Strategic Regulation of Empathy

Only the Perceived Differences in Empathy May Lead to Depression When You Carry Zero-Sum Beliefs

When it comes to the problem of whether empathy is essential in interpersonal interactions, the answer is undoubtedly affirmative. However, it is important to acknowledge that empathy doesn't always lead to favorable outcomes. When examining the exchange of emotional support between individuals within the framework of empathy, concerns arise regarding its effects on the recipient's psychological health when they perceive their partner's empathy as unjust or unequal. We focus on two key aspects in the family environment: the perceived differences in empathy between 'partner toward others' and 'partner toward me' (DIF1), and similarly, between 'me toward the partner' and 'partner toward me' (DIF2). This study aims to shed light on the relationship between the perceived differences in empathy and depression, and its underlying mechanisms from the perspective of empathy recipients. Drawing on survey data from 745 participants, we found that: DIF1, as well as DIF2, could positively predict depression. Personal relative deprivation mediates the relationship between perceived differences in cognitive empathy and individual depression, and high levels of zero-sum beliefs exacerbate the predictive role of relative deprivation on depression. However, no significant predictive role was found in the aspect of affective empathy.

Empathy as a Mediator of the Relation between Peer Influence and Prosocial Behavior in Adolescence: A Meta-Analysis

During adolescence, empathy and prosocial behavior contribute to the establishment of positive interpersonal relationships and social connections, promoting holistic development in youth. A substantial amount of research has provided compelling evidence that there is a relationship between peer relationships and empathy and prosocial behavior. Empathy, as a key mediating factor, links the influence of peers with prosocial behavior in adolescents, yet there is currently a lack of robust meta-analytic evidence regarding this mediating role. This study employed a two-stage structural equation modeling approach to synthesize existing research on peer influence, empathy, and prosocial behavior during adolescence. Systematic searches were conducted across three databases (PubMed, Web of Science, and PsycINFO), identifying a total of 49 studies, with a systematic assessment of study quality. The results indicated that empathy plays a mediating role between peer influence and prosocial behavior. Positive peer influence is positively correlated with empathy and prosocial behavior, while negative peer influence is negatively correlated with empathy and prosocial behavior, and empathy is positively correlated with prosocial behavior. This meta-analysis demonstrates that during adolescence, empathy mediates the connection between peer influence and prosocial behavior, representing a potential process that can explain the relationship between peer influence and prosocial behavior.

Communicating Genetic Information: An Empathy-based Framework

Contemporary healthcare environments are becoming increasingly informationally demanding. This requires patients, and those supporting them, to engage with a broad range of expert knowledge. At the same time, patients must find ways to make sense of this information in the context of their own values and needs. In this article, we confront the problem of communication in our current age of complexity. We do this by focusing on a field that has already had to grapple with these issues directly: genetic counseling. We articulate an empathy-based framework that provides a way to integrate the teaching and counseling models of genetic counseling. As well as being useful for those providing genetic counseling in the era of genomic medicine, this framework has the potential to address challenges of communication in healthcare settings beyond genetic counseling. Furthermore, it has important ramifications for ethical debates about autonomy and decision-making.

Understanding the Relationship Between Empathy, Theory of Mind (ToM), and Parenting Styles Among Children With Disruptive Behaviour

Disruptive behaviour has been recognized as one of the most common and persistent forms of childhood maladjustment, and predictive of a range of negative adolescent and adult outcomes including continuing aggression, failure in school and work settings, substance abuse, and late-onset psychopathology. As a child grows many factors influence the child's development like genetic factors, parenting styles, attachment patterns, environmental factors etc. These factors help in the development of empathy, theory of mind (ToM), emotional and behaviour regulation. We need to understand the relation between these factors among children with disruptive behaviours, inorder to develop targeted interventions and support strategies tailored to the unique needs of this population. A sample of 70 children and their mothers completed validated psychometric scales. Pearson correlation & regression analysis were conducted to determine the relation between variables. Results indicated that a significant negative correlation was observed between the permissive parenting style of the father and ToM among children with disruptive behaviour. Empathy was considered a significant inverse predictor of disruptive behaviour among children with disruptive behaviour. Another finding suggests that there is no significant difference in disruptive behaviour between boys and girls and no evident association between parenting styles and disruptive behaviours in children. While this could imply that inherent factors (nature) may have a more notable influence on disruptive behaviour in this sample, it is important to consider that this does not rule out the potential impact of environmental factors (nurture). The results should be viewed as part of a complex interplay between nature and nurture, and further investigation, particularly through longitudinal studies, is needed to clarify their respective contributions. This study builds upon existing research in providing a better understanding of contributors to disruptive behaviour among children, which may assist in the development of interventions to promote positive socio-emotional development and enhance the overall well-being of children.

Reduced Modulation of Theta and Beta Oscillations Mediates Empathy Impairment in Parkinson's Disease

BACKGROUND

Empathy is an inaccessible part of advanced social cognitive functions in humans. Impairment of empathy greatly affects the quality of life of patients with Parkinson's disease (PD) but the underlying neurophysiologic mechanisms have not been established.

OBJECTIVES

The dynamic process of brain oscillations in PD pain empathy was explored and the mechanism of empathy damage was studied.

METHODS

A total of 27 patients with PD and 13 healthy controls were recruited to undergo a pain judgment task, and the event-related potentials were recorded. This study compared the changes in theta and beta oscillations among two groups after the presentation of painful and neutral stimuli.

RESULTS

Time-frequency analysis results revealed that patients with PD exhibited event-related theta oscillation synchronization and beta oscillation desynchronization during pain empathy. Compared to healthy controls, patients with PD exhibited a reduced magnitude of beta oscillation desynchronization in response to painful stimuli and attenuated synchronization of theta oscillations induced by neutral stimuli. There are abnormal beta power differences between painful and neutral stimuli, while no differences were found in theta power in PD. Moreover, a positive correlation existed between the degree of beta oscillation desynchronization associated with painful stimuli and the accuracy of pain judgments.

CONCLUSION

Pain empathy deficits in PD were associated with reduced dynamic modulation of brain theta and beta oscillations.

Empathic disequilibrium in schizophrenia: An individual participant data meta-analysis

Schizophrenia involves substantial social difficulties, yet their nature remains unclear. Although empathy has been considered a promising social cognition construct, inconsistent findings have undermined its usefulness as a stable index for schizophrenia. This may be because previous studies overlooked the interdependency between the emotional and cognitive components of empathy. In this study, we investigated whether empathic disequilibrium, the intrapersonal imbalance between emotional and cognitive empathy, could be a meaningful schizophrenia marker. We conducted an individual-participant data meta-analysis, systematically searching the literature for studies involving participants with schizophrenia who completed the Interpersonal Reactivity Index, a validated empathy measure. Using emotional and cognitive empathy to capture empathic disequilibrium and the joint effect of cognitive and emotional empathy, we employed polynomial regression with response surface analysis to predict schizophrenia diagnosis and symptoms. Our analysis comprising ten studies (N = 1,080), revealed a non-linear association with the joint effect of cognitive and emotional empathy, as well as an association with empathic disequilibrium, suggesting emotional empathy overabundance, strongly and consistently predicted schizophrenia diagnosis. Additionally, empathic disequilibrium towards cognitive empathy overabundance was related to greater positive symptoms. The results suggest that empathic disequilibrium provides a stable behavioral marker related to schizophrenia, surpassing the utility of empathy alone. The findings deepen our understanding of schizophrenia phenomenology and can advance clinical and research practices.

Empathy to Creativity: The Associations Between Empathy and Everyday Creativity

OBJECTIVE

Everyday creativity is fundamental to human existence and improved well-being. Beyond recent attention regarding how contextual, lifestyle, personality, and neurobiological differences might foster everyday creativity, empathy may also constitute an intriguing connection. However, this potential relationship has not yet been systematically assessed.

METHODS

Study 1 used multiple psychometric instruments to examine the levels of emotional and cognitive empathies and everyday creativity among different samples (n = 809). Study 2 used a cross-lagged panel model (CLPM) to examine longitudinal behavioral data (n = 653 at T1, n = 413 at T2) to determine how cognitive empathy might predict everyday creativity.

RESULTS

Study 1 found that cognitive but not affective empathy exhibited a significant positive correlation with everyday creativity and domain-specific creative behaviors. Study 2 also reported a positive correlation between cognitive empathy, overall creative achievement, and certain domain-specific creative achievements. Cognitive empathy was linked to greater involvement in everyday creativity.

CONCLUSION

To our knowledge, these studies are the first to demonstrate a robust relationship between cognitive empathy and everyday creativity across different samples, measures, and longitudinal data, providing evidence of a nuanced relationship between cognitive empathy and creative achievement. Future studies should explore how creativity or empathy may foster empathic/creative development.

A social information processing perspective on social connectedness

Social connectedness (SC) is one of the most important predictors for physical and mental health. Consequently, SC is addressed in an increasing number of studies, providing evidence for the multidimensionality of the construct, and revealing several factors that contribute to individual differences in SC. However, a unified model that can address SC subcomponents is yet missing. Here we take a novel perspective and discuss whether individual differences in SC can be explained by a person's social information processing profile that represents individual tendencies of how social information is perceived and interpreted and leads to motivated social behavior. After summarizing the current knowledge on SC and core findings from the fields of social perception and mentalizing, social motivation and social action, we derive a working model that links individual stages of social information processing to structural, functional, and qualitative aspects of SC. This model allows for deriving testable hypotheses on the foundations of SC and we outline several suggestions how these aspects can be addressed by future research.

Adaptive empathic response selection is sensitive to multiple dimensions of social interaction

During empathic response selection, individuals draw from both past experiences and social cues, including the distressed person's identity, their emotional state, and the cause of distress. To study how these social dimensions influence empathic-response learning we integrated a multidimensional learning paradigm, computational modelling, and adaptive empathy framework. Participants identified effective empathic responses across two blocks of distress scenarios, with one social dimension altered between blocks. We anticipated two learning patterns: dimension-sensitive, treating each change as a new learning experience, and dimension-insensitive, relying on previous experience as a baseline. We found that participants were sensitive to changes in person, emotional state, and distress cause, but to different degree. The person dimension was the most salient, suggesting that the distressed person's identity is the primary reference point when interacting with others. Our findings provide a quantitative evaluation of the weight given to different dimensions of social interactions, which may help understand how people perceive and react in such scenarios.

New Vistas for the Relationship between Empathy and Political Ideology

The study of ideological asymmetries in empathy has consistently yielded inconclusive findings. Yet, until recently these inconsistencies relied exclusively on self-reports, which are known to be prone to biases and inaccuracies when evaluating empathy levels. Very recently, we reported ideological asymmetries in cognitive-affective empathy while relying on neuroimaging for the first time to address this question. In the present investigation which sampled a large cohort of human individuals from two distant countries and neuroimaging sites, we re-examine this question, but this time from the perspective of empathy to physical pain. The results are unambiguous at the neural and behavioral levels and showcase no asymmetry. This finding raises a novel premise: the question of whether empathy is ideologically asymmetrical depends on the targeted component of empathy (e.g., physical pain vs cognitive-affective) and requires explicit but also unobtrusive techniques for the measure of empathy. Moreover, the findings shed new light on another line of research investigating ideological (a)symmetries in physiological responses to vicarious pain, disgust, and threat.

Comparison of Empathy with Patients between Surgical and Psychiatric Medical Residents

Background

Empathy is considered paramount to the medical profession because it affects patients' satisfaction, compliance, and quality of care. It has been studied that medical residents in non-psychiatry specialties (especially general surgery) pay less attention to their patients' experiences and emotions. This study measured and compared surgical and psychiatric medical residents' empathy scores.

Materials and Methods

In 2021, we studied all first- to third-year medical residents of psychiatry and general surgery who worked in hospitals affiliated with the Iran University of Medical Sciences (IUMS), Tehran, Iran. Eighty-eight eligible residents, including 53 psychiatric and 35 surgical residents, were enrolled in this cross-sectional study. The Persian-validated Jefferson empathy scale was used to evaluate empathy among the residents. Chi-square, t-test, and ANOVA were used for group comparisons. A multivariable linear regression analysis was used to find the factors associated with the empathy score. Data analysis was conducted using the SPSS version 21.

Results

The total mean score (SD) of empathy was 104.34 (11.10). Female residents had higher mean (SD) empathy scores compared to their male counterparts (109.21 [9.29] vs. 99.14 [12.72]; p < 0.001), and psychiatric residents scored higher than surgical residents (109.18 [8.91] vs. 96.67 [12.50]; p < 0.001). Psychiatric residency was independently associated with a higher empathy score (standardized coefficients; beta = 0.41, p = 0.001).

Conclusions

Psychiatric residents have significantly higher empathy with patients than surgical residents. There was also a significant difference among male and female residents. Therefore, it may be recommended that structural education directions be developed for residents to promote empathy during the residency program.

Visual perspective and body ownership modulate vicarious pain and touch: A systematic review

We conducted a systematic review investigating the influence of visual perspective and body ownership (BO) on vicarious brain resonance and vicarious sensations during the observation of pain and touch. Indeed, the way in which brain reactivity and the phenomenological experience can be modulated by blurring the bodily boundaries of self-other distinction is still unclear. We screened Scopus and WebOfScience, and identified 31 articles, published from 2000 to 2022. Results show that assuming an egocentric perspective enhances vicarious resonance and vicarious sensations. Studies on synaesthetes suggest that vicarious conscious experiences are associated with an increased tendency to embody fake body parts, even in the absence of congruent multisensory stimulation. Moreover, immersive virtual reality studies show that the type of embodied virtual body can affect high-order sensations such as appropriateness, unpleasantness, and erogeneity, associated with the touched body part and the toucher's social identity. We conclude that perspective plays a key role in the resonance with others' pain and touch, and full-BO over virtual avatars allows investigation of complex aspects of pain and touch perception which would not be possible in reality.

Volition as a modulator of the intergroup empathy bias

Neural reactions to others' pain are usually lower when the individual is of a different ethnicity than when they are of the same ethnicity. This suggests that empathy is not only an automatic phenomenon but also a motivated one. In the present study, we tested whether one's willingness to increase or decrease empathy would correspondingly increase or decrease the neural empathic response, as measured with electroencephalography (EEG), irrespective of ethnicity. In Study 1, participants were presented with pictures displaying painful or non-painful stimulations on an individual from a similar or different ethnic group. In Study 2, the procedure was relatively similar but employed a within-subject design and was conducted in two countries: Belgium and Rwanda. Overall, EEG results showed that participants successfully increased their neural response to the pain of others, irrespective of the others' ethnicity in Study 1. However, the within-subject design used in Study 2 revealed additional nuances, as we observed that participants increased their neural pain response selectively toward ingroup individuals. Our findings indicate that observing the pain of a single person, regardless of ethnicity, can heighten one's neural reaction. Yet, when both ingroup and outgroup members are present, the neural response intensifies only for ingroup members.

Positive beliefs about cross-partisan empathy can strengthen Americans' support for democracy

Undemocratic practices, such as voter suppression and election interference, threaten democracies worldwide. Across four studies (N = 4,350), we find that informational and motivational factors drive Americans' support for such practices. Partisans drastically overestimate how much opponents support undemocratic practices, which decreases people's willingness to defend democracy themselves (S1-S2). One remedy for this dynamic is to inform people about the extent to which their rivals actually support democracy, but in polarized contexts, people are incurious about the true beliefs of outpartisans. To address this, we test a new method for improving democratic attitudes-changing beliefs about cross-party empathy. Empathizing across disagreements can improve connections and boost persuasion. When people learn about these valued consequences of empathic engagement, their curiosity about outpartisans increases (S3), and they choose to learn about opponents' support for democracy, which reduces their own support for undemocratic practices and politicians (S4). Our findings suggest that fostering support for democracy requires not just informational strategies but also motivational ones. The power of our combined approach comes in that-instead of presenting people with information about outpartisans-it induces them to seek out that information themselves. Together, these results highlight how cross-party empathy beliefs can increase people's curiosity about those they disagree with and disrupt processes of political escalation.

Why do people engage with the suffering of strangers? Exploring epistemic, eudaimonic, social, and affective motives

Reading violent stories or watching a war documentary are examples in which people voluntarily engage with the suffering of others whom they do not know. Using a mixed-methods approach, we investigated why people make these decisions, while also mapping the characteristics of strangers' suffering to gain a rich understanding. In Study 1 (N = 247), participants described situations of suffering and their reasons to engage with it. Using qualitative thematic analysis, we developed a typology of the stranger (who), the situation (what), the source (how), and the reason(s) for engaging with the situation (why). We categorised the motives into four overarching themes - epistemic, eudaimonic, social, and affective - reflecting diversity in the perceived functionality of engaging with a stranger's suffering. Next, we tested the robustness of the identified motives in a quantitative study. In Study 2, participants (N = 250) recalled a situation in which they engaged with the suffering of a stranger and indicated their endorsement with a variety of possible motives. Largely mirroring Study 1, Study 2 participants engaged to acquire knowledge, for personal and social utility, and to feel positive and negative emotions. We discuss implications for understanding the exploration of human suffering as a motivated phenomenon.

Individual differences in emotional reactions to bistable perception

OBJECTIVE

To assess whether there are individual differences in emotional reactions to bistable images, and if so, to identify some of the psychological factors that predict them.

BACKGROUND

Bistable images - which have two competing perceptual interpretations - have long been used in the scientific study of consciousness. Here we applied a different lens and investigated emotional reactions to them. Method Participants were adult humans in a cross-sectional study. Participants were presented with three bistable images and rated their emotional reactions to experiencing bistability. They also completed measures of intolerance of uncertainty, cognitive empathy, affective empathy, and negative affect. Results There were marked individual differences in these reactions, ranging from feeling highly negative to highly positive. These individual differences in emotional response to bistability were linked to a number of psychological processes: intolerance of uncertainty, cognitive empathy, and negative affect, but not affective empathy. Conclusions These finding have important implications because: (a) these emotional reactions could distort scientific investigations that use these stimuli to study non-emotional perceptual and cognitive processes; and (b) they highlight that this approach offers a useful window into how individuals react to these stimuli that demonstrate that there is not always a single viable interpretation of the world around us.

Reflections on the study of empathy in a sample of refugees and migrants from Arabic-speaking countries with diverse experiences of war-related trauma

Empathic abilities are proposed to affect the trajectory from trauma exposure to psychopathology. Yet, studies addressing the role of empathy in refugees with diverse experiences of war-related trauma are lacking. This may relate to missing recommendations on aspects to consider in the planning and execution of such a study. In the present methodological paper, we hence share our experiences in designing and implementing a study on the interrelations of war-related trauma, post-traumatic stress disorder, and empathy in individuals from Arabic-speaking countries who had entered Germany as refugees or migrants. In specific, we reflect on decisions related to the choice of experimental groups and measures of empathy, and describe unanticipated problems encountered during recruitment, screening and testing. Overall, we recommend applying a multi-method approach (i.e., a combination of questionnaire, behavioral and biological measures) to gain a comprehensive picture of the different facets of empathy. Further, we stress the importance to consider that not only refugees, but also migrants may have experienced war-related trauma. Beyond that, we advise to consult individuals of the study population of interest for the translation of instruments, realization of effective recruitment strategies, and to ensure that the testing procedures are sensitive to participants' past experiences and current needs. We hope that sharing these insights will benefit researchers interested in conducting basic and intervention research aimed at improving the mental health of individuals exposed to war-related trauma.

Compassion buffers the association between trauma exposure and PTSD symptom severity: Findings of a cross-sectional study

To advance intervention science dedicated to improve refugees' mental health, a better understanding of factors of risk and resilience involved in the etiology and maintenance of post-traumatic stress disorder (PTSD) is needed. In the present study, we tested whether empathy and compassion, two trainable aspects of social cognition related to health, would modulate risk for PTSD after war-related trauma. Fifty-six refugees and 42 migrants from Arabic-speaking countries reported on their trauma experiences, PTSD symptoms, and perceived trait empathy and compassion. They further completed the EmpaToM, a naturalistic computer task measuring behavioral empathy and compassion. Moderation analyses revealed that behavioral, but not self-reported compassion was a significant moderator of the trauma-PTSD link. Trauma was more strongly related to PTSD symptoms when individuals had low (β =.59, t = 4.27, p <.001) as compared to high levels of behavioral compassion. Neither self-reported nor behavioral empathy moderated the trauma-PTSD link (β =.24, t = 1.57, p =.120). Findings indicate that the ability to go beyond the sharing of others' suffering and generate the positive feeling of compassion may support resilience in the context of trauma and subsequent development of PTSD. Hence, compassion may be a suitable target for prevention and intervention approaches reducing PTSD symptoms after trauma.

Motivations matter: moral and health-related motives indirectly relate to differential psychological health indicators among vegetarians

Due to rising popularity of vegetarianism in recent years, research interest has surged in examining the relationship between vegetarianism and psychological health. However, given inconsistent findings in prior research, the answer to whether practicing vegetarianism is associated with better or worse psychological health is still elusive. The present investigation aimed to demonstrate that vegetarians are not homogeneous in terms of psychological experiences, such that it is crucial to consider the motives behind vegetarians' dietary choice when examining their psychological health. In a survey study with 266 vegetarians and 104 omnivores, it was shown that health vegetarians displayed higher levels of disordered eating as compared to moral vegetarians and omnivores. Mediation analyses further revealed that, among vegetarians, health motivation was positively correlated with disordered eating tendencies, indirectly linking it with poorer psychological health; moral motivation was positively correlated with prosocial behavior, which in turn predicted better psychological health. These findings have implications for understanding the psychological health of vegetarians with different dietary motives and for developing interventions to promote their psychological health.

Adolescent suicide risk factors and the integration of social-emotional skills in school-based prevention programs

Adolescents are considered one of the most vulnerable groups affected by suicide. Rapid changes in adolescents' physical and mental states, as well as in their lives, significantly and undeniably increase the risk of suicide. Psychological, social, family, individual, and environmental factors are important risk factors for suicidal behavior among teenagers and may contribute to suicide risk through various direct, indirect, or combined pathways. Social-emotional learning is considered a powerful intervention measure for addressing the crisis of adolescent suicide. When deliberately cultivated, fostered, and enhanced, self-awareness, self-management, social awareness, interpersonal skills, and responsible decision-making, as the five core competencies of social-emotional learning, can be used to effectively target various risk factors for adolescent suicide and provide necessary mental and interpersonal support. Among numerous suicide intervention methods, school-based interventions based on social-emotional competence have shown great potential in preventing and addressing suicide risk factors in adolescents. The characteristics of school-based interventions based on social-emotional competence, including their appropriateness, necessity, cost-effectiveness, comprehensiveness, and effectiveness, make these interventions an important means of addressing the crisis of adolescent suicide. To further determine the potential of school-based interventions based on social-emotional competence and better address the issue of adolescent suicide, additional financial support should be provided, the combination of social-emotional learning and other suicide prevention programs within schools should be fully leveraged, and cooperation between schools and families, society, and other environments should be maximized. These efforts should be considered future research directions.

The relationship between theory of mind and moral sensitivity among Chinese preschool children: the mediating role of empathy

BACKGROUND

Identifying moral behavior in complex situations is the key ability for children to develop prosocial behavior. The theory of mind (ToM) and empathy provide the cognition and emotional motivation required for the development of moral sensitivity. In this study, we investigated the associations among ToM, empathy, and moral sensitivity and explored the possible differences between Chinese preschool children aged 4 and 5 years.

METHODS

One hundred and thirty children completed the unexpected-content and change-of-location tasks as well as questionnaires about empathy and moral sensitivity individually. A one-way analysis of variance and the multi-group mediation SEM were used to examine the associations of the three variables and age differences.

RESULTS

The scores of 5-year-old children in the dimensions of care, fairness, authority, and sanctity and the total score were higher than those of 4-year-old children. Moral sensitivity was positively correlated with both ToM and empathy after we controlled for verbal IQ and gender. Multigroup mediation analyses showed age-based differences in the associations among moral sensitivity, ToM, and empathy. Empathy's mediation effect was partial among 4-year-old children and complete among 5-year-old children.

CONCLUSIONS

These findings contribute to understanding the cognitive and emotional factors in the formation of children's moral sensitivity. They also point to a promising approach to promoting the development of moral sensitivity and evidence for educators to understand the process of children's socialization.

Social anxiety is associated with personal distress and disrupted recognition of negative emotions

Past research investigating the relation between social anxiety (SA), empathy and emotion recognition is marked by conceptual and methodological issues. In the present study, we aim to overcome these limitations by examining whether individuals with high (n = 40) vs. low (n = 43) social anxiety differed across these two facets of empathy and whether this could be related to their recognition of emotions. We employed a naturalistic emotion recognition paradigm in which participants watched short videos of individuals (targets) sharing authentic emotional experiences. After each video, we measured self-reported empathic concern and distress, as well as their ability to recognize the emotions expressed by the targets in the videos. Our results show that individuals with high social anxiety recognized the targets' emotions less accurately. Furthermore, high socially anxious individuals reported more personal distress than low socially anxious individuals, whereas no significant difference was found for empathic concern. The findings suggest that reduced recognition of emotions among SA individuals can be better explained by the negative effects of social stress than by a general deficit in empathy.

The role of external factors in affect-sharing and their neural bases

Affect-sharing, the ability to vicariously feel another person's emotions, is the primary component of empathy that is typically thought to rely on the observer's capacity to feel the emotions of others. However, external signals, such as the target's physical characteristics, have been demonstrated to influence affect-sharing in the neuroscientific literature that speaks to the underappreciated role of external factors in eliciting affect-sharing. We consider factors that influence affect-sharing, including physical cues, emotional cues, situational factors, and observer-target relationships, as well as the neural circuits involved in these processes. Our review reveals that, while neural network activation is primarily responsible for processing affect-sharing, external factors also co-activate a top-down cognitive processing network to modulate the conscious process of affect-sharing. From this knowledge, an integrative framework of external factor interactions with affect-sharing are explained in detail. Finally, we identify critical areas for future research in social and affective neuroscience, including research gaps and incorporation of ecologically valid paradigms.

Empathy-related differences in the anterior cingulate functional connectivity of regular cannabis users when compared to controls

It has been reported that cannabis consumption affects the anterior cingulate cortex (ACC), a structure with a central role in mediating the empathic response. In this study, we compared psychometric scores of empathy subscales, between a group of regular cannabis users (85, users) and a group of non-consumers (51, controls). We found that users have a greater Emotional Comprehension, a cognitive empathy trait involving the understanding of the "other" emotional state. Resting state functional MRI in a smaller sample (users = 46, controls = 34) allowed to identify greater functional connectivity (FC) of the ACC with the left somatomotor cortex (SMC), in users when compared to controls. These differences were also evident within the empathy core network, where users showed greater within network FC. The greater FC showed by the users is associated with emotional representational areas and empathy-related regions. In addition, the differences in psychometric scores suggest that users have more empathic comprehension. These findings suggest a potential association between cannabis use, a greater comprehension of the other's affective state and the functional brain organization of the users. However, further research is needed to explore such association, since many other factors may be at play.

Parental Burnout and Prosocial Behavior among Chinese Adolescents: The Role of Empathy

Parental burnout refers to exhaustion caused by the parenting role. This devastating negative emotion can have repercussions for adolescent social development. Nevertheless, much remains unclear about the association between parental burnout and adolescent prosocial behavior and the potential mechanisms underlying this relationship. Based on theoretical and empirical evidence, the current study examined the relationship between parental burnout and adolescent prosocial behavior by using a sequential mediation model that included both parental empathy and adolescent empathy as potential mediators. A total of 488 parent-adolescent dyads (for adolescents: 45.7% men, 54.3% women, Mage = 15.28 ± 1.67 years; for parents: 36.5% fathers, 63.5% mothers, Mage = 41.30 ± 3.79 years) completed questionnaires regarding demographics, social desirability, parental burnout, parental empathy, adolescent empathy, and adolescent prosocial behavior. After controlling for demographic covariates and social desirability, the results showed that parental burnout had a negative effect on adolescent-reported prosocial behavior through parental cognitive empathy and adolescent other-oriented empathy (adolescent cognitive empathy and empathic concern) sequentially. These findings contribute to our understanding of the role of parental burnout as a family environmental factor detrimental to the positive functioning of adolescents through parental reactions to their children's emotions and children's own social competence.

The role of teacher empathy and immediacy in Chinese EFL students' affective learning outcomes: unveiling the associations

Introduction

The positive influences of teacher-student interpersonal communication skills on second language (L2) students have been considerably endorsed in the literature. However, the contribution of teacher empathy and immediacy behaviors, as realizations of such skills, to students' affective learning outcomes is unaddressed in L2 research.

Methods

To fill this gap, three scales were distributed among a sample of 350 Chinese EFL students to see if teachers' empathy and immediacy correlate with and predict students' affective learning outcomes.

Results

The results of correlation analysis revealed strong and positive relationships among teacher empathy, teacher immediacy, and learners' affective learning outcomes. Moreover, the results of multiple regression indicated that Chinese EFL teachers' empathy and immediacy could predict about 65 and 60% of changes in the learners' affective learning outcomes, respectively.

Discussion

Implications of the study for EFL teachers' interpersonal communication skills development and emotional literacy are discussed. Future research trends are also presented at the end of the article.

Empathy training for service employees: A mixed-methods systematic review

Following the surge for empathy training in service literature and its increasing demand in service industries, this study systematically reviews empirical papers implementing and testing empathy training programs in various service domains. A mixed-methods systematic review was performed to identify and describe empathy training programs and discuss their effectiveness in service quality, service employees' well-being, and service users' satisfaction. Included papers met those eligibility criteria: qualitative, quantitative, or mixed-methods study; one training in empathy is identifiable; described training(s) developed for or tested with service employees dealing with service users. We searched health, business, education, and psychology databases, such as CINAHL, Medline ABI/Inform Global, Business Source Premier, PsycINFO, and ERIC. We used the Mixed-Method Assessment Tool to appraise the quality of included papers. A data-based convergent synthesis design allowed for the analysis of the data. A total of 44 studies published between 2009 to 2022 were included. The narrative presentation of findings was regrouped into these six dimensions of empathy training programs: 1) why, 2) who, 3) what, 4) how, 5) where, and 6) when and how much. Close to 50% of studies did not include a definition of empathy. Four main empathic competencies developed through the training programs were identified: communication, relationship building, emotional resilience, and counseling skills. Face-to-face and group-setting interventions are widespread. Our systematic review shows that the 44 papers identified come only from health services with a predominant population of physicians and nurses. However, we show that the four empathic skills identified could be trained and developed in other sectors, such as business. This is the first mixed-methods, multi-disciplinary systematic review of empathy training programs in service research. The review integrates insights from health services, identifies research limitations and gaps in existing empirical research, and outlines a research agenda for future research and implications for service research.

Do Bad People Deserve Empathy? Selective Empathy Based on Targets' Moral Characteristics

The relation between empathy and morality is a widely discussed topic. However, previous discussions mainly focused on whether and how empathy influences moral cognition and moral behaviors, with limited attention to the reverse influence of morality on empathy. This review summarized how morality influences empathy by drawing together a number of hitherto scattered studies illustrating the influence of targets' moral characteristics on empathy. To explain why empathy is morally selective, we discuss its ultimate cause, to increase survival rates, and five proximate causes based on similarity, affective bonds, the appraisal of deservingness, dehumanization, and potential group membership. To explain how empathy becomes morally selective, we consider three different pathways (automatic, regulative, and mixed) based on previous findings. Finally, we discuss future directions, including the reverse influence of selective empathy on moral cognition, the moral selectivity of positive empathy, and the role of selective empathy in selective helping and third-party punishment.

Suicidal ideation in Chinese adults with schizophrenia: associations with neurocognitive function and empathy

BACKGROUND

Suicidal ideation is common among people diagnosed with schizophrenia spectrum disorders and may be related to neurocognitive, social cognitive, and clinical variables. This study aimed to investigate the relationships between suicidal ideation and both neurocognitive function and empathy.

METHODS

The sample for this cross-sectional study comprised 301 schizophrenic patients aged 18-44 years. All participants were administered the Beck Scale for Suicide Ideation-Chinese Version (BSI-CV), the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), the Interpersonal Reactivity Index (IRI), and the Positive and Negative Syndrome Scale (PANSS). The demographic and clinical data of the patients were also collected.

RESULTS

In total, 82 patients reported suicidal ideation. Compared to patients without suicidal ideation, patients with suicidal ideation showed significant differences in the IRI-Personal Distress subscale, PANSS-General Psychopathology symptom scores, and suicide attempts. Moreover, there were moderating effects of neurocognitive function and empathy on the relationship between suicide attempts and suicidal ideation.

CONCLUSIONS

These results indicate that the personal distress component of empathy, general psychopathology symptoms and suicide attempts are independent risk factors for suicidal ideation in Chinese adults with schizophrenia. Moreover, neurocognitive function may also be related to suicidal ideation through a moderating relationship. In order to reduce suicidal ideation among patients with schizophrenia, early screening of empathy and neurocognitive function is essential.

Empathic Accuracy and Shared Depressive Symptoms in Close Relationships

Empathic accuracy, the ability to accurately understand others' emotions, is typically viewed as beneficial for mental health. However, empathic accuracy may be problematic when a close relational partner is depressed because it promotes shared depression. Across two studies, we measured empathic accuracy using laboratory tasks that capture the ability to rate others' emotional valence accurately over time: first, in a sample of 156 neurotypical married couples (Study 1; Total N=312), and then in a sample of 102 informal caregivers of individuals with dementia (Study 2). Across both studies, the association between empathic accuracy and depressive symptoms varied as a function of a partner's level of depressive symptoms. Greater empathic accuracy was associated with (a) fewer depressive symptoms when a partner lacked depressive symptoms, but (b) more depressive symptoms when a partner had high levels of depressive symptoms. Accurately detecting changes in others' emotional valence may underpin shared depressive symptoms.

Effect of Socioeconomic Status on Altruistic Behavior in Chinese Middle School Students: Mediating Role of Empathy

Previous studies have shown that socioeconomic status is correlated to altruistic behavior. The role of empathy as one of the motivations for altruistic behavior is gradually gaining attention among researchers. This study explores the role of empathy in the mechanisms of socioeconomic status and altruistic behavior in Chinese adolescents. A total of 253 middle school students from Northern China participated in this study, which included the dictator game and Interpersonal Relation Index. Results showed that (1) low-SES students behaved more generously than high-SES students; (2) the students were more generous to the low-SES recipients, as shown when offering them more money in the dictator game; (3) affective rather than cognitive empathy mediates the relationship between socioeconomic status and altruistic behavior. The findings provide evidence for the validation of the empathy-altruism hypothesis in a group of Chinese adolescents. Meanwhile, it reveals the path to improving altruistic behavior through the promotion of empathy, especially for individuals of high socioeconomic status.

Altered empathy correlates with reduced social and non-social reward anticipation in individuals with high social anhedonia

This study examined the correlations of affective and cognitive components of empathy with reward anticipation toward monetary and social incentives in individuals with social anhedonia (SocAnh). According to the scores on the Revised Social Anhedonia Scale, 109 participants were divided into high (n = 57) and low (n = 52) SocAnh groups. Empathy was assessed with the Questionnaire of Cognitive and Affective Empathy (QCAE) and the Interpersonal Reactivity Index (IRI) Scale. Social and non-social reward anticipations were assessed by the Social and Monetary Incentive Delay Tasks, respectively. We performed independent-sample t tests and repeated-measures ANOVAs to examine the group differences on empathy and reward anticipation. Correlation analyses between empathy and reward anticipation were conducted. Results showed that the high SocAnh group reported reduced scores on empathy and reward anticipation for monetary and social incentives compared to their low SocAnh counterparts. Correlation analysis further indicated that monetary reward anticipation correlated with cognitive empathy, while social reward anticipation correlated with affective empathy. Our findings suggested that participants with high SocAnh exhibited poorer empathy and reduced reward anticipation than those with low SocAnh level. More importantly, social and non-social reward anticipation may distinctly contribute to affective and cognitive components of empathy.

Empathy moderates the relationship between cognitive load and prosocial behaviour

Cognitive load reduces both empathy and prosocial behaviour. However, studies demonstrating these effects have induced cognitive load in a temporally limited, artificial manner that fails to capture real-world cognitive load. Drawing from cognitive load theory, we investigated whether naturally occurring cognitive load from the ongoing COVID-19 pandemic moderated the relationship between empathy and prosocial behaviour (operationalised as support for public health measures). This large study in an Australian sample (N = 600) identified negative relationships between pandemic fatigue, empathy for people vulnerable to COVID-19, and prosocial behaviour, and a positive relationship between empathy and prosocial behaviour. Additionally, we found that the negative effect of the pandemic on prosocial behaviour depended on empathy for vulnerable others, with pandemic fatigue's effects lowest for those with the highest empathy. These findings highlight the interrelationships of cognitive load and empathy, and the potential value of eliciting empathy to ease the impact of real-world cognitive load on prosocial behaviour.

The validation of a Mandarin version of the Empathy Components Questionnaire (ECQ-Chinese) in Chinese samples

Empathy involves both empathic ability and empathic motivation. An important topic has been how to measure empathic ability and motivation simultaneously in both clinical and non-clinical samples and across different cultures. The Empathy Components Questionnaire (ECQ) is a self-report questionnaire that measures empathic ability and motivation in a questionnaire. The current study aimed to validate the Mandarin Chinese version of the ECQ (ECQ-Chinese) in three Chinese samples. In study 1, a total of 538 Chinese participants (Sample 1) completed the ECQ-Chinese via an online survey, and existing measures of empathy and related constructs which were used for criterion validity. In study 2, a total of 104 participants (Sample 2) were recruited again from sample 1 and completed the ECQ-Chinese three weeks later to investigate test-retest reliability. In study 3, a further 324 participants (Sample 3) completed the ECQ-Chinese for confirmatory factor analysis. The results showed that the ECQ-Chinese has a good internal consistency reliability, split-half reliability, and criterion validity (Study 1), and a good test-retest reliability (Study 2). Further, Study 3 found that a 22-item ECQ-Chinese consisting of five subscales had a good construct validity, convergence validity and discriminate validity, demonstrating it to be a suitable tool for the measurement of empathic ability and motivation in Chinese samples and to carry out cross-cultural studies of empathy and its components.

Gender differences in brain response to infant emotional faces

Infant emotional stimuli can preferentially engage adults' attention and provide valuable information essential for successful interaction between adults and infants. Exploring the neural processes of recognizing infant stimuli promotes better understandings of the mother-infant attachment mechanisms. Here, combining task-functional magnetic resonance imaging (Task-fMRI) and resting-state fMRI (rs-fMRI), we investigated the effects of infants' faces on the brain activity of adults. Two groups including 26 women and 25 men were recruited to participate in the current study. During the task-fMRI, subjects were exposed to images of infant emotional faces (including happy, neutral, and sad) randomly. We found that the brains of women and men reacted differently to infants' faces, and these differential areas are in facial processing, attention, and empathetic networks. The rs-fMRI further showed that the connectivity of the default-mode network-related regions increased in women than in men. Additionally, brain activations in regions related to emotional networks were associated with the empathetic abilities of women. These differences in women might facilitate them to more effective and quick adjustments in behaviors and emotions during the nurturing infant period. The findings provide special implications and insights for understanding the neural processing of reacting to infant cues in adults.

The relationship between dimensions of empathy and symptoms of depression among university students during the COVID-19 pandemic: A network analysis

Background

The relationship between different dimensions of empathy and individual symptoms of depression during the COVID-19 pandemic remains unclear, despite the established link between empathy and depression. The network analysis offers a novel framework for visualizing the association between empathy and depression as a complex system consisting of interacting nodes. In this study, we investigated the nuanced associations between different dimensions of empathy and individual symptoms of depression using a network model during the pandemic.

Methods

1,177 students completed the Chinese version of the Interpersonal Reactivity Index (IRI), measuring dimensions of empathy, and the Chinese version of the Patient Health Questionnaire-9 (PHQ-9), measuring symptoms of depression. First, we investigated the nuanced associations between different dimensions of empathy and individual depressive symptoms. Then, we calculated the bridge expected influence to examine how different dimensions of empathy may activate or deactivate the symptoms of depression cluster. Finally, we conducted a network comparison test to explore whether network characteristics such as empathy-depression edges and bridge nodes differed between genders.

Results

First, our findings showed that personal distress was positively linked to symptoms of depression. These symptoms involved psychomotor agitation or retardation (edge weight = 0.18), sad mood (edge weight = 0.12), trouble with concentrating (edge weight = 0.11), and guilt (edge weight = 0.10). Perspective-taking was found to be negatively correlated with trouble with concentrating (edge weight = -0.11). Empathic concern was negatively associated with suicidal thoughts (edge weight = -0.10) and psychomotor agitation or retardation (edge weight = -0.08). Fantasy was not connected with any symptoms of depression. Second, personal distress and empathic concern were the most positive and negative influential nodes that bridged empathy and depression (values of bridge expected influence were 0.51 and -0.19 and values of predictability were 0.24 and 0.24, respectively). The estimates of the bridge expected influence on the nodes were adequately stable (correlation stability coefficient = 0.75). Finally, no sex differences in the studied network characteristics were observed.

Conclusions

This study applied network analysis to reveal potential pathways between different dimensions of empathy and individual symptoms of depression. The findings supported the existing theoretical system and contribute to the theoretical mechanism. We have also made efforts to suggest interventions and preventions based on personal distress and empathic concern, the two most important dimensions of empathy for depressive symptoms. These efforts may help Chinese university students to adopt better practical methods to overcome symptoms of depression during the COVID-19 pandemic.

Using performance art to promote intergroup prosociality by cultivating the belief that empathy is unlimited

Empathy is important for resolving intergroup conflicts. However, people often tend to feel less empathy toward people who do not belong to their social group (i.e., outgroup members). We propose that this tendency is due, in part, to the belief that empathy is a limited resource. To overcome this issue, we develop an intervention synthesizing psychology and art to increase the belief that empathy is unlimited. In six studies (n = 2118), we find that the more people believe empathy is limited, the less outgroup empathy they experience. Moreover, leading people to believe that empathy is unlimited increase outgroup empathy, leads to greater support for prosocial actions toward outgroup members, and encourages more empathic behaviors toward outgroup members in face-to-face intergroup interactions. These intervention effects are observed across various intergroup contexts involving different ethnic, national, religious, and political groups. Thus, changing beliefs about empathy may improve intergroup relations, and conveying this belief through art may promote social change.

What Matters Most? The Power of Kafka's Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education

HIV stigma, a social-medical problem, continues to confound researchers and health professionals, while undermining outcomes. Empathy may reduce stigma; its absence may predict stigma. This research investigates: How does Kafka's Metamorphosis advance understandings of HIV stigma in medical health education? Metamorphosis amplifies the sociological-relational mechanisms fostering HIV stigma. It offers a multi-disciplinary, responsive space for ethical, humanistic and clinical inquiry to meet: enabling students to consider how social structures shape health inequities, moral, social experience, and their professional identity within. Metamorphosis may ultimately promote medical health humanities' social mission-allowing literature to unfold such revelations towards greater equity in health.

Empathy and Post-Traumatic Growth among Chinese Community Workers during the COVID-19 Pandemic: Roles of Self-Disclosure and Social Support

Given the prolonged nature of the COVID-19 pandemic and its long-term psychological impacts, this study aimed to explore how empathy leads to post-traumatic growth (PTG) among Chinese community workers. Guided by the revised PTG model, this study identified the relation between empathy and PTG using a multiple mediation model that included self-disclosure and social support as hypothesized mediators. This study utilized data from 414 Chinese adults aged 20 years or older who completed an online survey during the pandemic. Self-disclosure and social support were measured as mediating variables. The study variables were positively correlated with PTG. Empathy was positively correlated with self-disclosure and social support. After controlling for demographic covariates, the results indicated that self-disclosure and social support mediated the link between empathy and PTG in both parallel and sequential fashion. Empathy, self-disclosure, and social support played important roles in the growth of Chinese community workers. The present findings have been useful in increasing our understanding, policy programs, and interventions by governments or regional bodies to ameliorate community workers' PTG.

“Parents are gone”: Understanding the unique and interactive impacts of affective and cognitive empathy on left-behind youth’s academic engagement

Although several studies have shown that left-behind adolescents are vulnerable regarding emotional and behavioral functions, much less research has focused on this group’s academic engagement. The relationship between distinct empathy subcomponents and academic engagement in left-behind youth (versus non-left-behind youth) is therefore largely unknown. To fill these knowledge gaps, the current study compared the academic engagement between left-behind and non-left-behind youth. This study subsequently examined the unique and interactive relationships among affective empathy, cognitive empathy, and left-behind status with academic engagement in a combined sample of left-behind and non-left-behind youth. In total, 323 left-behind youth and 737 non-left-behind youth (Mage = 13.05; 49.5% females) participated in this study. Findings, after adjusting for participants’ sociodemographic characteristics, revealed that left-behind youth did not differ significantly in academic engagement compared to non-left-behind youth. A four-step hierarchical regression analysis showed that both empathy components were positively related to academic engagement. Interaction analyses further exhibited a cross-over effect of affective and cognitive empathy for left-behind youth. Specifically, left-behind youth with high cognitive empathy seemed more susceptible to the influence of affective empathy on academic engagement, for better and for worse. In the presence of high affective empathy, left-behind youth with higher cognitive empathy reported the highest academic engagement, whereas the youth with higher cognitive empathy, in the presence of low affective empathy, reported the lowest. The current study highlights the unique and interactive roles of affective and cognitive empathy in left-behind youth’s academic engagement, including important conceptual and practical implications.

Effectiveness of mindfulness-based interventions on empathy: A meta-analysis

Empathy is essential for human survival and social interaction. Although mindfulness-based interventions (MBIs) have been used to improve empathy in healthy populations, its therapeutic efficacy remains unknown. This study aims to investigate the therapeutic effects of MBIs on empathy in a healthy population and the potential factors affecting the efficacy of MBIs. The literature search focused on PubMed, Embase, Web of Science, Cochrane Library, and CNKI from inception to September 2022. Randomized controlled trials and quasi-experimental studies reporting the effects of using MBIs on empathy in healthy populations were included. A total of 13 studies were included in this review. Results of the meta-analysis showed that MBIs improved empathy (SMD, 0.372, 95% CI, 0.164-0.579, p = 0.001) in the healthy population compared with that in the control group. Moreover, results of the subgroup analysis showed that intervention dose (over 24 h vs. under 24 h), format (online vs. offline), and types (different types) were important factors affecting treatment outcomes. This comprehensive review suggests that MBIs are effective treatment for empathy in healthy population. Future research should markedly focus on large-sample, rigorously designed experiments to explore the long-term effects of MBIs on empathy and to elucidate the underlying mechanisms of MBIs. This study provides a reference for the daily application of MBIs.

Sex difference in trait empathy is encoded in the human anterior insula

Females are considered the more empathic sex. This conventional view, however, has been challenged in the past few decades with mixed findings. These heterogeneous findings could be caused by the fact that empathy is a complex and multifaceted construct. To clarify whether sex differences exist in certain dimensions of empathy and whether they are associated with specific neural bases, this study measured trait empathy using the interpersonal reactivity index (IRI) and collected brain structural and functional magnetic resonance imaging data in a large sample of healthy participants (206 males vs. 302 females). We found that females scored higher in the personal distress (PD) subscale than males, but they were comparable to males in other IRI subscales. Sex difference in PD was encoded by brain structural (e.g. gray matter volume in left anterior insula [AI]) and functional (e.g. resting-state functional connectivity between left AI and temporoparietal junction/inferior frontal gyrus) characteristics. Notably, the relationship between sex and PD was indirect-only and serially mediated by AI-associated structural and functional characteristics. Altogether, our results suggested that sex difference existed in self-oriented affective empathy (i.e. PD) and highlighted the importance of the AI, both structurally and functionally, in mediating the sex difference in trait empathy.

The empathic personality profile: Using personality characteristics to reveal genetic, environmental, and developmental patterns of adolescents' empathy

How do genetic and environmental processes affect empathy during early adolescence? This study illumined this question by examining the etiology of empathy with the etiology of other personality characteristics. Israeli twin adolescents rated their empathy and personality at ages 11 (N=1176) and 13 (N=821) (733 families, 51.4% females). Parents rated adolescents' emotional empathy. Adolescents performed an emotion recognition task, indicating cognitive empathy. Using a cross-validated statistical learning algorithm, this study found emotional and cognitive 'empathic personality profiles', which describe and predict self-reported empathy from nuanced Big-Five personality characteristics, or 'nuances' (i.e., individual items). These profiles predicted empathy moderately (R² =.17-.24) and were stable and robust, within each age and between ages. They also predicted empathy in a new sample of older non-twin adolescents (N=96) and were validated against non-self-report empathy measures. Both emotional and cognitive empathy were predicted by nuances representing positive attitudes toward others, trust, forgiveness, and openness to experiences. Emotional empathy was also predicted by nuances representing anxiousness and negative reactivity. Twin analyses revealed overlapping genetic and environmental influences on empathy and the empathic personality profiles and overlapping environmental influences on empathy-personality change. This study demonstrates how addressing the complexity of individuals' personalities can inform adolescents' empathy development.