Adolescent Substance Use Outcomes in Response to Social Consequences of Use: The Role of Empathy

Abstract

Evidence suggests empathy deficits have a temporal relationship with substance use severity by late adolescence theorized to decrease use via recognition of social consequences. However, this has yet to be tested empirically along with differences in cognitive and affective empathy. Adolescents admitted to substance use treatment (n = 3382) were followed through treatment and 12 months after treatment. Variable trajectories were fit using growth curve models; and cross-lagged effects of cognitive and affective empathy (interpersonal reactivity index) on response to social consequences of use were tested along with how response to social consequences affected the mean trajectory of substance use. Results indicate higher cognitive empathy predicted greater response to social consequences of use and response to these consequences at the end of treatment predicted a steeper decrease in substance use. This evidence highlights the importance of cognitive empathy for responding to social consequences of use for motivating less adolescent substance use.

Keywords

adolescence cognitive empathy affective empathy substance use treatment

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References

Anderson

Keltner

(2002). The role of empathy in the formation and maintenance of social bonds. Behavioral and Brain Sciences, 25(1), 21–22. https://doi.org/10.1017/s0140525x02230010

Asparouhov

Muthén

(2010). Weight least squared estimation with missing data. statmodel. https://www.statmodel.com/download/GstrucMissingRevision.pdf

Baron-Cohen

Wheelwright

(2004). The empathy quotient: An investigation of adults with Asperger syndrome or high functioning autism, and normal sex differences. Journal of Autism and Developmental Disorders, 34(2), 163–175. https://doi.org/10.1023/b:jadd.0000022607.19833.00

Blakemore

S. J.

(2012). Development of the social brain in adolescence. Journal of the Royal Society of Medicine, 105(3), 111–116. https://doi.org/10.1258/jrsm.2011.110221

Blakemore

S. J.

Mills

K. L.

(2014). Is adolescence a sensitive period for sociocultural processing? Annual Review of Psychology, 65(1), 187–207. https://doi.org/10.1146/annurev-psych-010213-115202

Cliffordson

(2002). The hierarchical structure of empathy: Dimensional organization and relations to social functioning. Scandinavian Journal of Psychology, 43(1), 49–59. https://doi.org/10.1111/1467-9450.00268

Cousijn

Luijten

Feldstein Ewing

S. W.

(2018). Adolescent resilience to addiction: A social plasticity hypothesis. The Lancet Child & Adolescent Health, 2(1), 69–78. https://doi.org/10.1016/S2352-4642(17)30148-7

Davis

M. H.

(1980). A multidimensional approach to individual differences in empathy. Journal of Personality and Social Psychology, 10(85), 49.

Davis

M. H.

(1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126. https://doi.org/10.1037/0022-3514.44.1.113

10.

Decety

(2011). Dissecting the neural mechanisms mediating empathy. Emotion Review, 3(1), 92–108. https://doi.org/10.1177/1754073910374662

11.

Decety

Bartal

I. B.-A.

Uzefovsky

Knafo-Noam

(2016). Empathy as a driver of prosocial behaviour: Highly conserved neurobehavioural mechanisms across species. Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences, 371(1686), 20150077. https://doi.org/10.1098/rstb.2015.0077

12.

Decety

Cowell

J. M.

(2015). Empathy, justice, and moral behavior. AJOB Neuroscience, 6(3), 3–14. https://doi.org/10.1080/21507740.2015.1047055

13.

Decety

Michalska

K. J.

(2010). Neurodevelopmental changes in the circuits underlying empathy and sympathy from childhood to adulthood. Developmental Science, 13(6), 886–899. https://doi.org/10.1111/j.1467-7687.2009.00940.x

14.

Dennis

Scott

C. K.

(2007). Managing addiction as a chronic condition. Addiction Science & Clinical Practice, 4(1), 45–55. https://doi.org/10.1151/ascp074145

15.

Eisenberg

(2005). The development of empathy-related responding. Nebraska Symposium on Motivation, 51, 73–117.

16.

Eisenberg

Fabes

R. A.

Murphy

Karbon

Smith

Maszk

(1996). The relations of children’s dispositional empathy-related responding to their emotionality, regulation, and social functioning. Developmental Psychology, 32(2), 195–209. https://doi.org/10.1037/0012-1649.32.2.195

17.

Hawk

S. T.

Keijsers

Branje

S. J. T.

Graaff

J. V. d.

Wied

M. d.

Meeus

(2013). Examining the interpersonal reactivity index (IRI) among early and late adolescents and their mothers. Journal of Personality Assessment, 95(1), 96–106. https://doi.org/10.1080/00223891.2012.696080

18.

L. t.

Bentler

P. M.

(1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118

19.

Hubbard

R. L.

Craddock

S. G.

Flynn

P. M.

Anderson

Etheridge

R. M.

(1997). Overview of 1-year follow-up outcomes in the drug Abuse treatment outcome study (DATOS). Psychology of Addictive Behaviors, 11(4), 261–278. https://doi.org/10.1037/0893-164x.11.4.261

20.

Konrath

S. H.

(2013). Critical synthesis package: Interpersonal reactivity index (IRI). Mededportal Publications. https://doi.org/10.15766/mep_2374-8265.9596

21.

Kral

T. R. A.

Solis

Mumford

J. A.

Schuyler

B. S.

Flook

Rifken

Patsenko

E. G.

Davidson

R. J.

(2017). Neural correlates of empathic accuracy in adolescence. Social Cognitive and Affective Neuroscience, 12(11), 1701–1710. https://doi.org/10.1093/scan/nsx099

22.

Kristiansen

P. L.

Hubbard

R. L.

(2001). Methodological overview and research design for adolescents in the drug abuse treatment outcome studies. Journal of Adolescent Research, 16(6), 545–562. https://doi.org/10.1177/0743558401166002

23.

Laghi

Bianchi

Pompili

Lonigro

Baiocco

(2019). Cognitive and affective empathy in binge drinking adolescents: Does empathy moderate the effect of self-efficacy in resisting peer pressure to drink? Addictive Behaviors, 89, 229–235. https://doi.org/10.1016/j.addbeh.2018.10.015

24.

Little

R. J. A.

Rubin

D. B.

(2019). Statistical analysis with missing data. New York, NY: Wiley. https://books.google.com/books?id=BemMDwAAQBAJ

25.

Little

T. D.

Rhemtulla

Gibson

Schoemann

A. M.

(2013). Why the items versus parcels controversy needn’t be one. Psychological Methods, 18(3), 285–300. https://doi.org/10.1037/a0033266

26.

Luengo

M. A.

Otero

J. M.

Carrillo-de-la-Peña

M. T.

Mirón

(1994). Dimensions of antisocial behaviour in juvenile delinquency: A study of personality variables. Psychology, Crime & Law, 1(1), 27–37. https://doi.org/10.1080/10683169408411934

27.

MacKinnon

D. P.

Lockwood

C. M.

Hoffman

J. M.

West

S. G.

Sheets

(2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104. https://doi.org/10.1037/1082-989x.7.1.83

28.

Massey

S. H.

Newmark

R. L.

Wakschlag

L. S.

(2018). Explicating the role of empathic processes in substance use disorders: A conceptual framework and research agenda. Drug and Alcohol Review, 37(3), 316–332. https://doi.org/10.1111/dar.12548

29.

McConnaughy

E. A.

Prochaska

J. O.

Velicer

W. F.

(1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory, Research & Practice, 20(3), 368–375. https://doi.org/10.1037/h0090198

30.

McHugh

R. K.

Votaw

V. R.

Sugarman

D. E.

Greenfield

S. F.

(2018). Sex and gender differences in substance use disorders. Clinical Psychology Review, 66, 12–23. https://doi.org/10.1016/j.cpr.2017.10.012

31.

Mulaik

S. A.

James

L. R.

Van Alstine

Bennett

Lind

Stilwell

C. D.

(1989). Evaluation of goodness-of-fit indices for structural equation models. Psychological Bulletin, 105(3), 430–445. https://doi.org/10.1037/0033-2909.105.3.430

32.

Muthén

Tam

Muthén

Stolzenberg

R. M.

Hollis

(1993). Latent variable modeling in the LISCOMP framework: Measurement of attitudes toward career choice. In: New directions in attitude measurement (pp. 277–290). Festschrift for Karl Schuessler.

33.

Nguyen

A. B.

Clark

T. T.

Belgrave

F. Z.

(2011). Empathy and drug use behaviors among African-American adolescents. Journal of Drug Education, 41(3), 289–308. https://doi.org/10.2190/de.41.3.d

34.

Overgaauw

Rieffe

Broekhof

Crone

E. A.

Güroğlu

(2017). Assessing empathy across childhood and adolescence: Validation of the empathy questionnaire for children and adolescents (EmQue-CA). Frontiers in Psychology, 8, 870–870. https://doi.org/10.3389/fpsyg.2017.00870

35.

R Core Team (2021). R: A language and environment for statistical computing. R Core Team. https://www.R-project.org/

36.

Revelle

(2021). psych: Procedures for psychological, psychometric, and personality research. Evanston, IL: The Comprehensive R Archive Network, Northwestern University. R package version 2.1.9 https://CRAN.R-project.org/package=psych

37.

Rosseel

(2012). Lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36. https://doi.org/10.18637/jss.v048.i02

38.

Schumann

Zaki

Dweck

C. S.

(2014). Addressing the empathy deficit: Beliefs about the malleability of empathy predict effortful responses when empathy is challenging. Journal of Personality and Social Psychology, 107(3), 475–493. https://doi.org/10.1037/a0036738

39.

Shin

H. S.

Park

Lee

Y.-M.

(2022). The relationship between medical students’ empathy and burnout levels by gender and study years. Patient Education and Counseling, 105(2), 432–439. https://doi.org/10.1016/j.pec.2021.05.036

40.

Singer

(2006). The neuronal basis and ontogeny of empathy and mind reading: Review of literature and implications for future research. Neuroscience and Biobehavioral Reviews, 30(6), 855–863. https://doi.org/10.1016/j.neubiorev.2006.06.011

41.

Smith

(2006). Cognitive empathy and emotional empathy in human behavior and evolution. The Psychological Record, 56(1), 3–21. https://doi.org/10.1007/bf03395534

42.

Walter

(2012). Social cognitive neuroscience of empathy: Concepts, circuits, and genes. Emotion Review, 4(1), 9–17. https://doi.org/10.1177/1754073911421379

43.

Winters

D. E.

Brandon-Friedman

Yepes

Hinckley

J. D.

(2021). Systematic review and meta-analysis of socio-cognitive and socio-affective processes association with adolescent substance use. Drug and Alcohol Dependence, 219, 108479. https://doi.org/10.1016/j.drugalcdep.2020.108479

44.

Winters

D. E.

Pruitt

P. J.

Fukui

Cyders

M. A.

Pierce

B. J.

Lay

Damoiseaux

J. S.

(2021). Network functional connectivity underlying dissociable cognitive and affective components of empathy in adolescence. Neuropsychologia, 156, 107832. https://doi.org/10.1016/j.neuropsychologia.2021.107832

45.

Winters

D. E.

Fukui

(2020). Longitudinal effects of cognitive and affective empathy on adolescent substance use. Substance Use & Misuse, 55(6), 983–989. https://doi.org/10.1080/10826084.2020.1717537

46.

Lang

K. M.

(2016). Proportionality assumption in latent basis curve models: A cautionary note. Structural Equation Modeling: A Multidisciplinary Journal, 23(1), 140–154. https://doi.org/10.1080/10705511.2014.938578

47.

Selig

J. P.

Little

(2012). Longitudinal data analysis. Oxford Handbook of Quantitative Methods, 2, 387–410.

48.

Zaki

(2018). Empathy is a moral force. In Gray

Graham

(Eds.), Atlas of moral psychology (pp. 49–58). Guildford WA: The Guilford Press.

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