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Empathy, sympathy, and emotion regulation are core components of social-emotional development. Regulating vicariously induced negative emotions is thought to support feeling empathy and sympathy for others in need, but empirical evidence for such effects is mixed. Moreover, despite the longstanding conceptual distinction between empathy and sympathy, most researchers refer to and measure these constructs interchangeably. This meta-analysis examined associations between emotion regulation and empathy and/or sympathy in childhood and adolescence, as well as potential methodological, study, and sample moderators. Analyses were conducted on 58 studies (75 effect sizes; N = 25,831). There was a significant and positive overall association between emotion regulation and empathy/sympathy (r = .19, p < .001); however, most scales assessing empathy were conflated with other constructs. Accounting for conflation, emotion regulation was related to sympathy (r = .24, p < .001) but not empathy (r = .04, p = .38). Moreover, the association between emotion regulation and empathy/sympathy was not significant when baseline respiratory sinus arrhythmia (RSA) and RSA reactivity were examined as proxies of emotion regulation. Results were largely similar across sample characteristics (e.g., age group, sex, and culture). Conceptual implications for differentiating empathy and sympathy are discussed, as well as methodological considerations to maximize the quality and clarity of research on emotion regulation, empathy, and sympathy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Refugee children who experience severe pre-migratory adversity often show varying levels of mental health upon resettlement. Thus, it is critical to identify the factors that explain which refugee children experience more vs. less healthy outcomes. The present study assessed child social-emotional capacities (i.e., emotion regulation, sympathy, optimism, and trust) as potential moderators of associations between child, parental, and familial pre-migratory adversities and child mental health (i.e., internalizing and externalizing symptoms) upon resettlement. Participants were N = 123 five- to 12-year-old Syrian refugee children and their mothers living in Canada. Children and mothers reported their pre-migratory adverse life experiences, and mothers reported their children's current social-emotional capacities, internalizing symptoms, and externalizing symptoms. Greater familial (i.e., the sum of children's and their mother's) pre-migratory adversity was associated with higher child internalizing and externalizing symptoms upon resettlement. Higher emotion regulation and optimism were associated with lower internalizing and externalizing symptoms, and higher sympathy was associated with lower externalizing symptoms. In contrast, higher trust was associated with higher internalizing symptoms. Finally, higher child optimism buffered against the positive association between familial pre-migratory adversity and child internalizing symptoms. In sum, select social-emotional capacities may serve as potential protective factors that support mental health and buffer against the deleterious effects of pre-migratory adversity in refugee children.