Williams C A
College of Nursing, University of South Carolina, Columbia 29208.
Res Nurs Health. 1989 Jun;12(3):169-78. doi: 10.1002/nur.4770120307.
Relationships between empathy and burnout and possible confounding influences of sex and profession were explored in a sample of 492 male and female nurses, social workers, and teachers. Respondents completed Mehrabian's Emotional Empathy Scale, Stotland's Fantasy-Empathy Scale, and the Maslach Burnout Inventory (MBI). There were no main effects of profession on empathy or burnout variables. There was, however, an interaction effect of sex and profession on depersonalization, which was accounted for by subjects in social work and teaching. Women had significantly higher empathy scores than men; however, men had higher scores than male normative groups. Age related negatively to depersonalization and emotional exhaustion for women, whereas percentage of work time spent in direct practice correlated with depersonalization for men. The possibility that empathy and burnout might represent opposite poles of the same underlying construct was examined but not found. Instead, emotional empathy was significantly positively correlated with both emotional exhaustion and personal accomplishment, whereas emotional exhaustion was also positively related to depersonalization. It is hypothesized that high emotional empathy may predispose helping professionals to emotional exhaustion and that emotional exhaustion, if not mediated by personal accomplishment, may lead to the development of depersonalization. This more complex, interactive model of the empathy-burnout relationship needs longitudinal study.
在一个由492名男女护士、社会工作者和教师组成的样本中,研究了同理心与职业倦怠之间的关系,以及性别和职业可能产生的混杂影响。受访者完成了梅拉比安的情绪同理心量表、斯托特兰的幻想同理心量表和马氏职业倦怠量表(MBI)。职业对同理心或职业倦怠变量没有主效应。然而,性别和职业对去个性化有交互作用,这在社会工作和教学领域的受试者中有所体现。女性的同理心得分显著高于男性;然而,男性得分高于男性常模组。年龄与女性的去个性化和情感耗竭呈负相关,而男性直接从事实践工作的时间百分比与去个性化相关。研究了同理心和职业倦怠可能代表同一潜在结构相反两极的可能性,但未发现这种情况。相反,情绪同理心与情感耗竭和个人成就感均呈显著正相关,而情感耗竭也与去个性化呈正相关。据推测,高情绪同理心可能使助人专业人员易患情感耗竭,而情感耗竭若未通过个人成就感进行调节,可能会导致去个性化的发展。这种更复杂的同理心 - 职业倦怠关系的交互模型需要进行纵向研究。