Can we predict burnout severity from empathy-related brain activity?
Can we predict burnout severity from empathy-related brain activity?
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DOI：
10.1038/tp.2014.34
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发表时间：
2014-06-03
影响因子：
6.8
通讯作者：
Takahashi H
中科院分区：
文献类型：
--
作者：
Tei S;Becker C;Kawada R;Fujino J;Jankowski KF;Sugihara G;Murai T;Takahashi H
同理心可以培养更深层次的人际关系，对于社交很重要。然而，频繁接触情绪要求较高的情况可能会让人们面临倦怠的风险。职业倦怠已成为医疗专业人员中普遍存在的问题，因为职业倦怠可能对同理心水平高度敏感。为了更好地理解医疗专业人员中同理心引起的倦怠，探索倦怠严重程度与同理心相关大脑活动强度之间的关系可能是关键。然而，据我们所知，这种关系尚未得到探索。我们研究了医疗专业人员自我报告的倦怠严重程度评分与移情倾向、情绪失调和述情障碍等心理测量之间的关系，以检验两个相互矛盾的假设：倦怠的解释是：（1）“同情疲劳”，即个体在情感上过度投入； (2)“情绪失调”，即感受到的情绪与表达的情绪之间存在差距，同时情绪调节能力减弱。然后，我们测试了通过功能磁共振成像测量的同理心相关大脑活动的增加或减少是否与倦怠严重程度评分和心理测量相关。结果表明，医疗专业人员的职业倦怠严重程度可以通过与同理心相关的大脑活动“减少”来解释。此外，这种大脑活动的减少与更强的情绪失调和述情障碍分数以及更强的共情倾向相关。我们推测，情绪识别能力下降（即述情障碍）可能与更强的情绪失调和更严重的倦怠严重程度以及与同理心相关的大脑活动有关。按照这种观点，倦怠程度较高的人具有更强的共情倾向，可能是因为更难以识别自己的情绪反应。我们的研究为预测同理心引起的倦怠的能力提供了新的线索。
Empathy cultivates deeper interpersonal relationships and is important for socialization. However, frequent exposure to emotionally-demanding situations may put people at risk for burnout. Burnout has become a pervasive problem among medical professionals because occupational burnout may be highly sensitive to empathy levels. To better understand empathy-induced burnout among medical professionals, exploring the relationship between burnout severity and strength of empathy-related brain activity may be key. However, to our knowledge, this relationship has not yet been explored. We studied the relationship between self-reported burnout severity scores and psychological measures of empathic disposition, emotional dissonance and alexithymia in medical professionals to test two contradictory hypotheses: Burnout is explained by (1) ‘compassion fatigue' that is, individuals become emotionally over involved; and (2) ‘emotional dissonance' that is, a gap between felt and expressed emotion, together with reduced emotional regulation. Then, we tested whether increased or decreased empathy-related brain activity measured by fMRI was associated with burnout severity scores and psychological measures. The results showed that burnout severity of medical professionals is explained by ‘reduced' empathy-related brain activity. Moreover, this reduced brain activity is correlated with stronger emotional dissonance and alexithymia scores and also greater empathic disposition. We speculate that reduced emotion recognition (that is, alexithymia) might potentially link with stronger emotional dissonance and greater burnout severity alongside empathy-related brain activity. In this view, greater empathic disposition in individuals with higher burnout levels might be due to greater difficulty identifying their own emotional reactions. Our study sheds new light on the ability to predict empathy-induced burnout.
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DOI：
10.1017/cbo9780511543753.013
发表时间：
2007-01-01
期刊：
EMPATHY IN MENTAL ILLNESS
影响因子：
--
作者：
Farrow, Tom F. D.
通讯作者：
Farrow, Tom F. D.
影响因子：
25.8
作者：
Decety, Jean;Skelly, Laurie R.;Kiehl, Kent A.
通讯作者：
Kiehl, Kent A.
影响因子：
17.7
作者：
Herpertz, SC;Mueller, B;Herpertz-Dahlmann, B
通讯作者：
Herpertz-Dahlmann, B
影响因子：
9.2
作者：
Cheng, Yawei;Lin, Ching-Po;Decety, Jean
通讯作者：
Decety, Jean
影响因子：
3.4
作者：
Curran, Thomas;Appleton, Paul R.;Hall, Howard K.
通讯作者：
Hall, Howard K.