The Importance of Affective Dissonance: Extending the Nomological Network and Incremental Validity Evidence of the Affective and Cognitive Measure of Empathy (ACME)

Abstract Empathy is a multifaceted capacity commonly assessed through cognitive and affective dimensions, yet traditional measures may insufficiently capture opposite-valence emotional responding. The Affective and Cognitive Measure of Empathy (ACME) was developed to broaden empathy assessment by distinguishing Cognitive Empathy, Affective Resonance, and Affective Dissonance. The present study examined whether this broader representation provides explanatory value beyond established measures of empathy used and whether it generalizes to an Italian adult sample. Participants ( N = 542; 18–79 years) completed the ACME and measures of empathy, emotion dysregulation, aggression, and impulsivity. Confirmatory factor analyses provided support for the expected three-factor structure and measurement invariance across sex. Internal consistency was good to excellent across ACME subscales. Construct validity was supported by associations with established empathy measures and theoretically coherent links with emotion dysregulation, aggression, and impulsivity, with Affective Dissonance showing the strongest links to externalizing outcomes. Hierarchical regression further indicated that ACME explained significant additional variance beyond a widely used empathy measure across all tested outcomes, with the largest increments observed for Reactive Aggression, Proactive Aggression, and Hostility. Overall, these findings suggest that explicitly modeling Affective Dissonance may improve construct coverage in empathy assessment in research and applied settings.

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Publication Details

Journal
Journal of Psychopathology and Behavioral Assessment
Published
2026-08-13
DOI
https://doi.org/10.1007/s10862-026-10311-6
Primary Topic
Empathy and Medical Education
Type
article
Field-Weighted Citation Impact
0.00

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article

The Importance of Affective Dissonance: Extending the Nomological Network and Incremental Validity Evidence of the Affective and Cognitive Measure of Empathy (ACME)

Livia Buratta, Carlo Garofalo, Claudia Mazzeschi, Elisa Delvecchio et al.
Journal of Psychopathology and Behavioral Assessment
Empathy and Medical Education
article

The Importance of Affective Dissonance: Extending the Nomological Network and Incremental Validity Evidence of the Affective and Cognitive Measure of Empathy (ACME)

Livia Buratta, Carlo Garofalo, Claudia Mazzeschi, Elisa Delvecchio, Irene Severi
article en

Abstract

Abstract Empathy is a multifaceted capacity commonly assessed through cognitive and affective dimensions, yet traditional measures may insufficiently capture opposite-valence emotional responding. The Affective and Cognitive Measure of Empathy (ACME) was developed to broaden empathy assessment by distinguishing Cognitive Empathy, Affective Resonance, and Affective Dissonance. The present study examined whether this broader representation provides explanatory value beyond established measures of empathy used and whether it generalizes to an Italian adult sample. Participants ( N = 542; 18–79 years) completed the ACME and measures of empathy, emotion dysregulation, aggression, and impulsivity. Confirmatory factor analyses provided support for the expected three-factor structure and measurement invariance across sex. Internal consistency was good to excellent across ACME subscales. Construct validity was supported by associations with established empathy measures and theoretically coherent links with emotion dysregulation, aggression, and impulsivity, with Affective Dissonance showing the strongest links to externalizing outcomes. Hierarchical regression further indicated that ACME explained significant additional variance beyond a widely used empathy measure across all tested outcomes, with the largest increments observed for Reactive Aggression, Proactive Aggression, and Hostility. Overall, these findings suggest that explicitly modeling Affective Dissonance may improve construct coverage in empathy assessment in research and applied settings.

Journal of Psychopathology and Behavioral AssessmentVol. 48(3)
University of Perugia (IT)
Università degli Studi di Perugia
Openalex Percentile: Top 9%
Empathy and Medical Education
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