The role of difficulties in emotion regulation in predicting empathy and patient-centeredness in pre-clinical medical students: a cross-sectional study

References

• Albiero, P., Ingoglia, S., & Lo Coco, A. (2006). Contributo all’adattamento italiano dell’Interpersonal reactivity index di Davis [A contribution to the Italian validation of the Interpersonal Reactivity Index]. TPM, 13(2), 107–125 http://hdl.handle.net/10447/9130.
   Google Scholar
• Ardenghi, S., Luciani, M., Rampoldi, G., Ausili, D., Bani, M., Di Mauro, S., & Strepparava, M. G. (2021). Personal values among first-year medical and nursing students: A cross-sectional comparative study. Nurse Education Today, 100, 104827. https://doi.org/10.1016/j.nedt.2021.104827
   PubMed Web of Science ®Google Scholar
• Ardenghi, S., Rampoldi, G., Bani, M., & Strepparava, M. G. (2020). Attachment styles as predictors of self-reported empathy in medical students during pre-clinical years. Patient Education and Counseling, 103(5), 965–970. https://doi.org/10.1016/j.pec.2019.11.004
   PubMed Web of Science ®Google Scholar
• Ardenghi, S., Rampoldi, G., Bani, M., & Strepparava, M. G. (2021). Personal values as early predictors of emotional and cognitive empathy among medical students. Current Psychology. https://doi.org/10.1007/s12144-021-01373-8
   Web of Science ®Google Scholar
• Ardenghi, S., Rampoldi, G., Pepe, A., Bani, M., Gritti, P., & Strepparava, M. G. (2019). Assessing patient-centeredness among medical students: The Italian translation and validation of the patient-practitioner orientation scale. BPA – Applied Psychology Bulletin Bollettino di Psicologia Applicata (Giunti Psychometrics) LXVII(285) , 51–61. https://doi.org/10.26387/bpa.285.5
   Google Scholar
• Ardenghi, S., Rampoldi, G., Pepe, A., Bani, M., Salvarani, V., & Strepparava, M. G. (2021). An exploratory cross-sectional study on the relationship between dispositional mindfulness and empathy in undergraduate medical students. Teaching and Learning in Medicine 33(2) , 154–163. https://doi.org/10.1080/10401334.2020.1813582.
   Web of Science ®Google Scholar
• Barbaranelli, C., Ghezzi, V., Ardenghi, S., Caiffa, M. F., Muraro, R., Cavaggioni, G., Maurizia, V., Piga, A., Di Liegro, I., Strepparava, M. G., & Familiari, G. (2021). The contribution of personality traits and self-efficacy beliefs to medical students’ empathy. TPM – Testing, Psychometrics, Methodology in Applied Psychology, 28(3), 1–15. https://doi.org/10.4473/TPM28.3.3
   Web of Science ®Google Scholar
• Butler, E. A., Egloff, B., Wlhelm, F. H., Smith, N. C., Erickson, E. A., & Gross, J. J. (2003). The social consequences of expressive suppression. Emotion, 3(1), 48. https://doi.org/10.1037/1528-3542.3.1.48
   PubMed Web of Science ®Google Scholar
• Cameron, C. D., & Payne, B. K. (2011). Escaping affect: How motivated emotion regulation creates insensitivity to mass suffering. Journal of Personality and Social Psychology, 100(1), 1. https://doi.org/10.1037/a0021643
   PubMed Web of Science ®Google Scholar
• Cohen, J. (1988). Differences between correlation coefficients. Statistical Power Analysis for the Behavioral Sciences, 109–143.
   Google Scholar
• Contardi, A., Imperatori, C., Penzo, I., Del Gatto, C., & Farina, B. (2016). The association among difficulties in emotion regulation, hostility, and empathy in a sample of young Italian adults. Frontiers in Psychology, 7, 1068. https://doi.org/10.3389/fpsyg.2016.01068
   PubMed Web of Science ®Google Scholar
• Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
   Google Scholar
• Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113. https://doi.org/10.1037/0022-3514.44.1.113
   Web of Science ®Google Scholar
• De Corte, K., Buysse, A., Verhofstadt, L. L., Roeyers, H., Ponnet, K., & Davis, M. H. (2007). Measuring empathic tendencies: Reliability and validity of the Dutch version of the Interpersonal Reactivity Index. Psychologica Belgica, 47(4), 235–260. https://doi.org/10.5334/pb-47-4-235
   Web of Science ®Google Scholar
• Decety, J., & Fotopoulou, A. (2015). Why empathy has a beneficial impact on others in medicine: Unifying theories. Frontiers in Behavioral Neuroscience, 8, 457. https://doi.org/10.3389/fnbeh.2014.00457
   PubMed Web of Science ®Google Scholar
• Decety, J., Yang, C.-Y., & Cheng, Y. (2010). Physicians down-regulate their pain empathy response: An event-related brain potential study. Neuroimage, 50(4), 1676–1682. https://doi.org/10.1016/j.neuroimage.2010.01.025
   PubMed Web of Science ®Google Scholar
• Decety, J. (2010). The neurodevelopment of empathy in humans. Developmental Neuroscience, 32(4), 257–267. https://doi.org/10.1159/000317771
   PubMed Web of Science ®Google Scholar
• 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
   PubMed Web of Science ®Google Scholar
• Eisenberg, N. (2000). Emotion, regulation, and moral development. Annual Review of Psychology, 51(1), 665–697. https://doi.org/10.1146/annurev.psych.51.1.665
   PubMed Web of Science ®Google Scholar
• Giromini, L., Velotti, P., de Campora, G., Bonalume, L., & Zavattini, C. G. (2012). Cultural adaptation of the difficulties in emotion regulation scale: Reliability and validity of an Italian version. Journal of Clinical Psychology, 68(9), 989–1007. https://doi.org/10.1002/jclp.21876
   PubMed Web of Science ®Google Scholar
• Gleichgerrcht, E., Decety, J., & Zalla, T. (2013). Empathy in clinical practice: How individual dispositions, gender, and experience moderate empathic concern, burnout, and emotional distress in physicians. PloS One, 8(4), e61526. https://doi.org/10.1371/journal.pone.0061526
   PubMed Web of Science ®Google Scholar
• Gleichgerrcht, E., & Decety, J. (2014). The relationship between different facets of empathy, pain perception and compassion fatigue among physicians. Frontiers in Behavioral Neuroscience, 8, 243. https://doi.org/10.3389/fnbeh.2014.00243
   PubMed Web of Science ®Google Scholar
• Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
   Web of Science ®Google Scholar
• Halpern, J. (2014). From idealized clinical empathy to empathic communication in medical care. Medicine, Health Care, and Philosophy, 17(2), 301–311. https://doi.org/10.1007/s11019-013-9510-4
   PubMed Web of Science ®Google Scholar
• 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
   PubMed Web of Science ®Google Scholar
• 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), 359–364. https://doi.org/10.1097/ACM.0b013e3182086fe1
   PubMed Web of Science ®Google Scholar
• Hojat, M., Mangione, S., Nasca, T. J., Cohen, M. J., Gonnella, J. S., Erdmann, J. B., Veloski, J., & Magee, M. (2001). The jefferson scale of physician empathy: Development and preliminary psychometric data. Educational and Psychological Measurement, 61(2), 349–365. https://doi.org/10.1177/00131640121971158
   Web of Science ®Google Scholar
• Hojat, M., Mangione, S., Nasca, T. J., Rattner, S., Erdmann, J. B., Gonnella, J. S., & Magee, M. (2004). An empirical study of decline in empathy in medical school. Medical Education, 38(9), 934–941. https://doi.org/10.1111/j.1365-2929.2004.01911.x
   PubMed Web of Science ®Google Scholar
• Hojat, M., Vergare, M. J., Maxwell, K., Brainard, G., Herrine, S. K., Isenberg, G. A., Veloski, J., & Gonnella, J. S. (2009). The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine, 84(9), 1182–1191. https://doi.org/10.1097/ACM.0b013e3181b17e55
   PubMed Web of Science ®Google Scholar
• Hojat, M., Zuckerman, M., Magee, M., Mangione, S., Nasca, T., Vergare, M., & Gonnella, J. S. (2005). Empathy in medical students as related to specialty interest, personality, and perceptions of mother and father. Personality and Individual Differences, 39(7), 1205–1215. https://doi.org/10.1016/j.paid.2005.04.007
   Web of Science ®Google Scholar
• Kawakami, A., & Katahira, K. (2015). Influence of trait empathy on the emotion evoked by sad music and on the preference for it. Frontiers in Psychology, 6, 1541. https://doi.org/10.3389/fpsyg.2015.01541
   PubMed Web of Science ®Google Scholar
• Krupat, E., Yeager, C. M., & Putnam, S. (2000). Patient role orientations, doctor-patient fit, and visit satisfaction. Psychology & Health, 15(5), 707–719. https://doi.org/10.1080/08870440008405481
   Web of Science ®Google Scholar
• Lebowitz, M. S., & Dovidio, J. F. (2015). Implications of emotion regulation strategies for empathic concern, social attitudes, and helping behavior. Emotion, 15(2), 187. https://doi.org/10.1037/a0038820
   PubMed Web of Science ®Google Scholar
• Luciani, M., Rampoldi, G., Ardenghi, S., Bani, M., Merati, S., Ausili, D., Grazia Strepparava, M., & Di Mauro, S. (2020). Personal values among undergraduate nursing students: A cross-sectional study. Nursing Ethics, 27(6), 1461–1471. https://doi.org/10.1177/0969733020914350
   PubMed Web of Science ®Google Scholar
• Miniotti, M. (2020). Empathy for patient care in medical students: New evidence on the importance of self-transcendence. Psychology, Health & Medicine, 1–7. https://doi.org/10.1080/13548506.2020.1842897
   Google Scholar
• Mohammadi Bytamar, J., Saed, O., & Khakpoor, S. (2020). Emotion regulation difficulties and academic procrastination [original research]. Frontiers in Psychology, 11, 2922. https://doi.org/10.3389/fpsyg.2020.524588
   Web of Science ®Google Scholar
• Neumann, M., Scheffer, C., Tauschel, D., Lutz, G., Wirtz, M., & Edelhäuser, F. (2012). Physician empathy: Definition, outcome-relevance and its measurement in patient care and medical education. GMS Zeitschrift für medizinische Ausbildung, 29, 1.https://doi.org/10.3205/zma000781
   Google Scholar
• Ogle, J., Bushnell, J. A., & Caputi, P. (2013). Empathy is related to clinical competence in medical care. Medical Education, 47(8), 824–831. https://doi.org/10.1111/medu.12232
   PubMed Web of Science ®Google Scholar
• Okun, M. A., Shepard, S. A., & Eisenberg, N. (2000). The relations of emotionality and regulation to dispositional empathy-related responding among volunteers-in-training. Personality and Individual Differences, 28(2), 367–382. https://doi.org/10.1016/S0191-8869(99)00107-5
   Web of Science ®Google Scholar
• Ozonoff, S., & McEvoy, R. E. (1994). A longitudinal study of executive function and theory of mind development in autism. Development and Psychopathology, 6(3), 415–431. https://doi.org/10.1017/S0954579400006027
   Web of Science ®Google Scholar
• Powell, P. A. (2018). Individual differences in emotion regulation moderate the associations between empathy and affective distress. Motivation and Emotion, 42(4), 602–613. https://doi.org/10.1007/s11031-018-9684-4
   PubMed Web of Science ®Google Scholar
• Ribeiro, M. M. F., Krupat, E., & Amaral, C. F. S. (2007). Brazilian medical students’ attitudes towards patient-centered care. Medical Teacher, 29(6), e204–e208. https://doi.org/10.1080/01421590701543133
   PubMed Web of Science ®Google Scholar
• Salvarani, V., Ardenghi, S., Rampoldi, G., Bani, M., Cannata, P., Ausili, D., Di Mauro, S., & Strepparava, M. G. (2020). Predictors of psychological distress amongst nursing students: A multicenter cross-sectional study. Nurse Education in Practice, 44, 102758. https://doi.org/10.1016/j.nepr.2020.102758
   PubMed Web of Science ®Google Scholar
• Salvarani, V., Rampoldi, G., Ardenghi, S., Bani, M., Blasi, P., Ausili, D., Di Mauro, S., & Strepparava, M. G. (2019). Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy. Journal of Nursing Management, 27(4), 765–774. https://doi.org/10.1111/jonm.12771
   PubMed Web of Science ®Google Scholar
• Santos, M. A., Grosseman, S., Morelli, T. C., Giuliano, I. C., & Erdmann, T. R. (2016). Empathy differences by gender and specialty pReferencess in medical students: A study in Brazil. International Journal of Medical Education, 7, 149. https://doi.org/10.5116/ijme.572f.115f
   PubMed Web of Science ®Google Scholar
• Shanton, K., & Goldman, A. (2010). Simulation theory. Wiley Interdisciplinary Reviews. Cognitive Science, 1(4), 527–538 https://doi.org/10.1002/wcs.33
   PubMed Web of Science ®Google Scholar
• Sifneos, P. E. (1973). The prevalence of ‘alexithymic’characteristics in psychosomatic patients. Psychotherapy and Psychosomatics, 22(2–6), 255–262. https://doi.org/10.1159/000286529
   PubMed Web of Science ®Google Scholar
• Stewart, M. (2001). Towards a global definition of patient centred care. BMJ (Clinical Research Ed.), 322(7284), 444–445. https://doi.org/10.1136/bmj.322.7284.444
   PubMed Web of Science ®Google Scholar
• Strepparava, M. G., Bani, M., Zorzi, F., Mazza, U., Barile, F., & Rezzonico, G. (2017). Does the severity of psychopathology of Italian students receiving counselling services increase over time? A 5‐year analysis and a comparison with a clinical and non‐clinical sample. Clinical Psychology & Psychotherapy, 24(6), O1448–O1454. https://doi.org/10.1002/cpp.2096
   PubMed Web of Science ®Google Scholar
• Strepparava, M., Bani, M., & Rezzonico, G. (2017). Counseling and coaching in times of crisis and transition: from research to practice. In L. Nota, and S. Soresi (Eds.), Counseling and coaching in times of crisis and transition (1st ed., pp. 28-43). Routledge. https://doi.org/10.4324/9781315266596.
   Google Scholar
• Thoits, P. A. (1991). Gender differences in coping with emotional distress The social context of coping (pp. 107–138). Springer.
   Google Scholar
• Thomas, M. R., Dyrbye, L. N., Huntington, J. L., Lawson, K. L., Novotny, P. J., Sloan, J. A., & Shanafelt, T. D. (2007). How do distress and well-being relate to medical student empathy? A multicenter study. Journal of General Internal Medicine, 22(2), 177–183. https://doi.org/10.1007/s11606-006-0039-6
   PubMed Web of Science ®Google Scholar
• Urry, H. L., van Reekum, C. M., Johnstone, T., & Davidson, R. J. (2009). Individual differences in some (but not all) medial prefrontal regions reflect cognitive demand while regulating unpleasant emotion. Neuroimage, 47(3), 852–863. https://doi.org/10.1016/j.neuroimage.2009.05.069
   PubMed Web of Science ®Google Scholar
• Worly, B., Verbeck, N., Walker, C., & Clinchot, D. M. (2019). Burnout, perceived stress, and empathic concern: Differences in female and male Millennial medical students. Psychology, Health & Medicine, 24(4), 429–438. https://doi.org/10.1080/13548506.2018.1529329
   PubMed Web of Science ®Google Scholar
• Zammuner, L. V., Lotto, L., & Galli, C. (2003). Regulation of emotions in the helping professions: Nature, antecedents and consequences. Australian e-Journal for the Advancement of Mental Health, 2(1), 43–55. https://doi.org/10.5172/jamh.2.1.43
   Google Scholar