An ERP investigation of electrocortical responses in pain empathy from childhood through adolescence into adulthood

Only a few studies investigated the neurodevelopment of pain empathy. Here, the temporal dynamics of electrocortical processes in pain empathy during individual neurodevelopment from childhood through adolescence into adulthood, along with the moderation effect of top-down attention, were investigated using the event-related potential (ERP) technique. To investigate the role of top-down attention in empathy development, both A-P task and A-N task were conducted. In the A-P and A-N task, participants are instructed to judge whether the models in pictures were painful or non-painful and count the number of limbs in pictures, respectively. We found that compared to the adolescent and adult groups, the children group responded significantly worse, along with stronger neural responses in both tasks. Compared to the adolescent and adult groups, the differential amplitudes between painful and non-painful conditions of P2, N2 and P3 were significantly larger in the children group. Moreover, this P3 differential amplitude could only be modulated by age in the A-P task. These results suggest that the capacity to empathize has not yet attained complete development in these children. Significantly more attention resources were involuntarily attracted by the nociceptive cues in these children, which could also reflect the immaturity of empathy ability in these children.