Empatía y soledad en el contexto de las profesiones sanitariasartículo de revisión

  1. Cynthia Núñez
  2. Flor Deza-Santos
  3. Claudia Taypicahuana Juareza
  4. Maritza Chirinos Lazo
  5. Sandra Gutiérrez Adriazola
  6. Roberto Delgado Bolton
  7. Luis Vivanco
Zeitschrift:
Cuadernos de bioética

ISSN: 1132-1989 2386-3773

Datum der Publikation: 2022

Titel der Ausgabe: Un maestro de la ética médica española

Ausgabe: 33

Nummer: 109

Seiten: 303-316

Art: Artikel

DOI: 10.30444/CB.135 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Cuadernos de bioética

Zusammenfassung

Social and communication skills play an important role in the relationship between healthcare professionals and their patients. In this field, it is plausible that clinical empathy and loneliness play an important role of influence. However, the knowledge about this roll is still scarce. The main purpose of this review was to collect findings reported on this matter in students and healthcare professionals. The review included: articles published in English or Spanish during the last fifty years that were indexed in MedLine or SCOPUS, with students or health professionals as participants, and where empathy and loneliness had been used as main measures. Eleven articles, published between 1986 and 2020, that met the abovementioned criteria were included in the analysis. From them, eight corresponded to observational studies and three to interventional studies. Eight studies included students and the other three included healthcare professionals in their study samples. A negative correlation between empathy and loneliness was found in four studies. Furthermore, loneliness in the family environment was described as a negative predictor of empathy towards patients. Training programs in empathic skills and group accompaniment proved not only effective in the improvement of empathy in students, but also in the reduction of loneliness. These findings confirm a close relationship between clinical empathy and loneliness. They also show that the improvement in empathic skills not only has a positive effect on the professional ethical behavior towards patients, but it also helps improving the professional’s well-being by reducing loneliness

Bibliographische Referenzen

  • Berduzco-Torres, N., Choquenaira-Callañaupa, B., Medi na, P., Chihuantito-Abal, L. A., Caballero, S., Gallegos, E., San Martín, M., Delgado-Bolton, R.C., y Vivanco, L. «Factors Related to the Differential Development of Inter-Professional Collaboration Abilities in Medicine and Nursing Students». Frontiers in Psychology. 2020; 11:432. doi:10.3389/fpsyg.2020.00432.
  • Berduzco-Torres, N., Medina, P., Choquenaira-Callañau pa, B., San-Martín, M., Delgado Bolton, R. C., y Viv anco, L. «Family Loneliness: Its Effects in the Develop ment of Empathy, Teamwork and Lifelong Learning Abilities in Medical Students». Frontiers in Psychol ogy. 2020; 11:1–10. doi:10.3389/fpsyg.2020.02046.
  • Berduzco-Torres, N., Medina, P., San-Martín, M., Del gado Bolton, R. C., & Vivanco, L.. «Non-academic factors influencing the development of empathy in undergraduate nursing students: a cross-sectional study». BMC nursing. 2021; 20:245. doi: 10.1186/ s12912-021-00773-2
  • Blomqvist, L., Pitkälä, K., y Routasalo, P. «Images of lone liness: using art as an educational method in profes sional training». The Journal of Continuing Education in Nursing. 2007; 38:89–93. doi:10.3928/00220124- 20070301-05.
  • Boss, L., Kang, D.-H., y Branson, S. «Loneliness and cogni tive function in the older adult: a systematic review». International Psychogeriatrics. 2015; 27:541–553. doi:10.1017/S1041610214002749.
  • Bowlby, J. «The Bowlby-Ainsworth attachment theory». Behavioral and Brain Sciences. 1979; 2:637–638. doi:10.1017/S0140525X00064955.
  • Delgado Bolton, R. C., San-Martín, M., Vivanco, L. «Role of Empathy and Lifelong Learning Abilities in Physi cians and Nurses Who Work in Direct Contact with Patients in Adverse Working Conditions». Interna tional Journal of Environmental Research and Public Health. 2022; 19:3012. doi:10.3390/ijerph19053012
  • DiTommaso, E. y Spinner, B. «Social and emotional lone liness: A re-examination of Weiss’ typology of loneli ness». Personality and Individual Differences. 1997; 22:417–427. doi:10.1016/S0191-8869(96)00204-8.
  • DiTommaso, E., Spinner, B. «The development and ini tial validation of the Social and Emotional Loneliness Scale for Adults (SELSA)». Personality and Individ ual Differences. 1993; 14:127–34. doi:10.1016/0191- 8869(93)90182-3
  • Domínguez, V., San-Martín, M., Vivanco, L. «Relaciones familiars, soledad y empatía en el cuidado del pacien te en estudiantes de enfermería». Atención Primaria. 2017; 49:56-7. doi: 10.1016/j.aprim.2016.03.007
  • Fernández-Rodríguez, L. J., Bardales-Zuta, V. H., San Martín, M., Delgado Bolton, R. C., y Vivanco, L. «Em pathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students». Frontiers in Psychology. 2020; 11:1–10. doi:10.3389/fpsyg.2020.567663.
  • Gittell, J. H., Fairfield, K. M., Bierbaum, B., Head, W., Jackson, R., Kelly, M., Laskin, R., Lipson, S., Siliski, J., Thornhill, T., y Zuckerman, J. «Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: a nine-hospi tal study of surgical patients». Medical care. 2000; 38:807–819. doi:10.1097/00005650-200008000-00005.
  • Gold, J. A., Bentzley, J. P., Franciscus, A. M., Forte, C., y De Golia, S. G. «An Intervention in Social Connec tion: Medical Student Reflection Groups». Academic Psychiatry. 2019; 43:375–380. doi:10.1007/s40596-019- 01058-2.
  • Gonnella, J.S., Callahan, C.A., Veloski, J.J., DeSantis, J., Hojat, M. Fifty yers of findings from the Jefferson Longitudinal Study of Medical Education, Cham, Springer, 2022.
  • Gradiski, I. P., Borovecki, A., Ćurkovi , M., San-Martín, M., Delgado Bolton, R. C., Vivanco, L. «Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Fac tors of Burnout». International Journal Of Environ mental Research And Public Health. 2022; 19:1385. doi:10.3390/ijerph19031385
  • Hojat, M. Empathy in health professions education and patient care, Cham, Springer, 2016.
  • Hojat, M., Axelrod, D., Spandorfer, J., y Mangione, S. «Enhancing and sustaining empathy in medical stu dents». Medical Teacher. 2013; 35:996–1001. doi:10.3 109/0142159X.2013.802300.
  • Hojat, M., Michalec, B., Veloski, J., y Tykocinski, M. L. «Can empathy, other personality attributes, and level of positive social influence in medical school identify potential leaders in medicine?» Aca demic Medicine. 2015; 90:505–510. doi:10.1097/ ACM.0000000000000652.
  • Isenberg, G., Brown, A., DeSantis, J., Veloski, J., y Ho jat, M. «The relationship between grit and selected personality measures in medical students». Interna tional Journal of Medical Education. 2020; 11:25–30. doi:10.5116/ijme.5e01.f32d.
  • Jordan, K. D., y Foster, P. S. «Medical student empathy: interpersonal distinctions and correlates». Advances in health sciences education: theory and practice. 2016; 21:1009–1022. doi:10.1007/s10459-016-9675-8.
  • Kalliopuska, M. «Empathy and the experiencing of lone liness». Psychological Reports. 1986; 59:1052–1054. doi:10.2466/pr0.1986.59.3.1052.
  • Killian, K.D. «Development and Validation of the Emo tional Self-Awareness Questionnaire: A Measure of Emotional Intelligence». Journal of Marital and Family Therapy. 2011; 38:502-14. doi:10.1111/j.1752- 0606.2011.00233.x
  • Kumar, A., y Nayar, K. R. «COVID 19 and its mental health consequences». Journal of Mental Health. 2021; 30:1–2. doi:10.1080/09638237.2020.1757052.
  • Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., et al. «Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Dis ease 2019». JAMA network open. 2020; 3:e203976. doi:10.1001/jamanetworkopen.2020.3976.
  • Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reyn olds, S., Shafran, R., Brigden, A., Linney, C., McMa nus, M. N., Borwick, C., y Crawley, E. «Rapid Sys tematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19». Journal of the American Academy of Child and Adolescent Psychiatry. 2020; 59:1218-1239.e3. doi:10.1016/j. jaac.2020.05.009.
  • López-Morales, H., Rivera-Diaz, E., Ore-Zuñiga, A., Ve ra-Portilla, A., San-Martín, M., Delgado Bolton, R. C., Vivanco, L. «Positive Impact of Professionalism on the Perception of Global Well-Being: A Study in Healthcare Professionals Starting Their First Work ing Experience in Peruvian Rural Areas». Fron tiers in Public Health. 2020; 8:575774. doi:10.3389/ fpubh.2020.575774
  • Marilaf Caro, M., San-Martín, M., Delgado-Bolton, R., y Vivanco, L. «Empathy, loneliness, burnout, and life satisfaction in Chilean nurses of palliative care and homecare services». Enfermería Clínica. 2017; 27:379–386. doi:10.1016/j.enfcli.2017.04.007.
  • Mascaro, J. S., Kelley, S., Darcher, A., Negi, L. T., Worth man, C., Miller, A., y Raison, C. «Meditation buffers medical student compassion from the deleterious effects of depression». The Journal of Positive Psy chology. 2018; 13:133–142. doi:10.1080/17439760.2 016.1233348.
  • Mehrabian y Epstein. «A measure of emotional em pathy». Journal of Personality. 1972; 40:525-543. doi:10.1111/j.1467-6494.1972.tb00078.x
  • Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Libera ti, A., Petticrew, M., Shekelle, P., Stewart, L. A., y PRISMA-P Group «Preferred reporting items for systematic review and meta-analysis protocols (PRISMA P) 2015 statement». statement. Systematic reviews. 2015; 20:148–160. doi:10.1186/2046-4053-4-1.
  • Ofei-Dodoo, S., Ebberwein, C., y Kellerman, R. «Assess ing Loneliness and Other Types of Emotional Distress among Practicing Physicians». Kansas Journal of Med icine. 2020; 13:1–5. doi:10.17161/kjm.v13i1.13394.
  • Pike, I. L., y Crocker, R. M. «“My own corner of lone liness:” Social isolation and place among Mexican immigrants in Arizona and Turkana pastoralists of Kenya». Transcultural Psychiatry. 2020; 57:661–672. doi:10.1177/1363461520938286.
  • Russell, D., Peplau, L.A., Ferguson, M.L. «Developing a measure of loneliness». Journal of Personality Assess ment. 1978; 42:290-294.
  • San-Martín, M., Delgado-Bolton, R., & Vivanco, L. «Role of a Semiotics-Based Curriculum in Empathy En hancement: A Longitudinal Study in Three Domini can Medical Schools». Frontiers in psychology. 2017; 8:2018. doi:10.3389/fpsyg.2017.02018
  • Silverstein, M., Conroy, S. J., Wang, H., Giarrusso, R., y Bengtson, V. L. «Reciprocity in parent-child relations over the adult life course». The journals of gerontology. Series B, Psychological sciences and social sci ences. 2002; 57:S3-13. doi:10.1093/geronb/57.1.s3.
  • Soler-Gonzalez, J., San-Martín, M., Delgado-Bolton, R., y Vivanco, L. «Human connections and their roles in the occupational well-being of healthcare pro fessionals: A study on loneliness and empathy». Frontiers in Psychology. 2017; 8:1475. doi:10.3389/ fpsyg.2017.01475.
  • Sprecher, S., Fehr, B. «Compassionate love for close others and humanity». Journal of So cial and Personal Relationships. 2005; 22:629-51. doi:10.1177/0265407505056439
  • Thomas, B. H., Ciliska, D., Dobbins, M., y Micucci, S. «A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions». Worldviews on Evidence Based Nursing. 2004; 1:176–84. doi:10.1111/j.1524- 475X.2004.04006.x.
  • Vivanco, L. y Delgado-Bolton, R.C. “Professionalism”, en Ten Have, H. (Ed.). Encyclopedia of Global Bioethics, Cham, Springer, doi:10.1007/978-3-319-05544-2_353- 1
  • Weiss, R. S. «Reflections on the present state of loneli ness research». Journal of Social Behavior and Per sonality. 1987; 2:1–16
  • Wu, S., Renzaho, A. M. N., Hall, B. J., Shi, L., Ling, L., y Chen, W. «Time-varying associations of pre-migra tion and post-migration stressors in refugees’ men tal health during resettlement: a longitudinal study in Australia». The lancet. Psychiatry 2021; 8:36–47. doi:10.1016/S2215-0366(20)30422-3.
  • Yuguero, O., Ramon Marsal, J., Esquerda, M., Vivanco, L., y Soler-González, J. «Association between low empa thy and high burnout among primary care physicians and nurses in Lleida, Spain». European Journal of General Practice. 2017; 23:4–10. doi:10.1080/138147 88.2016.1233173