Are clinicians’ self-reported empathic concern and perspective-taking traits associated with their response to patient emotions?
| Autor: | Monique Jindal, Richard D. Moore, Dingfen Han, Mary Catherine Beach, P. Todd Korthuis, Somnath Saha, Jenny Park |
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| Rok vydání: | 2020 |
| Předmět: |
030503 health policy & services
media_common.quotation_subject Communication studies Coding (therapy) Empathy General Medicine Odds 03 medical and health sciences 0302 clinical medicine Perspective-taking Interpersonal Reactivity Index Emotional expression 030212 general & internal medicine 0305 other medical science Psychology Empathic concern Clinical psychology media_common |
| Zdroj: | Patient Education and Counseling. 103:1745-1751 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2020.04.016 |
| Popis: | Objective To understand whether clinicians’ empathic concern and perspective-taking traits are associated with their response to patient emotions. Methods We audio-recorded 41 HIV clinician interactions with 342 patients at two academic medical centers. We assessed clinicians’ self-reported empathic concern and perspective-taking traits using the Interpersonal Reactivity Index and coded emotional communication using the Verona Coding Definitions of Emotional Sequences. We used random effects models to assess associations between clinician traits and clinician responses to patients’ negative emotions, accounting for clustering of emotions within encounters and patients within clinicians. Results Clinicians with more self-reported empathic concern received fewer emotional expressions from their patients (β -0.06; 95% CI -0.10, -0.01) and had greater odds of responding to emotions by giving information/advice (OR 1.10; 95% CI 1.01, 1.20). There were no associations between empathic concern or perspective-taking and any other clinician responses. Conclusion Clinicians with higher levels of empathic concern respond to patient emotions by giving information and advice, a response traditionally thought of as a missed empathic opportunity, not by exploring emotions or providing empathy. Whether this is helpful to patients is unknown. Practice Implications Clinicians should be aware of their tendency to give information to patients with emotional distress, and consider whether this response is helpful to patients. |
| Databáze: | OpenAIRE |
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