Empathy among medical students: Is there a relation with quality of life and burnout?

PLoS ONE

Volumn 9, Issue 4, 2014, Pages

  Paro, Helena B M S ^a,b   Silveira, Paulo S P ^b   Perotta, Bruno ^c   Gannam, Silmar ^d   Enns, Sylvia C ^b   Giaxa, Renata R B ^e   Bonito, Rosuita F ^a   Martins, Mílton A ^b   Tempski, Patricia Z ^b  

^a FEDERAL UNIVERSITY OF UBERLÂNDIA   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

^c Gynecology Department   (Brazil)

^d Physical Therapy Department   (Brazil)

^e UNIVERSITY OF FORTALEZA   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; BRAZIL; BURNOUT; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DEPERSONALIZATION; DISTRESS SYNDROME; EMOTIONAL STRESS; EMPATHY; FEMALE; HUMAN; INTERPERSONAL REACTIVITY INDEX; MALE; MASLACH BURNOUT INVENTORY; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; QUALITY OF LIFE; QUESTIONNAIRE; SEX DIFFERENCE; WORLD HEALTH ORGANIZATION QUALITY OF LIFE ASSESSMENT; CLINICAL TRIAL; MULTICENTER STUDY; PSYCHOLOGY; RISK FACTOR; SELF REPORT;

BRAZIL; BURNOUT, PROFESSIONAL; CROSS-SECTIONAL STUDIES; EMPATHY; FEMALE; HUMANS; MALE; QUALITY OF LIFE; QUESTIONNAIRES; RISK FACTORS; SELF REPORT; SEX FACTORS; STUDENTS, MEDICAL;

EID: 84899086151     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0094133     Document Type: Article

References (69)

1. General Medical Council (2009) Tomorrow's Doctors: Outcomes and standards for undergraduate medical education. London: General Medical Council.
2. Medical Schools Objectives Writing Group (1999) Learning objectives for medical student education - guidelines for medical schools: report I of the Medical School Objectives Project. Acad Med 74(1): 13-18.
3. Stepien KA, Baernstein A (2006) Educating for empathy. A review. J Gen Intern Med 21(5): 524-530.
4. Hojat M (2007) Empathy in Patient Care: Antecedents, Development, Measurement, and Outcomes. New York: Springer. 295 p.
5. Decety J, editor (2012) Empathy: from bench to bedside. Cambrigde, Massachussetts: The MIT Press. 336 p.
6. Rogers CR (1975) Empathic - unappreciated way of being. Couns Psychol 5(2): 2-10.
7. Davis MH (1983) Measuring individual differences in empathy: Evidence for a multidimensional approach. J Pers Soc Psychol 44(1): 113-126.
8. Duan C, Hill CE (1996) The current state of empathy research. J Couns Psychol 43(3): 261-274. (Pubitemid 126465085)
9. Hogan R (1969) Development of an empathy scale. J Consult Clin Psychol 33(3): 307-316.
10. Stratton TD, Saunders JA, Elam CL (2008) Changes in medical students' emotional intelligence: an exploratory study. Teach Learn Med 20(3): 279-284.
11. Quince TA, Parker RA, Wood DF, Benson JA (2011) Stability of empathy among undergraduate medical students: a longitudinal study at one UK medical school. BMC Med Educ 11: 90. Available: http://www.biomedcentral.com/1472-6920/ 11/90. Accessed 26 May 2013.
12. Hojat M, Mangione S, Nasca TJ, Cohen MJM, Gonnella JS, et al. (2001) The Jefferson Scale of Physician Empathy: Development and Preliminary Psychometric Data. Educ Psychol Meas 61(2): 349-365.
13. Magalhaes E, Costa P, Costa MJ (2012) Empathy of medical students and personality: evidence from the Five-Factor Model. Med Teach 34(10): 807-812.
14. Costa P, Magalhaes E, Costa MJ (2013) A latent growth model suggests that empathy of medical students does not decline over time. Adv Health Sci Educ Theory Pract 18(3): 509-522.
15. Hojat M, Mangione S, Kane GC, Gonnella JS (2005) Relationships between scores of the Jefferson Scale of Physician Empathy (JSPE) and the Interpersonal Reactivity Index (IRI). Med Teach 27(7): 625-628. (Pubitemid 43123656)
16. Ogle J, Bushnell JA, Caputi P (2013) Empathy is related to clinical competence in medical care. Med Educ 47(8): 824-831.
17. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, et al. (2009) The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 84(9): 1182-1191.
18. Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, et al. (2004) An empirical study of decline in empathy in medical school. Med Educ 38(9): 934-941. (Pubitemid 39223006)
19. Newton BW, Barber L, Clardy J, Cleveland E, O'Sullivan P (2008) Is there hardening of the heart during medical school? Acad Med 83(3): 244-249. (Pubitemid 351654279)
20. Kataoka HU, Koide N, Ochi K, Hojat M, Gonnella JS (2009) Measurement of empathy among Japanese medical students: psychometrics and score differences by gender and level of medical education. Acad Med 84(9): 1192-1197.
21. Magalhaes E, Salgueira AP, Costa P, Costa MJ (2011) Empathy in senior year and first year medical students: a cross-sectional study. BMC Med Educ 11: 52. Available: http://www.biomedcentral.com/1472-6920/11/52. Accessed 25 August 2011.
22. Shapiro J, Morrison E, Boker J (2004) Teaching empathy to first year medical students: evaluation of an elective literature and medicine course. Educ Health (Abingdon) 17(1): 73-84. (Pubitemid 38489280)
23. Shapiro SL, Schwartz GE, Bonner G (1998) Effects of mindfulness-based stress reduction on medical and premedical students. J Behav Med 21(6): 581-599. (Pubitemid 29024650)
24. Hojat M, Axelrod D, Spandorfer J, Mangione S (2013) Enhancing and sustaining empathy in medical students. Med Teach 35(12): 996-1001.
25. Rahimi-Madiseh M, Tavakol M, Dennick R, Nasiri J (2010) Empathy in Iranian medical students: A preliminary psychometric analysis and differences by gender and year of medical school. Med Teach 32(11): e471-e478.
26. Shanafelt TD, West C, Zhao X, Novotny P, Kolars J, et al. (2005) Relationship Between Increased Personal Well-Being and Enhanced Empathy Among Internal Medicine Residents. J Gen Intern Med 20(7): 612-617.
27. Thomas MR, Dyrbye LN, Huntington JL, Lawson KL, Novotny PJ, et al. (2007) How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med 22(2): 177-183. (Pubitemid 47308813)
28. Brazeau CM, Schroeder R, Rovi S, Boyd L (2010) Relationships between medical student burnout, empathy, and professionalism climate. Acad Med 85(10 Suppl): S33-S36.
29. Rogers CR (1995) On Becoming a Person: A Therapist's View of Psychotherapy. New York: Houghton Mifflin Harcourt. 420 p.
30. Davis CM (1990) What is empathy, and can empathy be taught? Phys Ther 70(11): 707-711.
31. Novack DH, Suchman AL, Clark W, Epstein RM, Najberg E, et al. (1997) Calibrating the physician. Personal awareness and effective patient care. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. JAMA 278(6): 502-509.
32. The Whoqol Group (1998) The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med 46(12): 1569-1585.
33. Zhang Y, Qu B, Lun S, Wang D, Guo Y, et al. (2012) Quality of Life of Medical Students in China: A Study Using the WHOQOL-BREF. PLoS One 7(11): e49714.
34. Paro HB, Morales NM, Silva CH, Rezende CH, Pinto RM, et al. (2010) Health-related quality of life of medical students. Med Educ 44(3): 227-235.
35. Maslach C, Jackson SE (1981) The measurement of experienced burnout. J Organ Behav 2(2): 99-113.
36. Galán F, Sanmartín A, Polo J, Giner L (2011) Burnout risk in medical students in Spain using the Maslach Burnout Inventory-Student Survey. Int Arch Occup Environ Health 84(4): 453-459.
37. Willcock SM, Daly MG, Tennant CC, Allard BJ (2004) Burnout and psychiatric morbidity in new medical graduates. Med J Aust 181(7): 357-360. (Pubitemid 39341646)
38. Dyrbye LN, West CP, Satele D, Boone S, Tan L, et al. (2014) Burnout Among U.S. Medical Students, Residents, and Early Career Physicians Relative to the General U.S. Population. Acad Med 89(3): 443-451.
39. Dyrbye LN, Massie FS, Eacker A, Harper W, Power D, et al. (2010) Relationship between burnout and professional conduct and attitudes among US medical students. JAMA 304(11): 1173-1180.
40. Dyrbye LN, Harper W, Moutier C, Durning SJ, Power DV, et al. (2012) A multi-institutional study exploring the impact of positive mental health on medical students' professionalism in an era of high burnout. Acad Med 87(8): 1024-1031.
41. Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, et al. (2011) Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med 86(8): 996-1009.
42. Cochran W (1986) Sampling techniques. 3rd ed. New York: John Wiley & Sons. 428 p.
43. Davis MH (1980) A Multidimensional Approach to Individual Differences in Empathy. JSAS Catalog of Selected Documents in Psychology 10.
44. Maslach C, Jackson SE, Leiter MP (1996) Maslach Burnout Inventory Manual 3rd ed. Palo Alto: Consulting Psychologists Press.
45. Bellini LM, Baime M, Shea JA (2002) Variation of Mood and Empathy During Internship. JAMA 287(23): 3143-3146. (Pubitemid 34633992)
46. Bellini LM, Shea JA (2005) Mood Change and Empathy Decline Persist during Three Years of Internal Medicine Training. Acad Med 80(2): 164-167. (Pubitemid 40165714)
47. Rosen IM, Gimotty PA, Shea JA, Bellini LM (2006) Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med 81(1): 82-85. (Pubitemid 44366098)
48. Koller SH, Camino C, Ribeiro JA (2001) Adaptação e validação interna de duas escalas de empatia para uso no Brasil. Estud. psicol. (Campinas) 18(3): 43-53.
49. Wallace DS, Paulson RM, Lord CG, Bond Jr CF (2005) Which behaviors do attitudes predict? Meta-analyzing the effects of social pressures and perceived difficulty. Rev Gen Psychol 9(3): 214-227. (Pubitemid 41375472)
50. Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, et al. (2000) [Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-bref]. Rev Saude Publica 34(2): 178-183.
51. Lautert L (1995) O desgaste profissional do enfermeiro [thesis]. Universidad Pontificia de Salamanca, Spain.
52. Cohen J (1988) Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Associates. 567 p.
53. Eisenberg N, Lennon R (1983) Sex differences in empathy and related capacities. Psychol Bull 94(1): 100-131.
54. Hojat M, Glaser K, Xu G, Veloski JJ, Christian EB (1999) Gender comparisons of medical students' psychosocial profiles. Med Educ 33(5): 342-349. (Pubitemid 29213470)
55. Verbrugge LM (1985) Gender and health: an update on hypotheses and evidence. J Health Soc Behav 26(3): 156-182.
56. Chandavarkar U, Azzam A, Mathews CA (2007) Anxiety symptoms and perceived performance in medical students. Depress Anxiety 24(2): 103-111. (Pubitemid 46516666)
57. Babaria P, Abedin S, Nunez-Smith M (2009) The effect of gender on the clinical clerkship experiences of female medical students: results from a qualitative study. Acad Med 84(7): 859-866.
58. Risberg G, Johansson EE, Hamberg K (2011) 'Important... but of low status': male education leaders' views on gender in medicine. Med Educ 45(6): 613-624.
59. Bombeke K, Van Roosbroeck S, De Winter B, Debaene L, Schol S, et al. (2011) Medical students trained in communication skills show a decline in patient-centred attitudes: an observational study comparing two cohorts during clinical clerkships. Patient Educ Couns 84(3): 310-318.
60. Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK (2010) Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research. Acad Med 85(4): 588-593.
61. Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, et al. (2006) Personal life events and medical student burnout: a multicenter study. Acad Med 81(4): 374-384. (Pubitemid 44274778)
62. Wolf TM (1994) Stress, coping and health: enhancing well-being during medical school. Med Educ 28(1): 8-17.
63. Gruhn D, Rebucal K, Diehl M, Lumley M, Labouvie-Vief G (2008) Empathy across the adult lifespan: Longitudinal and experience-sampling findings. Emotion 8(6): 753-765.
64. Lazarus RS (1993) Coping theory and research: past, present, and future. Psychosom Med 55(3): 234-247.
65. Alimoglu MK, Gurpinar E, Mamakli S, Aktekin M (2011) Ways of coping as predictors of satisfaction with curriculum and academic success in medical school. Adv Physiol Educ 35(1): 33-38.
66. Kjeldstadli K, Tyssen R, Finset A, Hem E, Gude T, et al. (2006) Life satisfaction and resilience in medical school - a six-year longitudinal, nationwide and comparative study. BMC Med Educ 6: 48. Available: http://www.biomedcentral.com/1472-6920/6/48. Accessed 19 January 2008.
67. Haas JS, Cook EF, Puopolo AL, Burstin HR, Cleary PD, et al. (2000) Is the professional satisfaction of general internists associated with patient satisfaction? J Gen Intern Med 15(2): 122-128. (Pubitemid 30100225)
68. Parkerson GR Jr, Broadhead WE, Tse CK (1990) The health status and life satisfaction of first-year medical students. Acad Med 65(9): 586-588. (Pubitemid 20322753)
69. Tyssen R, Hem E, Gude T, Gronvold NT, Ekeberg O, et al. (2009) Lower life satisfaction in physicians compared with a general population sample: a 10-year longitudinal, nationwide study of course and predictors. Soc Psychiatry Psychiatr Epidemiol 44(1): 47-54.