4.7 Review

The association between acute stress & empathy: A systematic literature review

Journal

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
Volume 144, Issue -, Pages -

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2022.105003

Keywords

Acute stress; Empathy; Emotion; Affect sharing; Contagion; Social support; Social cognition; Emotion recognition; Mentalizing; Systematic review

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Empathy is crucial in our social-emotional experience, and there has been growing interest in the effects of acute stress on empathy. This review provides a comprehensive overview of emerging patterns and gaps in the literature. It shows that acute stress can lead to stress contagion in affective empathy, but the effects vary depending on contextual factors. It also finds that acute stress may differentially affect cognitive empathy for men and women, especially in more complex empathy tasks.
Empathy is a fundamental component of our social-emotional experience. Over the last decade, there has been increased interest in understanding the effects of acute stress on empathy. We provide a first comprehensive--and systematic-overview identifying emerging patterns and gaps in this literature. Regarding affective empathy, there is abundant evidence for stress contagion-the 'spillover' of stress from a stressed target to an unstressed perceiver. We highlight contextual factors that can facilitate and/or undermine these effects. Fewer studies have investigated the effects of acute stress on affective empathy, revealing a nuanced picture, some evidence suggests acute stress can block contagion of other's emotions; but again contextual differences need to be considered. Regarding cognitive empathy, most studies find no conclusive effects for simplistic measures of emotion recognition; however, studies using more complex empathy tasks find that acute stress might affect cognitive empathy differentially for men and women. This review provides an important first step towards understanding how acute stress can impact social-togetherness, and aims to aid future research by highlighting (in)congruencies and outstanding questions.

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