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Child Psychiatry Hum Dev. 2019 Jul 15. doi: 10.1007/s10578-019-00910-8. [Epub ahead of print]

Longitudinal Relationships Between Reflective Functioning, Empathy, and Externalizing Behaviors During Adolescence and Young Adulthood.

Author information

1
Faculty of Psychology and Educational Sciences, University of Geneva, 40, Bd du Pont-d'Arve, 1211, Geneva, Switzerland. Larisa.Morosan@unige.ch.
2
Developmental Imaging and Psychopathology Lab, University of Geneva, Geneva, Switzerland. Larisa.Morosan@unige.ch.
3
Faculty of Psychology and Educational Sciences, University of Geneva, 40, Bd du Pont-d'Arve, 1211, Geneva, Switzerland.
4
Faculty of Psychology, Swiss Distance Learning University, Brig, Switzerland.
5
Swiss National Center of Competences in Research LIVES-Overcoming Vulnerability: Life Course Perspectives-University of Geneva, Geneva, Switzerland.
6
Developmental Imaging and Psychopathology Lab, University of Geneva, Geneva, Switzerland.
7
Research Department of Clinical, Educational, and Health Psychology, University College London, London, UK.

Abstract

Reflective functioning (RF) refers to the understanding of one's own and others' behaviors in terms of mental states, whereas empathy entails the abilities to understand (cognitive empathy) and to share (affective empathy) the emotions of others. Low RF and low empathy have been previously related to externalizing behaviors, such as aggression and rule breaking. However, few longitudinal studies have simultaneously examined the relationships between these variables during adolescence. The aim of the present study is to investigate the longitudinal effects of both RF and empathy on potential changes in externalizing behaviors over time, in a group of 103 adolescents and young adults from the general population assessed repeatedly up to four times. We conducted multilevel analysis in order to examine the effects of RF and empathy on the initial levels and the trajectories of externalizing behaviors over time, while accounting for other variables previously associated with externalizing behaviors, such as age, gender, internalizing problems, and cognitive abilities. The results suggest that the ability to reflect on behaviors in terms of mental states predicted a sharper decrease in externalizing behaviors over time. Moreover, externalizing behaviors at the first assessment were associated with RF impairments and low affective empathy. Age, gender, cognitive abilities, and cognitive empathy were not associated with externalizing behaviors. We discuss how our results, based on a typically developing population, might inform primary or indicated prevention strategies for externalizing behaviors by focusing on socio-cognitive processes such as RF and affective empathy.

KEYWORDS:

Adolescence; Externalizing behaviors; Longitudinal; Mentalizing; Reflective functioning

PMID:
31309356
DOI:
10.1007/s10578-019-00910-8

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