The relationship between empathy and stress: a cross sectional study among undergraduate medical students
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Purpose: Empathy is critical for medical doctors, as it enables them to conduct good patient-centred care. Medical students are expected to learn this ability as part of their education and training. Methods: Using a cross-sectional design, the present study was conducted to identify whether the empathy levels of medical students are affected by their stress levels. A translated version of the Perceived Stress Scale-10 was used to measure the students’ stress levels, while the Jefferson Scale of Physician Empathy was used to measure their empathy levels. Results: A total of 464 students from one medical school in Indonesia participated in the study. Stress levels among medical students peak in their first year of study and maintain a downward trend over the following years. The students’ empathy levels increased during their first 3 years, declined significantly upon entering the first clinical year, and increased during the second clinical year. However, no correlations were found between stress level and empathy level. Conclusion: These findings suggest that there may be other underlying factors that contribute to empathy decline among medical students upon entering their first clinical year. Further research should be conducted to identify these factors. The bounced-back of empathy level to a higher level in the second year highlights the importance of student adaptation in the clinical learning environment and the support system.
Abstract
Purpose: Empathy is critical for medical doctors, as it enables them to conduct good patient-centred care. Medical students are expected to learn this ability as part of their education and training. Methods: Using a cross-sectional design, the present study was conducted to identify whether the empathy levels of medical students are affected by their stress levels. A translated version of the Perceived Stress Scale-10 was used to measure the students’ stress levels, while the Jefferson Scale of Physician Empathy was used to measure their empathy levels. Results: A total of 464 students from one medical school in Indonesia participated in the study. Stress levels among medical students peak in their first year of study and maintain a downward trend over the following years. The students’ empathy levels increased during their first 3 years, declined significantly upon entering the first clinical year, and increased during the second clinical year. However, no correlations were found between stress level and empathy level. Conclusion: These findings suggest that there may be other underlying factors that contribute to empathy decline among medical students upon entering their first clinical year. Further research should be conducted to identify these factors. The bounced-back of empathy level to a higher level in the second year highlights the importance of student adaptation in the clinical learning environment and the support system.
참고문헌 (38)
- Dyrbye LN, "Medical student distress : causes, consequences, and proposed solutions", Mayo Clin Proc, 80(12), pp.1613~1622 (2005)
- Iqbal S, "Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates", Indian J Med Res, 141(3), pp.354~357 (2015)
- Neumann M, "Empathy decline and its reasons: a systematic review of studies with medical students and residents", Acad Med, 86(8), pp.996~1009 (2011)
- Newton BW, "Walking a fine line: is it possible to remain an empathic physician and have a hardened heart?", Front Hum Neurosci, 7, pp.233~ (2013)
- Roberto KJ, "Stress…what stress?: an examination of stress, stress resiliency, and performance adaptation" (2006), ProQuest Information and Learning Company
- Halpern J, "What is clinical empathy?", J Gen Intern Med, 18(8), pp.670~674 (2003)
- Hojat M, "Physician empathy: definition, components, measurement, and relationship to gender and specialty", Am J Psychiatry, 159(9), pp.1563~1569 (2002)
- Mercer SW, "Empathy and quality of care", Br J Gen Pract, 52(Suppl), pp.S9~S12 (2002)
- Hojat M, "The devil is in the third year : a longitudinal study of erosion of empathy in medical school", Acad Med, 84(9), pp.1182~1191 (2009)
- Chen D, "A crosssectional measurement of medical student empathy", J Gen Intern Med, 22(10), pp.1434~1438 (2007)
- Kozený J, "Assessing empathy among Czech medical students: a cross-sectional study", Cesk Psychol, 57(3), pp.246~254 (2013)
- Sherina MS, "Psychological stress among undergraduate medical students", Med J Malaysia, 59(2), pp.207~211 (2004)
- Melaku L, "Stress among medical students and its association with substance use and academic performance", J Biomed Educ, 2015, pp.149509~ (2015)[DOI]
- Abdulghani HM, "Stress and its effects on medical students: a cross-sectional study at a college of medicine in Saudi Arabia", J Health Popul Nutr, 29(5), pp.516~522 (2011)
- Sani M, "Prevalence of stress among medical students in Jizan University, Kingdom of Saudi Arabia", Gulf Med J, 1(1), pp.19~25 (2012)
- Shah M, "Perceived stress, sources and severity of stress among medical undergraduates in a Pakistani medical school", BMC Med Educ, 10, pp.2~ (2010)
- Dahlin M, "Stress and depression among medical students: a cross-sectional study", Med Educ, 39(6), pp.594~604 (2005)
- Park KH, "The relationships between empathy, stress and social support among medical students", Int J Med Educ, 6, pp.103~108 (2015)
- Hong M, "Changes of empathy in medical college and medical school students: 1-year follow up study", BMC Med Educ, 12, pp.122~ (2012)
- Kataoka HU, "Measurement of empathy among Japanese medical students : psychometrics and score differences by gender and level of medical education", Acad Med, 84(9), pp.1192~1197 (2009)
- Tweed RG, "Culture, stress, and coping : internally-and externally-targeted control strategies of European Canadians, East Asian Canadians, and Japanese", J Cross Cult Psychol, 35(6), pp.652~668 (2004)
- 이은현, "Review of the Psychometric Evidence of the Perceived Stress Scale", Asian Nursing Research, 6(4), pp.121~127 (2012), 한국간호과학회
- Cohen S., "Perceived stress in a probability sample of the United States", The Social Psychology of Health: The Claremont Symposium on Applied Social Psychology, pp.31~67 (1988)
- Hojat M, "The Jefferson Scale of Physician Empathy : development and preliminary psychometric data", Educ Psychol Meas, 61(2), pp.349~365 (2001)
- Di Lillo M, "The Jefferson Scale of Physician Empathy : preliminary psychometrics and group comparisons in Italian physicians", Acad Med, 84(9), pp.1198~1202 (2009)
- Matud MP, "Gender differences in stress and coping styles", Per Individ Dif, 37(7), pp.1401~1415 (2004)
- Martel A, "Transitional age youth and mental illness : influences on young adult outcomes", Child Adolesc Psychiatr Clin N Am, 26(2), pp.13~17 (2017)
- Wilens TE, "Transitional aged youth : a new frontier in child and adolescent psychiatry", J Am Acad Child Adolesc Psychiatry, 52(9), pp.887~890 (2013)
- Paro HB, "Empathy among medical students: is there a relation with quality of life and burnout?", PLoS One, 9(4), pp.e94133~ (2014)
- Vongas JG, "The evolution of empathy and women’s precarious leadership appointments", Front Psychol, 6, pp.1751~ (2015)
- Faculty of Medicine Universitas Indonesia, "The curriculum of Faculty of Medicine Universitas Indonesia", Faculty of Medicine Universitas Indonesia, ~ (2012)
- Ponnamperuma G, "Is empathy change in medical school geo-socioculturally influenced?", Med Educ, 53(7), pp.655~665 (2019)
- Hofstede G, "Culture’s consequences: comparing values, behaviors, institutions, and organizations across nations" (2001), Sage Publications
- Suhoyo Y, "Influence of feedback characteristics on perceived learning value of feedback in clerkships: does culture matter?", BMC Med Educ, 17(1), pp.69~ (2017)
- Findyartini A, "How clinical reasoning is taught and learned: cultural perspectives from the University of Melbourne and Universitas Indonesia", BMC Med Educ, 16, pp.185~ (2016)
- Thomas MR, "How do distress and well-being relate to medical student empathy?: a multicenter study", J Gen Intern Med, 22(2), pp.177~183 (2007)
- Hashimoto T, "Culture, interpersonal stress, and psychological distress", J Cross Cult Psychol, 43(4), pp.527~532 (2012)
- Dyrbye LN, "The impact of a required longitudinal stress management and resilience training course for first-year medical students", J Gen Intern Med, 32(12), pp.1309~1314 (2017)