Abstract
Impaired empathy is associated with a variety of psychiatric conditions; however, little is known about the differential relations between certain forms of psychopathology and cognitive and affective empathy in adolescent girls and boys. The aim of this study was to examine the relations between externalizing and internalizing disorders and cognitive and affective empathy, respectively, while controlling for covariance among different forms of psychopathology, separately in girls and boys. A total of 507 inpatient adolescents (319 girls and 188 boys) in the age range of 12–17 years completed the Basic Empathy Scale that measures affective and cognitive empathy. The Youth Self-Report Form and Child Behavior Checklist were used to assess the severity of psychopathological symptoms. Results demonstrated that affective and cognitive empathy were negatively associated with conduct problems only in girls, but not in boys. Affective empathy was positively related to internalizing problems observed by parents and youths and self-reported ADHD symptoms in girls and boys. The clinical implications of these differential relationships for externalizing versus internalizing symptoms and empathy are discussed.
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References
Cohen D, Strayer J (1996) Empathy in conduct disordered and comparison youth. Dev Psychol 32:988–998
Batson CD, Fultz J, Schoenrade PA (1987) Distress and empathy: two qualitatively distinct vicarious emotions with different motivational consequences. J Pers 55:19–39
Nelson EE, Leibenluft E, McClure E, Pine DS (2005) The social re-orientation of adolescence: a neuroscience perspective on the process and its relation to psychopathology. Psychol Med 35:163–174
Overgaauw S (2015) Social reorientation in adolescence: neurobiological changes and individual differences in empathic concern. Doctoral dissertation, Developmental and Educational Psychology, Faculty of Social and Behavioural Sciences, Leiden University
Batson CD (1991) Empathic joy and the empathy-altruism hypothesis. J Pers Soc Psychol 61:413–426
Decety J, Jackson PL (2004) The functional architecture of human empathy. Behav Cogn Neurosci Rev 3:71–100
Eisenberg N (2000) Emotion, regulation, and moral development. Annu Rev Psychol 51:665–697
de Wied M, Goudena PP, Matthys W (2005) Empathy in boys with disruptive behavior disorders. J Child Psychol Psychiatry 46:867–880
Lovett BJ, Sheffield RA (2007) Affective empathy deficits in aggressive children and adolescents: a critical review. Clin Psychol Rev 27:1–13
Miller PA, Eisenberg N (1998) The relation of empathy to aggressive and externalizing/antisocial behavior. Psychol Bull 103:324–344
Schwenck C, Mergenthaler J, Keller K, Zech J, Salehi S, Taurines R et al (2012) Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects. J Child Psychol Psychiatry 53:651–659
Sterzer P, Stadler C, Poustka F, Kleinschmidt A (2007) A structural neural deficit in adolescents with conduct disorder and its association with lack of empathy. Neuroimage 37:335–342
Davis MH, Luce C, Kraus SJ (1994) The heritability of characteristics associated with dispositional empathy. J Pers 62:369–391
Blair RJ (2005) Responding to the emotions of others: dissociating forms of empathy through the study of typical and psychiatric populations. Conscious Cogn 4:698–718
Sebastian CL, McCrory EJ, Cecil CA, Lockwood PL, De Brito SA, Fontaine NM, Viding E (2012) Neural responses to affective and cognitive theory of mind in children with conduct problems and varying levels of callous-unemotional traits. Arch Gen Psychiatry 69:814–822
Bryant BK (1982) An index of empathy for children and adolescents. Child Dev 53:413–425
Feshbach ND, Feshbach S (1969) The relationship between empathy and aggression in two age groups. Dev Psychol 1:102
Uekermann J, Kraemer M, Abdel-Hamid M, Schimmelmann BG, Hebebrand J, Daum I et al (2010) Social cognition in attention-deficit hyperactivity disorder (ADHD). Neurosci Biobehav Rev 34:734–743
Braaten EB, Rosen LA (2000) Self-regulation of affect in attention deficit-hyperactivity disorder (ADHD) and non-ADHD boys: differences in empathic responding. J Consult Clin Psychol 68:313–321
Deschamps PKH, Schutter DJLG, Kenemans JL, Matthys W (2015) Empathy and prosocial behavior in response to sadness and distress in 6- to 7-year olds diagnosed with disruptive behavior disorder and attention-deficit hyperactivity disorder. Eur Child Adolesc Psychiatry 24:105–113
Marton I, Wiener J, Rogers M, Moore C, Tannock R (2009) Empathy and social perspective taking in children with Attention-Deficit/Hyperactivity Disorder. J Abnorm Child Psychol 37:107–118
O’Connor L, Berry J, Weiss J, Gilbert P (2002) Guilt, fear, submission, and empathy in depression. J Affect Disord 71:13–19
Schieman S, Turner HA (2001) “ When feeling other people’s pain hurts”: the influence of psychosocial resources on the association between self-reported empathy and depressive symptoms. Soc Psychol Q 64:376–389
Schreiter S, Pijnenborg GHM, Aan Het Rot M (2013) Empathy in adults with clinical or subclinical depressive symptoms. J Affect Disord 150:1–16
Thoma P, Zalewski I, von Reventlow HG, Norra C, Juckel G, Daum I (2011) Cognitive and affective empathy in depression linked to executive control. Psychiatry Res 189:373–378
Joireman J, Needham T, Cummings A (2001) Relationship between dimensions of attachment and empathy. N Am J Psychol 3:63–80
Zahn-Waxler C, Van Hulle C (2012) Empathy, guilt, and depression: when caring for others becomes costly to children. In: Oakley B, Knafo A, Madhavan G, Wilson D (eds) Pathological altruism. Oxford University Press, New York, pp 321–344
Barriga AQ, Hawkins MA, Camelia CR (2008) Specificity of cognitive distortions to antisocial behaviours. Crim Behav Ment Health 18:104–116
Barriga AQ, Landau JR, Stinson BL, Liau AK, Gibbs JC (2000) Cognitive distortion and problem behaviors in adolescents. Crim Justice Behav 27:36–56
Lilienfeld SO (2003) Comorbidity between and within childhood externalizing and internalizing disorders: reflections and directions. J Abnorm Child Psychol 31:285–291
Nummenmaa L, Hirvonen J, Parkkola R, Hietanen JK (2008) Is emotional contagion special? An fMRI study on neural systems for affective and cognitive empathy. Neuroimage 43:571–580
Shamay-Tsoory SG, Aharon-Peretz J, Perry D (2009) Two systems for empathy: a double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain 132:617–627
Blakemore SJ (2008) The social brain in adolescence. Nat Rev Neurosci 9:267–277
Powers A, Casey BJ (2015) The adolescent brain and the emergence and peak of psychopathology. J Infant Child Adolesc Psychother 14:3–15
Youngstrom E, Loeber R, Stouthamer-Loeber M (2000) Patterns and correlates of agreement between parent, teacher, and male adolescent ratings of externalizing and internalizing problems. J Consult Clin Psychol 68:1038–1050
Lauth B, Arnkelsson GB, Magnússon P, Skarphéðinsson GÁ, Ferrari P, Pétursson H (2010) Parent–youth agreement on symptoms and diagnosis: assessment with a diagnostic interview in an adolescent inpatient clinical population. J Physiol 104:315–322
Bell DJ, Foster SL, Mash EJ (2005) Understanding behavioral and emotional problems in girls. In: Bell DJ, Foster SL, Mash EJ (eds) Handbook of behavioral and emotional problems in girls. Springer US, pp 1–24
Rose AJ, Rudolph KD (2006) A review of sex differences in peer relationship processes: potential trade-offs for the emotional and behavioral development of girls and boys. Psychol Bull 32:98–131
Zahn-Waxler C (1993) Warriors and worriers: gender and psychopathology. Dev Psychopathol 5:79–89
Gadow KD, Roohi J, DeVincent CJ, Hatchwell E (2008) Association of ADHD, tics, and anxiety with dopamine transporter (DAT1) genotype in autism spectrum disorder. J Child Psychol Psychiatry 49:1331–1338
Hudziak JJ, Achenbach TM, Althoff RR, Spine DS (2007) A dimensional approach to developmental psychopathology. Int J Methods Psychiatr Res 16:S16–S23
Jolliffe D, Farrington DP (2006) Development and validation of the Basic Empathy Scale. J Adolesc 29:589–611
Achenbach TM, Rescorla LA (2001) Manual for ASEBA schoolage forms and profiles. University of Vermont, Research Center for Children, Youth, & Families, Burlington
Thurber S, Sheehan WP (2012) Note on truncated T scores in discrepancy studies with the Child Behavior Checklist and Youth Self Report. Arch Assess Psychol 2:73–80
Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39:28–38
Wechsler D (1997) WAIS-III: administration and scoring manual: Wechsler adult intelligence scale. Psychological Corporation, San Antonio
Wechsler D (2008) Wechsler adult intelligence scale—fourth edition (WAIS–IV). NCS Pearson, San Antonio
Wechsler D (2003) Wechsler intelligence scale for children—fourth edition (WISC-IV). The Psychological Corporation, San Antonio
Keown L, Woodward L (2006) Preschool boys with pervasive hyperactivity: early peer functioning and mother–child relationship influences. Soc Dev 15:23–45
Lifford KJ, Harold GT, Thapar A (2008) Parent–child relationships and ADHD symptoms: a longitudinal analysis. J Abnorm Child Psychol 36:285–296
Donaldson C, Lam D, Mathews A (2007) Rumination and attention in major depression. Behav Res Ther 45:2664–2678
Eysenck MW, Derakshan N, Santos R, Calvo MG (2007) Anxiety and cognitive performance: attentional control theory. Emotion 7:336
Mullane JC, Corkum PV, Klein RM, McLaughlin EN, Lawrence MA (2010) Alerting, orienting, and executive attention in children with ADHD. J Atten Disord 15:310–320
Goldin PR, Manber T, Shabnam H, Canli T, Gross JJ (2009) Neural bases of social anxiety disorder. Emotional reactivity and cognitive regulation during social and physical treatment. Arch Gen Psychiatry 66:170–180
Pine DS, Cohen P, Brook JS (2001) Emotional reactivity and risk for psychopathology among adolescents. CNS Spectr 6:27–35
Walcott DM, Landau S (2004) The relation between disinhibition and emotion regulation in boys with attention deficit hyperactivity disorder. J Clin Child Adolesc Psychol 33:772–782
Eisenberg N, Fabes RA, Murphy B, Karbon M, Smith M, Maszk P (1996) The relations of children’s dispositional empathy-related responding to their emotionality, regulation, and social functioning. Dev Psychol 32:195
Frick PJ, Ellis M (1999) Callous-unemotional traits and subtypes of conduct disorder. Clin Child Fam Psychol Rev 2:149–168
Gambin M, Gambin T, Sharp C (2015) Social cognition, psychopathological symptoms, and family functioning in a sample of inpatient adolescents using variable-centered and person-centered approaches. J Adolesc 45:31–43
Frick PJ, White SF (2008) Research review: the importance of callous-unemotional traits for developmental models of aggressive and antisocial behavior. J Child Psychol Psychiatry 49:359–375
Viding E, Blair RJR, Moffitt TE, Plomin R (2005) Evidence for substantial genetic risk for psychopathy in 7-year-olds. J Child Psychol Psychiatry 46:592–597
Pasalich DS, Dadds MR, Hawes DJ, Brennan J (2012) Attachment and callous-unemotional traits in children with early-onset conduct problems. J Child Psychol Psychiatry 53:838–845
Polaschek DL, Daly TE (2013) Treatment and psychopathy in forensic settings. Aggress Violent Behav 18:592–603
Salekin RT (2002) Psychopathy and therapeutic pessimism: clinical lore or clinical reality? Clin Psychol Rev 22:79–112
Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88:879–903
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Gambin, M., Sharp, C. The Differential Relations Between Empathy and Internalizing and Externalizing Symptoms in Inpatient Adolescents. Child Psychiatry Hum Dev 47, 966–974 (2016). https://doi.org/10.1007/s10578-016-0625-8
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DOI: https://doi.org/10.1007/s10578-016-0625-8