What do others feel? Cognitive empathy deficits explain the association between callous-unemotional traits and conduct problems among preschool children

Abstract

Callous-unemotional traits (CU) are a risk factor for antisocial behavior, although it is unclear whether deficits in affective or cognitive empathy explain this association. Using a multi-informant approach involving data collection from parents and teachers (N = 167, M age = 4.7 years), the current study aimed to test whether cognitive or affective empathy deficits account for the association between CU traits and antisocial behavior among preschool children. Results revealed that cognitive, but not affective, empathy was associated with both CU and conduct problems, and also mediated the relationship between CU traits and conduct problems. These findings were not replicated for overt and relational aggressive behavior. Our findings suggest that cognitive empathy deficits may be more important than affective empathy in explaining antisocial behavior in preschool children. As a result, interventions aiming to reduce conduct problems early in development may need to target difficulties in understanding what others are thinking or feeling.     

The Moderating Role of Anxiety in the Associations of Callous-Unemotional Traits with Self-Report and Laboratory Measures of Affective and Cognitive Empathy

In a sample of detained male adolescents (n = 107; Mean age = 15.50; SD = 1.30), we tested whether anxiety moderated the association of CU traits with self-report and computerized measures of affective (emotional reactivity) and cognitive (affective facial recognition and Theory of Mind [ToM]) empathy. Hierarchical regression analyses revealed that CU traits were negatively associated with self-reports of affective empathy and this association was not moderated by level of anxiety. Significant interactions revealed that CU traits were negatively associated with cognitive empathy (self-report) only at high levels of anxiety, whereas CU traits were positively associated with cognitive empathy on the ToM task only at low levels of anxiety. CU traits were also associated with greater fear recognition accuracy at low levels of anxiety. Implications for understanding and treating different variants of CU traits (i.e., primary and secondary) are discussed.     

Callous-Unemotional Traits in Individuals Receiving Accommodations in University

Research with antisocial individuals suggests that callous-unemotional (CU) traits, a dimension of psychopathy, consistently predict severe antisocial behaviours and correlate with deficits in recognizing negative emotions, especially fearful facial expressions. However, the generalizability of these findings to non-antisocial populations remains uncertain and largely unexplored. This small, exploratory study aimed to extend this research by measuring CU traits and facial emotion recognition in university students with Attention-Deficit Hyperactivity Disorder (ADHD), learning disabilities, other psychiatric disorders, and comparison participants with physical/sensory disabilities. As the clinical groups can exhibit deficits in emotion recognition, this study sought to shed light on the candidacy of CU traits as a factor in emotion recognition. Results suggested that individuals in the diagnostic groups possess similar levels of CU traits to the comparison group and that the relationship between CU traits and emotion recognition deficits previously seen in antisocial populations is not present in this sample. Contrary to the hypothesis, those in the diagnostic groups displayed similar levels of accuracy on an emotion recognition task as the comparison group. Recommendations are made for future research to use more specific and representative diagnostic populations to further assess the relationships between CU traits and emotion recognition in non-antisocial populations.     

Egocentrism in sub-clinical depression

Depression is marked by rigid thinking and the inability to generate different and more positive views on the self. The current study conceptualises this a perspective-taking deficit, which is defined as a deficit in the ability to overcome one’s egocentrism. Previous research has demonstrated that individuals with depression are impaired in Theory of Mind reasoning and empathy – two social cognitions that involve cognitive and affective perspective-taking. Here, it was investigated whether these deficits generalise to visuo-spatial perspective-taking. To test this, a convenience sample (N?=?268; n?=?62 high depressive symptoms; n?=?206 healthy control participants) completed a test-battery including measures of cognitive and visuo-spatial perspective-taking and closely matched cognitive and visuo-spatial control tasks. The results showed that individuals exhibiting high levels of depressive symptoms were specifically impaired on both perspective-taking tasks but performed equally well on the control tasks. Interventions to combat rigid thinking in depression are discussed.     

Shame,guilt, and facial emotion processing: initial evidence for a positive relationship between guilt-proneness and facial emotion recognition ability

Shame and guilt are closely related self-conscious emotions of negative affect that give rise to divergent self-regulatory and motivational behaviours. While guilt-proneness has demonstrated positive relationships with self-report measures of empathy and adaptive interpersonal functioning, shame-proneness tends to be unrelated or inversely related to empathy and is associated with interpersonal difficulties. At present, no research has examined relationships between shame and guilt-proneness with facial emotion recognition ability. Participants (N?=?363) completed measures of shame and guilt-proneness along with a facial emotion recognition task which assessed the ability to identify displays of anger, sadness, happiness, fear, disgust, and shame. Guilt-proneness was consistently positively associated with facial emotion recognition ability. In contrast, shame-proneness was unrelated to capacity for facial emotion recognition. Findings provide support for theory arguing that guilt and empathy operate synergistically and may also help explain the inverse relationship between guilt-proneness and propensity for aggressive behaviour.     

Age-related differences in affective and cognitive empathy: self-report and performance-based evidence

The correlation between age and empathy is not clear, with prior findings yielding mixed and inconsistent results. Here, we distinguished between two aspects of empathy and respectively investigated the effects of age on the affective and cognitive facets of empathy using a self-report measure (interpersonal reactivity index, IRI) and performance-based tasks (viewing films). The results showed that older adults manifested age-related deficits in both trait and state cognitive empathy, with the latter being positively associated with memory. Otherwise, the overall affective empathy increased in the elderly, but the age-related differences in affective empathy may be qualified by the valence of the film clips. Specifically, older participants showed more empathic concern (EC) and less personal distress (PD) to other people’s emotions than the younger participants for the distress film. Interestingly, for the amusing film, older participants demonstrated more EC and PD. Overall, the two aspects of empathy have different development trajectories.     

Quadratic Associations Between Empathy and Depression as Moderated by Emotion Dysregulation

Empathic tendencies have been associated with interpersonal and psychological benefits, but empathy at extreme levels or in combination with certain personal characteristics may contribute to risk for depression. This study tested the moderating role of cognitive emotion regulation in depression's association with empathy using nonlinear models. Young adults (N = 304; 77% female; M = 19 years) completed measures of cognitive emotion regulation strategies, depression, and affective and cognitive empathy. Individuals with good regulation had low levels of depression overall and their depression symptoms were lowest when levels of affective empathy were average. Individuals with poor regulation had high levels of depression overall, particularly when levels of empathy were moderate to high. Extremely high and low levels of cognitive empathy were associated with elevated depression, and this association was not moderated by regulation. These findings suggest tendencies to respond empathically to others’ needs is neither an adaptive nor maladaptive characteristic but rather moderate empathy, particularly in the context of good regulation, may offer the greatest protection against depression.     

Motor,affective and cognitive empathy in adolescence: Interrelations between facial electromyography and self-reported trait and state measures

This study examined interrelations of trait and state empathy in an adolescent sample. Self-reported affective trait empathy and cognitive trait empathy were assessed during a home visit. During a test session at the university, motor empathy (facial electromyography), and self-reported affective and cognitive state empathy were assessed in response to empathy-inducing film clips portraying happiness and sadness. Adolescents who responded with stronger motor empathy consistently reported higher affective state empathy. Adolescents' motor empathy was also positively related to cognitive state empathy, either directly or indirectly via affective state empathy. Whereas trait empathy was consistently, but modestly, related to state empathy with sadness, for state empathy with happiness few trait–state associations were found. Together, the findings provide support for the notion that empathy is a multi-faceted phenomenon. Motor, affective and cognitive empathy seem to be related processes, each playing a different role in the ability to understand and share others' feelings.     

Dissociation between cognitive and affective empathy in youth with Asperger Syndrome

Autism spectrum conditions, among them Asperger Syndrome (AS), are generally described as entailing deficits in “cognitive empathy” or “theory of mind”. People with AS tend to have difficulties recognizing emotions, although the extent of these difficulties is still unclear. This study aimed to assess empathic profile in youth with AS (N = 38) and controls matched on age, sex and IQ. The study aimed to test if a dissociation between cognitive and affective empathy exists in AS. The study also aimed to explore emotion recognition in people with AS, and how it relates to emotional valence (positive, negative, and neutral emotions). The AS group scored lower than controls on cognitive empathy but scored within the average range on affective empathy. A deficit in emotion recognition was found in the AS group for positive emotions. These results confirm earlier findings in cognitive empathy and provide new insight about emotion recognition abilities in this population.     

Empathy in adolescence: Relations with emotion awareness and social roles

In this study, we aimed at gaining a better understanding of the individual differences contributing to feelings of empathy in adolescents. Therefore, we examined the extent to which emotion awareness (e.g., recognizing and appreciating one's own and the emotions of others) and a tendency for certain social roles (e.g., helping or teasing peers when being bullied) are related to adolescents’ levels of empathy. The sample was comprised of 182 adolescents aged between 11 and 16. Empathy and emotion awareness were assessed using self‐report measures. Peer reports were used to indicate adolescents’ different social roles: Bullying, defending the victim, and outsider behaviour. Outcomes demonstrated that evaluating one's own and the emotions of others, and more defending nominations were associated with both affective and cognitive empathy, whereas aspects of emotion awareness which are linked with internalizing symptoms were related to empathic distress, suggesting maladaptive emotion appraisal. Furthermore, outsider behaviour was associated with empathic distress, emphasizing a self‐focused orientation. In contrast, more bullying was negatively associated with cognitive empathy. Overall, these outcomes demonstrate that, besides social roles, emotion awareness is an important factor for adaptive empathic reactions, whereas emotion dysregulation might cause distress when witnessing the negative feelings of others.     

Psychopathic Traits Associate Differentially to Anger,Disgust and Fear Recognition among Men and Women

Psychopathy is characterized by deficits in empathy and violation of the rights of others. Recent data link psychopathy-based lack of empathy to deficits in emotion recognition (ER), in particular fear and sadness. However, questions remain about emotions like anger and disgust and some studies even report a positive relationship between psychopathy and ER. Notably, the overwhelming majority of these studies have been conducted only with men, and studies in the general population suggest that women have better ER than men. To our knowledge, only two small studies have explicitly examined ER and psychopathy among women and they did find deficits in anger and disgust recognition. Therefore, mixed findings about ER and psychopathy may be due to gender differences that need to be clarified. This study aimed at bridging this gap using a large sample of 129 male (49 %) and 132 female (51 %) participants who completed psychopathy self-reports, and a computerized facial ER task. Among women there were deficits and advantages in ER: High social dominance and lack of anxiety traits were related to decreased fear and anger recognition respectively. Traits characterized by impulsiveness and rebelliousness were associated with better disgust and anger recognition respectively. For men, psychopathic traits characterized by ruthless manipulation of others, as well as lack of fear, were related to deficits recognizing anger. These results suggest that among women some psychopathic traits may confer an advantage in ER and give impetus for studies examining gender differences in the neurobiological substrates and manifestation of the syndrome.     

自闭症谱系障碍个体的共情干预：扬长还是补短?

自闭症谱系障碍(autism spectrum disorders, ASD)个体的共情能力缺陷可能导致了他们的社会交往障碍, 因此有必要对ASD个体的共情能力进行干预。有研究者主张应该对ASD个体的共情缺陷进行直接干预, 由此衍生了共情“补短”法, 主要包括心理理论的干预、观点采择的干预、面部表情认知的干预等几种方法。另有一些研究者认为虽然ASD个体存在共情缺陷, 但他们同时也具备系统化能力优势, 应该通过ASD个体的优势能力来改善其共情能力, 由此衍生了共情“扬长”法, 主要包括乐高治疗、严肃游戏干预、基于系统化理论的孤岛能力辅助干预等几种方法。每种方法都存在优点和不足。最后就目前ASD个体共情干预领域存在的问题进行了反思与展望。     

Affect as a foundational psychological process for spirituality and empathy

There is growing interest in understanding the manner by which spiritual experiences, religious beliefs and behaviours, and prosocial traits (e.g., empathy, altruism) are related. Research has recently focused on determining those psychological constructs (e.g., affective, behavioural, cognitive) that are common to these related constructs, although the specific relationships remain unclear. The current study evaluated relationships among spiritual experiences and affective and cognitive dimensions of empathy in 98 participants with heterogeneous health conditions. Results indicate that spirituality is significantly related to affective empathy, but not cognitive empathy. These findings suggest that individuals’ propensity to be both spiritual and empathetic is primarily related to a greater disposition towards emotional connection with others (i.e., whether with the divine or other people). Research and practical implications are discussed.     

Conceptualizations of Personality Disorders with the Five Factor Model-count and Empathy Traits

Previous research has long advocated that emotional and behavioral disorders are related to general personality traits, such as the Five Factor Model (FFM). The addition of section III in the latest Diagnostic and Statistical Manual of Mental Disorders (DSM) recommends that extremity in personality traits together with maladaptive interpersonal functioning, such as lack of empathy, are used for identifying psychopathology and particularly personality disorders (PD). The objective of the present study was to measure dispositions for DSM categories based on normal personality continuums, and to conceptualize these with empathy traits. We used a validated FFM-count method based on the five personality factors (neuroticism, extraversion, openness, agreeableness, and conscientiousness), and related these to 4 empathy traits (emphatic concern, perspective-taking, fantasy, and personal distress). The results showed that FFM-based PD scores overall could be conceptualized using only two of the empathy traits, low emphatic concern and high personal distress. Further, specific dispositions for personality disorders were characterized with distinct empathy traits (e.g., histrionic with high fantasy, and paranoid with low perspective-taking). These findings may have both theoretical and practical implications in capturing potential for personality disorders with ease and efficiency.     

幼儿教师共情的负面效应：一个有调节的中介模型

为探讨共情负面效应的作用机制及条件,采用共情量表、Maslach职业倦怠问卷教育版、情绪劳动策略量表和领悟社会支持量表对253名幼儿教师进行调查。结果发现：(1)幼儿教师的情绪共情正向影响情绪枯竭,该影响作用可以通过情绪劳动这一中介实现;(2)幼儿教师的认知共情负向影响情绪枯竭;(3)社会支持调节了幼儿教师情绪劳动对情绪共情与情绪枯竭关系的中介过程的后半段路径。研究结果对幼儿教师心理健康有重要意义。     

Cognitive and emotional control and perspective taking and their relations to empathy in 5-year-old children

The experience of empathy has been described as involving both emotional and cognitive components. The primary hypothesis tested in this study is that cognition and emotion are integrated within 2 distinct types of abilities-control and perspective taking-and that interactions between emotional and cognitive control and between affective and cognitive perspective taking would be related to children's empathic responding. We also hypothesized that boys' control and perspective-taking skills would be more strongly related to empathy than would those of girls. Fifty-seven 5-year-olds completed tasks measuring cognitive control, cognitive and affective perspective taking, and empathy, and their mothers completed a measure of children's emotional control. Results indicated that cognitive perspective taking moderated the relation between affective perspective taking and empathy. In addition, the relation between cognitive inhibitory control and empathy was moderated by gender; boys' control was positively related to empathy, but girls' control was marginally negatively related to empathy.     

Facial affect recognition in college students with psychopathic traits: A comparison using tests matched in discriminating power

Research has provided inconsistent evidence for the relationship between psychopathy and facial affect recognition. We examined whether some of the previous findings could reflect a psychometric artifact in which deficits are more easily detected with very discriminating measures than with less discriminating measures, an issue not addressed in prior psychopathy studies. We developed measures of facial affect recognition matched in discriminating power and administered these measures to 194 college students who had also completed the Psychopathic Personality Inventory. Results indicate that high levels of Coldheartedness were associated with poorer recognition of the specific emotion of disgust. These findings demonstrate that some affective processing deficits associated with psychopathic traits cannot be attributed to psychometric artifacts.     

Multidimensional assessment of empathic abilities in patients with insular glioma

Recent studies have provided evidence that there are two possible systems for empathy: affective empathy (AE) and cognitive empathy (CE). Neuroimaging paradigms have proven that the insular cortex is involved in empathy processing, particularly in AE. However, these observations do not provide causal evidence for the role of the insula in empathy. Although impairments in empathy have been described following insular damage in a few case studies, it is not clear whether insular cortex is involved in CE and whether these two systems are impaired independently or laterally in patients with insular gliomas. In this study, we assessed 17 patients with an insular glioma, 17 patients with a noninsular glioma, and 30 healthy controls using a method that combined a self-report empathy questionnaire with the emotion recognition task, assessment of empathy for others’ pain, and the emotional perspective-taking paradigm. We found that patients with an insular glioma had lower scores for empathic concern and perspective taking than did either healthy controls or lesion controls. The patients’ abilities to recognize facial emotions, perceive others’ pain, and understand the emotional perspectives of others were also significantly impaired. Furthermore, we did not observe a laterality effect on either AE or CE among those with insular lesions. These findings revealed that both AE and CE are impaired in patients with an insular glioma and that the insular cortex may be a central neuroanatomical structure in both the AE and CE systems.     

Social Cognition in Multiple Sclerosis: a Meta-Analysis

Multiple sclerosis (MS) is associated with cognitive decline and impairment in social functioning. Accumulating evidence suggests that patients with MS are impaired in social cognition, including theory of mind (ToM) and emotion recognition. In this meta-analysis of 24 studies, facial emotion recognition and ToM performances of 989 patients with MS and 836 healthy controls were compared. MS was associated with significant impairments with medium effect sizes in ToM (d?=?0.57) and facial emotion recognition (d?=?0.61). Among individual emotions recognition of fear and anger were particularly impaired. The severity of social cognitive deficits was significantly associated with non-social cognitive impairment. These deficits in social cognition may underpin difficulties in social functioning in MS. However, there is a need for further studies investigating the longitudinal evolution of social cognitive deficits and their neural correlates in MS.     

The emotional deficits associated with the Dark Triad traits: Cognitive empathy,affective empathy,and alexithymia

Volunteers (N = 322) in an online survey revealed the complex correlational patterns between the Dark Triad traits and two forms of “emotional deficiencies” (i.e., limited empathy and alexithymia) overall and in each sex. Each Dark Triad trait was associated with a unique pattern of emotional deficits. Psychopathy was correlated with limited overall empathy, difficulty describing feelings, and externally oriented thinking. Narcissism was associated with limited affective empathy and difficulty identifying feelings, whereas Machiavellianism was associated with externally oriented thinking. The Dark Triad mediated sex differences in empathy and externally oriented thinking. Structural Equation Modeling suggests that the differential facets of alexithymia predict different forms of limited empathy that in turn predict specific Dark Triad traits. Results are discussed using an evolutionary paradigm.