Minet de Wied

Affective pictures processing, attention, and pain tolerance.

&NA; Two experiments were conducted to determine whether attention mediates the effects of affective distractors on cold pressor pain, or whether the cognitive processes of priming and appraisal best account for the effects. In Experiment I, 65 male respondents were exposed to either pleasant, neutral or unpleasant pictures selected from the International Affective Pictures System (IAPS). The cold‐pressor test was administered simultaneously. Consistent with predictions based on priming and appraisal hypotheses, results revealed a linear trend across conditions, such that pain tolerance scores were higher as a function of picture pleasantness. A second study was conducted to examine the role of pain cues in the effects of negative affect on cold pressor pain. Thirty‐nine male respondents were exposed to unpleasant pictures that either did or did not include pain‐related material. Respondents who viewed pictures without pain cues tolerated the cold water for a longer period of time than respondents who viewed pictures that contained pain‐related information. Priming and appraisal processes that might underlie the observed differences, and the type of affective distractors that could be meaningful for enhancing pain tolerance, are discussed.

Verbal, Facial and Autonomic Responses to Empathy-Eliciting Film Clips by Disruptive Male Adolescents with High Versus Low Callous-Unemotional Traits

This study examined empathy-related responding in male adolescents with disruptive behavior disorder (DBD), high or low on callous-unemotional (CU) traits. Facial electromyographic (EMG) and heart rate (HR) responses were monitored during exposure to empathy-inducing film clips portraying sadness, anger or happiness. Self-reports were assessed afterward. In agreement with expectations, DBD adolescents with high CU traits showed significantly lower levels of empathic sadness than healthy controls across all response systems. Between DBD subgroups significant differences emerged at the level of autonomic (not verbal or facial) reactions to sadness, with high CU respondents showing less HR change from baseline than low CU respondents. The study also examined basal patterns of autonomic function. Resting HR was not different between groups, but resting respiratory sinus arrhythmia (RSA) was significantly lower in DBD adolescents with high CU traits compared to controls. Results support the notion that CU traits designate a distinct subgroup of DBD individuals.

Examining the Interpersonal Reactivity Index (IRI) Among Early and Late Adolescents and Their Mothers

We examined whether the Interpersonal Reactivity Index (IRI; Davis, 1980), consisting of Perspective Taking (PT), Empathic Concern (EC), Personal Distress (PD), and Fantasy (FN), is a psychometrically invariant empathy measure for early and late adolescents and their mothers. Confirmatory factor analyses demonstrated adequate properties and psychometric invariance across 2 Dutch samples (269 early adolescents, 232 late adolescents). Females scored higher than males on each subscale. Early adolescents scored lower than late adolescents on PT and FN, and higher on PD. The different groups showed similar subscale associations with psychosocial health indexes, and similar subscale contributions to a higher order empathy dimension. Most dimensions showed positive correlations between adolescents and mothers. The IRI appears adequate for examining empathy across the span of adolescence, as well as patterns between youths and mothers.

Early Adolescent Empathy, Parental Support, and Antisocial Behavior

In this two-wave prospective study, the authors investigated whether level of dispositional affective empathy moderated the association between parental support and antisocial behavior in early adolescents. The sample consisted of 823 Dutch boys and girls (mean age = 12.8 years) enrolled in the first year of secondary education. Higher levels of affective empathy were associated with less delinquent and aggressive behavior. Contrary to expectations, structural equation modeling did not indicate that youth with higher levels of affective empathy were susceptible to parental support. Further analyses showed that gender moderated the association between parental support and future delinquent and aggressive behavior. Only for girls, were high levels of parental support associated with lower levels of antisocial behavior.

Facial EMG and heart rate responses to emotion‐inducing film clips in boys with disruptive behavior disorders

We examined aspects of emotional empathy across different physiological response systems in boys with disruptive behavior disorders (DBD) and normal controls. Heart rate (HR) and electromyographic (EMG) reactivity in zygomaticus major and corrugator supercilii muscles were monitored during sadness-, anger-, or happiness-inducing film clips. Relative to controls, DBD boys showed significantly less HR reduction during sadness, and a smaller increase in corrugator EMG activity both during sadness and anger. No significant group differences emerged in HR and zygomaticus EMG responsivity during happiness. We also examined cardiac activity at rest and found higher resting HR and lower respiratory sinus arrhythmia in DBD boys compared to controls. Findings give evidence for a selective impairment in empathy with sadness and anger (not happiness) among DBD boys who exhibit relatively high levels of anxiety and poor emotional control.

Empathy dysfunction in children and adolescents with disruptive behavior disorders

In this essay, we focus on empathy in children and adolescents with disruptive behavior disorders (DBD), based on the assumption that lack of empathy is a risk factor for the development of DBD. We reflect on the heterogeneity of DBD, the complex nature of the empathy construct, discuss empathys role in aggression, and review recent findings from studies on empathic skills in children and adolescents with DBD. Research suggests that the mechanisms underlying empathy problems may be different for DBD subtypes. Individuals with psychopathic tendencies may show a selective impairment in empathy with sadness and fear due to abnormalities in neural circuits connected with the amygdala. Individuals without these tendencies may show little empathy for a variety of reasons, such as hostile attributions, anxiety and/or poor regulatory skills. Understanding more about the nature and causes of empathy dysfunction in DBD could aid in identifying subtypes and help to improve prevention and intervention programs. Suggestions for future research are made.

Bryant's Empathy Index: A Closer Examination of its Internal Structure

The present study examined the internal structure of Bryants (1982) Index of Empathy for Children and Adolescents, a 22-item questionnaire measure of dispositional affective empathy. Third graders (n = 817), fourth to sixth graders (n = 82), and eighth graders (n = 1,079) were studied. Factor analyses revealed that the empathy index is multidimensional, encompassing two subscales. The same two-factor solution emerged in all samples. The first factor, labeled empathic sadness, showed good reliability in the two larger samples. Sex differences were established in each sample, with girls reporting more empathic sadness than boys. The second factor, reflecting attitudes rather than feelings, showed weak reliability in all samples, and poor differentiation between the sexes in the two younger age samples. The findings seriously challenge the validity of the 22-item empathy index. Improvement of the scale as a measure of affective empathy is indicated.

The Moderating Role of Empathy in the Association Between Parental Support and Adolescent Aggressive and Delinquent Behavior

The present two-wave longitudinal study addressed the role of affective empathy and parental support in aggressive and delinquent behavior in a sample of 323 adolescents (158 boys, 165 girls). Self-report questionnaires were used to assess affective empathy, perceived support from parents, delinquency, and aggression. Guided by theories on childrens differential susceptibility to socialization, we expected adolescents with different levels of empathy to vary in their responsiveness to parental support. In agreement with our hypothesis, empathy moderated the relation of perceived parental support with aggressive and delinquent behavior. Controlling for the effect of gender and for the stability of aggression and delinquency, higher perceived parental support was predictive of lower levels of aggression at age 15, but only for adolescents high in empathy. Remarkably, adolescents low in empathy not only appeared to benefit less from parental support, but even showed more aggression and delinquency at age 15 when they perceived their parents to be more supportive at age 14.

Emotion Regulation Difficulties in Boys with Oppositional Defiant Disorder/Conduct Disorder and the Relation with Comorbid Autism Traits and Attention Deficit Traits

Previous research has pointed towards a link between emotion dysregulation and aggressive behavior in children. Emotion regulation difficulties are not specific for children with persistent aggression problems, i.e. oppositional defiant disorder or conduct disorder (ODD/CD), children with other psychiatric conditions, such as autism spectrum disorders or attention-deficit/hyperactivity disorder, have emotion regulation difficulties too. On a behavioral level some overlap exists between these disorders and comorbidity is high. The aim of this study was therefore twofold: 1) to examine emotion regulation difficulties in 65 boys with ODD/CD in comparison to a non-clinical control group (NC) of 38 boys (8–12 years) using a performance measure (Ultimatum Game), parent report and self-report, and 2) to establish to what extent emotion regulation in the ODD/CD group was correlated with severity of autism and/or attention deficit traits. Results on the Ultimatum Game showed that the ODD/CD group rejected more ambiguous offers than the NC group, which is seen as an indication of poor emotion regulation. Parents also reported that the ODD/CD group experienced more emotion regulation problems in daily life than the NC group. In contrast to these cognitive and behavioral measures, self-reports did not reveal any difference, indicating that boys with ODD/CD do not perceive themselves as having impairments in regulating their emotions. Emotional decision making within the ODD/CD group was not related to variation in autism or attention deficit traits. These results support the idea that emotion dysregulation is an important problem within ODD/CD, yet boys with ODD/CD have reduced awareness of this.

The role of anxiety in cortisol stress response and cortisol recovery in boys with oppositional defiant disorder/conduct disorder

Children with antisocial and aggressive behaviors have been found to show abnormal neurobiological responses to stress, specifically impaired cortisol stress reactivity. The role of individual characteristics, such as comorbid anxiety, in the stress response is far less studied. Furthermore, this study extended previous studies in that not only baseline and reactivity to a psychosocial stressor were examined, but also recovery from a stressor. These three phases of cortisol could be impacted differentially in boys with oppositional defiant disorder/conduct disorder (ODD/CD) with (+ANX) and without anxiety (-ANX). The results revealed that cortisol patterns in response to psychosocial stress were different for boys with ODD/CD+ANX (n=32), ODD/CD-ANX (n=22) and non-clinical controls (NC) (n=34), with age range of 7.8-12.9 years. The ODD/CD-ANX group showed lower overall cortisol levels than the NC group. When considering the three phases of cortisol separately, the ODD/CD-ANX group had lower baseline cortisol levels relative to the other groups, whereas the ODD/CD+ANX showed an impaired cortisol recovery response. Within those with ODD/CD, callous-unemotional traits were predictive of high baseline cortisol levels. Also, anxiety predicted high baseline and recovery cortisol levels, whereas a high number of CD symptoms predicted reduced cortisol stress reactivity. These results clearly indicate that comorbid anxiety is an important factor in explaining differences in stress response profiles in boys with ODD/CD; although boys with CD/ODD are generally characterized by an impaired cortisol stress response, we found that those with comorbid anxiety showed impaired cortisol recovery, whereas those without anxiety showed reduced baseline cortisol levels.