Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians.
|Autores||Gleichgerrcht E, Decety J.|
|Journal||Gleichgerrcht E, Decety J.|
|Abstract||To better understand clinical empathy and what factors can undermine its experience and outcome in care-giving settings, a large-scale study was conducted with 7,584 board certified practicing physicians. Online validated instruments assessing different aspects of empathy, distress, burnout, altruistic behavior, emotional awareness, and well-being were used. Compassion satisfaction was strongly associated with empathic concern, perspective taking and altruism, while compassion fatigue (burnout and secondary traumatic stress) was more closely related to personal distress and alexithymia. Gender had a highly selective effect on empathic concern, with women displaying higher values, which led to a wide array of negative and devalued feelings. Years of experience did not influence dispositional measures per se after controlling for the effect of age and gender. Participants who experienced compassion fatigue with little to no compassion satisfaction showed the highest scores on personal distress and alexithymia as well as the strongest indicators of compassion fatigue. Physicians who have difficulty regulating their negative arousal and describing and identifying emotions seem to be more prone to emotional exhaustion, detachment, and a low sense of accomplishment. On the contrary, the ability to engage in self-other awareness and regulate one’s emotions and the tendency to help others, seem to contribute to the sense of compassion that comes from assisting patients in clinical practice.|
|Otra información||En este estudio exploramos la relación entre distintas variables del perfil demográfico y profesional de más de 7000 médicos de toda América Latina y su relación con la empatía y la fatiga profesional. Comprender cómo influyen las disposiciones individuales al bienestar de los médicos es imprescindible para el desarrollo de programas de salud pública capaces de generar médicos más eficaces, capaces de regular sus empatía y evitando las conecuencias negativas de la compasión por sus pacientes.|