Gleichgerrcht E, Decety J. The relationship between different facets of empathy, pain perception and compassion fatigue among physicians. Frontiers in Behavioral Neuroscience 2014 10.1080/17588928.2014.949649

The relationship between different facets of empathy, pain perception and compassion fatigue among physicians.

Autores Gleichgerrcht E, Decety J.
Año 2014
Journal  Gleichgerrcht E, Decety J.
Volumen 11;8:243
Abstract  BACKGROUND: Medical practitioners such as physicians are continuously exposed to the suffering and the distress of patients. Understanding the way pain perception relates to empathetic dispositions and professional quality of life can contribute to the development of strategies aimed at protecting health professionals from burnout and compassion fatigue. In the present study we investigate the way individual dispositions relate to behavioral measures of pain sensitivity, empathy, and professional quality of life. METHODS: A secure Web-based series of self-report measures and a behavioral task were administered to 1,199 board-certified physicians. Additionally, surveys were used to obtain measures of demographic and professional background; dispositional empathy (empathic concern, personal distress, and perspective taking); positive (compassion satisfaction) and negative (burnout and secondary traumatic stress) aspects of their professional life. In the behavioral task, participants were asked to watch a series of video clips of patients experiencing different levels of pain and provide ratings of pain intensity and induced personal distress. RESULTS: Perceived pain intensity was significantly lower among more experienced physicians but similar across specialty fields with varying demands of emotional stress. Watching videos of patients in pain, however, elicited more personal distress among physicians in highly demanding medical fields, despite comparable empathy dispositions with other fields. The pain of male patients was perceived as less intense than the pain of female patients, and this effect was more marked for female physicians. The effect of dispositional empathy on pain perception and induced personal distress was different for each sub-component, with perspective taking and empathic concern (EC) being predictive of the behavioral outcomes. Physicians who experience both compassion satisfaction and fatigue perceive more pain and suffer more personal distress from it than those who only suffer the negative aspects of professional quality of life. CONCLUSIONS: Professional experience seems to desensitize physicians to the pain of others without necessarily helping them down-regulate their own personal distress. Pain perception is also related with specific aspects of empathy and varies depending on context, as is the case with the gender of their patients. Minimum levels of empathy appear necessary to benefit from the positive aspects of professional quality of life in medicine.
Otra información  En esta investigación nos propusimos entender el modo en que diferentes procesos ligados al constructo de la empatía modulan la percepción que tienen los médicos sobre el dolor de sus pacientes. Utilizando medidas disposicionales y pruebas conductuales de percepción de dolor (videos de personas experimentando dolor), describimos la relación entre dolor percibido y su consecuente padecimiento personal en torno al nivel de experiencia del médico, a su campo de especialización, su género y sus disposiciones empáticas. Luego exploramos cómo estas relaciones impactan en la calidad de vida profesional de los profesionales de la salud, evaluando predictores de fatiga por compasión y burnout. Entender en detalle la compleja interacción entre estas variables puede permitir diseñar medidas estratégicas para contribuir al bienestar de los profesionales de la salud, lo cual impacta directamente en la atención y en la efectividad y costos del sistema de salud.