Development of a self-assessment questionnaire for physician empathy competence

Min Xu; Yungui Wang

doi:10.16016/j.1000-5404.201703033

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Development of a self-assessment questionnaire for physician empathy competence

Medical Psychology | 更新时间：2026-01-09

- Development of a self-assessment questionnaire for physician empathy competence
- Journal of Third Military Medical University Vol. 39, Issue 12, Pages: 1309-1314(2017)
- 作者机构：
  
  1.400038 重庆，第三军医大学
  2.550009贵阳，解放军第44医院医务处
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201703033
  CLC： R192.3;R395
- Received：06 March 2017，
  
  Revised：2017-03-20，
  
  Published：30 June 2017
- 稿件说明：
移动端阅览
Min Xu, Yungui Wang. Development of a self-assessment questionnaire for physician empathy competence[J]. Journal of Third Military Medical University, 2017, 39(12): 1309-1314.
DOI：

Min Xu, Yungui Wang. Development of a self-assessment questionnaire for physician empathy competence[J]. Journal of Third Military Medical University, 2017, 39(12): 1309-1314. DOI： 10.16016/j.1000-5404.201703033.

摘要

目的

编制一个适用于医师共情能力评测的问卷，并检验其信度和效度。

方法

通过文献研究、访谈和专家咨询，编制医师共情能力自评问卷的初测版。按照便利取样的方法简单随机抽取某医院200名临床医师试测，并进行讨论分析，形成正式版的问卷。采用分层抽样的方法，抽取3所医院600名临床医师正式施测，并填答中文版人际反应指针量表。间隔4周抽取100人进行重测。对所得的586份有效问卷的数据进行验证性分析，并检验问卷的信度和效度。

结果

探索性因素分析得到观点采择能力、情绪共享能力、积极关怀能力和共情表达技能4个因素，因素负荷值为0.516~0.828。问卷的内部一致性信度为0.840，重测信度为0.728，与中文版人际反应指针量表的相关系数为0.712。

结论

所编制的医师共情能力自评问卷具有较好的信度和效度，可以用于临床医师共情能力的评测。

Abstract

Objective

To develop a questionnaire for rating physician's empathy competence and test its reliability and validity.

Methods

Based on published articles and expert interview and consultation

we established a preliminary version of the self-rating questionnaire for physician's empathy competence. After testing in 200 physicians randomly selected from a hospital

a formal version of the questionnaire was formed and tested among 600 physicians sampled by stratified sampling

who were also asked to complete the Interpersonal Reactivity Index-Chinese version (IRI-C). At an interval of 4 weeks

100 of the physicians were retested. The data from 586 valid questionnaires were verified and analyzed to assess the reliability and validity of the questionnaire.

Results

Four factors

namely the perspective taking ability

emotion sharing ability

positive caring ability and expression skills of empathy

were attained by exploratory factor analysis

and their factor loading ranged from 0.516 and 0.828. The internal consistency reliability of the questionnaire was 0.840 with a test-retest coefficient of 0.728 and a correlation coefficient with IRI-C of 0.712.

Conclusion

The self-assessment questionnaire has a good reliability and validity and can be used for rating physician's empathy competence.

关键词

Keywords

references

Hojat M, Mangione S, Nasca T J, et al. The jefferson scale of physician empathy: development and preliminary psychometric data[J]. Educ Psychol Meas, 2001, 61(2): 349-365.

刘汉龙, 刘惠军.同理心:重建医患信任关系的伦理实践途径[J].中国医学伦理学, 2012, 25(3): 347-349.

Liu H L, Liu H J. Empathy: Access to rebuilding confidence relationship between doctors and patients[J]. Chin Med Ethics, 2012, 25(3): 347-349.

Fishbein R H. Scholarship, humanism, and the young physician[J]. Acad Med, 1999, 74(6): 646-651.

Davis M H. Measuring individual differences in empathy: evidence for a multidimensional approach[J]. J Pers Soc Psychol, 1983, 44(1): 113-126. DOI: 10.1037//0022-3514.44.1.113.

Hogan R. Development of an empathy scale[J]. J Consult Clin Psychol, 1969, 33(3): 307-316. DOI: 10.1037/h0027580.

Mehrabian A, Epstein N. A measure of emotional empathy[J]. J Pers, 1972, 40(4): 525-543.

Jolliffe D, Farrington D P. Development and validation of the Basic Empathy Scale[J]. J Adolesc, 2006, 29(4): 589-611.

Hojat M. The Jefferson Scale of Physician Empathy[M]// Empathy in Patient Care. New York: Springer, 2005: 87-115.

张凤凤, 董毅, 汪凯, 等.中文版人际反应指针量表(IRI-C)的信度及效度研究[J].中国临床心理学杂志, 2010, 18(2): 155-157.

Zhang F F, Dong Y, Wang K, et al. Reliability and validity of the chinese version of the interpersonal reactivity index-c[J]. Chin J Clin Psychol, 2010, 18(2): 155-157.

张妙清, 张树辉, 张建新.什么是"中国人"的个性?——《中国人个性测量表CPAI-2》的分组差异[J].心理学报, 2004, 36(4): 491-499.

Fang M Q, Zhang S H, Zhang J X. What is "Chinese" personality?—subgroup differences in the Chinese personality assessment inventory (CPAI-2)[J]. Acta Psychologica Sinica, 2004, 36(4): 491-499.

[Stamm B H. The concise manual for the professional quality of life scale [EB/OL ] .[2013-03-06 ] . https://jpo.wrlc.org/handle/11204/4293 https://jpo.wrlc.org/handle/11204/4293 .

风笑天.社会调查中的问卷设计[M].天津:天津人民出版社, 2002.

Feng X T. Questionnaire Design for social survey[M]. Tianjin: Tianjin people's publishing House, 2002.

Decety J, Jackson P L. The functional architecture of human empathy[J]. Behav Cogn Neurosci Rev, 2004, 3(2): 71-100. DOI: 10.1177/1534582304267187.

彭文骏, 王丽雅, 龚佳璐, 等.国内外医护人员职业同理心测评方法研究进展[J].护理管理杂志, 2015, 15(11): 786-789.

Peng W J, Wang L Y, Gong J L. et al. Research progress of occupational empathy assessment for medical professionals in China and abroad[J]. J Nurs Administr, 2015, 15(11): 786-789.

Alligood M R. Empathy: the importance of recognizing two types[J]. J Psychosoc Nurs Ment Health Serv, 1992, 30(3): 14-17.

Gladstein G A. Understanding empathy: Integrating counseling, developmental, and social psychology perspectives[J]. J Counsel Psychol, 1983, 30(4): 467-482.

Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents[J]. Acad Med, 2011, 86(8): 996-1009. DOI:10.10971ACM.0b013e318221e615.

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