Journal of Modern Foreign Psychology
2023. Vol. 12, no. 2, 30–42
doi:10.17759/jmfp.2023120203
ISSN: 2304-4977 (online)
Empathy and Burnout in Helping Professionals
Abstract
The present study is aimed at reviewing current researches on the relationship between empathy and burnout in helping professions. Traditionally, empathy is recognized as a core competence in this field. Occupational burnout in helping professionals is notable for its high levels and prevalence, as well as a variety of factors causing it, including specialists' regular encounters with negative emotions, sufferings and death of the recipients of their help (patients, clients etc.). The studies of the relationship between empathy and burnout were analyzed under one of the existing hypotheses: empathy promotes burnout; burnout reduces empathy; empathy prevents from burnout. This study considers phenomena specific to helping professions, such as secondary traumatization, compassion fatigue, compassion satisfaction and emotional dissonance, as well as their association with burnout. The analysis suggests that all three hypotheses are relevant and that a more nuanced understanding of empathy is necessary to provide insight into its relationship to burnout. The problem of finding an association between empathy and burnout transforms into the one, concerning the quality (or level) of professional empathy, as well as the possibility and ability to regulate it.
General Information
Keywords: empathy, burnout syndrome, compassion fatigue, compassion satisfaction, secondary traumatization, empathic personal distress, empathy regulation
Journal rubric: Labour Psychology and Engineering Psychology
Article type: review article
DOI: https://doi.org/10.17759/jmfp.2023120203
Received: 28.04.2023
Accepted:
For citation: Karyagina T.D., Roshchina S.Y. Empathy and Burnout in Helping Professionals [Elektronnyi resurs]. Sovremennaia zarubezhnaia psikhologiia = Journal of Modern Foreign Psychology, 2023. Vol. 12, no. 2, pp. 30–42. DOI: 10.17759/jmfp.2023120203. (In Russ., аbstr. in Engl.)
References
- Kornilova T.V. Edinstvo intellekta i affekta v mnozhestvennoi regulyatsii empatii [The unity of intellect and a ect in multidimensional regulation of empathy]. Natsional'nyi psikhologicheskii zhurnal = National Psychological Journal, 2022, no. 1(45), pp. 94—103. DOI:10.11621/npj.2022.0108 (In Russ.).
- Nurkova V.V. Kul'turnoe razvitie empatii-otozhdestvleniya i empatii-modelirovaniya [Cultural development of empathy-identification and empathy-modeling]. Natsional'nyj psikhologicheskij zhurnal = National Psychological Journal, 2020, no. 4(40), pp. 3—17. DOI:10.11621/npj.2020.0401 (In Russ.).
- Karyagina T.D., Kuhtova N.V., Olifirovich N.I., Shermazanyan L.G Professionalizatsiya empatii i prediktory vygoraniya pomogayushchikh spetsialistov [Professional development of empathy and burnout predictors in helping professionals]. Konsul'tativnaya psikhologiya i psikhoterapiya = Counseling Psychology and Psychotherapy, 2017. Vol. 25, no. 2, pp. 39—58. DOI:10.17759/cpp.2017250203 (In Russ.).
- Altmann T., Roth M. The risk of empathy: longitudinal associations between empathy and burnout. Psychology & Health, 2020. Vol. 36, no. 12, pp. 1441—1460. DOI:10.1080/08870446.2020.1838521
- Andreychik M.R. Feeling your joy helps me to bear feeling your pain: Examining associations between empathy for others' positive versus negative emotions and burnout. Personality and Individual Differences, 2019. Vol. 137, pp. 147—156. DOI:10.1016/j.paid.2018.08.028
- Wolfshohl J.A., Bradley K., Bell C. et. all. Association between empathy and burnout among emergency medicine physicians. Journal of Clinical Medicine Research, 2019. Vol. 11, no. 7, pp. 532—538. DOI:10.14740/jocmr3878
- Bakker A.B., Heuven E. Emotional dissonance, burnout, and in-role performance among nurses and police officers. International Journal of Stress Management, 2006. Vol. 13, no. 4, pp. 423—440. DOI:10.1037/1072-5245.13.4.423
- Zenasni F., Boujut E., Woerner A., Sultan S. Burnout and empathy in primary care: three hypotheses. British Journal of General Practice, 2012. Vol. 62, no. 600, pp. 346—347. DOI:10.3399/bjgp12x65219
- Picard J., Catu-Pinault A., Boujut E., Botella M., Jaury P., Zenasni F. Burnout, empathy and their relationships: a qualitative study with residents in General Medicine. Psychology, Health & Medicine, 2016. Vol. 21, no. 3, pp. 354—361. DOI:10.1080/13548506.2015.1054407
- Tei S., Becker C., Kawada R., Fujino J., Jankowski K.F., Sugihara G., Murai T., Takahashi H. Can we predict burnout severity from empathy-related brain activity? Translational Psychiatry, 2014. Vol. 4(6), article ID e393. 7 p. DOI:10.1038/tp.2014.34
- Chiracu A., Dumitru A.D.I. Burnout, empathy and well-being in medical and psychology students. Studia Doctoralia. Psychology and Educational Science. 2021. Vol. 12, no. 1, pp. 70—82. DOI:10.47040/sd0000089
- Davis M.H. Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 1983. Vol. 44, no. 1, pp. 113—126. DOI:10.1037/0022-3514.44.1.113
- Decety J. Empathy in Medicine: What It Is, and How Much We Really Need It? The American Journal of Medicine, 2020. Vol. 133, no. 5, pp. 561—566. DOI:10.1016/j.amjmed.2019.12.012
- Chen X., Chen M., Zheng H. et al. Effects of psychological intervention on empathy fatigue in nurses: A meta-analysis. Frontiers in Public Health, 2022. Vol. 10, article ID 952932, 12 p. DOI:10.3389/fpubh.2022.952932
- Sturzu L., Lala A., Bisch M., Guitter M., Dobre D., Schwan R. Empathy and Burnout — A Cross-Sectional Study Among Mental Healthcare Providers in France. Journal of Medicine and Life, 2019. Vol. 12, no. 1, pp. 21—29. DOI:10.25122/jml-2018-0050
- Bogiatzaki V., Frengidou E., Savakis E., Trigoni M., Galanis P., Anagnostopoulos F. Empathy and Burnout of Healthcare Professionals in Public Hospitals of Greece [Elektronnyi resurs]. International Journal of Caring Sciences, 2019. Vol. 12, no. 2, pp. 611—626. URL: http://www.internationaljournalofcaringsciences.org/docs/4_boyiatzaki_original_12_2.pdf (Accessed 20.06.2023).
- Lee P.T., Loh J., Sng G., Tung J., Yeo K.K. Empathy and burnout: a study on residents from a Singapore institution. Singapore Medical Journal, 2018. Vol. 59, no. 1, pp. 50—54 DOI:10.11622/smedj.2017096
- Ferri P., Guerra E., Marcheselli L., Cunico L., Di Lorenzo R. Empathy and burnout: an analytic cross-sectional study among nurses and nursing students [Elektronnyi resurs]. Acta Biomedica, 2015. Vol. 86, no. 2, pp. 104—115. URL: https://www.researchgate.net/publication/283032065 (Accessed 20.06.2023).
- Heckenberg R.A., Hale M.W., Kent S., Wright B.J. Empathy and job resources buffer the effect of higher job demands on increased salivary alpha amylase awakening responses in direct-care workers. Behavioural Brain Research, 2020. Vol. 394, article ID 112826, 7 p. DOI:10.1016/j.bbr.2020.112826 (полный текст недоступен, количество страниц неизвестно)
- Román-Sánchez D., Paramio-Cuevas J.C., Paloma-Castro O., Palazón-Fernández J.L., Lepiani-Díaz I., de la Fuente Rodríguez J.M., López-Millán M.R. Empathy, burnout, and attitudes towards mental illness among spanish mental health nurses. International Journal of Environmental Research and Public Health, 2022. Vol. 19, no. 2, article ID 692, 13 p. DOI:10.3390/ijerph19020692
- Wang Q., Wang L., Shi M., Li X., Liu R., Liu J.J., Zhu M., Wu H. Empathy, burnout, life satisfaction, correlations and associated socio-demographic factors among Chinese undergraduate medical students: an exploratory cross-sectional study. BMC Medical Education, 2019. Vol. 19, article ID 341, 10 p. DOI:10.1186/s12909-019-1788-3
- Stosic M.D., Blanch-Hartigan D., Aleksanyan T., Duenas J. & Ruben M.A. Empathy, friend or foe? Untangling the relationship between empathy and burnout in helping professions. The Journal of Social Psychology, 2021. Vol. 162, no. 1, pp. 89—108. DOI:10.1080/00224545.2021.1991259
- Bigdeli S., Arabshahi S.K.S., Zazoly A.Z., Norouzi A., Yazdi N.A., Hosseini A.F. Empathy, quality of life and occupational burnout among medical students. Research and Development in Medical Education, 2021. Vol. 10, article ID 21, 7 p. DOI:10.34172/rdme.2021.021
- Rezayat A.A., Shahini N., Asl H.T., Jarahi L., Behdani F., Shojaei S.R.H., Abadi J.S.A. Empathy score among medical students in Mashhad, Iran: study of the Jefferson Scale of Physician Empathy. Electron Physician, 2018. Vol. 10, no. 7, pp. 7101—7106. DOI:10.19082/7101
- Wilkinson H., Whittington R., Perry L., Eames C. Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 2017. Vol. 6, pp. 18—29. DOI:10.1016/j.burn.2017.06.003
- Ferreira S., Afonso P., Ramos M.R. Empathy and burnout: A multicentre comparative study between residents and specialists. Journal of Evaluation in Clinical Practice, 2020. Vol. 26, no. 1, pp. 216—222. DOI:10.1111/jep.13147
- Fryze M., Samardakiewicz M. Job burnout and empathy among different healthcare professionals. Polish Journal of Public Health, 2022. Vol. 132, no. 1, pp. 34—39. DOI:10.2478/pjph-2022-0007
- Gleichgerrcht E., Decety J. Empathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians. PLoS One, 2013. Vol. 8, no. 4, article ID e61526, 12 p. DOI:10.1371/journal.pone.0061526
- Guidi C., Traversa C. Empathy in patient care: from 'Clinical Empathy' to 'Empathic Concern'. Medicine, Health Care and Philosophy, 2021. Vol. 24, pp. 573—585. DOI:10.1007/s11019-021-10033-4
- Hall J.A., Schwartz R. Empathy present and future. The Journal of Social Psychology, 2019. Vol. 159, no. 3, pp. 225—243. DOI:10.1080/00224545.2018.1477442
- Hunt P.A., Denieffe S., Gooney M. Burnout and its relationship to empathy in nursing: a review of the literature. Journal of Research in Nursing, 2017. Vol. 22, no. 1—2, pp. 7—22 DOI:10.1177/1744987116678902
- Jacoby J.L., Cole J.D., Ruble M.J. et al. Measures of Burnout and Empathy in United States Doctor of Pharmacy Students: Time for a Change? Journal of Pharmacy Practice, 2022. Vol. 35, no. 6, pp. 940—946. DOI:10.1177/08971900211021259
- Murphy B.A., Lilienfeld S.O., Algoe S.B. Why We Should Reject the Restrictive Isomorphic Matching Definition of Empathy. Emotion Review. 2022. Vol. 14, no. 3, pp. 167—181. DOI:10.1177/17540739221082215
- O’Connor K., Neff D.M., Pitman S. Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry, 2018. Vol. 53, pp. 74—99. DOI:10.1016/j.eurpsy.2018.06.003
- Ondrejková N., Halamová J. Qualitative analysis of compassion fatigue and coping strategies among nurses. International Journal of Nursing Sciences, 2022. Vol. 9, no. 4, pp. 467—480. DOI:480.10.1016/j.ijnss.2022.09.007
- Papazoglou K., Koskelainen M., Stuewe N. Examining the relationship between personality traits, compassion satisfaction, and compassion fatigue among police officers. SAGE Open, 2019. Vol. 9, no. 1, pp. 1—13. DOI:10.1177/2158244018825190
- Passalacqua S., Segrin C. The effect of resident physician stress, burnout, and empathy on patient-centered communication during the long-call shift. Health Communication, 2012. Vol. 27, no. 5, pp. 449—456. DOI:10.1080/10410236.2011.606527
- Zeidner M., Hadar D., Matthews G., Roberts R.D. Personal factors related to compassion fatigue in health professionals. Anxiety, Stress & Coping: An International Journal, 2013. Vol. 26, no. 6, pp. 595—609. DOI:10.1080/10615806.2013.777045
- Schwartz R., Dubey M., Blanch-Hartigan D., Sanders J.J., Hall J.A. Physician empathy according to physicians: A multi-specialty qualitative analysis. Patient Education and Counseling, 2021. Vol. 104, no. 10, pp. 2425—2431. DOI:10.1016/j.pec.2021.07.024
- Hojat M., Gonnella J.S., Nasca T.J., Mangione S., Vergare M., Magee M. Physician empathy: definition, components, measurement, and relationship to gender and specialty. American Journal of Psychiatry, 2002. Vol. 159, no. 9. pp. 1563—1569. DOI:10.1176/appi.ajp.159.9.1563
- Rotenstein L.S., Torre M., Ramos M.A., Rosales R.C., Guille C., Sen S., Mata D.A. Prevalence of burnout among physicians: a systematic review. JAMA, 2018. Vol. 320(11), pp. 1131—1150. DOI:10.1001/jama.2018.12777
- Rogers C.R. The necessary and sufficient conditions of therapeutic personality change. Psychotherapy: theory, research, practice, training, 2007. Vol. 44, no. 3, pp. 240—248. DOI:10.1037/0033-3204.44.3.240
- Ruiz-Junco N., Morrison D.R. Empathy as care: the model of palliative medicine. Society, 2019. Vol. 56, pp. 158—165. DOI:10.1007/s12115-019-00344-x
- Schaufeli W. B., Leiter M.P., Maslach C. Burnout: 35 years of research and practice. Career Development International. 2009. Vol. 14, no. 3, pp. 204—220. DOI:10.1108/13620430910966406
- Klim G., Boyd K.C., Roberts L., Taylor E.J. Social Empathy and Associated Factors Among Nurses: An Observational Study. Holistic Nursing Practice, 2023. Vol. 37, no. 1, pp. 6—14. DOI:10.1097/HNP.0000000000000560
- Stamm B.H. The Concise ProQOL Manual: The concise manual for the professional quality of life scale [Elektronnyi resurs]. Pocatello: ProQOL, 2010. 78 p. URL: https://www.researchgate.net/publication/340033923 (Accessed 19.06.2023).
- Williams B., Lau R., Thornton E., Olney L.S. The relationship between empathy and burnout — lessons for paramedics: a scoping review. Psychology Research and Behavior Management, 2017. Vol. 10, pp. 329—337. DOI:10.2147/PRBM.S145810
- Wagaman M.A., Geiger J.M., Shockley C., Segal E.A. The Role of Empathy in Burnout, Compassion Satisfaction, and Secondary Traumatic Stress among Social Workers. Social Work, 2015. Vol. 60, no. 3, pp. 201—209. DOI:10.1093/sw/swv014
- Lamothe M., Boujut E., Zenasni F., Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Family Practice, 2014. Vol. 15, no. 1, article ID 15, 7 p. DOI:10.1186/1471-2296-15-15
- Hojat M., Vergare M., Isenberg G., Cohen M., Spandorfer J. Underlying construct of empathy, optimism, and burnout in medical students. International Journal of Medical Education, 2015. Vol. 6, pp. 12—16. DOI:10.5116/ijme.54c3.60cd
- Delgado N., Bonache H., Betancort M., Morera Y., Harris L.T. Understanding the Links between Inferring Mental States, Empathy, and Burnout in Medical Contexts. Healthcare, 2021. Vol. 9, no. 2, article ID 158, 11 p. DOI:10.3390/healthcare9020158
- Völker J., Flohr-Devaud M.E.F. Emotionen im Rettungsdienst: Emotionale Reaktivität, Empathie und Strategien im Vergleich zu Studierenden. Notfall & Rettungsmedizin, 2021. Vol. 26, pp. 101—106. DOI:10.1007/s10049-021-00930-9
- Wong A. Beyond burnout: looking deeply into physician distress. Canadian Ophthalmological Society, 2020. Vol. 55, no. 3, supplement 1, pp. 7—16. DOI:10.1016/j.jcjo.2020.01.014
Information About the Authors
Metrics
Views
Total: 1719
Previous month: 105
Current month: 48
Downloads
Total: 684
Previous month: 54
Current month: 15