Measuring cognitive empathy using story stem narratives

The measurement of empathy is a challenge, particularly in young children. This study aims to develop a novel measure of cognitive empathy using story stem narratives. Children between 6 and 9 years of age (N = 200) completed two story stem tasks—Hurt Knee and Three's a Crowd—which were used to develop this new measure. Most children were from a white (63.5%) or mixed heritage background (20%), with near equal numbers of male (51.5%) and female (48.5%) child participants. To validate this measure, we tested for psychometric properties including reliability, internal consistency, and concurrent validity. As expected, girls scored higher for cognitive empathy than boys (mean difference = 1.15, 95% CI [0.46, 1.84]). Associations were seen between cognitive empathy and parent-reported prosocial behavior (r = 0.16, p = 0.02), and callous-unemotional traits (r = −0.15, p = 0.02). Using children's representations of their world through story stem narratives could allow for new insights in the study of empathy in young children.

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Publication Details

Journal
Apollo (University of Cambridge)
Published
2026-02-12
DOI
https://doi.org/10.17863/cam.126953
Primary Topic
Empathy and Medical Education
Type
article
Field-Weighted Citation Impact
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article

Measuring cognitive empathy using story stem narratives

Paul Ramchandani, Bethany Barker, Debbie Kwan, Christine O'Farrelly
Apollo (University of Cambridge)
Empathy and Medical Education
article

Measuring cognitive empathy using story stem narratives

Paul Ramchandani, Bethany Barker, Debbie Kwan, Christine O'Farrelly
article en

Abstract

The measurement of empathy is a challenge, particularly in young children. This study aims to develop a novel measure of cognitive empathy using story stem narratives. Children between 6 and 9 years of age (N = 200) completed two story stem tasks—Hurt Knee and Three's a Crowd—which were used to develop this new measure. Most children were from a white (63.5%) or mixed heritage background (20%), with near equal numbers of male (51.5%) and female (48.5%) child participants. To validate this measure, we tested for psychometric properties including reliability, internal consistency, and concurrent validity. As expected, girls scored higher for cognitive empathy than boys (mean difference = 1.15, 95% CI [0.46, 1.84]). Associations were seen between cognitive empathy and parent-reported prosocial behavior (r = 0.16, p = 0.02), and callous-unemotional traits (r = −0.15, p = 0.02). Using children's representations of their world through story stem narratives could allow for new insights in the study of empathy in young children.

Apollo (University of Cambridge)
Openalex Percentile: Top 61%
Empathy and Medical Education
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