Associations between Subtypes of Empathy and Aggression in High-Risk Adolescents

Aggression in youth is a transdiagnostic indicator and associated with a variety of serious, maladaptive outcomes. Theoretically, aggression is linked to individual differences in empathy (i.e., the capacity to understand, resonate with, and experience others' emotions); yet the empirical research is mixed. To clarify this literature, this pre-registered study examined unique associations between subtypes of empathy (cognitive, affective, somatic, positive, and negative) and aggression (reactive, proactive) among a diverse sample of high-risk adolescents (N=103; M _age=16.1 years, 53% female; 60% racial/ethnic minoritized groups). Empathy was assessed via youth-report at baseline and aggression was assessed at baseline and 9-month follow-up across multiple informants (youth-, parent-, and teacher). Associations were examined simultaneously while controlling for theoretically relevant covariates (age, sex, minoritized status, receipt of public assistance) and emotional reactivity. Somatic empathy was the most consistent predictor of aggression. Specifically, youth reporting higher somatic empathy had lower levels of youth- and teacher-reported reactive and proactive aggression at baseline and 9-month follow-up. Additionally, youth who endorsed higher affective empathy also reported more reactive aggression at baseline and at follow-up after accounting for individual differences in emotional reactivity. Results highlight the importance of considering subtypes of both empathy and aggression when examining risk and resilience pathways and point to the potential role of somatic empathy as a protective factor. Findings enhance our understanding of etiological mechanisms for aggression and suggest that interventions that encourage youth to upregulate their emotional sensitivity or interoceptive awareness may reduce aggression.