Empathy and Attitude to Uncertainty and Risk-Readiness in Russian Doctors

105

Abstract

One important part of the problem of medical uncertainty is the psychological profiles of doctors of different specialties, as well as the role of empathy in their activities. This article tests hypotheses about the specificity of the relationship between empathy and attitudes to- wards uncertainty and risk in the personal profile of doctors of different specialties and, in particular, among psychiatrists. Testing the Jefferson Scale of Empathy (JSE), we used: Medical Risk Scale; Budner’s Scale of Tolerance-Intolerance of Ambiguity, Personal decision-making factors (LFR-21), and the Dirty Dozen (DD) to identify the properties of the Dark Triad. The study involved 265 people: 112 doctors (Mage=36.8; SD=8.6), as well as 153 students who were also included in the JSE approbation. Samples of doctors included: 1) 46 psychiatrists in Moscow (Mage=38.4, SD=8.4), of whom 39 are women; 2) 66 doctors of other special- ties (Mage=41.01, SD=12.8), of which 37 are women. Doctors with expressed personal risk- readiness rated average riskiness for transferring a decision to another one lower, but at the same time, the average risk level when postponing a decision was higher. The Jefferson Scale of Empathy in a Russian-speaking sample of doctors showed a similar three-factor structure to the English-speaking sample. Empathy scales are associated with a positive attitude of doctors to uncertainty and risk, also with their risk assessments in medical decisions, and are included in the differentiation of latent profiles (in a sample of psychiatrists).

General Information

Keywords: empathy, risk-readiness, rationality, tolerance to uncertainty, Jefferson Scale of Empathy, Medical Risk Scale

Journal rubric: Empirical and Experimental Research

Article type: scientific article

DOI: https://doi.org/10.21638/spbu16.2022.306

For citation: Kryukova E.A., Kornilova T.V. Empathy and Attitude to Uncertainty and Risk-Readiness in Russian Doctors. Vestnik of Saint Petersburg University. Psychology, 2022. Vol. 12, no. 3, pp. 331–346. DOI: 10.21638/spbu16.2022.306. (In Russ., аbstr. in Engl.)

References

Bar-Оn, R. (2007). The Bar-On model of emotional intelligence: A valid, robust and applicable EI model. Organisation & People, 14 (2), 27–34.

Basin, E.I. (1987). Creativity and empathy. Voprosy filosofii, 2, 54–66. (In Russian)

Batson, C.D. (2009). These things called empathy: Eight related but distinct phenomena. In: J.Decety, W. Ickes (eds), The Social Neuroscience of Empathy (pp. 3–16). Cambridge, MA, MIT Press. https://doi.org/0.7551/mitpress/9780262012973.003.0002

Belousova, A.I., Gejvandova, M.R. (2021). Сognitive and affective empathy: approbation of the questionnaire on a Russian sample. Bulletin of the Moscow Region State University. Ser. Psychology, 31 (2), 6–20. https://doi.org/10.18384/2310-7235-2021-2-6-20 (In Russian, abstr. in English)

Bilibin, A.F., Tsaregorodcev, G.I. (1973). About clinical thinking. Moscow, Meditsina Publ. (In Russian)

Bogacheva, N.V., Kornilova, T.V., Krasavtseva, Yu. V. (2017). The relationships of self-assessment, implicit theories of risk, and personal risk readiness in health care workers. Vestnik Moskovskogo gosydarstvennogo oblastnogo yniversiteta. Ser. Psikhologicheskie nauki , 4, 6–19. (In Russian, abstr. in English)

Bogacheva, N.V., Pavlova, E.V., Kornilova, T.V. (2019). Cognitive and personality regulation of medical risk perception in practicing doctors. Psikhologicheskii zhurnal, 40 (4), 32–45. https://doi.org/10.31857/S020595920005370-3 (In Russian, abstr. in English)

Bogacheva, N., Kornilova, T., Pavlova, E. (2020). Relationships between medical doctors’ personality traits and their professional risk perception. Behavioral Sciences, 10, 6. https://doi.org/10.3390/bs10010006

Braun, S., Rosseel, Y., Kempenaers, C., Loas, G., Linkowski, P. (2015). Self-report of empathy: a shortened French adaptation of the interpersonal reactivity index (IRI) using two large Belgian samples. Psychological Reports,117, 735–753. https://doi.org/10.2466/08.02.PR0.117c23z6

Chen, P., Huang C., Yeh S. (2017). Impact of a narrative medicine programme on healthcare providers’ empathy scores over time. BMC Medical Education, 17, 106. https://doi.org/10.1186/s12909-017-0952-x

Davis, M.H. (1980). A multidimensional approach to individual differences in empathy. Journal of Social skills, 0, 85. https://doi.org/10.1037/0022514.44.1.113

Decety, J., Jackson, P.L. (2004). The functional architecture of human empathy. Behavioral and Cognitive Neuroscience Reviews, 3, 71–100. https://doi.org/10.1177/1534582304267187

Han, P.K.J. (2021). Medical uncertainty: putting flesh on the bones. Patient Education and Counseling, 104 (11), 2603–2605. https://doi.org/10.1016/j.pec.2021.09.001

Heym, N., Kibowski, F., Claire, A.J., Bloxsom, C.A.J., Blanchard, A., Harper, A., Wallace, L., Firth, J., Sumich, A. (2021). The Dark Empath: Characterising dark traits in the presence of empathy. Personality and Individual Differences, 169 (1), 110–172. https://doi.org/10.1016/j.paid.2020.110172

Hojat, M., DeSantis, J., Shannon, S. (2018). The Jefferson Scale of Empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students. Advances in Health Sciences. Education, 23 (5), 899–920. https://doi.org/10.1007/s10459-018-9839-9

Hojat, M., LaNoue, M. (2014). Exploration and confirmation of the latent variable structure of the Jefferson Scale of Empathy. International Journal of Medical Education, 5, 73–81. https://doi.org/10.5116/ijme.533f.0c41

Hojat, M., Mangione, S., Kane, C., Cohen, M. J. M., Gonella, J. S., Erdmann, J. B., Velovski, J., Magee, M. (2001). Jefferson Scale of Patient’s Perceptions of physician empathy: Preliminary psychometric data. Education Psychological Measurement, 61, 349–365. https://doi.org/10.1177/00131640121971158

Hojat, M., Vergare, M., Maxwell, K., Brainard, G., Herrine, S. K., Isenberg, G. A., Velovski, J., Gonella, 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

Harisova, R. (2012). Comparative analysis of personality traits and types of empathy as professional qualities of psychiatrists and psychiatrists-psychotherapists. Psychology and psychotechnics, 6, 39–43. (In Russian)

Kamenev, I.I., Kornilova, T.V., Razvalyaeva, A.Yu. (2018). The connection between risk, motivation and self-regulation in decision making (on a sample of medical workers). Voprosy psikhologii, 1, 127–137. (In Russian, abstr. in English)

Karyagina, T.D. (2013). Evolution of the concept of “empathy” in psychology: PhD dissertation. (Psychology) . Moscow. (In Russian)

Kornilova, T.V., Chumakova, M.A. (2014). Scales of tolerance and intolerance for uncertainty in the modification of the S.Badner questionnaire. Eksperimental’naia psikhologiia, 1, 92–110. (In Russian, abstr. in English)

Kornilova, T.V., Сhumakova, M.A., Kornilov, S.A., Novikova, M.A. (2010). The psychology of uncertainty: on the unity of the person’s intellectual-personal potential. Moscow, Smysl Publ. (In Russian)

Kornilova, T.V., Kerimova, S.G. (2018). Special characteristics of personal decision making (based on the framing effect) in doctors and teachers. Psychology. Journal of the Higher School of Economics, 15 (1), 22–38. (In Russian, abstr. in English)

Kornilova, T.V., Kornilov, S.A. (2021). Latent profiles of personality traits related to decision making about social distancing (in Russia and Azerbaijan). Psikhologicheskii zhurnal, 42 (3), 36–47. https://doi.org/10.31857/S020595920015189-3 (In Russian, abstr. in English)

Kornilova, T.V., Kornilov, S.A., Chumakova, M.A., Talmach, M. S. (2015). The Dark Triad personality traits measure: Approbation of the Dirty Dozen questionnaire. Psikhologicheskii zhurnal, 36 (2), 99–112. (In Russian, abstr. in English)

Kornilova, Т.V., Pavlova, E.M., Bogacheva, N.V. , Kamenev, I. I., Krasavtseva, Yu. V. (2020). Representations of medical risks and their connection to different personal characteristics in doctors and medical students. Psychology in Russia: State of the Art, 13 (1), 99–120. https://doi.org/10.11621/pir.2020.0109

Krasnov, E.V., Kryukova, E.A., Kotlovskiy, M.Y. (2021). Empathy and personality traits of medical doctors working in the COVID-19 Pandemic. Psychology. Journal of the Higher School of Economics, 18 (2), 245–246. https://doi.org/10.17323/1813-89-18-2021-2-245-246.

Krasavtseva, Yu. V., Kornilova, T.V. (2019). Narcissism as a “light” trait in the Dark Triad. Counseling Psychology and Psychotherapy, 27 (4), 65–80. https://doi.org/10.17759/cpp.2019270405. (In Russian, abstr. in English)

Pavlova, E.M., Bogacheva, N.V. (2018). Level-based organization of cognitive risk representations among doctors and realtors. Moscow University Psychology Bulletin. Ser. 14. Psychology, 4, 32–53. https://doi.org/10.11621/vsp.2018.04.32 (in Russian, abstr. in English)

Pavlova, E.M., Kornilova, T.V., Bogacheva, N.V., Krasavtseva, Yu. V. (2019). Personal profile and decisionmaking regulation in medical specialists: from a student to a medical practitioner. RSUH/RGGU Bulletin. Ser. Psyсhology. Pedagogics. Education, 2, 97–115. https://doi.org/10.28995/2073-6398-2019-2- 97-115 (In Russian, abstr. in English)

Polishchuk, Y.I., Letnikova, Z.V. (2013). Diagnostic and therapeutic value of medical empathy in psychiatry. Social and clinical psychiatry, 23 (3), 99–102. (In Russian)

Pfattheicher, S., Nockur, L., Böhm, R., Sassenrath, C., Petersen, M. B. (2020). The emotional path to action: Empathy promotes physical distancing during the COVID-19 pandemic. Psychological Science, 31 (11), 1363–1373. https://doi.org/10.31234/osf.io/y2cg5

Seo, H.-Y. Lee, D.-W. Nam, S., Sung-jun, Cho, Je-Yeon, Yoon, Yun-Chul, Hong, Nami, Lee (2020). Burnout as a mediator in the relationship between work-life balance and empathy in healthcare professionals. Psychiatry Investigation, 17 (9), 951–959. https://doi.org/10.30773/pi.2020.0147 344

Williams, B., Beovich, B. (2020). A systematic review of psychometric assessment of the Jefferson Scale of Empathy using the COSMIN risk of bias checklist. Journal of Evaluation in Clinical Practice. 26 (4), 1302–1315. https://doi.org/10.1111/jep.13293. Epub. 2019.19

Zirenko, M. S., Kornilova, T.V., Zhou, Q., Izmailova, A. (2021). Personality regulation of decisions on physical distancing: Cross-cultural comparison (Russia, Azerbaijan, China). Personality and Individual Differences, 170, 110418. https://doi.org/10.1016/j.paid.2020.110418

Information About the Authors

Ekaterina A. Kryukova, Postgraduate Student, Lomonosov Moscow State University, Moscow, Russia, ORCID: https://orcid.org/0000-0002-9845-8575, e-mail: krukova.k@gmail.com

Tatyana V. Kornilova, Doctor of Psychology, Professor, Department of General Psychology, Lomonosov Moscow State University, Moscow, Russia, ORCID: https://orcid.org/0000-0002-5065-3793, e-mail: tvkornilova@mail.ru

Metrics

Views

Total: 133
Previous month: 11
Current month: 2

Downloads

Total: 105
Previous month: 17
Current month: 7