The Relationship Between Physicians’ Empathy and Stress: The Roles of Psychological Resilience and Social Support

Authors

  • Jinling Wang Jianghan University, Wuhan, Hubei, 430056, China
  • Lan Tian Jianghan University, Wuhan, Hubei, 430056, China

DOI:

https://doi.org/10.54097/2ny7t632

Keywords:

Doctor, Empathy, Stress, Resilience, Social Support

Abstract

Objective: To explore the relationship between doctors' empathy and work stress, the influence of different variables on doctors' empathy, mental resilience, perceived stress and social support, and the influence mechanism of mental resilience and social support on empathy and work stress. Methods: The Jefferson Empathy Scale, Psychological Resilience Scale, Perceived Stress Scale and Social Support Scale were used to investigate doctors. SPSS26.0 statistical software was used to explore the effects of gender, marital status, educational background, employment form and income difference on doctors' empathy, mental resilience, perceived stress and social support. The mediating role of resilience in the relationship between empathy and perceived stress, and the moderating role of social support in the relationship between empathy and perceived stress were tested by building a model. Results: There was no significant difference in doctors' empathy, mental resilience, perceived stress and social support in terms of gender, educational background, employment form and income (P BBB 0 0.05). There was significant statistical difference in doctors' empathy in terms of marital status (P < 0.05). The score of empathy in married doctors was significantly higher than that in unmarried doctors, divorced doctors and separated doctors. There was a significant correlation between doctors' empathy and their resilience, perceived stress, and social support (P <0.001). Their resilience, social support and empathy were positively correlated, while their empathy, resilience, and social support were negatively correlated with doctors' perceived stress (P <0.001). There was significant negative correlation between perceived stress and social support (P < 0.001). Physician empathy was a negative predictor of perceived stress (β=-0.732, P < 0.001). Doctor empathy positively predicted resilience (β=0.152, P < 0.001). Moreover, mental resilience had a negative prediction on perceived stress (β=-0.382, P < 0.001). Social support played a negative moderating role in the relationship between doctors' empathy and perceived stress. Conclusion: Married doctors have higher empathy ability. Empathy can directly affect clinicians' stress status, and it can indirectly affect clinicians' stress status through mental resilience. For doctors with higher social support, with the increase of empathy, perceived stress level will significantly decrease.

Downloads

Download data is not yet available.

References

[1] Qiao, Z. X., Chen, L., Chen, M. Q., & et al. (2016). Prevalence and factors associated with occupational burnout among HIV/AIDS healthcare workers in China: a cross-sectional study. BMC Public Health, 16(1), 335. https://doi.org/10.1186/s12889-016-2984-9. DOI: https://doi.org/10.1186/s12889-016-2890-7

[2] Liu, S. S., Wu, J., Li, M., & et al. (2019). Research on job competence and satisfaction of general practitioners at grassroots level. Chinese General Practice, 22(10), 1218–1222.

[3] Shi, Y. J., & Wang, L. F. (2007). Relationship between physicians’ occupational stress and mental health. Chinese Journal of Public Health, 23(5), 529–531.

[4] 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. https://doi.org/10.1176/appi.ajp.159.9.1563.

[5] Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C., & Gonnella, J. S. (2011). Physicians' empathy and clinical outcomes for diabetic patients. Academic Medicine, 86(3), 358–364. https://doi.org/10.1097/ACM.0b013e3182086fe1.

[6] Razavi, D., Merckaert, I., Marchal, S., & et al. (2003). How to optimize physicians’ communication skills in cancer care: Results of a randomized study assessing the usefulness of posttraining consolidation workshops. Journal of Clinical Oncology, 21(16), 3134–3142. https://doi.org/10.1200/JCO.2003.12.105. DOI: https://doi.org/10.1200/JCO.2003.08.031

[7] Zachariae, R., Pedersen, C. G., Jensen, A. B., Ehrnrooth, E., Rossen, P. B., & von der Maase, H. (2003). Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. British Journal of Cancer, 88(5), 658–665. https://doi.org/10.1038/sj.bjc.6600798. DOI: https://doi.org/10.1038/sj.bjc.6600798

[8] Kim, S. S. (2004). The effects of physician empathy on patient satisfaction and compliance. Evaluation & the Health Professions, 27(3), 237–251. https://doi.org/10.1177/0163278704267377. DOI: https://doi.org/10.1177/0163278704267037

[9] Vermeire, E., Hearnshaw, H., Van Royen, P., & Denekens, J. (2001). Patient adherence to treatment: three decades of research. A comprehensive review. Journal of Clinical Pharmacy and Therapeutics, 26(5), 331–342. https://doi.org/10.1046/j.1365-2710.2001.00367.x. DOI: https://doi.org/10.1046/j.1365-2710.2001.00363.x

[10] Hojat, M., Louis, D. Z., Markham, F. W., Wender, R., Rabinowitz, C., & Gonnella, J. S. (2011). Physicians' empathy and clinical outcomes for diabetic patients. Academic Medicine, 86(3), 358–364. https://doi.org/10.1097/ACM.0b013e3182086fe1. DOI: https://doi.org/10.1097/ACM.0b013e3182086fe1

[11] Di Blasi, Z., Harkness, E., Ernst, E., Georgiou, A., & Kleijnen, J. (2001). Influence of context effects on health outcomes: a systematic review. The Lancet, 357(9258), 757–762. https://doi.org/10.1016/S0140-6736(00)04169-6. DOI: https://doi.org/10.1016/S0140-6736(00)04169-6

[12] Rakel, D., Barrett, B., Zhang, Z., Hoeft, T., Chewning, B., Marchand, L., & Scheder, J. (2011). Perception of empathy in the therapeutic encounter: Effects on the common cold. Patient Education and Counseling, 85(3), 390–397. https://doi.org/10.1016/j.pec.2011.01.009. DOI: https://doi.org/10.1016/j.pec.2011.01.009

[13] Rakel, D. P., Hoeft, T. J., Barrett, B. P., Chewning, B. A., Craig, B. M., & Niu, M. (2009). Practitioner empathy and the duration of the common cold. Family Medicine, 41(7), 494–501.

[14] Levinson, W., Roter, D. L., Mullooly, J. P., Dull, V. T., & Frankel, R. M. (1997). Physician-Patient Communication: The Relationship With Malpractice Claims Among Primary Care Physicians and Surgeons. JAMA, 277(7), 553–559. https://doi.org/10.1001/jama.1997.03540310041034. DOI: https://doi.org/10.1001/jama.1997.03540310051034

[15] Larson, D. G., & Tobin, D. R. (2000). End-of-Life Conversations: Evolving Practice and Theory. JAMA, 284(12), 1573–1578. https://doi.org/10.1001/jama.284.12.1573. DOI: https://doi.org/10.1001/jama.284.12.1573

[16] Huang, L., Wang, H. Q., Wang, S. T., & et al. (2011). Empathy training strategies for nursing staff. Chinese Journal of Nursing, 46(3), 305–307.

[17] Huang, G. L., Du, L., Gu, X. Q., Chen, J., Zhang, Y. Y., & Wang, Z. S. (2016). Analysis on current status and related factors of empathy ability of orthopedic nurses. Orthopaedics, 7(2), 136–140.

[18] Chang, X. W. (2014). A review of research on the concept of psychological resilience. Journal of Sichuan Vocational and Technical College, 24(1), 88–90.

[19] Somasundaram, R. O., & Devamani, K. A. (2016). A comparative study on resilience, perceived social support and hopelessness among cancer patients treated with curative and palliative care. Indian Journal of Palliative Care, 22(2), 135–140. https://doi.org/10.4103/0973-1075.179604. DOI: https://doi.org/10.4103/0973-1075.179606

[20] Hu, D. R., & Wei, W. H. (2012). Analysis of work stress and empathy ability of clinical nurses. Contemporary Medicine, (20), 13–15.

[21] Zheng, Q. L., Liu, W., & Bao, X. Y. (2011). Investigation on work stressors and stress reactions of doctors in tertiary hospitals. Chinese Journal of Rehabilitation, (06), 440–441.

[22] Lu, H., Zhang, Y. Q., & Wang, L. (2015). Research progress on nurses’ psychological resilience.

[23] Marroquín, B., & Nolen-Hoeksema, S. (2015).

[24] Wen, Z. L., Zhang, L., Hou, J. T., & Liu, H. Y. (2004). Testing and application of the mediating effect procedures. Acta Psychologica Sinica, (05), 614–620.

[25] Dong, R., Hua, L., & Yu, L. L. (2019). Path analysis of the relationship among social support, psychological resilience, coping style and occupational stress of clinicians. Journal of Capital Medical University, (5), 677–682.

[26] Wang, J. (2018). Investigation on current status and influencing factors of occupational stress among primary medical staff in Chongqing. Chinese Journal of Health Statistics, 35(3), 450–456.

[27] Wu, S., Zhu, W., Li, H., & et al. (2008). Relationship between job burnout and occupational stress among doctors in China. Stress and Health, 24(2), 7–11. https://doi.org/10.1002/smi.1171. DOI: https://doi.org/10.1002/smi.1169

[28] Zhang, H. (2017). A study on the relationship among perceived social support, sense of coherence, coping efficacy and stress perception of college students. Harbin Normal University.

[29] Author unknown. (n.d.). A study on work stress and physical and mental health of medical staff: The relationship among stressors, psychological resilience, job burnout and physical and mental health. Unpublished manuscript.

[30] Chen, A. P. (2020). Investigation on work stress of clinical female doctors in a public tertiary hospital in Jiangsu Province. Hubei University of Technology.

[31] Magtibay, D. L., Chesak, S. S., Coughlin, K., & et al. (2017). Decreasing stress and burnout in nurses: efficacy of blended learning with stress management and resilience training program. Journal of Nursing Administration, 47(7-8), 391–395. https://doi.org/10.1097/NNA.0000000000000501. DOI: https://doi.org/10.1097/NNA.0000000000000501

[32] Spence, S. H. (1994). Practitioner Review: Cognitive Therapy with Children and Adolescents: From Theory to Practice. Journal of Child Psychology and Psychiatry, 35(7), 1121–1138. https://doi.org/10.1111/j.1469-7610.1994.tb01226.x. DOI: https://doi.org/10.1111/j.1469-7610.1994.tb01230.x

[33] 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. https://doi.org/10.1176/appi.ajp.159.9.1563. DOI: https://doi.org/10.1176/appi.ajp.159.9.1563

Downloads

Published

30-09-2026

Issue

Section

Articles