Devil in the Details: Effects of Depression on the Prosocial Response Depend on Timing and Similarity

Detached empathic experience of others' pain in remitted states of depression - An fMRI study

BACKGROUND

Major depressive disorder is strongly associated with impairments and difficulties in social interactions. Deficits in empathy, a vital skill for social interactions, have been identified as a risk factor for relapse. However, research on empathy in remitted states of depression is scarce. We chose a social neuroscience approach to investigate potentially altered neural processes involved in sub-components of empathy in remitted states of depression. We expected aberrations in cognitive components of empathy, based on previous reports regarding their role as risk factors for relapse.

METHODS

Employing functional magnetic resonance imaging and a pain empathy task (video clips of painful medical treatments), we compared behavioral and neural empathic responses of unmedicated remitted depressive patients (N = 32) to those of untreated acutely depressed patients (N = 29) and healthy controls (N = 35). Self-report ratings of pain evaluation and affect-sharing were obtained.

RESULTS

Compared to controls and acutely depressed patients, remitted depressive patients reported higher pain evaluation and showed increased activity in the right temporo-parietal junction. This region, which is central to self-other distinction and which has been linked to adopting a detached perspective, also exhibited reduced connectivity to the anterior insula. Furthermore, we observed reduced activity in regions involved in emotion processing (amygdala) and perception of affective facial expressions (fusiform face area, posterior superior temporal sulcus).

CONCLUSIONS

Remitted states of depression are associated with a detached empathic style in response to others' pain, characterized by increased self-other distinction, lowered affective processing, and reduced connectivity between empathy-related brain regions. Although this may prevent emotional harm in specific situations, it may reduce opportunities for positive experiences in social interactions in the long run.

Empathy as a buffer: How empathy moderates the emotional effects on Preschoolers' sharing

This study experimentally investigated how empathy moderated the influence of external emotional stimuli on preschoolers' subsequent sharing behaviour. Children aged 4-6 (N = 218) were randomly presented with one of the video clips that elicited sad, happy, or neutral emotion, and were then asked to play a dictator game with puppet partners. Results revealed that compared to the neutral condition, children with higher empathy increased sharing after induced happiness but did not change sharing after induced sadness; by contrast, children with lower empathy decreased sharing after induced sadness. It appears that empathy may enhance the positive effect of happiness while reducing the negative effect of sadness on sharing behaviour. These findings provide experimental evidence in early childhood to support approaches that emphasize the role of immediate emotions in moral decision-making; critically, such emotional effects vary with individual differences in dispositional empathy.