Psychological Development and Education ›› 2021, Vol. 37 ›› Issue (3): 439-446.doi: 10.16187/j.cnki.issn1001-4918.2021.03.15

Previous Articles     Next Articles

The Associations and Pathways between Empathy and Adolescent Internalizing and Externalizing Problems

CHEN Hui1, HE Ting1, TANG Yuanqiong2, TANG Yixin1, LU Fengyong3, LIN Xiuyun1   

  1. 1. Institute of Developmental Psychology, Beijing Normal University, Beijing 100875;
    2. Sichuan Luxian NO.2 High School, Luzhou 646106;
    3. Xinglong Middle School, Linyi County, Dezhou 251505
  • Published:2021-05-18

Abstract: Internalizing and externalizing problems were identified as the most common prevalence psychological and behavior problems among adolescents. Although empathy has close relationship with adolescents' internalizing and externalizing problems, the different relationships among the components of empathy (i.e., cognitive empathy, affective empathy) and adolescent internalizing and externalizing problems remain less studied in previous studies, also the pathway between empathy and adolescent internalizing and externalizing problems. The present study firstly reviewed the associations between cognitive empathy, affective empathy and adolescent internalizing and externalizing problems. Furthermore, we introduced the generation model of empathy (Self to Other Model of Empathy, SOME), the development model of empathy (Risky Empathy Development Model, REDM) and related neurophysiological factors to promote the elaboration of the pathway between empathy and adolescent internalizing and externalizing problems. In future, the definition and components of empathy should be clarified and distinguished. More efforts should be devoted to the development of measures and the exploration of the relationship between behavioral empathy and adolescent internalizing and externalizing problems. In order to construct systematic theoretical models on the relationship between empathy and adolescent internalizing and externalizing problems, individual characteristics, special groups and cultural backgrounds should be involved in the future studies.

Key words: empathy, internalizing and externalizing problems, adolescent, self to other model, risky empathy development model

CLC Number: 

  • B844
Ackermann, K., Martinelli, A., Bernhard, A., Freitag, C. M., Büttner, G., & Schwenck, C. (2019). Friendship quality in youth with and without disruptive behavior disorders:The role of empathy, aggression, and callousness. Child Psychiatry & Human Development, 50(5), 776-788.
Arias, J. M. C., Acosta, C. A. P., Valencia, J. G., Montoya, G. J., Viana, J. C. A., Nieto, O. C.,… Achury, J. G. (2011). Exploring epistasis in candidate genes for antisocial personality disorder. Psychiatric Genetics, 21(3), 115-124.
Bird, G., & Viding, E. (2014). The self to other model of empathy:Providing a new framework for understanding empathy impairments in psychopathy, autism, and alexithymia. Neuroscience & Biobehavioral Reviews, 47, 520-532.
Boele, S., Van der Graaff, J., De Wied, M., Van der Valk, I. E., Crocetti, E., & Branje, S. (2019). Linking parent-child and peer relationship quality to empathy in adolescence:A multilevel meta-analysis. Journal of Youth and Adolescence, 48(6), 1033-1055.
Bryant, B. K. (1982). An index of empathy for children and adolescents. Child Development, 53(2), 413-425.
Clark, M. A., Robertson, M. M., & Young, S. (2019). "I feel your pain":A critical review of organizational research on empathy. Journal of Organizational Behavior, 40(2), 166-192.
Crocetti, E., Graaff, J. V. D., Moscatelli, S., Keijsers, L., Koot, H. M., & Rubini, M., …Branje, S. (2016). A longitudinal study on the effects of parental monitoring on adolescent antisocial behaviors:The moderating role of adolescent empathy. Frontiers in Psychology, 7, 1-7.
Dadds, M. R., Cauchi, A. J., Wimalaweera, S., Hawes, D. J., & Brennan, J. (2012). Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Research, 199(3), 201-207.
Davis, M. H. (1983). Measuring individual differences in empathy:Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113-126.
De Wied, M., Gispen-de Wied, C., & Van Boxtel, A. (2010). Empathy dysfunction in children and adolescents with disruptive behavior disorders. European Journal of Pharmacology, 626(1), 97-103.
Dinić, B. M., Kodžopeljić, J. S., Sokolovska, V. T., & Milovanović, I. Z. (2016). Empathy and peer violence among adolescents:Moderation effect of gender. School Psychology International, 37(4), 359-377.
Dong, D., Jiang, Y., Gao, Y., Ming, Q., Wang, X., & Yao, S. (2019). Atypical frontotemporal connectivity of cognitive empathy in male adolescents with conduct disorder. Frontiers in Psychology, 9, 1-8.
Everaert, J., Koster, E. H. W., & Derakshan, N. (2012). The combined cognitive bias hypothesis in depression. Clinical Psychology Review, 32, 413-424.
Gambin, M., & Sharp, C. (2018a). Relations between empathy and anxiety dimensions in inpatient adolescents. Anxiety, Stress, and Coping, 31(4), 447-458.
Gambin, M., & Sharp, C. (2018b). The relations between empathy, guilt, shame and depression in inpatient adolescents. Journal of Affective Disorders, 241, 381-387.
Green, L. M., Missotten, L., Tone, E. B., & Luyckx, K. (2018). Empathy, depressive symptoms, and self-esteem in adolescence:The moderating role of the mother-adolescent relationship. Journal of Child and Family Studies, 27(12), 3964-3974.
Hawk, S. T., Hale I. I. I. W. W., Raaijmakers, Q. A., & Meeus, W. (2008). Adolescents' perceptions of privacy invasion in reaction to parental solicitation and control. The Journal of Early Adolescence, 28(4), 583-608.
Hunnikin, L. M., Wells, A. E., Ash, D. P., & Van Goozen, S. H. (2019). The nature and extent of emotion recognition and empathy impairments in children showing disruptive behaviour referred into a crime prevention programme. European Child & Adolescent Psychiatry, 28, 1-9.
Jolliffe, D., & Farrington, D. P. (2006). Development and validation of the Basic Empathy Scale. Journal of Adolescence, 29(4), 589-611.
Kahn, R. E., Frick, P. J., Golmaryami, F. N., & Marsee, M. A. (2017). The moderating role of anxiety in the associations of callous-unemotional traits with self-report and laboratory measures of affective and cognitive empathy. Journal of Abnormal Child Psychology, 45(3), 583-596.
Kanat-Maymon, M., & Assor, A. (2010). Perceived maternal control and responsiveness to distress as predictors of young adults' empathic responses. Personality and Social Psychology Bulletin, 36(1), 33-46.
Knight, L. K., Stoica, T., Fogleman, N. D., & Depue, B. E. (2019). Convergent neural correlates of empathy and anxiety during socioemotional processing. Frontiers in Human Neuroscience, 13, 1-15.
Laghi, F., Lonigro, A., Pallini, S., & Baiocco, R. (2018). Emotion regulation and empathy:Which relation with social conduct? The Journal of Genetic Psychology, 179(2), 62-70.
Larson, E. B., & Yao, X. (2005). Clinical empathy as emotional labor in the patient-physician relationship. The Journal of American Medical Association, 293(9), 1100-1106.
Levy, J., Goldstein, A., & Feldman, R. (2019). The neural development of empathy is sensitive to caregiving and early trauma. Nature Communications, 10(1),1-10.
Miller, P. A., & Eisenberg, N. (1988). The relation of empathy to aggressive and externalizing/antisocial behavior. Psychological Bulletin, 103(3), 324-344.
Moore, T. M., Scarpa, A., & Raine, A. (2002). A meta-analysis of serotonin metabolite 5-HIAA and antisocial behavior. Aggressive Behavior:Official Journal of the International Society for Research on Aggression, 28(4), 299-316.
Morrison, A. S., Mateen, M. A., Brozovich, F. A., Zaki, J., Goldin, P. R., & Heimberg, R. G., & Gross, J. J. (2016). Empathy for positive and negative emotions in social anxiety disorder. Behaviour Research & Therapy, 87, 232-242.
Moul, C., Hawes, D. J., & Dadds, M. R. (2018). Mapping the developmental pathways of child conduct problems through the neurobiology of empathy. Neuroscience & Biobehavioral Reviews, 91, 34-50.
Ognibene, E., Adriani, W., Caprioli, A., Ghirardi, O., Ali, S. F., Aloe, L., & Laviola, G. (2008). The effect of early maternal separation on brain derived neurotrophic factor and monoamine levels in adult heterozygous reeler mice. Progress in Neuro-psychopharmacology and Biological Psychiatry, 32(5), 1269-1276.
Overgaauw, S., Rieffe, C., Broekhof, E., Crone, E. A., & Güroğlu, B. (2017). Assessing empathy across childhood and adolescence:Validation of the Empathy Questionnaire for Children and Adolescents (EmQue-CA). Frontiers in Psychology, 8, 1-9.
Raine, A., & Chen, F. R. (2017). The cognitive, affective, and somatic empathy scales (CASES) for children. Journal of Clinical Child & Adolescent Psychology, 47(1), 24-37.
Rai, R., Mitchell, P., Kadar, T., & Mackenzie, L. (2016). Adolescent egocentrism and the illusion of transparency:Are adolescents as egocentric as we might think? Current Psychology, 35(3), 285-294.
Sánchez-Pérez, N., Fuentes, L. J., Jolliffe, D., & González-Salinas, C. (2014). Assessing children's empathy through a Spanish adaptation of the basic empathy scale:Parent's and child's report forms. Frontiers in Psychology, 5, 1-13.
Schwenck, C., Göhle, B., Hauf, J., Warnke, A., Freitag, C. M., & Schneider, W. (2014). Cognitive and emotional empathy in typically developing children:The influence of age, gender, and intelligence. European Journal of Developmental Psychology, 11(1), 63-76.
Smith, R. L. (2015). Adolescents' emotional engagement in friends' problems and joys:Associations of empathetic distress and empathetic joy with friendship quality, depression, and anxiety. Journal of Adolescence, 45, 103-111.
Tabak, B. A., Meyer, M. L., Castle, E., Dutcher, J. M., Irwin, M. R., Han, J. H.,… Eisenberger, N. I. (2015). Vasopressin, but not oxytocin, increases empathic concern among individuals who received higher levels of paternal warmth:A randomized controlled trial. Psychoneuroendocrinology, 51, 253-261.
Tamayo, C. A., Rizkalla, M. N., & Henderson, K. K. (2016). Cognitive, behavioral and emotional empathy in pharmacy students:Targeting programs for curriculum modification. Frontiers in Pharmacology, 7, 1-8.
Tone, E. B., & Tully, E. C. (2014). Empathy as a "risky strength":A multilevel examination of empathy and risk for internalizing disorders. Development and Psychopathology, 26, 1547-1565.
Van der Graaff, J., Branje, S., De Wied, M., & Meeus, W. (2012). The moderating role of empathy in the association between parental support and adolescent aggressive and delinquent behavior. Aggressive Behavior, 38(5), 368-377.
Van Doorn, M. D., Branje, S. J. T., Van der Valk, I. E., De Goede, I. H. A., & Meeus, W. H. J. (2011). Longitudinal spillover effects of conflict resolution styles between adolescent-parent relationships and adolescent friendships. Journal of Family Psychology, 25(1), 157-161.
Van Lissa, C. J., Hawk, S. T., De Wied, M., Koot, H. M., Van Lier, P., & Meeus, W. (2014). The longitudinal interplay of affective and cognitive empathy within and between adolescents and mothers. Developmental Psychology, 50(4), 1219-1225.
Van Lissa, C. J., Hawk, S. T., & Meeus, W. H. J. (2017). The effects of affective and cognitive empathy on adolescents' behavior and outcomes in conflicts with mothers. Journal of Experimental Child Psychology, 158, 32-45.
Willner, C. J., Gatzke-Kopp, L. M., & Bray, B. C. (2016). The dynamics of internalizing and externalizing comorbidity across the early school years. Development and Psychopathology, 28, 1033-1052.
Zaki, J., & Ochsner, K. N. (2012). The neuroscience of empathy:Progress, pitfalls and promise. Nature Neuroscience, 15(5), 675-680.
黄翯青, 苏彦捷. (2012). 共情的毕生发展:一个双过程的视角. 心理发展与教育, 28(4), 434-441.
刘影, 桑标, 龚少英, 丁雪辰, 潘婷婷. (2016). 情绪表达抑制功能的文化差异. 心理科学进展, 24(10), 1647-1654.
李小芳, 卞晨阳, 陈艳琳, 黄娟, 马玉巧, 余毅震. (2015). 青少年移情发展特点及其与攻击行为的关系. 中国心理卫生杂志, 29(9), 708-713.
彭源, 朱蕾, 王振宏. (2018). 父母情绪表达与青少年问题行为:亲子依恋、孤独感的多重中介效应. 心理发展与教育, 34(4), 504-512.
任巧悦, 孙元淼, 吕雪靖, 黄超, 胡理. (2019). 基于心理生理学视角的共情研究:方法与特点. 科学通报, 64(22), 2292-2304.
魏东霞, 谌新民. (2018). 共情陪伴与留守儿童精神健康——基于2010年中国家庭追踪调查的实证研究. 世界经济文汇, 246(5), 76-95.
杨业, 汤艺, 彭微微, 吕雪靖, 胡理, 陈军. (2017). 共情:遗传-环境-内分泌-大脑机制. 科学通报, 62(32), 3729-3742.
[1] LI Xuan, MA Shufeng. The Influence of Collaborative Reasoning on Chinese Adolescents’ Development of Peer Relationships [J]. Psychological Development and Education, 2026, 42(3): 315-325.
[2] ZHAO Taige, SHENG Liang, GAO Junjie, XIN Sufei. Longitudinal Associations between Parental Emotional Warmth and Adolescent Prosocial Behavior Tendency: The Mediation Role of Upward Social Comparison [J]. Psychological Development and Education, 2026, 42(3): 437-446.
[3] XIANG Yanhui, MA Liping, HU Yunqi, LI Xiaojun. The Relationship between Psychological Adaptation and Internal and External Aggression among Adolescents: Evidence from a Longitudinal Study and a Weekly Diary Method [J]. Psychological Development and Education, 2026, 42(1): 85-97.
[4] BIAN Haotian, ZHUANG Ruixue, WANG Jiabao, BIAN Yufang, LIANG Lichan. Parental Burnout and Adolescents’Internet Gaming Addiction: Roles of Basic Psychological Need Satisfaction, Effortful Control and Gender [J]. Psychological Development and Education, 2026, 42(1): 110-120.
[5] YANG Shuyun, LI Zihan, REN Ping. Effects of Bullying Victimization on NSSI in Early Adolescent: The Role of Loneliness and Emotion Regulation Strategies [J]. Psychological Development and Education, 2026, 42(1): 121-130.
[6] ZHENG Tianpeng, ZHOU Xinran, LIANG Lichan, YUAN Keman, BIAN Yufang. Relationship between Parent-adolescent Discrepancies in Perceived Parental Warmth and Children’s Depressive Symptoms and Aggressive Behavior [J]. Psychological Development and Education, 2025, 41(6): 869-880.
[7] CHEN Zixun, BAI Rong, LI Jinwen, XU Chengrui. The Longitudinal Relationship between Inter-parental Conflict and Mobile Phone Addiction in Adolescence: The Role of Impulsivity and Friend Support [J]. Psychological Development and Education, 2025, 41(6): 892-902.
[8] TANG Jiayi, FU Chengyu, XU Wei. The Influence of Family Function on Adolescents’ Depression and Social Anxiety: The Mediating Role of Belief in a Just World [J]. Psychological Development and Education, 2025, 41(5): 701-709.
[9] ZHANG Feng, HUANG Silin, MEI Kehan, ZHANG Jiatian, DENG Yiyi. The Effects of Social Mobility Beliefs on Academic Persistence of Chinese Rural Adolescents in Areas out of Povery: The Moderating Role of Academic Coping Strategies [J]. Psychological Development and Education, 2025, 41(4): 510-517.
[10] PENG Daju, CHENG Cheng, GUO Peiyang, XU Yang. A Common Factor Model of Callous-unemotional Traits and Borderline Personality Traits in Adolescents: A Cross-lagged Study [J]. Psychological Development and Education, 2025, 41(4): 528-538.
[11] WANG Lingfei, ZHANG Mingming, YUAN Keman, BIAN Yufang. The Relationship between Parenting Self-efficacy and Adolescent Anxiety: The Mediating Roles of Overparenting and Parent-child Conflict [J]. Psychological Development and Education, 2025, 41(4): 539-549.
[12] SONG Xiaofan, CAO Yanmiao, LIN Xiaonan, JI Linqin, ZHANG Wenxin. Hypothalamic-pituitary-adrenal Axis Multilocus Genetic Variation, Peer Victimization, and Adolescent Aggression: The Mediating Role of Empathy [J]. Psychological Development and Education, 2025, 41(4): 550-560.
[13] HU Yiqiu, HE Zhen, ZENG Zihao, LIU Shuangjin, YANG Qin, FANG Xiaoyi. The Effect of Parent-child Relationship on Adolescent Aggression Behavior: The Mediating Role of Mindfulness and the Moderation Role of NR3C1 Gene rs41423247 Polymorphism [J]. Psychological Development and Education, 2025, 41(4): 561-570.
[14] FAN Meng, LIU Xinyi, YUE Jiaying, CHEN Xu. Individual Differences in the Process of Emotional Empathy across Attachment Types [J]. Psychological Development and Education, 2025, 41(4): 598-608.
[15] LUO Yuhan, XU Zijing, ZHOU Qing, YANG Zhengqian, KE Li, WANG Yun, CHEN Fumei. Adolescent Fast Life History Strategy and Its Behavioral Outcomes under COVID-19-related Stressors [J]. Psychological Development and Education, 2025, 41(3): 398-409.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!