Callous-unemotional traits and empathy deficits: Mediating effects of affective perspective-taking and facial emotion recognition

Although empathy deficits are thought to be associated with callous-unemotional (CU) traits, findings remain equivocal and little is known about what specific abilities may underlie these purported deficits. Affective perspective-taking (APT) and facial emotion recognition may be implicated, given their independent associations with both empathy and CU traits. The current study examined how CU traits relate to cognitive and affective empathy and whether APT and facial emotion recognition mediate these relations. Participants were 103 adolescents (70 males) aged 16–18 attending a residential programme. CU traits were negatively associated with cognitive and affective empathy to a similar degree. The association between CU traits and affective empathy was partially mediated by APT. Results suggest that assessing mechanisms that may underlie empathic deficits, such as perspective-taking, may be important for youth with CU traits and may inform targets of intervention.

[1]  M. Dolan,et al.  Face affect recognition deficits in personality-disordered offenders: association with psychopathy , 2006, Psychological Medicine.

[2]  J. Aharon-Peretz,et al.  Two systems for empathy: a double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. , 2009, Brain : a journal of neurology.

[3]  Mark H. Davis ThE rOlE Of ThE SElf iN PErSPECTivE-TakiNg aNd EMPaThY: EaSE Of SElf-SiMulaTiON aS a hEuriSTiC fOr iNfErriNg EMPaThiC fEEliNgS , 2012 .

[4]  M. Dadds,et al.  Adolescents' Ability to Read Different Emotional Faces Relates to their History of Maltreatment and Type of Psychopathology , 2009, Clinical child psychology and psychiatry.

[5]  C. Batson,et al.  Perspective Taking: Imagining How Another Feels Versus Imaging How You Would Feel , 1997 .

[6]  D. Waschbusch,et al.  Emotional processing in children with conduct problems and callous/unemotional traits. , 2008, Child: care, health and development.

[7]  D. Perrett,et al.  Reduced sensitivity to others’ fearful expressions in psychopathic individuals , 2004 .

[8]  J. Yuille,et al.  Individual differences in empathy: The role of facial expression recognition , 2010 .

[9]  L. Camras,et al.  Vignettes for Emotion Recognition Research and Affective Therapy With Children , 1988 .

[10]  P. Qualter,et al.  Empathy and Bullying: Exploring the Influence of Callous-Unemotional Traits , 2011, Child psychiatry and human development.

[11]  C. Freitag,et al.  Cortisol reactivity in boys with attention-deficit/hyperactivity disorder and disruptive behavior problems: The impact of callous unemotional traits , 2011, Psychiatry Research.

[12]  Abigail A. Marsh,et al.  Deficits in facial affect recognition among antisocial populations: A meta-analysis , 2008, Neuroscience & Biobehavioral Reviews.

[13]  D. Farrington,et al.  Development and validation of the Basic Empathy Scale. , 2006, Journal of adolescence.

[14]  M. Carter Diagnostic and Statistical Manual of Mental Disorders, 5th ed. , 2014 .

[15]  J. Newman,et al.  Recognition of facial affect in psychopathic offenders. , 2006, Journal of abnormal psychology.

[16]  R. Levenson,et al.  Empathy: a physiological substrate. , 1992, Journal of personality and social psychology.

[17]  A. Boxtel,et al.  Empathy dysfunction in children and adolescents with disruptive behavior disorders. , 2010 .

[18]  N. Feshbach,et al.  Empathy training and the regulation of aggression: Potentialities and limitations. , 1982 .

[19]  Claus Lamm,et al.  The Neural Substrate of Human Empathy: Effects of Perspective-taking and Cognitive Appraisal , 2007, Journal of Cognitive Neuroscience.

[20]  A. van Boxtel,et al.  Verbal, Facial and Autonomic Responses to Empathy-Eliciting Film Clips by Disruptive Male Adolescents with High Versus Low Callous-Unemotional Traits , 2011, Journal of Abnormal Child Psychology.

[21]  M. Dadds,et al.  Attention to the eyes and fear-recognition deficits in child psychopathy , 2006, British Journal of Psychiatry.

[22]  A. van Boxtel,et al.  Empathy dysfunction in children and adolescents with disruptive behavior disorders , 2009 .

[23]  J. Gibbs,et al.  Relations between self-serving cognitive distortions, psychopathic traits, and antisocial behavior in a non-clinical sample of adolescents , 2011 .

[24]  A. Knafo,et al.  Children's low affective perspective-taking ability is associated with low self-initiated pro-sociality. , 2011, Emotion.

[25]  J. Decety Dissecting the Neural Mechanisms Mediating Empathy , 2011 .

[26]  P. Frick,et al.  The 4 year stability of psychopathic traits in non-referred youth. , 2003, Behavioral sciences & the law.

[27]  U. Habel,et al.  Emotional processing in psychopathic personality , 2002 .

[28]  Aaron D. J. Frost,et al.  Learning to 'talk the talk: the relationship of psychopathic traits to deficits in empathy across childhood. , 2009, Journal of child psychology and psychiatry, and allied disciplines.

[29]  B P O'Connor,et al.  SPSS and SAS programs for determining the number of components using parallel analysis and Velicer’s MAP test , 2000, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[30]  P. Frick,et al.  Inventory of Callous–Unemotional Traits , 2017 .

[31]  D. Perrett,et al.  Reduced efficiency in recognising fear in subjects scoring high on psychopathic personality characteristics , 2005 .

[32]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[33]  S. Mednick,et al.  Early temperamental and psychophysiological precursors of adult psychopathic personality. , 2007, Journal of abnormal psychology.

[34]  D. Falkenbach,et al.  Primary and secondary psychopathic-traits and their relationship to perception and experience of emotion , 2008 .

[35]  Essi Viding,et al.  Feeling, caring, knowing: different types of empathy deficit in boys with psychopathic tendencies and autism spectrum disorder , 2010, Journal of child psychology and psychiatry, and allied disciplines.

[36]  Rod A. Martin,et al.  Emotion Perception Threshold: Individual Differences in Emotional Sensitivity , 1996 .

[37]  C. Batson,et al.  An additional antecedent of empathic concern: valuing the welfare of the person in need. , 2007, Journal of personality and social psychology.

[38]  E. Kimonis,et al.  Adapting Parent–Child Interaction Therapy to Treat Severe Conduct Problems With Callous-Unemotional Traits , 2012 .

[39]  D. Farrington,et al.  Empathy and offending: a systematic review and meta-analysis , 2004 .

[40]  J. Strayer Children's concordant emotions and cognitions in response to observed emotions. , 1993, Child development.

[41]  David Warden,et al.  Cognitive and affective perspective-taking in conduct-disordered children high and low on callous-unemotional traits , 2008, Child and adolescent psychiatry and mental health.

[42]  E. McClure A meta-analytic review of sex differences in facial expression processing and their development in infants, children, and adolescents. , 2000, Psychological bulletin.

[43]  Monica A. Marsee,et al.  Exploring Narcissism, Psychopathy, and Machiavellianism in Youth: Examination of Associations with Antisocial Behavior and Aggression , 2013 .

[44]  A. Guastella,et al.  Reduced eye gaze explains "fear blindness" in childhood psychopathic traits. , 2008, Journal of the American Academy of Child and Adolescent Psychiatry.

[45]  J. Lochman,et al.  The Development of Callous-Unemotional Traits and Antisocial Behavior in Children: Are There Shared and/or Unique Predictors? , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[46]  R. Blair,et al.  A Selective Impairment in the Processing of Sad and Fearful Expressions in Children with Psychopathic Tendencies , 2001, Journal of abnormal child psychology.

[47]  Avshalom Caspi,et al.  Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy. , 2007, Journal of abnormal psychology.

[48]  Cecilia A. Essau,et al.  Callous-Unemotional Traits in a Community Sample of Adolescents , 2006, Assessment.

[49]  N. Eisenberg,et al.  The relation of empathy to prosocial and related behaviors. , 1987, Psychological bulletin.

[50]  Jean Decety,et al.  The empathic brain and its dysfunction in psychiatric populations: implications for intervention across different clinical conditions , 2007, BioPsychoSocial medicine.

[51]  M. Dadds,et al.  Stability and Malleability of Callous-Unemotional Traits During Treatment for Childhood Conduct Problems , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[52]  E. Viding,et al.  Why should we care about measuring callous-unemotional traits in children? , 2012, The British journal of psychiatry : the journal of mental science.

[53]  Clara E. Hill,et al.  The current state of empathy research , 1996 .

[54]  Christopher T. Barry,et al.  Psychopathic traits and conduct problems in community and clinic-referred samples of children: further development of the psychopathy screening device. , 2000, Psychological assessment.

[55]  Christopher J Patrick,et al.  Continuity and change in psychopathic traits as measured via normal-range personality: a longitudinal-biometric study. , 2006, Journal of abnormal psychology.

[56]  M. Dadds,et al.  Cognitive and affective empathy in children with conduct problems: Additive and interactive effects of callous–unemotional traits and autism spectrum disorders symptoms , 2014, Psychiatry Research.

[57]  David Warden,et al.  Physiologically-Indexed and Self-Perceived Affective Empathy in Conduct-Disordered Children High and Low on Callous-Unemotional Traits , 2008, Child psychiatry and human development.

[58]  R. Blair,et al.  Expression recognition and behavioural problems in early adolescence , 2000 .

[59]  P. Frick,et al.  Psychopathy, aggression, and the processing of emotional stimuli in non-referred girls and boys. , 2006, Behavioral sciences & the law.

[60]  P. A. Oswald,et al.  The effects of cognitive and affective perspective taking on empathic concern and altruistic helping. , 1996, The Journal of social psychology.

[61]  Christine L. Cox,et al.  The balance between feeling and knowing: affective and cognitive empathy are reflected in the brain's intrinsic functional dynamics. , 2012, Social cognitive and affective neuroscience.

[62]  James V. Ray,et al.  Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. , 2014, Psychological bulletin.

[63]  Jason W. Osborne,et al.  Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis. , 2005 .

[64]  N. Eisenberg,et al.  The relation of empathy to aggressive and externalizing/antisocial behavior. , 1988, Psychological bulletin.

[65]  R. Blair Responding to the emotions of others: Dissociating forms of empathy through the study of typical and psychiatric populations , 2005, Consciousness and Cognition.

[66]  M. Barnett,et al.  The Role of Perspective Taking and Empathy in Children's Machiavellianism, Prosocial Behavior, and Motive for Helping , 1985 .

[67]  A. Hayes PROCESS : A Versatile Computational Tool for Observed Variable Mediation , Moderation , and Conditional Process Modeling 1 , 2012 .

[68]  Aaron D. J. Frost,et al.  A Measure of Cognitive and Affective Empathy in Children Using Parent Ratings , 2008, Child psychiatry and human development.

[69]  Nalini Ambady,et al.  Accurate identification of fear facial expressions predicts prosocial behavior. , 2007, Emotion.

[70]  A. Mayer,et al.  Facial affect recognition in criminal psychopaths. , 2002, Emotion.

[71]  R. Salekin,et al.  Psychopathy, Empathy, and Perspective -Taking Ability in a Community Sample: Implications for the Successful Psychopathy Concept , 2006 .

[72]  J. Lochman,et al.  Callous/unemotional traits and social-cognitive processes in adjudicated youths. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[73]  R. Blair,et al.  Responsiveness to distress cues in the child with psychopathic tendencies , 1999 .

[74]  L. R. Huesmann,et al.  Assessing Callous-Unemotional Traits in Adolescents: Determining Cutoff Scores for the Inventory of Callous and Unemotional Traits. , 2017, Journal of clinical psychology.

[75]  E. Verona,et al.  Visual complexity attenuates emotional processing in psychopathy: Implications for fear-potentiated startle deficits , 2012, Cognitive, affective & behavioral neuroscience.

[76]  M. Dadds,et al.  Impaired attention to the eyes of attachment figures and the developmental origins of psychopathy. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[77]  S. Branje,et al.  Concurrent and prospective effects of psychopathic traits on affective and cognitive empathy in a community sample of late adolescents. , 2013, Journal of child psychology and psychiatry, and allied disciplines.

[78]  Luna C. Muñoz Callous-unemotional traits are related to combined deficits in recognizing afraid faces and body poses. , 2009, Journal of the American Academy of Child and Adolescent Psychiatry.

[79]  M. Dadds,et al.  Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood , 2012, Psychiatry Research.

[80]  The relation of facial affect recognition and empathy to delinquency in youth offenders. , 2005, Adolescence.

[81]  Benjamin J. Lovett,et al.  Affective empathy deficits in aggressive children and adolescents: a critical review. , 2007, Clinical psychology review.

[82]  Kristopher J Preacher,et al.  Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models , 2008, Behavior research methods.

[83]  M. Hoffman,et al.  The contribution of empathy to justice and moral judgment , 1993 .

[84]  K. Durand,et al.  The development of facial emotion recognition: the role of configural information. , 2007, Journal of experimental child psychology.

[85]  R. Blair,et al.  Recognition of Emotion in Facial Expressions and Vocal Tones in Children With Psychopathic Tendencies , 2001, The Journal of genetic psychology.

[86]  R. Loeber,et al.  Adolescent Conduct Disorder and Interpersonal Callousness as Predictors of Psychopathy in Young Adults , 2007, Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53.

[87]  Mark H. Davis The effects of dispositional empathy on emotional reactions and helping: A multidimensional approach , 1983 .

[88]  M. O'brien,et al.  Cognitive and Emotional Control and Perspective Taking and Their Relations to Empathy in 5-Year-Old Children , 2007, The Journal of genetic psychology.

[89]  A. Hayes Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach , 2013 .

[90]  S. Lilienfeld,et al.  Psychopathic Traits and Preattentive Threat Processing in Children , 2011, Psychological science.

[91]  S. Baron-Cohen,et al.  The Empathy Quotient: An Investigation of Adults with Asperger Syndrome or High Functioning Autism, and Normal Sex Differences , 2004, Journal of autism and developmental disorders.

[92]  Andreas Warnke,et al.  Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects. , 2012, Journal of child psychology and psychiatry, and allied disciplines.

[93]  J. Roiser,et al.  Investigating associations between empathy, morality and psychopathic personality traits in the general population , 2012 .

[94]  E. Viding,et al.  The impact of prenatal maternal risk, fearless temperament and early parenting on adolescent callous-unemotional traits: a 14-year longitudinal investigation. , 2011, Journal of child psychology and psychiatry, and allied disciplines.

[95]  Jennifer L. Skeem,et al.  Assessing callous-unemotional traits in adolescent offenders: validation of the Inventory of Callous-Unemotional Traits. , 2008, International journal of law and psychiatry.

[96]  J. Tangney,et al.  Psychopathy and Identification of Facial Expressions of Emotion. , 2008, Personality and individual differences.

[97]  A. Mayer,et al.  Facial Affect Recognition in , 2002 .