印度医学生同理心变化趋势：一项为期两年的随访研究。
Trends of Change in Empathy Among Indian Medical Students: A Two-Year Follow-Up Study.
作者信息
Bhatia Gayatri, Shetty Jyoti V
机构信息
Dept. of Psychiatry, All India Institute of Medical Sciences, Rajkot, Gujarat, India.
Dept. of Psychiatry, Bharati Vidyapeeth Medical College and Hospital, Pune, Maharashtra, India.
出版信息
Indian J Psychol Med. 2023 Mar;45(2):162-167. doi: 10.1177/02537176221104688. Epub 2022 Jul 15.
BACKGROUND
The development of an empathic approach is essential for doctor-patient relationships. Medical training is a challenging time that may affect empathy. This study aimed to assess the change in empathy in students during medical education.
METHODS
One hundred and fifty MBBS students were recruited at admission and assessed for empathy, interpersonal reactivity, and general health. They were followed for two years and assessed at three intervals.
RESULTS
A significant decline was seen in empathy for both male and female students. The decline was correlated with psychological stress. Gender, family structure, having siblings, and increasing General Health Questionnaire score predicted change in empathy.
CONCLUSION
Empathy declines with advancing training, varying with constitutional and situational factors. The medical curriculum should include skills like empathic communication as well.
背景
培养共情方法对于医患关系至关重要。医学培训是一个具有挑战性的时期，可能会影响共情能力。本研究旨在评估医学生在医学教育期间共情能力的变化。
方法
招募了150名医科本科学生，在入学时对他们的共情能力、人际反应能力和总体健康状况进行评估。对他们进行了为期两年的跟踪，并在三个时间点进行评估。
结果
男女生的共情能力均出现显著下降。这种下降与心理压力相关。性别、家庭结构、是否有兄弟姐妹以及一般健康问卷得分的增加可预测共情能力的变化。
结论
共情能力会随着培训的推进而下降，且因体质和情境因素而有所不同。医学课程也应包括共情沟通等技能。
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