Does empathy have a cost? Diverging psychological and physiological effects within families.

OBJECTIVE Parental empathy is associated with a host of beneficial psychosocial outcomes for children. However, less is known about the effects of being empathic for parents. The current study tested the hypothesis that, although parental empathy may be beneficial to children both psychologically and physiologically, it may take a physiological toll on parents. METHOD The current study examined psychological and physiological correlates of parental empathy in 247 parent-adolescent dyads. During a baseline laboratory visit, parents and adolescents provide blood samples from which markers of systemic inflammation, including interleukin 1-ra, interleukin 6, and C-reactive protein, were assayed. Parents completed self-report questionnaires of empathy, well-being, and self-esteem, and also reported on their child's emotion regulation. Following the laboratory visit, adolescents completed 2 weeks of daily diary reporting on their emotion regulation abilities. RESULTS In adolescents, parental empathy was significantly associated with both better emotion regulation and with less systemic inflammation. For parents, being empathic was associated with greater self-esteem and purpose in life, but also with higher systemic inflammation. CONCLUSIONS These findings reinforce the importance of simultaneously considering both psychological and physical health-related effects of psychosocial traits and suggests that empathy may have diverging effects across providers and recipients of empathy.

[1]  E. Chen,et al.  Family Chaos and Adolescent Inflammatory Profiles: The Moderating Role of Socioeconomic Status , 2014, Psychosomatic medicine.

[2]  Shelley E. Taylor,et al.  Childhood abuse, parental warmth, and adult multisystem biological risk in the Coronary Artery Risk Development in Young Adults study , 2013, Proceedings of the National Academy of Sciences.

[3]  Stephen E Gilman,et al.  Divergent associations of adaptive and maladaptive emotion regulation strategies with inflammation. , 2013, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[4]  S. Beach,et al.  Is Resilience Only Skin Deep? , 2013, Psychological science.

[5]  J. Decety,et al.  Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians , 2013, PloS one.

[6]  Idan M. Aderka,et al.  Psychometric Properties of the CES-D-10 in a Psychiatric Sample , 2013, Assessment.

[7]  Nancy Eisenberg,et al.  Prosociality: the contribution of traits, values, and self-efficacy beliefs. , 2012, Journal of personality and social psychology.

[8]  J. Martínez,et al.  Central Adiposity Rather Than Total Adiposity Measurements Are Specifically Involved in the Inflammatory Status from Healthy Young Adults , 2011, Inflammation.

[9]  M. Wetherell,et al.  The cost of caregiving: Endocrine and immune implications in elderly and non elderly caregivers , 2011, Neuroscience & Biobehavioral Reviews.

[10]  P. McGrath,et al.  Adolescents’ Attitudes and Opinions about Depression Treatment , 2010, Community Mental Health Journal.

[11]  G. Miller,et al.  Harsh Family Climate in Early Life Presages the Emergence of a Proinflammatory Phenotype in Adolescence , 2010, Psychological science.

[12]  S. Cole,et al.  Maternal Warmth Buffers the Effects of Low Early-Life Socioeconomic Status on Pro-Inflammatory Signaling in Adulthood , 2010, Molecular Psychiatry.

[13]  Netta Weinstein,et al.  When helping helps: autonomous motivation for prosocial behavior and its influence on well-being for the helper and recipient. , 2010, Journal of personality and social psychology.

[14]  Eva H. Telzer,et al.  Daily family assistance and inflammation among adolescents from Latin American and European backgrounds , 2009, Brain, Behavior, and Immunity.

[15]  G. Miller,et al.  Biologic cost of caring for a cancer patient: dysregulation of pro- and anti-inflammatory signaling pathways. , 2009, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[16]  Eva H. Telzer,et al.  A Preliminary Study of Daily Interpersonal Stress and C-Reactive Protein Levels Among Adolescents From Latin American and European Backgrounds , 2009, Psychosomatic medicine.

[17]  T. Kashdan,et al.  Being good by doing good: Daily eudaimonic activity and well-being , 2008 .

[18]  A. Steptoe,et al.  The effects of acute psychological stress on circulating inflammatory factors in humans: A review and meta-analysis , 2007, Brain, Behavior, and Immunity.

[19]  G. Miller,et al.  You've Gotta Know When to Fold 'Em , 2007, Psychological science.

[20]  Burton H Singer,et al.  Plasma interleukin-6 and soluble IL-6 receptors are associated with psychological well-being in aging women. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[21]  Luc Goossens,et al.  The Intergenerational Transmission of Empathy-Related Responding in Adolescence: The Role of Maternal Support , 2007, Personality & social psychology bulletin.

[22]  P. Ridker,et al.  Comparison of Interleukin-6 and C-Reactive Protein for the Risk of Developing Hypertension in Women , 2007, Hypertension.

[23]  Shelley E. Taylor,et al.  Relationship of Early Life Stress and Psychological Functioning to Adult C-Reactive Protein in the Coronary Artery Risk Development in Young Adults Study , 2006, Biological Psychiatry.

[24]  A. Duhig,et al.  Are fathers involved in pediatric psychology research and treatment? , 2005, Journal of pediatric psychology.

[25]  R. Prinz,et al.  Potential roles of parental self-efficacy in parent and child adjustment: a review. , 2005, Clinical psychology review.

[26]  E. Larson,et al.  Clinical empathy as emotional labor in the patient-physician relationship. , 2005, JAMA.

[27]  T. Lum,et al.  The Effects of Volunteering on the Physical and Mental Health of Older People , 2005 .

[28]  B. Singer,et al.  Positive health: connecting well-being with biology. , 2004, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[29]  E. Greenfield,et al.  Formal volunteering as a protective factor for older adults' psychological well-being. , 2004, The journals of gerontology. Series B, Psychological sciences and social sciences.

[30]  J. Strayer,et al.  Children's Anger, Emotional Expressiveness, and Empathy: Relations with Parents’ Empathy, Emotional Expressiveness, and Parenting Practices , 2004 .

[31]  R. Jeffery,et al.  Relationships between perceived stress and health behaviors in a sample of working adults. , 2003, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[32]  Nathan A. Fox,et al.  The Development of Self-Control of Emotion: Intrinsic and Extrinsic Influences , 2003 .

[33]  Shelley E. Taylor,et al.  Risky families: family social environments and the mental and physical health of offspring. , 2002, Psychological bulletin.

[34]  S. Preston,et al.  Empathy: Its ultimate and proximate bases. , 2001, The Behavioral and brain sciences.

[35]  S. Haffner,et al.  The relation of body fat mass and distribution to markers of chronic inflammation , 2001, International Journal of Obesity.

[36]  D. Zapf,et al.  Emotion work and job stressors and their effects on burnout , 2001, Psychology & health.

[37]  F. Gibbons,et al.  The influence of neighborhood disadvantage, collective socialization, and parenting on African American children's affiliation with deviant peers. , 2001, Child development.

[38]  L. Ferrucci,et al.  Cardiovascular Disease, Interleukin-6, and Risk of Mortality in Older Women: The Women’s Health and Aging Study , 2001, Circulation.

[39]  P F Brennan,et al.  Relationship of empathy to appraisal, depression, life satisfaction, and physical health in informal caregivers of older adults. , 2001, Research in nursing & health.

[40]  H. Cohen,et al.  Associations of elevated interleukin-6 and C-reactive protein levels with mortality in the elderly. , 1999, The American journal of medicine.

[41]  J. Arnett Adolescent storm and stress, reconsidered. , 1999, The American psychologist.

[42]  D Cicchetti,et al.  Emotion regulation among school-age children: the development and validation of a new criterion Q-sort scale. , 1997, Developmental psychology.

[43]  G. Kochanska,et al.  Mutually responsive orientation between mothers and their young children: implications for early socialization. , 1997, Child development.

[44]  M. Silverstein,et al.  Too Much of a Good Thing? Intergenerational Social Support and the Psychological Well-Being of Older Parents , 1996 .

[45]  J. Brooks-Gunn,et al.  A psychological perspective on the development of caring in children and youth: the role of the family , 1995 .

[46]  C. Ryff,et al.  My children and me: midlife evaluations of grown children and of self. , 1994, Psychology and aging.

[47]  D L Patrick,et al.  Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). , 1994, American journal of preventive medicine.

[48]  T. Field,et al.  The effects of mother's physical and emotional unavailability on emotion regulation. , 1994, Monographs of the Society for Research in Child Development.

[49]  S. Luthar,et al.  Resilience is not a unidimensional construct: Insights from a prospective study of inner-city adolescents , 1993, Development and Psychopathology.

[50]  J. Gross,et al.  Emotional suppression: physiology, self-report, and expressive behavior. , 1993, Journal of personality and social psychology.

[51]  N. Eisenberg,et al.  Socialization and Mothers' and Adolescents' Empathy-Related Characteristics , 1993 .

[52]  N. Eisenberg,et al.  The relations of parental characteristics and practices to children's vicarious emotional responding. , 1991, Child development.

[53]  O. J. Trask,et al.  Spousal caregivers of dementia victims: longitudinal changes in immunity and health. , 1991, Psychosomatic medicine.

[54]  A. Petersen,et al.  A self-report measure of pubertal status: Reliability, validity, and initial norms , 1988, Journal of youth and adolescence.

[55]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[56]  M. Rosenberg Society and the adolescent self-image , 1966 .

[57]  S. Pulos,et al.  The Hierarchical Structure of the Interpersonal Reactivity Index , 2004 .

[58]  B. Compas,et al.  Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. , 2001, Psychological bulletin.

[59]  C. Cliffordson Parents' Judgments and Students' Self-Judgments of Empathy: The Structure of Empathy and Agreement o , 2001 .

[60]  D. Wirtz,et al.  Interleukin-6: a potential inflammatory marker after total joint replacement , 2000, International Orthopaedics.

[61]  P. Coleman,et al.  Parenting Self-Efficacy among Mothers of School-Age Children: Conceptualization, Measurement, and Correlates , 2000 .

[62]  J. Gross Antecedent- and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. , 1998, Journal of personality and social psychology.

[63]  T. Dix Parenting on behalf of the child: Empathic goals in the regulation of responsive parenting. , 1992 .

[64]  C. Ryff Happiness is everything, or is it? Explorations on the meaning of psychological well-being. , 1989 .

[65]  N. Feshbach Parental empathy and child adjustment/maladjustment. , 1987 .

[66]  Mark H. Davis Measuring individual differences in empathy: Evidence for a multidimensional approach. , 1983 .

[67]  B. Ellis,et al.  Printed in the United States of America DOI: 10.10170S0954579405050145 , 2022 .