications. These reductions continued during the program's maintenance phase. Factors are discussed that appeared to have contributed to the program's success. © 1998 John Wiley & Sons, Ltd.     

Single-sign Rorschach suicide indicators: a validity study using a depressed inpatient population

This study attempted to test the validity of using single responses on the Rorschach as indicators of current suicidal risk. Forty-one depressed inpatients were administered the Rorschach along with a concurrent measure of depression and suicidality. Appelbaum and Holzman's (1962) color-shading sign was found to be related to low suicidal risk, whereas Blatt and Ritzler's (1974) transparency sign was found to be unrelated to current suicidal risk, but still related to a past history of suicide attempts. Patients who saw these signs while depressed were also likely to see them when recovered, suggesting that the signs may indicate a "suicidal personality" who may or may not be in any immediate danger of committing suicide.     

Brief Rorschach records with children and adolescents

In order to determine the frequency with which children and adolescents give brief Rorschach (R less than 14) records and to test the hypothesis that brief records represent a resistance to testing, the psychological evaluations of 439 admissions to an inpatient unit were reviewed. Of the records reviewed, 16.6% were found to contain less than 14 responses. When the complete test protocol of those subjects who provided brief records were compared with those of a matched group, it was found that the group with brief records failed to complete the other parts of the evaluation significantly more often than did those subjects who did not give brief records. There was no significant difference between the two groups on IQ scores or on self-report scores of depression, anxiety, and social desirability. Result are interpreted as supporting Exner's (1988) hypothesis that brief records represent a form of resistance to being tested.     

Rorschach Egocentricity Index and self-concept in children and adolescents

In a sample of 65 child and adolescent psychiatric inpatients, the hypothesized relation between the Egocentricity Index from the Rorschach and standard self-report measures of self-concept was not supported. Although the sample as a group had a markedly low mean Egocentricity Index, self-reported self-concept was at a normative level. The validity of the Egocentricity Index and self-report measures of self-concept is discussed, and guidelines for their interpretation are presented.     

Rorschach correlates of state and trait anxiety in college students

This study was done to determine whether Elizur's anxiety scoring (AL) for Rorschach content was correlated to scores on Spielberger's State-Trait Anxiety Inventory (STAI). The definition of anxiety presented by Elizur implies that his technique measures anxiety as a long-term, relatively stable personality characteristic rather than a transitory emotional state, but no research has shown whether AL was correlated with state and/or trait anxiety as defined and measured by Spielberger. The State-Trait Anxiety Inventory was administered in small groups to 40 college students with a repeated measure of STAI State-anxiety and the Rorschach given individually following a delay of at least five days. Analysis indicated that the STAI Trait-anxiety measure correlated significantly with AL. Test-retest correlations for STAI State-anxiety measures and STAI State- and Trait-anxiety measures obtained in the same testing session were significant. State-anxiety scores obtained just prior to Rorschach testing were related to STAI Trait-anxiety scores and initial STAI State-anxiety scores correlated with AL.     

Manifest anxiety and fearfulness in children and adolescents.

The relationship between self-reported fear and anxiety was examined in a large sample of normal Australian children and adolescents. Participants completed the Fear Survey Schedule for Children--Revised (Ollendick, 1983) and the Revised Children's Manifest Anxiety Scale (Reynolds & Richmond, 1978). Following an examination of the internal consistency of these instruments, correlational analyses were conducted on anxiety and fear scores. Fear scores were shown to be sensitive to anxiety, sex, and age groups. Furthermore, discriminant analysis showed that high-anxiety children indicated a greater fear of items related to failure and criticism than did low-anxiety children. Other issues, including the content overlap between the two scales used in the investigation, are discussed.