Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects

Background:  A deficit in empathy is discussed to underlie difficulties in social interaction of children with autism spectrum disorder (ASD) and conduct disorder (CD). To date, no study has compared children with ASD and different subtypes of CD to describe disorder‐specific empathy profiles in cli...

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Veröffentlicht in:Journal of child psychology and psychiatry 2012-06, Vol.53 (6), p.651-659
Hauptverfasser: Schwenck, Christina, Mergenthaler, Julia, Keller, Katharina, Zech, Julie, Salehi, Sarah, Taurines, Regina, Romanos, Marcel, Schecklmann, Martin, Schneider, Wolfgang, Warnke, Andreas, Freitag, Christine M.
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container_end_page 659
container_issue 6
container_start_page 651
container_title Journal of child psychology and psychiatry
container_volume 53
creator Schwenck, Christina
Mergenthaler, Julia
Keller, Katharina
Zech, Julie
Salehi, Sarah
Taurines, Regina
Romanos, Marcel
Schecklmann, Martin
Schneider, Wolfgang
Warnke, Andreas
Freitag, Christine M.
description Background:  A deficit in empathy is discussed to underlie difficulties in social interaction of children with autism spectrum disorder (ASD) and conduct disorder (CD). To date, no study has compared children with ASD and different subtypes of CD to describe disorder‐specific empathy profiles in clinical samples. Furthermore, little is known about age influences on the development of empathic skills. The aim of the current study was to compare cognitive and emotional empathy in different age groups of children with ASD, CD with elevated or low callous‐unemotional‐traits (CU+ vs. CU−) and a matched control group (CG). Methods:  Fifty‐five boys with ASD, 36 boys with CD‐CU+, 34 boys with CD‐CU− and 67 controls were included. The study implemented three tasks on emotion recognition, perspective taking and emotional affection induced by another person’s situation. Multivariate Analysis of variance with the factors group and age (median split) including their interaction term was performed to describe disorder‐specific profiles. Results:  Empathy profiles showed differential impairment in children with ASD and CD‐CU+. Boys with ASD were impaired in cognitive empathy while participants with CD‐CU+ were impaired in emotional empathy. Children with CD‐CU− did not differ from the CG. However, boys with CD‐CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD‐CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. These results yield implications for further research as well as for therapeutic interventions.
doi_str_mv 10.1111/j.1469-7610.2011.02499.x
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To date, no study has compared children with ASD and different subtypes of CD to describe disorder‐specific empathy profiles in clinical samples. Furthermore, little is known about age influences on the development of empathic skills. The aim of the current study was to compare cognitive and emotional empathy in different age groups of children with ASD, CD with elevated or low callous‐unemotional‐traits (CU+ vs. CU−) and a matched control group (CG). Methods:  Fifty‐five boys with ASD, 36 boys with CD‐CU+, 34 boys with CD‐CU− and 67 controls were included. The study implemented three tasks on emotion recognition, perspective taking and emotional affection induced by another person’s situation. Multivariate Analysis of variance with the factors group and age (median split) including their interaction term was performed to describe disorder‐specific profiles. Results:  Empathy profiles showed differential impairment in children with ASD and CD‐CU+. Boys with ASD were impaired in cognitive empathy while participants with CD‐CU+ were impaired in emotional empathy. Children with CD‐CU− did not differ from the CG. However, boys with CD‐CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD‐CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. These results yield implications for further research as well as for therapeutic interventions.</description><identifier>ISSN: 0021-9630</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/j.1469-7610.2011.02499.x</identifier><identifier>PMID: 22118246</identifier><identifier>CODEN: JPPDAI</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Affective Behavior ; Age Differences ; Autism ; autism spectrum disorder ; Autism Spectrum Disorders ; Autistic children ; Autistic spectrum disorders ; Behavior Disorders ; Biological and medical sciences ; Boys ; callous-unemotional traits ; Case-Control Studies ; Child ; Child clinical studies ; Child Development ; Child Development Disorders, Pervasive - psychology ; Child, Preschool ; Children ; Children &amp; youth ; Cognition ; Comparative Analysis ; conduct disorder ; Conduct Disorder - psychology ; Conduct disordered children ; Control Groups ; development ; Developmental disorders ; Developmental Stages ; Emotional Development ; Emotional Response ; Emotions ; Empathy ; Germany ; Humans ; Infantile autism ; Interaction ; Interpersonal Relationship ; Male ; Males ; Medical sciences ; Mental Disorders ; Multivariate Analysis ; Perspective Taking ; Pervasive Developmental Disorders ; Profiles ; Psychology. 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Boys with ASD were impaired in cognitive empathy while participants with CD‐CU+ were impaired in emotional empathy. Children with CD‐CU− did not differ from the CG. However, boys with CD‐CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD‐CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. 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To date, no study has compared children with ASD and different subtypes of CD to describe disorder‐specific empathy profiles in clinical samples. Furthermore, little is known about age influences on the development of empathic skills. The aim of the current study was to compare cognitive and emotional empathy in different age groups of children with ASD, CD with elevated or low callous‐unemotional‐traits (CU+ vs. CU−) and a matched control group (CG). Methods:  Fifty‐five boys with ASD, 36 boys with CD‐CU+, 34 boys with CD‐CU− and 67 controls were included. The study implemented three tasks on emotion recognition, perspective taking and emotional affection induced by another person’s situation. Multivariate Analysis of variance with the factors group and age (median split) including their interaction term was performed to describe disorder‐specific profiles. Results:  Empathy profiles showed differential impairment in children with ASD and CD‐CU+. Boys with ASD were impaired in cognitive empathy while participants with CD‐CU+ were impaired in emotional empathy. Children with CD‐CU− did not differ from the CG. However, boys with CD‐CU− were less emotionally reactive in response to film stimuli than children with ASD. Furthermore, we found strong age effects indicating an increase in cognitive and affective empathic skills beyond early infancy in all groups. Conclusions:  In this study, distinct empathic profiles in children with ASD and CD‐CU+ were found. Furthermore, the work demonstrates improvement of empathic skills throughout childhood and adolescence, which is comparable for individuals with psychiatric disorders and control children. These results yield implications for further research as well as for therapeutic interventions.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22118246</pmid><doi>10.1111/j.1469-7610.2011.02499.x</doi><tpages>9</tpages></addata></record>
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subjects Affective Behavior
Age Differences
Autism
autism spectrum disorder
Autism Spectrum Disorders
Autistic children
Autistic spectrum disorders
Behavior Disorders
Biological and medical sciences
Boys
callous-unemotional traits
Case-Control Studies
Child
Child clinical studies
Child Development
Child Development Disorders, Pervasive - psychology
Child, Preschool
Children
Children & youth
Cognition
Comparative Analysis
conduct disorder
Conduct Disorder - psychology
Conduct disordered children
Control Groups
development
Developmental disorders
Developmental Stages
Emotional Development
Emotional Response
Emotions
Empathy
Germany
Humans
Infantile autism
Interaction
Interpersonal Relationship
Male
Males
Medical sciences
Mental Disorders
Multivariate Analysis
Perspective Taking
Pervasive Developmental Disorders
Profiles
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Statistical Analysis
title Empathy in children with autism and conduct disorder: group-specific profiles and developmental aspects
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