Look at me: The relation between empathy and fixation on the emotional eye-region in low vs. high social anxiety

Impaired Social Attention and Cognitive Empathy in a Paediatric Sample of Children with Symptoms of Anxiety

Impairments in social cognition, in particular empathy, have been associated with childhood psychopathology, though previous investigations have yielded inconsistent results. Measures of social attention can reveal processes involved in responses to emotional stimuli and highlight deficits in empathy, or emotional biases in those with anxiety. The current study examined symptoms of anxiety, cognitive and affective empathy scores, and eye-gaze patterns in a pediatric sample of children (n = 178; 51-98 months-old) referred by their teachers for emerging psychopathology symptoms at school. We used eye-tracking metrics to capture gaze patterns during a dynamic video task designed to elicit empathic responses. Anxiety symptomology was reported by parents using the Screen for Child Anxiety Related Disorders scale (SCARED). Associations between eye-tracking variables, cognitive and affective empathy, and anxiety scores were analysed dimensionally in accordance with the Research and Domain Criteria (RDoC) framework. Higher levels of anxiety were associated with lower cognitive empathy and shorter first and total fixation durations to the eyes, across emotions (happiness, sadness, fear). No such associations were found between affective empathy and anxiety. Hierarchical multiple regression analyses revealed that across emotion conditions, first fixation duration negatively predicted anxiety scores. Our results indicate that children high in anxiety display cognitive empathy impairments and shorter attention to the eyes. These findings could inform early intervention programs for individuals at risk of developing anxiety disorders, as educating those high in anxiety on ways to identify emotions in others through changes in social attention could help to reduce anxiety.

The influence of emotional salience on gaze behavior in low and high trait empathy: an exploratory eye-tracking study

Previous studies have shown that situational factors like emotional salience are associated with higher subjective levels of state empathy. The present eye-tracking study explored whether gaze behavior varies as a function of emotional salience between individuals with low and high self-reported trait empathy. In a between-subjects design, we presented three social scene images in the context of different emotion conditions (Scene 1: neutral versus positive; Scene 2: neutral versus negative; Scene 3: positive versus negative) and assessed the dwell times of individuals with low versus high self-reported empathy (measured with the Toronto Empathy Questionnaire; TEQ). Analyses revealed that whereas low- and high-TEQ participants differed in their gaze behavior after receiving neutral information, they did not differ after receiving positive or negative information. Our preliminary results suggest that gaze behavior may be more indicative of self-reported trait empathy in situations with low emotional salience than in situations with high emotional salience.