PMID- 37467804
OWN - NLM
STAT- MEDLINE
DCOM- 20230814
LR  - 20230814
IS  - 1573-2517 (Electronic)
IS  - 0165-0327 (Linking)
VI  - 339
DP  - 2023 Oct 15
TI  - Longitudinal relationship of empathy and social anxiety among adolescents: The 
      mediation roles of psychological inflexibility and rejection sensitivity.
PG  - 867-876
LID - S0165-0327(23)00916-3 [pii]
LID - 10.1016/j.jad.2023.07.069 [doi]
AB  - INTRODUCTION: The purpose of study was to explore the roles of psychological 
      inflexibility and rejection sensitivity in the relationship between (cognitive 
      and affective) empathy and social anxiety among adolescents. METHODS: A two-wave 
      longitudinal design was adopted in the present study. A total of 2481 
      participants (41.60 % male; Mage = 16.48) aged from 13 to 21 in 2021 completed 
      the Chinese Version of Interpersonal Reactivity Index (IRI-C), Short Mood and 
      Feelings Questionnaire (SMFQ), Chinese version of the Acceptance and Action 
      Questionnaire-II (AAQ-II), Avoidance and Fusion Questionnaire for Youth (AFQ-Y8), 
      Child Rejection Sensitivity Questionnaire (CRSQ), and Social Anxiety Scale for 
      Adolescent (SAS-A) at baseline assessment (T1), and completed the SAS-A again 
      three months later (T2). RESULTS: (1) Results showed, personal distress at T1 
      could significantly and positively predict social anxiety at T2. (2) Mediation 
      analyses results demonstrated that adolescents' experience avoidance and 
      rejection sensitivity at T1 were significant mediators between cognitive empathy 
      at T1 and social anxiety at T2, but with the opposite effect. As for affective 
      empathy, rejection sensitivity at T1 significantly mediated the relationship 
      between adolescents' empathic concern at T1 and social anxiety at T2. 
      Furthermore, experience avoidance and rejection sensitivity at T1 significantly 
      mediated the association between personal distress at T1 and social anxiety at 
      T2. CONCLUSIONS: Cognitive and affective empathy had different roles in 
      contributing to adolescents' social anxiety. The findings in the current study 
      can also provide empirical support for targeting adolescents' social anxiety by 
      reducing personal distress directly and decreasing experiential avoidance and 
      rejection sensitivity indirectly.
CI  - Copyright (c) 2023 Elsevier B.V. All rights reserved.
FAU - Tan, Xing
AU  - Tan X
AD  - School of Psychology, South China Normal University, Guangzhou, Guangdong 510631, 
      PR China; The Guidance Centre for Student Development, Dongguan High School, 
      Dongguan, Guangdong 523120, PR China.
FAU - Yang, Youtian
AU  - Yang Y
AD  - Centre for Psychological Health Education, Zhongshan Technician College, 
      Zhongshan, Guangdong 528400, PR China.
FAU - Yu, Meng
AU  - Yu M
AD  - Department of Psychology, School of Public Health, Southern Medical University, 
      Guangzhou 510515, PR China; Department of Psychiatry, Zhujiang Hospital, Southern 
      Medical University, Guangzhou 510282, PR China. Electronic address: 
      yumengbnu@163.com.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20230717
PL  - Netherlands
TA  - J Affect Disord
JT  - Journal of affective disorders
JID - 7906073
SB  - IM
MH  - Child
MH  - Humans
MH  - Male
MH  - Adolescent
MH  - Female
MH  - *Empathy
MH  - *Emotions
MH  - Affect
MH  - Surveys and Questionnaires
MH  - Anxiety/psychology
OTO - NOTNLM
OT  - Adolescents
OT  - Cognitive fusion
OT  - Empathy
OT  - Experiential avoidance
OT  - Rejection sensitivity
OT  - Social anxiety
COIS- Declaration of competing interest None.
EDAT- 2023/07/20 01:06
MHDA- 2023/08/14 06:42
CRDT- 2023/07/19 19:22
PHST- 2022/09/04 00:00 [received]
PHST- 2023/06/17 00:00 [revised]
PHST- 2023/07/14 00:00 [accepted]
PHST- 2023/08/14 06:42 [medline]
PHST- 2023/07/20 01:06 [pubmed]
PHST- 2023/07/19 19:22 [entrez]
AID - S0165-0327(23)00916-3 [pii]
AID - 10.1016/j.jad.2023.07.069 [doi]
PST - ppublish
SO  - J Affect Disord. 2023 Oct 15;339:867-876. doi: 10.1016/j.jad.2023.07.069. Epub 
      2023 Jul 17.