Levels Of Cognitive Empathy Research Articles

Pharmacists' empathy after a postgraduate course in narrative medicine: an observationalstudy.

Narrative medicine is a recent cross-disciplinary approach which through aesthetic activities such as reading fiction and creative writing aims to encourage empathy, reflection, professionalism, and trustworthiness in the encounter between patients and health care professionals. The aim of this study was to evaluate changes in level of empathy after a postgraduate course in narrative medicine among pharmacists conducting medication counselling. During 2020-2021, three courses in narrative medicine among pharmacists with the aim to enhance empathy were held in Odense, Denmark. The primary outcome was the pharmacists' self-reported level of empathy before and after the course measured with Jefferson Scale of Empathy (JSE), which is a validated 20 item scale with higher scores indicating higher levels of cognitive empathy. A total of 33 community and hospital pharmacists participated in the three courses. The pharmacists' median age was 41 years, 91% were female, 76% were working in community pharmacy, and 47% were, according to themselves, rare readers. The pharmacists completed the JSE scale before and after the course. A statistically significant increase was found in mean total JSE score from 109.9 ± 17.1 before the course to 115.7 ± 14.6 after the course (p = 0.0362). Following the course in narrative medicine the level of empathy for the pharmacists according to JSE was enhanced. We recommend that future studies also use patient-reported outcomes to explore if the self-experienced enhanced empathy among pharmacists affects the patients' experience of their encounters.

Cognitive empathy variations during internship: a study from Iran

ObjectiveDespite the critical role of empathy in medical students, various studies have provided conflicting evidence regarding changes in empathy during medical study. The present study was designed to investigate changes in cognitive empathy during the internship.MethodA study was conducted at the Afzalipour School of Medicine, Kerman University of Medical Sciences. All medical students at the beginning of their internship were entered the study as a cohort and asked to complete a two-part questionnaire including demographic characteristics and the Persian version of the Jefferson Scale of Empathy-Student Version (JSE-S). The questionnaire was completed again at the end of the internship. Data were analyzed using SPSS software using paired t- test and one-way repeated measures.ResultsA total of 108 interns participated with a mean age of 23.85 ± 1.47 years, and a female majority (61.1%). The mean score of standing in the patient’s shoe increased significantly (P < 0.001) during the internship, whereas the mean score of compassionate care decreased (P < 0.001). The overall score of empathy decreased during the internship, but the difference was not statistically significant. (P = 0.105). No statistically significant difference was found in the mean score of empathy and its subscales based on demographic characteristics in the two phases of the study.Conclusionour results revealed that the level of cognitive empathy in the current study was higher than that in previous studies. The changes were consistent with some studies and contradictory to others. Considering that similar changes were observed in the subgroup analysis, it is necessary to focus more on the factors that cause this feeling to fade during the internship through appropriate assessment and timely intervention.

Exploring the impact of awe on the multifaceted construct of empathy.

Empathy helps us navigate social interactions and promotes prosocial behaviors like caregiving and helping. Here, we explored whether awe, a key self-transcendent and epistemic emotion, could encourage greater empathy across seven diverse student and community samples collected between 2020 and 2022. Empathy is a multifaceted construct; thus, we assessed performance on a range of empathy measures including perspective taking accuracy (Study 2), empathic accuracy (Study 3; preregistered), emotion contagion and compassion (Study 4). We also directly tested whether awe motivated people to empathize with others (Study 5; preregistered). Although dispositional awe was positively correlated with trait measures of empathy (Study 1), experimental inductions of awe did not improve performance on empathy measures or motivate people to empathize, compared to a control (Studies 2-5). However, a moderation effect emerged in which awe had divergent effects on empathy depending on participants' self-reported dispositional levels of cognitive empathy. Although effects only reached significance in two studies (Studies 3; preregistered and 4), an internal meta-analysis revealed that awe improved empathy for those high in dispositional cognitive empathy, while marginally reducing it among those low in dispositional cognitive empathy, compared to a control. These results suggest that awe may have polarizing effects on empathy depending on one's dispositional level of cognitive empathy and reveal a potentially important role of cognitive processes in linking awe and empathy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Perspective-Taking or Feeling? The Role of Cognitive and Affective Empathy for Adolescents’ Social Entrepreneurial Intentions

Given the world’s current challenges, including poverty, health care, and migration, adolescents will most likely play a critical part in the development of social entrepreneurial solutions that affect their own futures. Nonetheless, previous research mostly overlooks adolescents as prospective founders. This paper analyses how cognitive and affective empathy can affect adolescents’ intention to create a social enterprise. Data from 343 adolescents show that respondents are more prone to start a social venture if they have a high level of cognitive empathy. Affective empathy, however, plays a minor role in this regard. This indicates that perspective-taking abilities (i.e. cognitive empathy) are advantageous for the formation of social entrepreneurial intentions in adolescence, while emotional responses (i.e. affective empathy) may be less meaningful. We discuss implications for future research, policy making, and importantly, education to identify and support future social entrepreneurs at an early age.

Empathy in competencies of specific norms in Obstetrics students from Ica universities - 2022

Introduction: For over a century, educational policies have vigorously promoted competency-based education in higher education students. Objective: It was proposed to determine the incidence of empathy in the competencies of specific norms of Obstetrics students at universities in Ica. Methods: There was a quantitative approach, a non-experimental correlational-causal design; The sample consisted of 101 female students in the last year of the Faculty of Obstetrics. The instrument was the personal reactivity questionnaire (first variable) and, for the second variable, the observation technique and performance checklist. Results: The results revealed that 67.33% of the students presented a low level of empathy; 58.4% had a low level of cognitive empathy; 75.2% had a low level of affective empathy; Regarding the competency standards, 86.14% did not comply with the competencies, of this, in the care of pregnant women and unborn children, 7.9% complied with them. In the dimension of caring for women and couples, 16.8% complied. Conclusion: Empathy significantly affected the competencies of specific norms in students evaluated, suggesting the need to strengthen this soft skill to improve the competitiveness of future obstetric professionals.

The Mindfulness-Based Kindness Curriculum for Preschoolers: An Applied Multi-Site Randomized Control Trial

ObjectivesThis study examined the impact of the Mindfulness-Based Kindness Curriculum (MBKC) on social-emotional, executive function, and academic skills of preschoolers.MethodSixteen preschool and 4K (4-year-old kindergarten) classrooms (245 children, 57.6% ethnically diverse, 69.8% low SES) were randomly assigned to either a curriculum-as-usual (CAU) or MBKC group taught by trained classroom teachers. Measures, as reported by children, teachers, and parents, were collected prior to and after implementation of the MBKC.ResultsTrained classroom teachers effectively implemented the MBKC. Teachers rated MBKC children significantly higher on outcome measures of social-emotional skills (e.g., sharing, prosocial skills, empathy), executive functioning (e.g., planning/organizing, working memory), and academic skills (e.g., physical development, language, math) than CAU children. Parents rated MBKC children as having significantly higher levels of cognitive empathy compared to parents’ ratings of CAU children. MBKC children were significantly more likely to engage in sharing behavior with a sick child, though children’s self-ratings indicated no effect of the MBKC on mindfulness skills or self-efficacy. Unlike previous research, the MBKC did not benefit initially lower functioning children more than initially higher functioning children.ConclusionsConsistent with previous research, children given the MBKC appeared to benefit in terms of higher social-emotional competency, prosocial behavior, and executive functioning. The MBKC proved to be a useful complement to their other social-emotional learning programming. The present study expands the literature on the application of mindfulness with preschool children and highlights important implications of teaching and measuring mindfulness skills in young children, thereby identifying specific issues to address in future studies.PreregistrationThis study was not preregistered.

Touching the Other’s Life in Turkey: Empathy-Focused Group Work as a Randomized Controlled Trial

Purpose: This study evaluated the possible effects of empathy-focused group work on the participants, which is designed by bringing together cisgender heterosexual and LGBTQ+ people. Method: The study group of the research consists of 28 people (14 people in each of the experimental and control groups) who receive social service from a municipality in Istanbul, Turkey. The empathy-focused group work lasted 8 weeks, and pretest and posttest measurements were performed using the Affective and Cognitive Measure of Empathy (ACME) Scale and the Social Dominance Orientation Scale. Results: The result of this study showed that the participants were able to experience positive contact experiences in group work with heterogeneous groups, and an increase in the emotional and cognitive empathy levels of the participants and a decrease in their social dominance orientation. Conclusions: Implications for future research and professional practice are discussed.

Enhancing cultural competency and empathy toward foreign patients for Korean nursing students through a simulation: A quasi-experimental study

AimThis study aimed to develop a transcultural nursing simulation-based learning program with patients from the United Arab Emirates and evaluate its effects on cultural competence and empathy among undergraduate nursing students in South Korea. BackgroundThe importance of cultural competency and empathy has increased with the increased number of foreign patients in Korea. The United Arab Emirates (UAE) is one of the top Middle Eastern countries from which patients visit Korea for medical services. Because South Korea is a largely homogenous country, foreign patients often experience difficulties in their hospitalizations when Korean nurses lack cultural competency in caring for them. To improve cultural competency, a practical form of education, such as a simulation, is necessary. In addition, the simulation module based on cultural competency model allowing nursing students to provide effective and culturally responsive services to ethnically diverse patients. DesignThis quasi-experimental study used a non-randomized control group design with a convenience sample. MethodsThe program was administered to 53 Korean undergraduate nursing students (26 control and 27 experimental). Fourteen teams of two students practiced infection prevention training with the mother of a 7-year-old child with immunodeficiency. Participants’ cultural competency and empathy were assessed before and after the TN-SBL using an online survey. The effects of cultural competency and empathy were analyzed using a generalized estimation equation. ResultsNursing students in the TN-SBL group showed more positive improvement in cultural competence and had increased cognitive empathy levels than students in the control group. ConclusionThe simulation module developed in this study improved students’ cultural competency and empathy levels. It is valuable because the scenario was developed based actual clinical cases of Emirati patients and their families. The simulation module was designed based on the cultural competency model to raise awareness of cultural diversity and allow students to directly practice culturally competent care. It can be used to educate Korean nurses and improve the quality of care provided to Arabic-speaking Muslim patients.

Correlation between mindfulness, empathy and compassion levels of nursing students: A cross-sectional study

BackgroundThe concept of mindfulness does not attract enough attention in the field of health. Despite this, it is thought to be effective on the concept of empathy and compassion, which have an importance in nursing practices. AimThe aim of the study was to investigate the correlation between the mindfulness, empathy and compassion levels of nursing students. MethodsThis is a descriptive-correlational and cross-sectional study which comprised 347 students in the nursing department of a university. As data collection tools, the Mindful Attention Awareness Scale, the Basic Empathy Scale and the Compassion Scale. FindingsThe results of the study show that no significant correlation was found between the mindfulness, total empathy levels and cognitive empathy levels of the students, and that there was a significant negative correlation between their emotional empathy levels. There was found to be a significant positive correlation between their mindfulness and total compassion levels. DiscussionThe findings of this study contribute to the literature that the mindfulness of nursing students is not related to total empathy levels, but is closely related to compassion levels. Some studies in the literature support these findings. ConclusionIt is thought that knowing, teaching and developing the concepts of empathy and compassion in nursing education is important for raising nurses who can provide compassionate care with a high level of empathy. The practice of mindfulness should always have a prominent role in nursing education. Its correlation with empathy and compassion should be consistently highlighted.

Empatia afetiva e cognitiva entre estudantes universitários da saúde, exatas e humanas: um estudo transversal

Abstract Objective The aim of the present study was to compare levels of affective and cognitive empathy among university students of the health field, exact sciences, and humanities. Method A cross-sectional study was conducted in an online format with the participation of 519 students of the health field, exact sciences, and humanities. Data collection involved the use of a sociodemographic questionnaire and the Multidimensional Interpersonal Reactivity Index. Results The female sex predominated the overall sample (74.4%). Statistically significant differences were found regarding total empathy as well as the affective and cognitive domains. Students of in the health field had the highest levels of total and affective empathy. Students of the exact sciences had higher levels of cognitive empathy compared to those in the health sciences and humanities. Conclusion In conclusion, students of the health sciences have higher levels of empathy and the affective domain, whereas those of the exact sciences have higher levels of cognitive empathy.

The role of cross-species relative brain size variation and time since domestication in explaining human empathy towards domesticated mammals

Although multiple publications have addressed the nexus between individual differences and attitudes towards nonhuman animals, fewer studies have discussed the rise of human-animal interactions, in particular with domesticated mammals, through an evolutionary lens. Two evolutionary hypotheses, the Symbiotic and Neurocognitive hypothesis, provide complementary predictions regarding the evolution of these cognitive and emotional mechanisms. According to the Symbiotic hypothesis, the longer the time humans have had to interact symbiotically with domesticated the animals, the greater their empathy towards them. Alternatively, the Neurocognitive hypothesis argues that human empathy directed at animals increases in response to the neural and cognitive complexity of nonhuman animals. To test these hypotheses, the present study reported questionnaire data from 322 Southwestern university students. These psychometric instruments measured the participants' levels of cognitive empathy (the attribution of mental states to animals), emotional empathy (emotional concern about animals), and harm avoidance (reluctance to mistreat animals) when rating 13 domesticated mammals. The species' times since domestication and relative brain sizes were then used as predictors of cognitive empathy, emotional empathy, and harm avoidance. The results of Linear Mixed and Hierarchical General Linear Cascade Models found empirical support for the Symbiotic and Neurocognitive hypotheses.

The impact of ageing simulation education on qualified acute care nurses' empathy towards older people: A mixed-methods study.

To evaluate the influence of an ageing simulation intervention on qualified acute care nurses' empathy towards older people. Life expectancy is increasing globally with an increased incidence of older people accessing healthcare services. As such, it is essential for qualified nurses within hospital settings to connect with older people by establishing healthful relationships. Empathy is an essential component of healthful nurse-patient relationships. Fortunately, empathy can be taught through education. A convergent mixed-methods design was utilised. Nurses (N=95) undertook an 8-hour ageing simulation intervention. Data were collected from April 2019 to May 2020 across three time points: before the intervention (T0); immediately after (T1) and at three months follow-up (T2). A mix of convenience (intervention) and purposeful (follow-up) sampling techniques were utilised. Quantitative data were collected via the Interpersonal Reactivity Index survey (n=86) and analysed using repeat measures ANOVA to compare mean scores across time points. Qualitative data were collected via debriefing discussions (N=95) and focus groups (n=38), and analysed using a systematic thematic analysis method. Data convergence occurred during the interpretation phase. Study reported with the TREND checklist. Primarily, when quantitative and qualitative findings were merged they confirmed each others' empathy outcomes. Quantitative results showed a statistically significant increase in affective and cognitive empathy levels among nurses post-intervention. Qualitative findings expanded on quantitative results and revealed an increase in nurses' affective, cognitive and behavioural empathy represented in themes 'enhancing my empathy', 'impact of ageing', 'from self to others' and 'person-centred moments'. This study adds empirical evidence how a mixed-methods design can be used to evaluate the influence of an ageing simulation intervention on nurses' empathy levels. Ageing simulation interventions are a suitable experiential educational approach to improve acute care nurses' affective, cognitive and behavioural empathy towards older people.

Intention to Stop Bullying following a Condemning, Empathy-Raising, or Combined Message from a Teacher – Do Students’ Empathy and Callous-Unemotional Traits Matter?

Knowing which intervention strategies work best and for which student is essential for teachers when they intervene in cases of bullying. The effects of teachers’ (1) condemning, (2) empathy-raising, and (3) combined (including elements of both) messages on students’ intention to stop bullying were tested in a between-subject experimental design. A total of 277 seventh grade students (Mage = 12.93, SD = 0.49; 47% female) were asked to imagine they had bullied a peer and were invited to a discussion with a teacher. They saw a video vignette with one of the above messages. Hierarchical regression analyses indicated that students’ intention to stop bullying was highest among those who saw the combined message. Callous-unemotional traits were negatively, and affective and cognitive empathy positively associated with intention to stop bullying. Students’ level of cognitive empathy moderated the relative effect of the condemning message on intention to stop bullying. At low levels of cognitive empathy, the condemning message was the least effective, whereas among those with high cognitive empathy, all messages were equally likely to lead to intention to stop bullying. Together, the findings suggest that for educators intervening in bullying among adolescents, an approach involving both condemning and empathy-raising messages is the ‘best bet’, most likely to lead to intention to stop bullying.

How resource sharing resists scarcity: the role of cognitive empathy and its neurobiological mechanisms.

Resource scarcity challenges individuals' willingness to share limited resources with other people. Still, lots of field studies and laboratory experiments have shown that sharing behaviors do not disappear under scarcity. Rather, some individuals are willing to share their scarce resources with others in a similar way as when the resource is abundant, which is crucial for the maintenance and development of human society. Here, we designed a novel paradigm in which subjects decided whether (and how much) to share an amount of "relieving resources" for counteracting unpleasant noises, which mimics real-life situations that people cost their own resources to help others escape from adversity. Overall, the robustness of resource sharing under scarcity was positively correlated with individual level of the cognitive component of empathy across two independent experiments. Resource insufficiency modulated the activations of several brain regions (including the TPJ, mPFC, and PCC) as well as the functional connection (from the rTPJ to the mPFC) within the mentalizing brain network, but the modulatory effect decreased as a function of cognitive empathy. We also applied the administration of oxytocin and found significant effects on sharing behavior among individuals with a higher level of cognitive empathy, but not their low-level counterparts. These findings highlight the importance of empathy to resource sharing under scarcity and explain the underlying neurobiological mechanisms.

The relationship between positive parenting and adolescent prosocial behaviour: The mediating role of empathy and the moderating role of the oxytocin receptor gene

<p id=p00005>Prosocial behaviour, that is, behaviour intended to benefit others, has been linked to a variety of desirable traits, including positive relationships, better academic performance and lower levels of antisocial behaviours. As such, the origins and the mechanisms underlying the remarkable individual differences in prosocial behaviour are the focus of an increasing number of studies, with numerous research consistently documenting the important role of positive parenting and empathy. Notably, differentiating between cognitive and emotional components of empathy may help further clarify the processes by which parenting eventuates in prosocial behaviour. Although all children may be impacted by parenting, some children benefit more than others from good-quality rearing. Recent research has suggested that the oxytocin receptor (<italic>OXTR</italic>) gene rs53576 polymorphism could determine the degree to which a child is influenced by environment. The biological function of rs53576 polymorphism has yet to be delineated, and the literature is mixed with regard to heterozygote (AG) grouping; thus, the implications for AG grouping are not well understood. Therefore, the dummy coding, additive coding, dominant coding and recessive coding models were all investigated in this study to test the nature of gene effect. This study aimed to extend previous studies on the association between parenting and prosocial behaviour by examining the mediating role of cognitive and emotional empathy and the moderating role of the <italic>OXTR</italic> gene. <p id=p00010>The participants were 1082 mother-offspring dyads (adolescents’ mean age: 12.32 ± 0.48 years, 50.3% females) recruited from the community. At Time 1, mothers reported their positive parenting via the Chinese version of the Child-Rearing Practices Report (CRPR) and peer-rated adolescents’ prosocial behaviours. At Time 2, adolescent-reported perspective-taking and empathic concern, peer-rated prosocial behaviours and saliva samples were collected. All measures showed good reliability. Genotyping at <italic>OXTR</italic> gene was performed with MassARRAY RT software version 3.0.0.4 and analysed using the MassARRAY Typer software version 3.4 (Sequenom). <p id=p00015>Results showed that adolescents who received higher levels of maternal positive parenting exhibited more prosocial behaviours. However, the direct effect of positive parenting on prosocial behaviour became nonsignificant after controlling for baseline prosocial behaviour. Cognitive empathy, but not emotional empathy, mediated the association between positive parenting and prosocial behaviour. Specifically, positive parenting was positively associated with cognitive empathy, which in turn was positively associated with adolescent prosocial behaviour. Further, this mediation was moderated by the <italic>OXTR</italic> gene rs53576 polymorphism. For adolescents with AA and GG genotypes, positive parenting was related to higher levels of cognitive empathy, which increased prosocial behaviour. However, this mediation effect was not observed among adolescents with AG genotype. In addition, the results revealed evidence for an overdominance model for <italic>OXTR</italic> rs53576. Moreover, the G × E term predicted cognitive empathy but not prosocial behaviour. This finding suggests that cognitive empathy may be an endophenotype closer along the causal chain to the genotype and that the strength of the G × E effects was greater for empathy than for distal behavioural outcomes. <p id=p00020>These findings add to our understanding of how empathy and genetic factors contribute to adolescents’ prosocial behaviour within the family context. In addition, these results suggest that cognitive and emotional aspects of empathy are likely to be involved—in somewhat different psychosocial mechanisms—in the development of prosocial behaviour. Notably, the overdominance effect of <italic>OXTR</italic> should be interpreted with caution until replicated. However, when a three-category polymorphic genotype is used, as is commonly applied when modelling a dominant or recessive effect, both false positive and false negative results can occur, and the nature of the interaction can be misrepresented.

Relationship between emotional exhaustion and empathy in medical students from monteria - colombia

IntroductionEmpathy is considered one of the most relevant characteristics in the interaction between the doctor and the patient, highlighting the need to enhance it from the professional training stage. However, some studies have established that high levels of empathy could generate emotional exhaustion (Boujut, Sultan, Woemer &amp; Zenasni, 2012). However, if a certain type of empathy can lead to burnout, it must also be considered that an optimal empathic posture can, on the contrary, relieve stress and exhaustion.ObjectivesEstablish the relationship between the level of emotional exhaustion and empathy in medical students.MethodsA cross-sectional study of correlational scope was conducted in 182 (n = 90) medical students. The cognitive and affective empathy test (López, et al., 2008) and the adaptation of the MBI instrument for the Colombian population (Barbato, Córdoba, González, Martínez &amp; Tamayo, 2011) were used to assess emotional exhaustionResultsStatistically significant correlations of positive magnitude were evidenced between the variables emotional exhaustion and cognitive empathy (Table 1)ConclusionsIt was possible to conclude that the higher levels of cognitive empathy (adoption of perspective) in medical students, also resulted in greater emotional exhaustion, revealing an inappropriate consequence of empathy, where professionals can excessively adopt the patient’s feelings, generating wear. It is essential to promote optimal levels of empathy, which are beneficial for both the patient and the doctor.

Exploring empathy in cyberbullying with serious games

This study examined whether experiencing a multiplayer serious game could foster cognitive empathy in adolescent bystanders of cyberbullying, empathic concern for these situations and affective empathy towards those involved during game play. We also explored the players' self-reflections about cyberbullying scenarios in the game. A quasi-experimental design was used. While participants in an alternative intervention group read the game's storyline and filled in activities on paper, players in the experimental group interacted through a fictitious social network on themes related to organizing a school field trip and other activities. The control group had their regular classes. Quantitative (ANCOVA and Multilevel) and qualitative (Content analysis) results from 221 7th and 8th-graders recorded in classroom settings, showed that overall players reveal higher levels of cognitive empathy, empathic concern and affective empathy than those who did not play the game. Players referred appraisals and factual cognitions against cyberbullying, empathy towards the victim. Our game can help improve adolescents' cognitive empathy and prosociality in cyberbullying.

Getting to the heart of childhood empathy: Relations with shyness and respiratory sinus arrhythmia.

Although prior studies have found that shyness and empathy are inversely related and that well-regulated children tend to express empathic behaviors more often, little work has assessed combinations of these factors in predicting affective and cognitive empathy in early childhood. The authors examined relations among shyness, resting respiratory sinus arrhythmia (RSA), and observed affective and cognitive empathy in a sample of 130 typically developing children (Mage =63.5months, SD=12.2; 62 males). Shyness was assessed by observing children's behaviors during a self-presentation task, and this observed measure was then combined with a maternal report of children's temperamental shyness. Children's shyness predicted lower levels of both affective and cognitive responses to an experimenter feigning an injury. Resting RSA moderated the relation between children's shyness and observed empathy such that relatively higher shyness combined with lower RSA levels conferred the lowest levels of cognitive empathy. Children who were relatively low in shyness exhibited similar levels of cognitive empathy across different levels of RSA. However, this moderation was not found when predicting children's affective empathy. Our results suggest that not all shy children are alike in terms of their empathic behaviors: shy children who are physiologically dysregulated appear to have difficulties exploring and/or processing others' pain.

How Our Gaze Reacts to Another Person's Tears? Experimental Insights Into Eye Tracking Technology.

Crying is an ubiquitous human behavior through which an emotion is expressed on the face together with visible tears and constitutes a slippery riddle for researchers. To provide an answer to the question “How our gaze reacts to another person’s tears?,” we made use of eye tracking technology to study a series of visual stimuli. By presenting an illustrative example through an experimental setting specifically designed to study the “tearing effect,” the present work aims to offer methodological insight on how to use eye-tracking technology to study non-verbal cues. A sample of 30 healthy young women with normal visual acuity performed a within-subjects task in which they evaluated images of real faces with and without tears while their eye movements were tracked. Tears were found to be a magnet for visual attention in the task of facial attribution, facilitating a greater perception of emotional intensity. Moreover, the inspection pattern changed qualitatively and quantitatively, with our participants becoming fully focused on the tears when they were visible. The mere presence of a single tear running down a cheek was associated with an increased emotional inference and greater perception of sincerity. Using normalized and validated tools (Reading the Eyes in the Mind Test and the SALAMANCA screening test for personality disorders), we measured the influence of certain characteristics of the participants on their performance of the experimental task. On the one hand, a higher level of cognitive empathy helped to classify tearful faces with higher emotional intensity and tearless faces with less emotional intensity. On the other hand, we observed that less sincerity was attributed to the tearful faces as the SALAMANCA test scores rose in clusters A (strange and extravagant) and B (immature and emotionally unstable) of our sample. The present findings highlight the advantages of using eye tracking technology to study non-verbal cues and draw attention to methodological issues that should be taken into account. Further exploration of the relationship between empathy and tear perception could be a fruitful avenue of future research using eye tracking.

Emotional Intelligence, Empathy, Self-Esteem, and Life Satisfaction in Spanish Adolescents: Regression vs. QCA Models.

Adolescence is a complex period, in which the individual is subject to profound emotional, physical, and psychological changes. Healthy development during adolescence is crucial for future positive development; self-esteem and life satisfaction are fundamental. The importance of sociodemographic variables (sex and age), empathy, and emotional intelligence (EI) on self-esteem and life satisfaction was studied, comparing complementary methodologies, regression models, and fuzzy-set qualitative comparative analysis (fsQCA) models. This is a cross-sectional design in a convenience sample of 991 adolescents (528 females, 53.3%; aged between 12 and 19 years; M = 14.01, SD = 1.40) from Spanish schools. Data were collected using the Rosenberg Self-Esteem Scale (RSES), the Satisfaction With Life Scale (SWLS), the Basic Empathy Scale (BES), and Trait Meta-Mood Scale (TMMS)24. The results of the regression models suggest that cognitive empathy, emotional clarity, and emotional repair are the main predictor variables for self-esteem. Meanwhile, the results of the fsQCA suggest that being older and low levels of cognitive empathy, emotional clarity, and emotional repair predict higher levels of self-esteem. On the other hand, life satisfaction in regression models is significantly predicted by the emotional clarity and emotional repair dimensions of the TMMS24 and self-esteem. Meanwhile, in the prediction of life satisfaction, the results of the fsQCA suggest that the most important interactions were high emotional clarity, emotional repair, and low self-esteem. As research has already shown, promoting empathy and EI leads to higher levels of self-esteem and life satisfaction.