Empathy in high-tech and high-touch medicine

Empathy in high-tech and high-touch medicine
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DOI:
10.1016/j.pec.2014.01.013
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发表时间:
2014-05-01
影响因子:
3.5
通讯作者:
Siebeck, Matthias
Siebeck, Matthias
中科院分区:
医学2区
文献类型:
--
作者:
Dehning, Sandra;Reiss, Eva;Siebeck, Matthias

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目的:外科医生和精神科医生被描述为两个对立的群体,一个用手治愈,另一个用语言治愈。同理心在每一个医患关系中都是需要的。我们测试了(1)外科医生和精神科医生是否表现出不同水平的认知和情感同理心;(2)认知和情感同理心的测量与医生特定的同理心相关;(3)性别,经验和职业选择是影响因素。采用Jefferson医生共情量表(JSPE)、RME-R6认知共情量表(RME-R6)和BEES情绪共情量表(BEES)测量共情(118.0 ± 9.86 vs. 107.5 ± 13.84; p = 0.0006)。接受过分析训练的精神科医生在JSPE中的得分显著高于接受过行为训练的精神科医生(p = 0.024,F检验,经性别调整)。RME和BEES均与JSPE.Conclusion呈正相关:男性精神科医生的共情得分高于男性surgeon.Practice的影响:需要进一步的研究来了解一般医疗培训对共情的影响。(C)2014爱思唯尔爱尔兰有限公司版权所有。
Objective: Surgeons and psychiatrists have been described as two contrary groups, the one healing by hands and the other by words. Empathy is needed in every physician-patient relationship. We tested whether (1) surgeons and psychiatrists show different levels of cognitive and emotional empathy; (2) measurements of cognitive and emotional empathy correlate with physician-specific empathy; and (3) gender, experience, and career choices are influencing factors.Methods: 56 surgeons and 50 psychiatrists participated. We measured empathy with the Jefferson Scale of Physician Empathy (JSPE), cognitive empathy with the Reading the Mind in the Eyes Test Revised (RME-R6), and emotional empathy with the Balanced Emotional Empathy Scale (BEES).Results: Male psychiatrists scored significantly higher than that of male surgeons (118.0 +/- 9.86 vs. 107.5 +/- 13.84; p = 0.0006) in the JSPE. Analytically trained psychiatrists scored significantly higher in the JSPE than that of behaviorally trained psychiatrists (p = 0.024, F test, adjusted for gender). Both the RME and the BEES correlated positively with the JSPE.Conclusion: Higher scores for empathy were found in male psychiatrists than in male surgeons.Practice implications: Further research is needed to learn about the effects of general medical training on empathy. (C) 2014 Elsevier Ireland Ltd. All rights reserved.