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Development of a French-language version of the Jefferson Scale of Physician Empathy and association with practice characteristics and burnout in a sample of General Practitioners

Franck Zenasni, E. Boujut, Bluffel du Vaure, A. Catu-Pinault, J.L. Tavani, L. Rigal, P. Jaury, A. Marie Magnier, H. Falcoff, S. Sultan

Abstract


Clinical empathy is cognitive disposition involving understanding the inner experiences and perspectives of patients, combined with the ability to communicate this understanding to patients and is a key clinical skill of person-centered medicine. The 3 objectives of this paper are: (1) to develop a French version of the Jefferson Scale for Physician Empathy (JSPE) with appropriate psychometric properties; (2) to explore the relationships of clinical empathy with the sociodemographic characteristics of physicians, their training and aspects of their practice and (3) to examine associations between clinical empathy and burnout. A sample of 308 general practitioners was included. Confirmatory factor analyses suggested a factor structure close to the original questionnaire. However, they suggest that the use of a general empathy score is not warranted. According to the factor considered, greater empathy was independently related to being a woman, living as a couple, having experience of psychotherapy and longer consultations As expected, a negative relationship was observed between empathy factors and burnout. Burnout could affect the ability of GPs to be empathic or the way they describe their own empathic skills.


Keywords


Burnout, clinical skill, family medicine, general practitioner, person-centered medicine, physician empathy, primary care, questionnaire

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References


Hojat, M., Gonnella, J.S., Nasca, T.J., Mangione, S., Veloksi, J.J. & Magee, M. (2002). The Jefferson Scale of Physician Empathy: further psychometric data and differences by gender and specialty at item level. Academic Medecine 77 (Supplement 10) S58-60.

Hojat, M., Mangione, S., Kane, G.C. & Gonnella, J.S. (2005). Relationships between scores of the Jefferson Scale of Physician Empathy (JSPE) and the Interpersonal Reactivity Index (IRI). Medical Teacher 27 (7) 625-628.

Pedersen, R. (2009). Empirical research on empathy in medicine-A critical review. Patient Education and Counselling 76 (3) 307-322.

Wensing, M., Jung, H.P., Mainz, J., Olesen, F. & Grol, R. (1998). A systematic review of the literature on patient priorities for general practice care. Part 1: Description of the research domain. Social Science & Medicine 47 (10) 1573-1588.

Wynn, R. (2005). Empathy in general practice consultations: a qualitative analysis. Epidemiologia e psichiatria sociale 14 (3) 163-169.

Cape, J., Barker, C., Buszewicz, M. & Pistrang, N. (2000). General practitioner psychological management of common emotional problems (II): A research agenda for the development of evidence-based practice. British Journal of General Practice 50 (454) 396-400.

Vedsted, P. & Heje, H.N. (2008). Association between patients' recommendation of their GP and their evaluation of the GP. Scandinavian Journal of Primary Health Care 26 (4) 228-234.

Mercer, S.W., Neumann, M., Wirtz, M., Fitzpatrick, B. & Vojt, G. (2008). General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland - a pilot prospective study using structural equation modeling. Patient Education and Counseling 73 (2) 240-245.

Verheul, W., Sanders, A. & Bensing, J. (2010). The effects of physicians' affect-oriented communication style and raising expectations on analogue patients' anxiety, affect and expectancies. Patient Education and Counseling 80 (3) 300-306.

Balint, M. (1954). Training general practitioners in psychotherapy. British Medical Journal 1 (4854) 115-120.

Davis, M.H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology 44, 113-126.

Allison, C., Baron-Cohen, S., Wheelwright, S., Stone, M. & Muncer, S. (2011). Psychometric analysis of the Empathy Quotient (EQ). Personality and Individual Differences 51, 829-835

Hojat, M., Gonnella, J.S., Nasca, T.J., Mangione, S., Vergare, M. & Magee, M. (2002). Physician empathy: definition, components, measurement, and relationship to gender and specialty. American Journal of Psychiatry 159 (9) 1563-1569.

Alcorta-Garza A.G.J., Tavitas, S., Rodríguez, F.J. & Hojat, M. (2005). Validación de la escala de empatía médica de Jefferson en estudiantes de medicina mexicanos. Salud Mental 28, 57-63.

Shariat, S.V., Eshtad, E. & Ansari, S. (2010). Empathy and its correlates in Iranian physicians: A preliminary psychometric study of the Jefferson Scale of Physician Empathy. Medical Teacher 32 (10) e417-421.

Roh, M.S., Hahm, B.J., Lee, D.H. & Suh, D.H. (2010). Evaluation of empathy among Korean medical students: a cross-sectional study using the Korean Version of the Jefferson Scale of Physician Empathy. Teaching and Learning in Medicine 22 (3) 167-171.

Di Lillo, M., Cicchetti, A., Lo Scalzo, A., Taroni, F. & Hojat, M. (2009). The Jefferson Scale of Physician Empathy: preliminary psychometrics and group comparisons in Italian physicians. Academic Medecine 84 (9) 1198–1202.

Chen, D., Lew, R., Hershman, W. & Orlander, J. (2007). A cross-sectional measurement of medical student empathy. The Journal of General Internal Medicine 22 (10) 1434-1438.

Shanafelt, T.D., West, C., Zhao, X., Novotny, P., Kolars, J., Habermann, T. & Sloan, J. (2005). Relationship between increased personal well-being and enhanced empathy among internal medicine residents. Journal of General Internal Medicine 20 (7) 559-564.

Soler, J.K., Yaman, H., Esteva, M., Dobbs, F., Asenova, R.S., Katic, M., Ozvacic, Z., Desgranges, J.P., Moreau, A., Lionis, C., Kotányi, P., Carelli, F., Nowak, P.R., de Aquiar Sá., Azeredo, Z., Marklund, E., Churchill, D., Ungan, M. & European General Practice Research Network Burnout Study Group. (2008). Burnout in European family doctors: the EGPRN study. Family Practice 25 (4) 245-265.

Nielsen, H.G. & Tulinius, C. (2009). Preventing burnout among general practitioners: is there a possible route? Education for Primary Care 20 (5) 353-359.

Brondt, A., Sokolowski, I., Olesen, F. & Vedsted, P. (2008). Continuing medical education and burnout among Danish GPs. British Journal of General Practice 58 (546) 15-19.

Krasner, M.S., Epstein, R.M., Beckman, H., Suchman, A.L., Chapman, B., Mooney, C.J. & Quill, T.E. (2009). Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. Journal of the American Medical Association 302 (12) 1284-1293.

West, C.P., Tan, A.D., Habermann, T.M., Sloan, J.A. & Shanafelt, T.D. (2009). Association of resident fatigue and distress with perceived medical errors. Journal of the American Medical Association 302 (12) 1294-1300.

Brazeau, C.M.L.R., Schroeder, R., Rovi, S. & Boyd, L. (2010). Relationships Between Medical Student Burnout, Empathy and Professionalism Climate. Academic Medecine 85 (10) S33-S36.

Maslach, C. & Jackson, S. (1981). The Maslach Burnout Inventory. Palo Alto, CA: Consulting Psychologists Press.

Chen, D.C., Pahilan, M.E. & Orlander, J.D. (2010). Comparing a self-administered measure of empathy with observed behavior among medical students. Journal of General Internal Medicine 25 (3) 200-202.




DOI: http://dx.doi.org/10.5750/ijpcm.v2i4.295

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