Abstract

Accurate interpretation of pain expressed by others is important for socialization; however, the development of this skill in children is still poorly understood. Empathy for pain models propose two main components (affective and cognitive), which develop at different stages of life. The study's objective was to investigate the children's ability between 3 and 12 years of age to detect and assess the pain intensity in others using visual stimuli depicting either facial expressions of pain or hands in painful contexts. 40 preschool children and 62 school-aged children were recruited. Children observed series of stimuli and evaluated the pain intensity depicted. Results demonstrated that children as young as three years old were able to detect and assess pain in both types of stimuli and this ability continued to improve until the age of 12. Participants demonstrated better detection performance with hands than with faces. Results were coherent with the idea that the two types of stimuli presented recruit different processes. Pain detection in hands appears to rely mostly on affective sharing processes that are effective early in life, while older children's higher ability to perceive pain in facial expressions suggests that this ability is associated with the gradual development of cognitive processes.

Highlights

  • Accurate detection and estimation of pain in others may be crucial to reacting appropriately, such as escaping to avoid a threatening situation or helping a person in pain

  • The results revealed a high ability to detect pain in preschool years, which increases in school-aged children for both types of stimuli

  • Results from the present study suggest that the development of pain detection abilities in children follows a predictable trajectory consistent with the maturation of specific cognitive and affective processes that are involved in empathy such as mentalizing and affective sharing

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Summary

Introduction

Accurate detection and estimation of pain in others may be crucial to reacting appropriately, such as escaping to avoid a threatening situation or helping a person in pain. A study by Deyo et al [3] suggests that children are able to infer pain from adults’ facial expressions by the age of five or six years, and this ability has been found to improve at least until the age of 12 years. Other cues, such as bodily damage, can inform the observer about the intensity and potential unpleasantness of someone else’s pain [4,5,6].

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