Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
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The Influence of Emotional Intelligence on Empathy in Medical Students

의과대학생의 정서지능이 공감에 미치는 영향

  • Kim, Hae Won (Department of Medical Education and Institute of Behavioral Science, Yonsei University College of Medicine)
  • 김혜원 (연세대학교 의과대학 의학교육학교실, 의학행동과학연구소)
  • Received : 2022.04.12
  • Accepted : 2022.06.10
  • Published : 2022.10.30
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Abstract

Objective : The purpose of this study was to examine the influence of subscales of emotional intelligence on empathy in first-year medical students. Methods : A total of 215 first-year medical students were eligible for this study. Demographic factors (age, sex, and medical school entrance type) and measures for emotional intelligence and empathy, such as the Wong and Law Emotional Intelligence Scale and the Interpersonal Reactivity Index, were included in the survey. The relationship between emotional intelligence and empathy was analyzed by multiple linear regression, adjusting for age, sex, and entrance type. Results : The female students' level of emotional intelligence was higher than the male students for the self-emotional appraisal (p=0.029) and others' emotional appraisal (p=0.006) subscales. Meanwhile, the graduate-entry students scored higher for the use of emotion (p<0.001) and regulation of emotion (p=0.010) subscales than the direct-entry students. For empathy, the female students revealed a higher score in empathic concern (p=0.009) than the male students, and graduate-entry students scored higher than the direct-entry students in perspective taking (p=0.004) and empathic concern (p<0.001). The multiple linear regression analysis has identified significant influences of subscales of emotional intelligence on empathy: others' emotional appraisal on perspective taking (p<0.001), self-emotional appraisal (p=0.035) and regulation of emotion (p=0.023) on fantasy, others' emotional appraisal (p<0.001) and use of emotion (p=0.020) on empathic concern, and self-emotional appraisal (p=0.033) and regulation of emotion (p<0.001) on personal distress. Conclusion : This study's findings suggest that emotional intelligence may affect empathy in medical students, which can have implications for developing educational strategies to enhance empathetic attitudes in medical students.

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References

  1. Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther 2001;26:331-342. https://doi.org/10.1046/j.1365-2710.2001.00363.x
  2. Kim SS, Kaplowitz S, Johnston MV. The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof 2004;27:237-251. https://doi.org/10.1177/0163278704267037
  3. Del Canale S, Louis DZ, Maio V, Wang X, Rossi G, Hojat M, et al. The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma, Italy. Acad Med 2012;87:1243-1249. https://doi.org/10.1097/ACM.0b013e3182628fbf
  4. Larson EB, Yao X. Clinical empathy as emotional labor in the patientphysician relationship. JAMA 2005;293:1100-1106. https://doi.org/10.1001/jama.293.9.1100
  5. Batt-Rawden SA, Chisolm MS, Anton B, Flickinger TE. Teaching empathy to medical students: an updated, systematic review. Acad Med 2013;88:1171-1177. https://doi.org/10.1097/ACM.0b013e318299f3e3
  6. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med 2009;84:1182-1191. https://doi.org/10.1097/ACM.0b013e3181b17e55
  7. Berg K, Majdan JF, Berg D, Veloski J, Hojat M. Medical students' self-reported empathy and simulated patients' assessments of student empathy: an analysis by gender and ethnicity. Acad Med 2011;86:984-988. https://doi.org/10.1097/ACM.0b013e3182224f1f
  8. Costa P, Alves R, Neto I, Marvao P, Portela M, Costa MJ. Associations between medical student empathy and personality: a multi-institutional study. PLoS One 2014;9:e89254. https://doi.org/10.1371/journal.pone.0089254
  9. Brazeau CM, Schroeder R, Rovi S, Boyd L. Relationships between medical student burnout, empathy, and professionalism climate. Acad Med 2010;85:S33-S36. https://doi.org/10.1097/ACM.0b013e3181ed4c47
  10. Dyrbye LN, Satele D, West CP. Association of characteristics of the learning environment and US medical student burnout, empathy, and career regret. JAMA Netw Open 2021;4:e2119110-e2119110. https://doi.org/10.1001/jamanetworkopen.2021.19110
  11. Mayer JD, Salovey P. The intelligence of emotional intelligence. Intelligence 1993;17:433-442. https://doi.org/10.1016/0160-2896(93)90010-3
  12. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry 2002;159:1563-1569. https://doi.org/10.1176/appi.ajp.159.9.1563
  13. Stratton TD, Elam CL, Murphy-Spencer AE, Quinlivan SL. Emotional intelligence and clinical skills: preliminary results from a comprehensive clinical performance examination. Acad Med 2005;80:S34-S37. https://doi.org/10.1097/00001888-200510001-00012
  14. Miville ML, Carlozzi AF, Gushue GV, Schara SL, Ueda M. Mental health counselor qualities for a diverse clientele: linking empathy, universal-diverse orientation, and emotional intelligence. J Ment Health Couns 2006;28:151-165. https://doi.org/10.17744/mehc.28.2.6khc06t87c2fr7y3
  15. Austin EJ, Evans P, Magnus B, O'Hanlon K. A preliminary study of empathy, emotional intelligence and examination performance in MBChB students. Med Educ 2007;41:684-689. https://doi.org/10.1111/j.1365-2923.2007.02795.x
  16. Shi M, Du T. Associations of emotional intelligence and gratitude with empathy in medical students. BMC Med Educ 2020;20:1-8. https://doi.org/10.1186/s12909-019-1842-1
  17. Abe K, Niwa M, Fujisaki K, Suzuki Y. Associations between emotional intelligence, empathy and personality in Japanese medical students. BMC Med Educ 2018;18:1-9. https://doi.org/10.1186/s12909-017-1038-5
  18. Wong CS, Law KS. The effects of leader and follower emotional intelligence on performance and attitude: an exploratory study. Leadersh Q 2002;13:243-274. https://doi.org/10.1016/S1048-9843(02)00099-1
  19. Kim CS, Yoo TY. The conceptual distinction among emotional intelligence (EI), cognitive ability, and personality and the examination of the incremental validity of EI on task performance, contextual performance, and adaptive performance. Korean J Ind Organ Psychol 2005;18:271-298.
  20. Davis MH. Measuring individual differences in empathy: evidence for a multidimensional approach. Journal of Personality Social Psychology 1983;44:113. https://doi.org/10.1037/0022-3514.44.1.113
  21. Kang I, Kee S, Kim SE, Jeong B, Hwang JH, Song JE, et al. Reliability and validity of the Korean-Version of Interpersonal Reactivity Index. J Korean Neuropsychiatr Assoc 2009;48:352-358.
  22. Juujarvi S, Myyry L, Pesso K. Does care reasoning make a difference? Relations between care, justice and dispositional empathy. J Moral Educ 2010;39:469-489. https://doi.org/10.1080/03057240.2010.521381
  23. Costa P, de Carvalho-Filho MA, Schweller M, Thiemann P, Salgueira A, Benson J, et al. Measuring medical students' empathy: exploring the underlying constructs of and associations between two widely used self-report instruments in five countries. Acad Med 2017;92:860-867. https://doi.org/10.1097/ACM.0000000000001449
  24. Salovey P, Mayer JD. Emotional intelligence. Imagin Cogn Pers 1990; 9:185-211. https://doi.org/10.2190/DUGG-P24E-52WK-6CDG
  25. Petrides KV, Furnham A. On the dimensional structure of emotional intelligence. Pers Individ Dif 2000;29:313-320. https://doi.org/10.1016/S0191-8869(99)00195-6
  26. Ashkanasy NM, Daus CS. Rumors of the death of emotional intelligence in organizational behavior are vastly exaggerated. J Organ Behav 2005;26:441-452. https://doi.org/10.1002/job.320
  27. O'Connor PJ, Hill A, Kaya M, Martin B. The measurement of emotional intelligence: a critical review of the literature and recommendations for researchers and practitioners. Front Psychol 2019;10:1116. https://doi.org/10.3389/fpsyg.2019.01116
  28. Austin EJ, Evans P, Goldwater R, Potter V. A preliminary study of emotional intelligence, empathy and exam performance in first year medical students. Pers Individ Dif 2005;39:1395-1405. https://doi.org/10.1016/j.paid.2005.04.014
  29. Todres M, Tsimtsiou Z, Stephenson A, Jones R. The emotional intelligence of medical students: an exploratory cross-sectional study. Med Teach 2010;32:e42-48. https://doi.org/10.3109/01421590903199668
  30. Kim SH, Ko JK, Park JH. Effect of emotional intelligence on patientphysician interaction scores of clinical performance examination. Korean J Med Educ 2011;23:159-165. https://doi.org/10.3946/kjme.2011.23.3.159
  31. Wong CS, Foo MD, Wang CW, Wong PM. The feasibility of training and development of EI: an exploratory study in Singapore, Hong Kong and Taiwan. Intelligence 2007;35:141-150. https://doi.org/10.1016/j.intell.2006.04.008
  32. Van Rooy DL, Alonso A, Viswesvaran C. Group differences in emotional intelligence scores: Theoretical and practical implications. Pers Individ Dif 2005;38:689-700. https://doi.org/10.1016/j.paid.2004.05.023
  33. Tsaousis I, Kazi S. Factorial invariance and latent mean differences of scores on trait emotional intelligence across gender and age. Pers Individ Dif 2013;54:169-173. https://doi.org/10.1016/j.paid.2012.08.016
  34. Craig A, Tran Y, Hermens G, Williams L, Kemp A, Morris C, et al. Psychological and neural correlates of emotional intelligence in a large sample of adult males and females. Pers Individ Dif 2009;46:111-115. https://doi.org/10.1016/j.paid.2008.09.011
  35. Mayer JD, Caruso DR, Salovey P. Emotional intelligence meets traditional standards for an intelligence. Intelligence 1999;27:267-298. https://doi.org/10.1016/S0160-2896(99)00016-1
  36. Hojat M, Mangione S, Nasca TJ, Cohen MJM, Gonnella JS, Erdmann JB, et al. The Jefferson Scale of Physician Empathy: Development and preliminary psychometric data. Educ Psychol Meas 2001;61:349-365. https://doi.org/10.1177/00131640121971158
  37. Tavakol S, Dennick R, Tavakol M. Empathy in UK medical students: differences by gender, medical year and specialty interest. Educ Prim Care 2011;22:297-303. https://doi.org/10.1080/14739879.2011.11494022
  38. O'Tuathaigh CMP, Nadhirah Idris A, Duggan E, Costa P, Costa MJ. Medical students' empathy and attitudes towards professionalism: Relationship with personality, specialty preference and medical programme. PLoS One 2019;14:e0215675. https://doi.org/10.1371/journal.pone.0215675
  39. Quince TA, Kinnersley P, Hales J, da Silva A, Moriarty H, Thiemann P, et al. Empathy among undergraduate medical students: a multicentre cross-sectional comparison of students beginning and approaching the end of their course. BMC Med Educ 2016;16:1-10. https://doi.org/10.1186/s12909-015-0506-z
  40. DeWitt D, Canny BJ, Nitzberg M, Choudri J, Porter S. Medical student satisfaction, coping and burnout in direct-entry versus graduateentry programmes. Med Educ 2016;50:637-645. https://doi.org/10.1111/medu.12971
  41. Brazeau CM, Schroeder R, Rovi S, Boyd L. Relationships between medical student burnout, empathy, and professionalism climate. Acad Med 2010;85:S33-36. https://doi.org/10.1097/ACM.0b013e3181ed4c47
  42. Sandover S, Jonas-Dwyer D, Marr T. Graduate entry and undergraduate medical students' study approaches, stress levels and ways of coping: a five year longitudinal study. BMC Med Educ 2015;15:5. https://doi.org/10.1186/s12909-015-0284-7
  43. De Corte K, Buysse A, Verhofstadt LL, Roeyers H, Ponnet K, Davis MH. Measuring empathic tendencies: reliability and validity of the Dutch version of the Interpersonal Reactivity Index. Psychol Belg 2007;47:235-260. https://doi.org/10.5334/pb-47-4-235
  44. Song Y, Shi M. Associations between empathy and big five personality traits among Chinese undergraduate medical students. PLoS One 2017;12:e0171665. https://doi.org/10.1371/journal.pone.0171665
  45. John OP, Robins RW, Pervin LA. The five-factor theory of personality. Handbook of personality: theory and research. 3rd ed: Guilford Publications;2010. p.159-181.
  46. Abe K, Evans P, Austin EJ, Suzuki Y, Fujisaki K, Niwa M, et al. Expressing one's feelings and listening to others increases emotional intelligence: a pilot study of Asian medical students. BMC Med Educ 2013;13:82. https://doi.org/10.1186/1472-6920-13-82
  47. Rotenstein LS, Ramos MA, Torre M, Segal JB, Peluso MJ, Guille C, et al. Prevalence of depression, depressive symptoms, and suicidal Ideation among medical students: a systematic review and meta-analysis. JAMA 2016;316:2214-2236. https://doi.org/10.1001/jama.2016.17324
  48. Thomas MR, Dyrbye LN, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, et al. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med 2007;22:177-183. https://doi.org/10.1007/s11606-006-0039-6