Assessing parental empathy: a role for empathy in child attachment

Parents' depressive symptoms and reflective functioning predict parents' proficiency in relational savoring and children's physiological regulation

This study examined parental depression and parental reflective functioning (PRF) as predictors of parental proficiency in relational savoring (RS), the association between RS proficiency and a marker of children's physiological self-regulation, respiratory sinus arrhythmia (RSA), during a stressor, and indirect effects of parental depression and PRF on children's RSA via parents' RS. At Time 1 (T1), parents of 8- to 12-year-old children (N = 139) reported on their depressive symptoms and completed a parenting interview, coded for PRF. After 1.5 years (Time 2; T2), parents savored a positive relational memory that involved their children, which was coded for savoring proficiency. Children's RSA was measured during a stressful task (a series of impossible puzzles). Depressive symptoms (inversely) and PRF (positively) were associated with RS proficiency. Higher parental RS proficiency was associated with children's higher mean levels of RSA during the stressor. Indirect effects models supported that T2 RS proficiency mediated the negative association between parental T1 depressive symptoms and children's T2 RSA, and between T1 PRF and children's T2 RSA. We discuss these findings in terms of implications for parents' emotion regulation, children's emotion regulation, children's mental health, and intervention.

Exploring the key drivers of responsive parenting in mothers and fathers - observed and self-reported responsiveness

BACKGROUND

This article explores parental responsiveness - the ability of a parent to react to a child's needs adequately, promptly, and with tenderness and synchrony. Parental responsiveness can be measured using observational and self-report scales. The purpose of this study was to explore whether individual differences in empathy and attachment in mothers and fathers and their satisfaction with their relationship are predictors of parental responsiveness toward infants. Moreover, self-report and observational measures of parental responsiveness were compared.

PARTICIPANTS AND PROCEDURE

A total of 110 triads (mother, father, and child aged 6-10 months) took part in the free play procedure and parents' behaviors towards their children were assessed using the Ainsworth Sensitivity Scale. Moreover, they filled out a set of questionnaires measuring parental self-reported responsiveness, empathy, experiences in close relationships and romantic relationship satisfaction.

RESULTS

Higher empathic concern was connected with higher responsiveness and this was seen in both individual and partner measures. At the individual level, measures of responsiveness (self-report and observational) were not congruent and probably depended on other variables. In couples, there were positive correlations in three aspects of their family functioning: observed and self-reported parental responsiveness as well as relationship satisfaction.

CONCLUSIONS

This study revealed differences between self-reported and observational measures of parental responsiveness, indicating that their results may not always be congruent and could depend on other variables.

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.

A Retrospective Study on Adoptive Parenthood in the First Year after the Adoption: The Role of Parents' Attachment and Empathy on Communicative Openness

Communicative openness (CO) defines the willingness of parents and children to explore the significance of adoption. Especially in the first year of adoption, CO could be challenging for adoptive parents, who are influenced by personal characteristics. Using a retrospective assessment, we investigated parents' communicative experiences in the first year of adoption and whether these are affected by romantic attachment and empathy. In the study, 290 adoptive parents (females = 73%, mean age 50 years) filled (a) an ad hoc questionnaire for CO, (b) Experiences in Close Relationships-Revised (ECR-R) for attachment, and the (c) Interpersonal Reactivity Index (IRI) for empathy. During the first year, most parents reported difficulties in controlling their emotions and understanding their children's emotions. Parents with an avoidant attachment and personal distress in empathy were more likely to feel fatigued in sharing and controlling personal feelings and understanding their children's feelings. Open adoption-related communication is a complex and challenging process for adoptive parents, which can be facilitated or not by individual characteristics such as avoidant attachment and personal distress in emotional situations. These results could help develop psychological interventions targeting adoptive parents during the first year after the child enters the family system.

Effects of a preventive parenting intervention for bereaved families on the intergenerational transmission of parenting attitudes: Mediating processes

This study evaluated whether the Family Bereavement Program (FBP), a prevention program for parentally bereaved families, improved parenting attitudes toward parental warmth and physical punishment in young adult offspring 15 years after participation and identified mediational cascade pathways. One hundred fifty-six parents and their 244 offspring participated. Data were collected at pretest (ages 8-16), posttest, and six- and 15-year follow-ups. Ethnicity of offspring was: 67% non-Hispanic Caucasian, 16% Hispanic, 7% African American, 3% Native American, 1% Asian or Pacific Islander, and 6% other; 54% were males. There was a direct effect of the FBP on attitudes toward physical punishment; offspring in the FBP had less favorable attitudes toward physical punishment. There were also indirect effects of the FBP on parenting attitudes. The results supported a cascade effects model in which intervention-induced improvements in parental warmth led to fewer externalizing problems in adolescence/emerging adulthood, which in turn led to less favorable attitudes toward physical punishment. In addition, intervention-induced improvements in parental warmth led to improvements in anxious romantic attachment in mid-to-late adolescence/emerging adulthood, which led to more favorable attitudes toward parental warmth in emerging/young adulthood. These findings suggest that the effects of relatively brief prevention programs may persist into subsequent generations.

Fluctuations and individual differences in empathy interact with stress to predict mental health, parenting, and relationship outcomes

Introduction

Empathy is a complex, multifaceted ability allowing for the most basic forms of social communication and plays a prominent role in multiple aspects of everyday lives. In this intensive longitudinal study, we assessed how empathy interacts with stress to predict central domains of psychosocial functioning: mental health, romantic relationships, and parenting.

Methods

Fluctuations and individual differences in empathy were assessed across eight time points, where participants from the general population (N = 566) self-reported their empathy, stress, depressive symptoms, romantic satisfaction, and parental functioning.

Results

Both trait and state aspects of empathy were associated with all psychosocial outcomes, with state empathy showing a stronger effect. Additionally, empathy components interacted with stress-emotional empathy better-predicted outcomes under high stress, while cognitive empathy under low stress.

Discussion

Our findings advance the theoretical understanding of empathy, emphasizing the effects of state-dependent empathy fluctuations on our everyday mental and social lives.

Creation of a Short-Form and Brief Short-Form Version of the Coping With Children's Negative Emotions Scale

The Coping with Children's Negative Emotions Scale (CCNES) is a widely used measure of parent emotion socialization; however, it is a lengthy measure and it is unclear whether all items are appropriately aligned with, and fully capture, the underlying constructs. We aimed to examine content validity of the CCNES, evaluate the theoretical alignment between the CCNES and Gottman, Katz and Hooven's meta-emotion theory, and develop two short-forms. Participants were parents of children aged 4 to 10 years (N = 937) from the longitudinal study the Child and Parent Emotion Study (https://bmjopen.bmj.com/content/10/10/e038124). Content experts qualitatively evaluated parent-report items of the CCNES and additional items that measured empathy. Nineteen of the 84 items were found to not align with the meta-emotion theory. The latent structures of the CCNES and empathy subscales were quantitatively evaluated via confirmatory factor analysis. Items with poor psychometric properties were subsequently removed. An 18-item short-form (three emotion coaching subscales, three emotion dismissing subscales) and 6-item brief short-form (one emotion coaching subscale, one emotion dismissing subscale) with strong psychometric properties were created using a calibration sample (n = 468, that is, 50% of N = 937) and cross-validated with a validation sample. The short-form CCNES measures provide viable, theoretically consistent alternatives to the original CCNES measure.

Family Cohesion Moderates the Relation between Parent-Child Neural Connectivity Pattern Similarity and Youth's Emotional Adjustment

Despite a recent surge in research examining parent-child neural similarity using fMRI, there remains a need for further investigation into how such similarity may play a role in children's emotional adjustment. Moreover, no prior studies explored the potential contextual factors that may moderate the link between parent-child neural similarity and children's developmental outcomes. In this study, 32 parent-youth dyads (parents: M age = 43.53 years, 72% female; children: M age = 11.69 years, 41% female) watched an emotion-evoking animated film while being scanned using fMRI. We first quantified how similarly emotion network interacts with other brain regions in responding to the emotion-evoking film between parents and their children. We then examined how such parent-child neural similarity is associated with children's emotional adjustment, with attention to the moderating role of family cohesion. Results revealed that higher parent-child similarity in functional connectivity pattern during movie viewing was associated with better emotional adjustment, including less negative affect, lower anxiety, and greater ego resilience in youth. Moreover, such associations were significant only among families with higher cohesion, but not among families with lower cohesion. The findings advance our understanding of the neural mechanisms underlying how children thrive by being in sync and attuned with their parents, and provide novel empirical evidence that the effects of parent-child concordance at the neural level on children's development are contextually dependent.SIGNIFICANCE STATEMENT What neural processes underlie the attunement between children and their parents that helps children thrive? Using a naturalistic movie-watching fMRI paradigm, we find that greater parent-child similarity in how emotion network interacts with other brain regions during movie viewing is associated with youth's better emotional adjustment including less negative affect, lower anxiety, and greater ego resilience. Interestingly, these associations are only significant among families with higher cohesion, but not among those with lower cohesion. Our findings provide novel evidence that parent-child shared neural processes to emotional situations can confer benefits to children, and underscore the importance of considering specific family contexts in which parent-child neural similarity may be beneficial or detrimental to children's development, highlighting a crucial direction for future research.

Profiles of parents' emotion socialization within a multinational sample of parents

Introduction

Seminal emotion socialization theories classify parents according to two patterns of parent emotion socialization processes: 'emotion coaching' (i.e., parents validate and teach children about emotions) versus 'emotion dismissing' parenting (i.e., parents minimize and dismiss their children's emotions). However, empirical evidence supporting this binary distinction of parents remains limited. Our objective was to investigate whether parents can be differentiated by distinct patterns in their (1) beliefs about children's emotions, (2) emotion regulation, and (3) emotion-related parenting practices.

Method

Participants were parents of children aged 4-10 years from the Child and Parent Emotion Study (N = 869) (https://bmjopen.bmj.com/content/10/10/e038124). Parents completed self-reported measures of emotion socialization processes via an online survey, which took 20-30 min to complete. Data included in the current study were collected May-August 2019. We conducted a latent profile analysis of parents' emotion socialization (13 indicators). To assess reliability of the profiles, we examined stability of the profiles across (1) parents of children in early versus middle childhood, and (2) fathers versus mothers, via measurement invariance testing. Further, to assess for construct validity of the profiles, we examined concurrent associations between six criterion constructs and parents' emotion socialization profiles.

Results

A three-profile model emerged characterizing parents by: (1) emotion coaching; (2) emotion dismissing; (3) emotion disengaged. There was strong support for construct validity and reliability.

Discussion

Our study provides empirical support for distinct differentiated classifications of emotion coaching and emotion dismissing parenting, aligned with emotion socialization theories. We further extend on extant theory and suggest a third 'emotion disengaged' classification, describing parents with moderate levels of emotion dismissing parenting and low levels of emotion coaching parenting. It should be noted that the profiles were derived with self-report data, therefore, data may have been biased by contextual factors. Furthermore, the study sample consisted of Western families from affluent backgrounds. The field should focus efforts on conducting person-centered studies with more diverse samples in future.

Moderating role of motivational preference in the relationship between attachment quality and emotional empathy among autistic caregivers

The study investigated the moderating role of motivational preference in the relationship between attachment quality and emotional empathy among sixty-five autistic caregivers (42 males and 23 females). Participants were drawn from Therapeutic Inclusive Nursery, Primary, and Secondary School in Abakpa Nike, Enugu State, Nigeria. Attachment Quality Scale, Work Preference Inventory Scale, and Emotional Empathy Scale were used in the study. Hayes PROCESS macro regression-based, path-analytical framework was employed to analyse the data. Motivational preference and the four dimensions of attachment quality predicted emotional empathy. Motivational preference did not moderate the relationship between security, avoidance and ambivalent worry dimensions of attachment quality and emotional empathy. Motivational preference moderated the relationship between ambivalent merger and emotional empathy (β = -.14, t = -3.15, p = <.05). Ambivalent merger predicted emotional empathy for those with low motivational preference (β = 7.22, p = <.05), moderate motivational preference (β = 3.07, p = < .05), and for those with high motivational preference (β = 1.01, p = <.05). Implications and limitations of the findings were discussed and suggestions for further studies were made.

Empathy and parenthood: The moderating role of maternal trait empathy on parental burnout

The ability to empathize with others enables us to effectively interact with each other and may have specifically evolved to support parental roles and caregiving. The relationship between parenting and trait empathy is little understood as previous research focused on empathy exclusively in the context of parenting, for example parental sensitivity. Here we aimed to understand how trait empathy may moderate the association between child's negative emotionality and parental burnout. Two cohorts were examined (1) parents of infants (10-18 months old; N = 203) and (2) parents of children (3-10 years old, N = 201). Parents filled out a battery of online questionnaires assessing maternal empathy, parental burnout and child temperament. We found that the relationship between higher levels of negative emotionality and parental burnout is moderated by specific aspects of maternal emotional empathy. Our findings suggest that maternal emotional empathy acts as a buffer against parental burnout when faced with a child's characteristics that incur higher parental demands.

The effect of maternal empathy on infants' attachment security: Moderation by maternal emotion regulation and infant temperament

This study examined the relationship between maternal empathy and infants' attachment security and tested the moderating effects of maternal emotion regulation and infant negative emotional temperament. Participants were sampled from 215 families whose infants were 6 months old (T1) and from 170 families of the same cohort whose infants were 14 months old (T2). At T1, mothers were measured for their empathy (empathic concern and perspective taking), emotion regulation (reappraisal and suppression), and infant negative emotional temperament (sadness, falling reactivity, fear, and distress to limitations). At T2, mothers were again measured for their emotion regulation, and infant attachment was measured using the Strange Situation Procedure. Maternal empathic concern (EC) and perspective taking (PT) were found to be positively related to infant attachment security, while maternal reappraisal and infant temperamental sadness moderated the relationship between maternal PT and infant attachment security. No significant moderation effects were found between maternal EC and infant attachment security. Simple slope results showed that for infants with higher maternal reappraisal or infant sadness, maternal PT could positively predict infant attachment security. These findings highlight the importance of how the individual characteristics of mothers and infants may interact with maternal empathy during the critical period of infant attachment formation.

Positive experiences in the parent-child relationship during the COVID-19 lockdown in Poland: The role of emotion regulation, empathy, parenting self-efficacy, and social support

Despite the impact of the COVID-19 outbreak being largely negative on parents and children, for some families, lockdown could also bring about some positive effects, for example, increased emotional closeness, and more time for joint activity. The aim of the current study was to investigate cross-sectionally the most important correlates of the positive experiences in the parent-child relationship among Polish mothers and fathers during the lockdown in the initial phase of the COVID-19 outbreak. In May 2020, 228 mothers and 231 fathers completed the Brief version of the Empathic Sensitivity Questionnaire, Difficulties in Emotion Regulation Scale Short Form, Social Support Scale, Parenting Self-Agency Measure, and Scale of Positive Experiences in Parent-Child Relationship during the COVID-19 lockdown. Our results showed that parenting self-efficacy and social support were the strongest correlates of positive experiences in the parent-child relationship in both mothers and fathers during the lockdown. Perspective-taking was positively related to the positive experiences in mothers, whereas personal distress was positively associated with the positive experiences in the parent-child relationship in fathers. Our results point to factors of potential importance in designing preventive and therapeutic interventions for mothers and fathers to enhance positive experiences in the parent-child relationship during the pandemic.

How Parental Support Affects Latina Girls During the COVID-19 Pandemic

Abstract. The current study focuses on a sample of low- to middle-income school-age Latina girls and their parents and examines how children’s distress proneness interacts with parental empathic accuracy and posttraumatic growth in the wake of the COVID-19 pandemic to predict children’s empathy and prosocial behavior toward unknown others. Approximately 2–3 months into state-mandated stay-at-home orders, 55 parent–daughter dyads were recruited to participate in this four-session longitudinal study. To assess distress proneness, daughters (ages 8–13 years, 100% Latina) identified their degree of distress in response to pandemic-related stressors. Concurrently, their parents reported how they thought their children would respond to these same pandemic-related stressors, which assessed parental empathic accuracy. Parents also completed an adapted version of the Posttraumatic Growth Inventory, which assessed perceived positive outcomes of the COVID-19 pandemic. Upon study completion, a behavioral measure of children’s empathic and prosocial behaviors was collected. Parental empathic accuracy interacted with children’s distress proneness to positively predict children’s affective empathy, such that children’s distress proneness predicted affective empathy at high and mean, but not low, levels of parental empathic accuracy. In a separate analysis, parental posttraumatic growth interacted with children’s distress proneness to positively predict children’s altruistic sharing behavior, such that children’s distress proneness predicted altruistic sharing behavior only at high, but not mean or low, levels of parental posttraumatic growth. The results of this study highlight how positive parental socialization and understanding of children’s tendencies toward distress are associated with children’s empathic and prosocial behaviors, particularly during major global crises.

Psychosocial Resources Predicting Maternal and Paternal Positive Parenting and Lower Child Abuse Risk

Young children have the highest victimization rates of physical abuse in their first year of life, making up nearly half of all child abuse-related fatalities. More effective prevention is needed to reduce child victimization, yet many risk reduction models rely on problematic inclusion criteria, only intervene after maltreatment has occurred, or focus only on mothers. More proactive prevention models that promote positive parenting practices early in the transition to parenthood could be key to reducing child maltreatment. The current study sought to assess how both mothers' and fathers' psychosocial resources (e.g., emotion regulation, coping, and social support) and empathy can predict positive parenting and predict lower child abuse risk across time in a cross-lagged model. Parenting and abuse risk were examined prenatally, through the transition into parenthood, until children were 4 years old. First time mothers and their partners were recruited in the third trimester of pregnancy and assessed again when children were 6 months, 18 months, and 4 years old. Separate path models for mothers and fathers analyzed whether psychosocial resources and empathy at earlier timepoints predicted their positive parenting and lower abuse risk by the time children were age 4. Findings demonstrated that mothers' earlier empathy predicted later positive parenting and earlier positive parenting predicted later empathy. Fathers' lower prenatal abuse risk predicted greater subsequent empathy. Both mothers' and fathers' psychosocial resources and empathy at earlier timepoints predicted later positive parenting. Parents' psychosocial resources can be integral assets in positive, effective parenting approaches both concurrently and longitudinally. Mothers' and fathers' resources are an important point of intervention prior to and during the transition into parenthood to support healthier families that would confer benefits to child functioning.

Negative internal working models as mechanisms that link mothers' and fathers' personality with their parenting: A short-term longitudinal study

OBJECTIVE

Research on associations between parents' personality and parenting has a long history, but mechanisms that explain them remain unsettled. We examined parents' explicit and implicit negative internal working models (IWMs) of the child, assessed at toddler age, as linking parental personality and parenting.

METHOD

Mothers and fathers from 200 community families provided personality self-reports (Neuroticism, Agreeableness, Empathy, and Anger/Hostility) when their children were infants. When children were toddlers, the explicit negative IWMs included self-reported low-mentalizing reflective functioning and resentment regarding the child. The implicit negative IWMs were coded as negative relational schemas from parental interviews. Parental positive affect, responsiveness, and power-assertive control were observed in lengthy interactions. Measures were parallel for mother- and father-child dyads.

RESULTS

Mothers' implicit IWMs linked the association between low Empathy and more power-assertive control. Fathers' explicit IWMs linked the associations between high Neuroticism and low Agreeableness and lower responsiveness. Additionally, fathers' Agreeableness and Empathy directly predicted their parenting. Two paths (Agreeableness → implicit IWMs, and explicit IWMs → responsiveness) significantly differed between mothers and fathers.

CONCLUSIONS

IWMs may link parental personality with parenting. The findings integrate and inform several bodies of literature in personality, social cognition, and developmental psychology.

Empathy for others versus for one's child: Associations with mothers' brain activation during a social cognitive task and with their toddlers' functioning

Caregivers who are higher in dispositional empathy tend to have children with better developmental outcomes; however, few studies have considered the role of child-directed (i.e., "parental") empathy, which may be relevant for the caregiver-child relationship. We hypothesized that mothers' parental empathy during their child's infancy will be a stronger predictor of their child's social-emotional functioning as a toddler than will mothers' dispositional empathy. We further explored whether parental and dispositional empathy have shared or distinct patterns of neural activation during a social-cognitive movie-watching task. In 118 mother-infant dyads, greater parental empathy assessed when infants were 6 months old was associated with more social-emotional competencies and fewer problems in the children 1 year later, even after adjusting for dispositional empathy. In contrast, dispositional empathy was not associated with child functioning when controlling for parental empathy. In a subset of 20 mothers, insula activation was positively associated with specific facets of both dispositional and parental empathy, whereas right temporoparietal junction activation was associated only with parental empathy. Thus, dispositional and parental empathy appear to be dissociable by both brain and behavioral metrics. Parental empathy may be a viable target for interventions, especially for toddlers at risk for developing social-emotional difficulties.

Help From a Friend: Helicopter Parenting Predicts Empathy and Bystander Intervention

Harassment toward others happens in many contexts with a myriad of negative impacts on victims, witnesses, and society. Although preventing harassment of others is ideal, it is also important to consider how bystanders may react in ways to defend the victim and reduce the harassment. Bystanders differ in their reactions to these events and the goal of this investigation is to better understand individual differences in college students' reported tendency to defend victims of harassment. We proposed a mediation model where higher rates of helicopter parenting would predict lower empathic concern and greater personal distress. In turn, lower empathic concern and greater personal distress would predict lower likelihood of defending the victim. College students (n = 305) completed self-report measures of helicopter parenting, empathic concern, personal distress, and bystander intervention to general harassment. Using the Hayes PROCESS program, we found the relation of helicopter parenting to bystander intervention was mediated by empathic concern, such that helicopter parenting predicted lower empathic concern, which predicted lower likelihood of intervening. Helicopter parenting predicted greater personal distress, but personal distress did not predict bystander intervention. In an exploratory analysis, we tested a moderated mediation model in which personal distress moderated the relation of empathic concern to bystander intervention. The moderated mediation model was statistically significant; for students with low to moderate personal distress, empathic concern predicted self-reported intervention. However, for students high in personal distress, empathic concern was not related to self-reported intervention. The current study explained a small amount of the variance in bystander intervention. These findings demonstrate the complex family and personal factors that may explain, to a small degree, individual differences in bystander intervention. Further studies should consider the complex contextual variables that may influence this relationship.

Correlates and predictors of parenting self-efficacy in new fathers

Parenting self-efficacy is a critical determinant of high-quality parenting behavior, but this aspect of parenting cognitions has been understudied for fathers. Longitudinal data from a sample of 182 fathers of firstborn infants in dual-earner families were used to assess how expectant fathers' rearing history, personality and personal characteristics, and family relationships were associated with their initial levels of parenting self-efficacy in the early postpartum period. Expectant fathers completed surveys assessing their rearing history, personality, and personal characteristics during the third trimester of pregnancy and reported on their perceptions of coparenting and parenting self-efficacy at three months postpartum. Results of hierarchical regression analyses showed that new fathers were at risk for lower parenting self-efficacy when they had greater attachment anxiety and neuroticism, believed that mothers are inherently better caretakers, and planned to use their own fathers as models for childrearing. In contrast, new fathers had greater parenting self-efficacy when they perceived their coparenting relationships with children's mothers more positively. These findings inform theory about the development of fathers' parenting cognitions and behavior and practice with expectant and new fathers, and, if replicated in a larger, more representative sample, may be used to identify expectant fathers at risk for low parenting self-efficacy and in the design of policy initiatives to enhance father-child relationships. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Increased activation in the bilateral anterior insulae in response to others in pain in mothers compared to non-mothers

Empathy allows us to share emotions and encourages us to help others. It is especially important in the context of parenting where children's wellbeing is dependent on their parents' understanding and fulfilment of their needs. To date, little is known about differences in empathy responses of parents and non-parents. Using stimuli depicting adults and children in pain, this study focuses on the interaction of motherhood and neural responses in areas associated with empathy. Mothers showed higher activation to both adults and children in pain in the bilateral anterior insulae, key regions of empathy for pain. Additionally, mothers more strongly activated the inferior frontal, superior temporal and the medial superior frontal gyrus. Differences between adult and child stimuli were only found in occipital areas in both mothers and non-mothers. Our results suggest a stronger neural response to others in pain in mothers than non-mothers regardless of whether the person is a child or an adult. This could indicate a possible influence of motherhood on overall neural responses to others in pain rather than motherhood specifically shaping child-related responses. Alternatively, stronger responses to others in pain could increase the likelihood for women to be in a relationship and subsequently to have a child.

Development and psychometric characteristics of analog measures of parental empathy

Despite substantial literature on the effect of empathy on parenting, empathy research has historically suffered from definitional and methodological limitations. Parental empathy can be characterized as parents’ ability to recognize, take the perspective of, and appropriately react to children’s emotions. Current parental empathy assessment largely relies on self-report measures of dispositional empathy, but many argue parental empathy is distinct from dispositional empathy. Despite efforts to measure parental empathy implicitly, such analog approaches are labor intensive. The current report describes the preliminary development of the Empathy Measure for Parents Analog Task (EMPAT), two novel analog measures of parental empathy: one EMPAT analog uses audio stimuli and a second version uses written evocative scripts. After piloting with a sample of undergraduate students (Study 1), the measures were then administered to a sample of 212 parents (Study 2). For each study, the accuracy of the audio and script stimuli were first confirmed by examination of frequency distributions, then exploratory factor analyses were conducted to determine factor structure for each emotion subscale (i.e., Happy, Mad, Sad, Scared), and finally the composition of each emotion subscale was confirmed with scale reliability analyses. Correlations between each EMPAT version and measures of dispositional empathy, parental empathy, and positive parenting indicators were examined to assess the initial validity of the EMPAT measures. The new analog tasks demonstrated good reliability as well as preliminary evidence of validity, with potential utility in assessing cognitive elements of empathy in particular. With continued efforts to examine measure validity, the implications of these studies suggest the EMPAT tasks show promise in providing improved implicit, efficient assessments of child-directed empathy, which may be important for understanding positive and problematic parenting.

Reduction in Epigenetic Age Acceleration Is Related to Empathy in Mothers with Neglectful Caregiving

DNA methylation clocks are used as molecular estimators of epigenetic age, but with little evidence in mothers and none in neglectful mothering. We investigated differences in epigenetic age acceleration (EAA) and the role of empathy using the PhenoAge clock. We collected saliva samples from mothers with extreme disregard for their child's needs (50 in the neglect group, NG) and mothers with non-neglectful caregiving (87 in the control group, CG). Mothers completed an empathy scale, along with questionnaires of their own childhood maltreatment, adverse life events and psychiatric disorders. Sociodemographic variables potentially affecting EAA were also measured. The ANCOVA solution showed a significant increase in EAA in the NG compared to the CG, after adjustment for maternal age, number of pregnancies, financial assistance, adverse events, childhood maltreatment and psychiatric disorder. The group interaction effects showed a reduction in EAA for greater empathic concern and for a higher education level both as positive factors, and an increment in EAA for mothers living in a two-parent family as a risk factor, all in the NG. Our findings open the search for protective factors of EAA associated with caregiver behavior to reduce health vulnerabilities and poor social functioning, especially for mothers at risk of maladaptive caregiving.

Abusive and positive parenting behavior in Japan during the COVID-19 pandemic under the state of emergency

BACKGROUND

The Coronavirus Disease 2019 (COVID-19) pandemic has changed the lives of children and parents, raising concerns about child maltreatment.

OBJECTIVE

We examined the prevalence of abusive parenting behavior during the pandemic of the COVID-19 and its relations with physical, psychological, and social factors and positive parenting behavior.

PARTICIPANTS AND SETTING

An online survey was performed during the COVID-19 state of emergency in Japan. Participants were 5344 parents of children aged 0-17 years.

METHODS

We conducted an anonymous online survey using multiple platforms, including websites of child-related organizations and social networking services (SNS). Multiple logistic regression analyses were performed to identify factors associated with abusive behavior.

RESULTS

One-fifth of parents reported abusive behaviors, whereas over 80% of parents reported positive parenting behaviors (e.g., empathizing with a child). Abusive parenting behaviors were associated with longer screen time (6+ hours per day: OR, 1.44; 95%CI, 1.05-1.98), poor maternal mental health (K6 = 13+: OR, 2.23; 95%CI, 1.71-2.89), and the occurrence of domestic violence (OR, 4.54; 95%CI, 3.47-5.95). Positive parenting behaviors, especially showing empathy, were associated with lower risks of abusive behaviors (OR, 0.51: 95%CI, 0.39-0.66).

CONCLUSIONS

Positive parenting behavior is essential to the prevention of child maltreatment during the COVID-19 pandemic.

Parental Empathy, Aggressive Parenting, and Child Adjustment in a Noncustodial High-Risk Sample

This study examined the relations between parental empathy, parenting physical aggression, parental psychological control, and child adjustment in a sample of parents who had their children removed from their custody because of child abuse or neglect. Twenty parents between 24 and 40 years of age (M = 31.15, SD = 4.85; 85% female) with a child aged between 1.5 and 16 years (M = 6.5, SD = 3.88; 70% boys) participated in the study. Our sample was comprised of relatively racially diverse and low-income parents, with 40% from racial minority groups and 70% below the poverty line. Parents were recruited from a local nonprofit organization providing court-mandated parenting classes. Parents reported on their dispositional empathy, physical aggression toward children, psychological control and child internalizing and externalizing symptoms in an interview format. Parents also reported on empathy for their children through a semistructured interview; their empathy was later coded by trained research assistants. Bivariate correlation analyses revealed that parental empathy in the parent-child relationship negatively correlated with parental psychological control. Greater parental psychological control significantly correlated with greater approval of corporal punishment. Moreover, in the subsample of older children (6 years old and above), greater parental dispositional empathy was associated with greater child externalizing symptoms. Further exploratory analyses showed that associations between parental empathy, psychological control, and spanking attitudes differed across parents of boys and of girls. This study highlights the importance of examining empathy specific to the parent-child relationship in addition to dispositional empathy to predict parenting aggression. More importantly, studies should focus on a more covert form of parenting aggression, parental psychological control, in addition to physical aggression.

Here for You: Attachment and the Growth of Empathic Support for Friends in Adolescence

Attachment was examined as a predictor of teens' empathic support for friends in a multimethod longitudinal study of 184 U.S. adolescents (58% Caucasian, 29% African American, 13% other) followed from ages 14 to 18. Adolescents' secure state of mind regarding attachment at 14 predicted teens' greater capacity to provide empathic support during observed interactions with friends across ages 16-18 (B_average  = .39). Teens' empathic support was generally stable during this period, and less secure teens were slower to develop these skills. Further, teens' attachment security predicted the degree to which friends called for their support (B_average  = .29), which was associated with teens' responsiveness to such calls. The findings suggest that secure attachment predicts teens' ability to provide empathic support in close friendships.

Neural correlates of empathy for babies in postpartum women: A longitudinal study

This study investigated the empathic response of postpartum women to babies in pain and the underlying neural mechanism. Postpartum women responded with more empathy and speed to babies over other stimuli compared to controls. Brain scans taken 3 months after birth showed more elevated activation in the Middle cingulate cortex/middle frontal gyrus (MCC/MFG) than the controls regardless of the task condition. When compared to the adult and neutral conditions, the posterior cingulate cortex (PCC) region was consistently more activated when postpartum women saw babies than controls. In addition, higher activation levels in the PCC region for the baby condition significantly correlated with faster and more empathic responses to babies. Considering that PCC is a core region for the theory of mind or mentalizing which requires cognitive reasoning to understand others, these results suggest that PCC might be a pivotal neural locus facilitating cognitive efforts to empathize with babies during the postpartum period. In a follow‐up experiment at 12 months after birth, we were still able to observe higher activity in the MCC/MFG of postpartum women. However, previously observed PCC activation patterns disappeared 12 months after birth, despite the women's response patterns to babies still being maintained. These results suggest that the mentalizing process activated to empathize with babies in the early postpartum period becomes less cognitively demanding over time.

Validation of the Parental Responsiveness Scale

BACKGROUND

Parental responsiveness is a parent's predisposition to react to their child's verbal and non-verbal cues promptly and adequately. There is no self-report scale that measures this type of behavior. The aim of this study was to construct a valid and useful scale to measure this construct as subjectively reported by parents of young children.

PARTICIPANTS AND PROCEDURE

Two hundred and fifty parents (including 186 mothers) of young children aged from 1 to 18 months (Mage = 8.60, SDage = 4.06) took part in the study. To confirm the external validity of the tool, participants filled in the following questionnaires: the Parental Responsiveness Scale, the Empathic Sensitivity Scale, and the Experience in Close Relationships-Revised Scale - short version.

RESULTS

The confirmatory analysis verified the one-dimensional structure and that the model has a good fit. Moreover, the results of external validation indicated satisfactory correlations between parental responsiveness and empathic concern (r = .30, p < .01), perspective-taking (r = .31, p < .01), and avoidance (r = .23, p < .01) in relationships.

CONCLUSIONS

The Parental Responsiveness Scale is valid and reliable. This scale could be useful in research on family and child development, and on individual differences between parents, but can also be of use in practice.

Chilean Version of the Empathy Quotient (EQ) Scale: Adaptation and Psychometric Properties

We evaluated the psychometric properties of the empathy quotient (EQ) scale translated to Spanish in Chile. We estimated its structural validity, and its construct validity with other convergent measures of empathy and attachment, as well an inversely associated construct such as aggression. We used a general sample of students and community individuals (n = 336). Participants completed the EQ, Interpersonal Reactivity Index (IRI), and Buss-Perry Aggression Questionnaire (BPAQ). Another exclusively community group (n = 102) completed Collins Adult Attachment scale and the EQ. CFA and ESEM analyses confirmed the structural model fit of the data to three previously reported dimensions of the EQ: cognitive empathy (CE), emotional reactivity (ER) and social skills (SS). Sex-differences in emotional reactivity, and the predicted relationships with the convergent measures were observed. The current Chilean version of the EQ resulted in an appropriate multidimensional measurement of empathy. Finally, providing a specific social skills dimension extends the traditional conception of cognitive and affective empathy to the social realm in the Chilean context.

The Hidden Danger in Family Environment: The Role of Self-Reported Parenting Style in Cognitive and Affective Empathy Among Offenders

Parenting styles are considered to have an important influence on the development of individuals and have been associated with empathy. The present study aimed to investigate the self-reported different parenting styles in childhood and adolescence and associated cognitive and affective empathy among offenders. Men incarcerated in prison in Jiangsu Province in China were invited to participate. Each consenting participant was asked to complete the Parental Bonding Instrument to collect information regarding the parenting styles they experienced in childhood and adolescence and the Interpersonal Reactivity Index to evaluate their empathy. A multivariable linear regression analysis was conducted to explore the associations between different parenting styles and the empathy of offenders, and a one-way multivariate analysis of variance and a t-test were used to explore the differences in cognitive and affective empathy with different degrees of parenting styles. The parental care and control factors in childhood and adolescence were significantly more strongly associated with empathy among offenders than the parental encouragement factor. There were different associations between the parental care and control factors and offenders' empathy depending on whether the parenting styles were consistent or inconsistent. When the parenting styles were consistent, different degrees of parental care had a significant predictive effect on cognitive and affective empathy, while different degrees of parental control were only significantly associated with affective empathy among the offenders. When the parenting styles were inconsistent, different degrees of paternal and maternal control were associated with cognitive and affective empathy among the offenders. Our findings suggest that not only different parenting styles experienced in childhood and adolescence had different predictive effects on empathy among offenders but also the degrees of parenting styles and whether the paternal and maternal parenting styles were consistent or inconsistent may affect the patterns of parenting styles and empathy. Moreover, the parental control factor had a particular influence on empathy among the offenders. Our findings underscore the pressing need for adopting preventive monitoring measures or developing policies to improve parenting styles.

Neural signatures of parental empathic responses to imagined suffering of their adolescent child

Empathy is deemed indispensable for sensitive caregiving. Neuroimaging studies have identified canonical empathy networks consisting of regions supporting cognitive and affective aspects of empathy. However, not much is known about how these regions support empathy towards one's own offspring and how this neural activity relates to parental caregiving. We introduce a novel task to assess affective and neural responses to the suffering of one's own adolescent child. While in the scanner, 60 parents (n = 35 mothers, n = 25 fathers) were confronted with unpleasant situations involving their own child, an unfamiliar child, and themselves. Parents were asked to vividly imagine these situations and indicate their levels of distress. Parents reported higher levels of distress when imagining suffering for their own child relative to an unfamiliar child or themselves. Neuroimaging results showed increased activation within the cognitive empathy network (i.e., temporoparietal junction, dorsomedial- and ventromedial prefrontal cortex) when contrasting suffering of one's own child versus an unfamiliar child or the self. The task also engaged regions of the affective empathy network (i.e., anterior insula and anterior mid-cingulate cortex), which was however not modulated by whether suffering was for the self, one's own child, or an unfamiliar child. Parental care did not co-vary with activity in the empathy networks, but parents who were perceived as less caring exhibited increased activity in anterior prefrontal regions when imagining their own child suffering. These results provide new insights into neural processes supporting parental empathy, highlighting the importance of regions in the cognitive empathy network when confronted with the suffering of their own adolescent child, and suggest that additional (i.e., emotion regulation) networks may be relevant for parental caring behavior in daily life.

Neglectful maternal caregiving involves altered brain volume in empathy-related areas

The maternal brain undergoes adaptations to sensitive caregiving that are critical for infant well-being. We investigated structural alterations associated with neglectful caregiving and their effects on mother-child interactive behavior. High-resolution 3D volumetric images were obtained on 25 neglectful (NM) and 23 non-neglectful control (CM) mothers. Using voxel-based morphometry, we compared differences in gray and white matter (GM and WM, respectively) volume. Mothers completed an empathy scale and participated with their children in a play task (Emotional Availability Scale, EA). Neglectful mothers showed smaller GM volume in the right insula, anterior/middle cingulate (ACC/MCC), and right inferior frontal gyrus and less WM volume in bilateral frontal regions than did CM. A greater GM volume was observed in the right fusiform and cerebellum in NM than in CM. Regression analyses showed a negative effect of greater fusiform GM volume and a positive effect of greater right frontal WM volume on EA. Mediation analyses showed the role of emotional empathy in the positive effect of the insula and right inferior frontal gyrus and in the negative effect of the cerebellum on EA. Neglectful mothering involves alterations in emotional empathy-related areas and in frontal areas associated with poor mother-child interactive bonding, indicating how critical these areas are for sensitive caregiving.

When Emotional Intelligence Backfires

Abstract. While emotional intelligence is generally associated with positive outcomes, little is known about the specific contribution of its intra- and interpersonal dimensions, even less about their interaction. By taking a variable that a priori involves both dimensions, that is, parenting, this study aimed to examine the possibility that intra- and interpersonal emotional competencies (EC) sometimes interact in such a way that the highest is not always the best. In this study, 842 parents (92% of mothers) completed self-reported measures of EC and parental burnout. Hierarchical multiple regression and moderation analyses showed that the level of intrapersonal EC mainly and negatively predicted parental burnout. On the other hand, the level of interpersonal EC positively predicted parental burnout and moderated the relation between intrapersonal EC and parental burnout. As interpersonal EC increased, the protective effect of intrapersonal EC on parental burnout decreased. Our findings therefore highlight the fact that intra- and interpersonal EC do not always work in a cumulative manner and emphasize the importance of studying intra- and interpersonal EC separately. As mothers were overrepresented in our sample, more data on fathers are needed to further generalize these findings.

Child maltreatment risk mediates the association between maternal and child empathy

BACKGROUND

Empathy deficits are related to parental maltreatment, and early exposure to maltreatment is associated with later impairments in social and interpersonal skills, possibly as the result of specific deficits in cognitive and emotional empathy.

OBJECTIVE

To examine the association between maternal and child's emotional and cognitive empathy, and how this relationship is mediated by maltreatment risk.

PARTICIPANTS AND SETTING

462 mothers of 4-10 years olds (48 % girls; M = 6.51 ± 1.57) were recruited through an online platform (Prolific Inc.) during 2018.

METHODS

Mothers were asked to report on their own cognitive and emotional empathy, views related to abuse risk, and their child's cognitive and emotional empathy.

RESULTS

Findings show that maternal perspective taking (a measure of cognitive empathy), and maternal personal distress predict child's cognitive empathy through abuse risk (beta = -0.29, p value = 0.0002 and beta = 0.22, p value = 0.0001, respectively). Conversely, for child's emotional empathy there was no mediation through abuse risk, rather direct associations were observed for empathic concern (a measure of emotional empathy; beta = 0.36, p value = 0.0197), personal distress (beta = 0.23, p value = 0.0332), and the fantasy scale (another measure of cognitive empathy; beta = 0.36, p value = 0.0019).

CONCLUSIONS

These findings help clarify the complex links between maternal empathy, abuse risk, and child's empathy, showing that maternal views related to abuse are specifically predictive of child's cognitive but not emotional empathy. As such, these findings raise further questions regarding the mechanism by which maternal characteristics and behavior are associated with child's empathy.

Pictures of preterm infants elicit increased affective responses and reduced reward-motivation or perspective taking in the maternal brain

Preterm-birth increases the risk of several physical, cognitive, neuromotor, and psychosocial problems in children, and is also related to difficulties in the parent-child relationship. Research suggests that the development of early parent-child interactions in general is affected by deviations from typical infant facial characteristics, which may also be important in the case of small, preterm born infants. Therefore, we examined mothers' (N = 22, of whom 17 had no direct experience with preterm birth) neural responses to pictures of preterm and full-term infants using functional magnetic resonance imaging (fMRI). We also explored whether neural responses to preterm and full-term infants correlated with mothers' self-reported tendencies to be nurturing and protective with children, and with mothers' ratings of affection or aversion toward pictures of preterm infants. Results revealed that, compared to pictures of full-term infants, those of preterm infants elicited more activity in specific areas of the brain (dmPFC, right insula, left caudate, hippocampi, parahippocampi, and PAG), that have previously been associated with processing of negative emotions and with empathy. In addition, less activity was seen in one area of the brain (vmPFC) known to be associated with reward-motivation or mental state understanding and perspective-taking. Higher self-reported maternal nurturance was associated with increased activity to pictures of preterm infants vs full-term infants in the caudate, which might reflect approach- or reward-related processing. To conclude, neural responses to preterm infants are related to reward-motivation, mentalizing, negative emotions, and empathy. Future studies should examine whether such neural processing of preterm infant stimuli might underlie difficulties in the parent-child relationship of parents with a preterm child.

Actor-Partner Interdependence of Compassion toward Others with Qualities of Marital Relationship and Parent-Child Relationships in Chinese Families

Considering the nature of compassion and cultural and times characteristics of Chinese families, individuals' general dispositional compassion toward others may have potential benefits for relationship qualities in Chinese families. In this study, we explored how men's and women's compassion related to their own (actor effects) and the partners' (partner effects) marital relationship and parent-child relationships, respectively, using the Actor-Partner Interdependent Model. Participants were from a cross-sectional sample of 534 Chinese heterosexual married couples (females' mean age = 37.20, SD = 4.28; males' mean age = 40.29, SD = 5.39) whose biological children were pupils (mean age = 9.28, SD = 1.11). Results revealed that: (a) within marital relationships, couple members' actor effects and partner effects were found both significant; but (b) within parent-child relationships, couple members' actor effects were significant, whereas only mothers' partner effect of compassion on father-child relationship was significant. These findings support the benefits of couple members' individual compassion with respect to family relationship quality in contemporary China. Limitations, implications, and future directions are discussed.

Effects of parental empathy and emotion regulation on social competence and emotional/behavioral problems of school-age children

IMPORTANCE

Parents take the lead in parent-child interactions and their emotion regulation ability and empathy during parenting may be associated with children's emotional/behavioral problems. However, the specific mechanisms underlying these associations remain unclear.

OBJECTIVE

The present study aimed to explore the effect of parental empathy and emotional regulation on social competence and emotional/behavioral problems in school-age children.

METHODS

A questionnaire-based survey was conducted with 274 parents of 8-11-year-old children using Achenbach's Child Behavior Checklist, the Emotion Regulation Questionnaire, and the Questionnaire of Cognitive and Affective Empathy.

RESULTS

Children with emotional/behavioral problems (n = 37) had relatively lower social competence than children in a matched control group (n = 37). Compared with the parents of children in the control group, parents of children with emotional/behavioral problems had significantly lower cognitive empathy scores, mainly manifested by low perspective-taking and online simulation abilities. Mediation analysis showed that parental cognitive empathy had an indirect effect on children's emotional/behavioral problems through children's social competence.

INTERPRETATION

Parental empathy may have a subtle influence on the social competence of school-aged children, which further affects the severity of children's emotional/behavioral problems.

Brain Structural Plasticity Associated with Maternal Caregiving in Mothers: A Voxel- and Surface-Based Morphometry Study

BACKGROUND

Pregnancy constitutes a significant period in the lives of women, after which they often experience numerous crucial physiological and psychological changes. Functional neuroimaging studies have shown longitudinal changes in functional brain activity in mothers responding to infant-related stimuli. However, the structural changes that occur in the brains of mothers after delivery remain to be explored.

OBJECTIVE

We aimed to evaluate the structural changes in mothers during the postpartum phase.

METHODS

We recruited 35 primiparous mothers and 26 nonmothers to participate in this voxel- and surface-based morphometry study, and 22 mothers were scanned twice with a follow-up of approximately 2 years.

RESULTS

Compared to nonmothers, mothers exhibited reduced gray matter (GM) volumes and increased white matter (WM) volumes in regions associated with empathy and reward networks (supplementary motor area, precuneus, inferior parietal lobe, insula, and striatum), decreased cortical thickness in the precentral gyrus and increased gyrification index in the orbitofrontal cortex. Furthermore, mothers showed longitudinal changes in the GM and WM volumes and cortical thickness of several of these regions (including the superior and medial frontal gyrus, insula, limbic lobe, superior and middle temporal gyrus, and precentral gyrus), which have been associated with maternal networks during the postpartum period. Additionally, the changes in GM and WM volumes were related to changes in empathetic abilities in mothers.

CONCLUSION

These results suggest that the brains of mothers exhibit adaptive structural dynamic plasticity. These findings provide a neuroanatomical basis for understanding how mothers process emotional sensory information during the postpartum period.

Depressive symptoms in parents are associated with reduced empathy toward their young children

BACKGROUND

While depression is typically associated with reduced levels of empathy, this association differs depending on how empathy is measured. Given the importance of empathy in the parent-child relationship, we sought to examine whether the associations between depression and dispositional empathy would also extend to empathy towards one's own child.

METHODS

Within a non-clinical sample of 150 parents of young children, we examined the associations between self-reported depressive symptoms, dispositional empathic tendencies, and empathy specifically toward their own children, and how these associations might differ based on parent gender.

RESULTS

Depressive symptoms were related to lower levels of cognitive and affective empathy, and higher levels of empathic distress. Over and above the association with dispositional empathy, depressive symptoms were associated with reduced levels of parents' affective empathy toward their own child. The associations between depressive symptoms and both dispositional and own-child specific empathy varied by parent gender. For fathers, depressive symptoms predicted own-child specific affective empathy, over and above dispositional affective empathy, while for mothers, depressive symptoms predicted own-child specific empathic distress, over and above dispositional empathic distress.

CONCLUSIONS

The current findings provide further indication that caregivers with elevated depression may engage in patterns of thoughts and behaviors that have implications for their interactions with their children. Parents' experienced empathy toward their own child may be one mechanism by which depression impacts the early caregiving environment, and thus may be an important target for intervention in improving the early caregiving experiences for children at elevated risk due to parental depression. Differences in cognitive and affective empathy found among those with depression may be even more pronounced in the thoughts and feelings towards one's own child, making this an important clinical target.

A walk on the dark side: TMS over the right inferior frontal gyrus (rIFG) disrupts behavioral responses to infant stimuli

Infant signals, including infant sounds and facial expressions, play a critical role in eliciting parental proximity and care. Processing of infant signals in the adulthood brain is likely to recruit emotional empathy neural circuits, including the inferior frontal gyrus (IFG). Here, we used transcranial magnetic stimulation (TMS) to test the role of right IFG (rIFG) in behavioral responses to infant signals. Specifically, a group of nulliparous women were asked to perform a handgrip dynamometer task and an Approach-Avoidance Task (AAT) after receiving TMS over the right IFG or over a control site (vertex). Suppressing activity in the rIFG affected the modulation of handgrip force in response to infant crying. Moreover, the AAT showed that participants tend to avoid the sad infant face after Vertex stimulation, and this bias was counteracted by rIFG stimulation. Our results suggest a causal role of rIFG in sensitive responding towards sad infants and point to the rIFG as a critical node in the neural network underlying the innate releasing mechanism for feelings of love, affection and caring of sad infants.

Empathy in pregnant women and new mothers: a systematic literature review

OBJECTIVE

This systematic review explores changes in perinatal empathy and influence on maternal behaviours and child development.

BACKGROUND

The well-being and development of infants are commonly linked to their mothers' capacity for empathy. However, characteristic changes during pregnancy and childbirth including sleep deprivation, mood and cognitive difficulties may disrupt empathic processing.

METHODS

Original research papers (n = 7413) published in English language peer-reviewed academic journals were obtained by searching four electronic databases PsycINFO, PubMed, Scopus and CINAHL. Inclusion criteria were studies reporting empathy of women in the period from pregnancy to 12 months postpartum. Empathy was operationalised as a general tendency of empathic emotional responding and cognitive perspective taking. Thirteen studies were systematically assessed using the Critical Appraisal Skills Programme criteria.

RESULTS

Impaired empathy in mothers, due most notably to high personal distress, was associated with risk of neglect or maltreatment of children and was partially explained by mothers' aversive response to infant crying.

CONCLUSION

Few studies present empathy as a central theme. There is a paucity of definitional parameters and theoretical linkages and over-reliance on brief self-report indices of empathy. Future studies need to be theory based, incorporate experimental approaches, and provide greater sampling diversity toadvance our understanding of empathy in perinatal women.

Improving empathy and self-efficacy in caregivers of persons with intellectual disabilities, using m-learning (HiSense APP-ID): study protocol for a randomized controlled trial

Background

A secure attachment with one or more caregivers is one of the most important predictors of cognitive development and emotional wellbeing. Persons with intellectual disabilities (ID) have extra need for secure relationships with primary caregivers but can find making connections difficult. This study aims to explore the effect of a non-invasive m-learning intervention on the empathy and self-efficacy of caregivers, in view of improving attachment relationships with persons with ID.

Methods

A randomized controlled trial (RCT) will be conducted to assess the efficacy of the HiSense APP-ID. The study will include 100 parents/relatives and 100 professional caregivers of adults with mild or moderate ID (18 years and older). Of both groups of participants, half will complete the m-learning intervention. Data will be collected before the intervention starts, immediately after completion of the m-learning, and 1 month after the intervention. Participants will complete questionnaires concerning knowledge about attachment theory, empathy and self-efficacy (primary outcome measures) and social validity (secondary measures).

Discussion

The intervention aims to increase caregiver understanding of attachment theory and to improve empathy and self-efficacy, which may lead to better care and less stress in social interactions. The HiSense APP-ID is an m-learning intervention that can be done independently on any digital device. The course is therefore easily accessible for caregivers of persons with ID. The current study will provide insight into the effectiveness of the intervention for parents/family members and professional caregivers of persons with mild or moderate ID.

Trial registration

Nederlands Trial Register, NTR 6944. Registered on 16 December 2017.

Electronic supplementary material

The online version of this article (10.1186/s13063-018-2772-7) contains supplementary material, which is available to authorized users.