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. 2019 Sep 6;19(1):341.
doi: 10.1186/s12909-019-1788-3.

Empathy, burnout, life satisfaction, correlations and associated socio-demographic factors among Chinese undergraduate medical students: an exploratory cross-sectional study

Qinghua Wang  1 , Lie Wang  2 , Meng Shi  1 , Xuelian Li  3 , Rong Liu  4 , Jie Liu  4 , Min Zhu  5 , Huazhang Wu  6
Affiliations

Empathy, burnout, life satisfaction, correlations and associated socio-demographic factors among Chinese undergraduate medical students: an exploratory cross-sectional study

Qinghua Wang et al. BMC Med Educ. .

Abstract

Background: Medical education is widely known to be a demanding process that may cause various mental health problems, such as burnout, which can lead to lowered levels of life satisfaction among medical students. Research shows that empathy is negatively correlated with burnout, but there are few studies on the relationship among empathy, burnout and life satisfaction in medical students. The objective of the present study is to explore the correlations of empathy and burnout with life satisfaction and the associated socio-demographic factors among Chinese undergraduate medical students.

Methods: In this cross-sectional study, 1271 undergraduate medical students (age 19.42 ± 1.34 years, 36% male) from 1st to 4th grades completed questionnaires including the Interpersonal Reactivity Index Chinese version (IRI-C), the Maslach Burnout Inventory Modified Chinese version (MBI-MC), the Satisfaction With Life Scale (SWLS) and socio-demographic characteristics. Statistical analyses included Student's t-test, one-way ANOVA, post hoc Bonferroni tests, hierarchical linear regression analysis and general linear model-univariate full factorial model.

Results: Over four academic years, medical students' empathy levels declined, but their burnout levels almost plateaued and their life satisfaction levels witnessed an initial fall before a rebound. Empathy was correlated with students' age and grade, and burnout was associated with students' maternal education. Significant differences in life satisfaction were detected with regard to medical students' age, academic year, the number of children in the family, place of residence and parents' educational levels.

Conclusions: Empathy explained 0.6% of the variance in life satisfaction in contrast to 13.7% of the variance explained by burnout in life satisfaction. Although empathy did not have a main effect on life satisfaction, there was an interaction effect of empathy and burnout on life satisfaction among students of high and low empathy and burnout levels. Students with high levels of empathy and low levels of burnout were most satisfied with life. Medical institutions and related authorities need to find effective measures to enhance students' empathy levels and reduce burnout to improve their life satisfaction.

Keywords: Burnout; Empathy; Life satisfaction; Medical students.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
The trend in mean scores of empathy, burnout and life satisfaction of undergraduate medical students over a span of four academic years (presented as mean ± standard deviation). Total sample: N = 1271; 1: first year students (n = 415); 2: second year students (n = 341); 3: third year students (n = 264); 4: fourth year students (n = 251). *p < 0.05; ***p < 0.001
Fig. 2
Fig. 2
Simple effects of two levels of empathy and burnout on life satisfaction
See this image and copyright information in PMC

References

    1. Yuguero O, Melnick ER, Marsal JR, Esquerda M, Soler-Gonzalez J. Cross-sectional study of the association between healthcare professionals’ empathy and burnout and the number of annual primary care visits per patient under their care in Spain. BMJ Open. 2018;8:e020949. doi: 10.1136/bmjopen-2017-020949. - DOI - PMC - PubMed
    1. Yuguero O, Marsal JR, Buti M, Esquerda M, Soler-González J. Descriptive study of association between quality of care and empathy and burnout in primary care. BMC Med Ethics. 2017;18:54–61. doi: 10.1186/s12910-017-0214-9. - DOI - PMC - PubMed
    1. Duarte J, Pinto-Gouveia J. Empathy and feelings of guilt experienced by nurses: a cross-sectional study of their role in burnout and compassion fatigue symptoms. Appl Nurs Res. 2017;35:42–47. doi: 10.1016/j.apnr.2017.02.006. - DOI - PubMed
    1. Silver J, Caleshu C, Casson-Parkin S, Ormond K. Mindfulness among genetic counselors is associated with increased empathy and work engagement and decreased burnout and compassion fatigue. J Genet Couns. 2018;27:1175–1186. doi: 10.1007/s10897-018-0236-6. - DOI - PubMed
    1. Hojat M. Empathy in patient care: antecedents, development, measurement, and outcomes. New York: Springer; 2007.