Abstract
Empathy corresponds to each one’s ability to understand other’s mental state, while self-differentiating from other. Most countries expect their health students and practitioners to be empathetic for people suffering from pathologies. The Interpersonal Reactivity Index (IRI) (Davis, 1980) and the Jefferson Scale of Empathy (JSE) (Hojat et al., 2002) are well-recognised scales designed for an estimation of general and clinical empathy, and usually used for between-group comparisons and analysis of time-related changes. In most comparative works, the conclusions were marred by methodological bias since measurement invariance (MI) which shows that item understanding is not influenced by group membership, remained to be demonstrated. This work aimed to analyse cisgender-related differences, after assessing MI of French IRI and JSE-student version (JSE-s) scales. It was carried out on a sample of health-trained newcomers who did not report psychological disorders. A multi-group confirmatory factor analysis was used for MI assessment. The dataset corresponded to 1216 questionnaires. The results confirmed the factor structure of both scales in cisgender groups considered separately. Non-invariant items across cisgender were identified in both scales. When invariant items were used for score calculation, it was observed that general and clinical empathy were significantly higher in cis women. To our best knowledge, this work presents the first MI analysis of French IRI and JSE-s scales. It proposes new findings and a robust methodology improving the reliability of empathy scales. The conclusions will help research and teaching teams for empathy analysis in broad populations, and for the training of health students.
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Data Availability
Data and material that support the findings of this study are available from the corresponding author upon reasonable request.
References
Anacker, A. M. J., & Beery, A. K. (2013). Life in groups: the roles of oxytocin in mammalian sociality. Frontiers in Behavioural Neurosciences, 7, 185. https://doi.org/10.3389/fnbeh.2013.00185.
Andersen, F. A., Johansen, A. S. B., Søndergaard, J., Andersen, C. M., & Hvidt, E. A. (2020). Revisiting the trajectory of medical students’ empathy, and impact of gender, specialty preferences and nationality: A systematic review. BMC Medical Education, 20, 52. https://doi.org/10.1186/s12909-020-1964-5.
Archer, E., & Turner, R. (2019). Measuring empathy in a group of South African undergraduate medical students using the student version of the Jefferson scale of empathy. African Journal of Primary Health Care & Family Medicine, 11(1), a1956. https://doi.org/10.4102/phcfm.v11i1.1956.
Ardenghi, S., Rampoldi, G., Bani, M., & Strepparava, M. G. (2021). Personal values as early predictors of emotional and cognitive empathy among medical students. Current Psychology, online access at. https://doi.org/10.1007/s12144-021-01373-8.
Baldner, C., & McGinley, J. J. (2014). Correlational and exploratory factor analyses (EFA) of commonly used empathy questionnaires: New insights. Motivation and Emotion, 38(5), 727–744. https://doi.org/10.1007/s10578-012-0327-9.
Bilgel, N., & Ozcakir, A. (2017). Turkish version of the Jefferson Scale of Empathy psychometric properties. European Scientific Journal, 13(20), 101–111. https://doi.org/10.19044/esj.2017.v13n20p101.
Blanco, J. M., Caballero, F., García, F. J., Lorenzo, F., & Monge, D. (2018). Validation of the Jefferson scale of physician empathy in Spanish medical students who participated in an early clerkship immersion programme. BMC Medical Education, 18, 209. https://doi.org/10.1186/s12909-018-1309-9.
Bourgault, P., Lavoie, S., Paul-Savoie, E., Grégoire, M., Michaud, C., Gosselin, E., & Johnston, C. C. (2015). Relationship between empathy and well-being among emergency nurses. Journal of Emergency Nursing, 41(4), 323–328. https://doi.org/10.1016/j.jen.2014.10.001.
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(3), 735–753. https://doi.org/10.2466/08.02.PR0.117c23z6.
Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). Guilford Press.
Cann, A., & Matson, C. (2014). Sense of humor and social desirability: Understanding how humor styles are perceived. Personality and Individual Differences, 66, 176–180. https://doi.org/10.1016/j.paid.2014.03.029.
Cappelleri, J. C., Jason Lundy, J., & Hays, R. D. (2014). Overview of classical test theory and item response theory for the quantitative assessment of items in developing patient-reported outcomes measures. Clinical Therapeutics, 36(5), 648–662. https://doi.org/10.1016/j.clinthera.2014.04.006.
Chaparro, R., & Pineda-Roa, C. A. (2020). Interpersonal Reactivity Index: Cultural adaptation and psychometric analysis in undergraduate Colombian students. Revista Interamericana De Psicología/Interamerican Journal of Psychology, 54(2), e1213. https://doi.org/10.30849/ripijp.v54i2.1213.
Chen, D., Lew, R., Hershman, W., & Orlander, J. (2007). A cross-sectional measurement of medical student empathy. Journal of General Internal Medicine, 22(10), 1434–1438. https://doi.org/10.1007/s11606-007-0298-x.
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9, 233–255.
Chukwuorji, J.C., Uzuegbu, C.N., Agbo, F., Ifeagwazi, C. M., &. Ebulum, G. C. (2020). Different slopes for different folks: Gender moderates the relationship between empathy and narcissism. Current Psychology, 39, 1808–1818. https://doi.org/10.1007/s12144-018-9881-z.
Cohen, J. (1988). Statistical power for the behavioural sciences. Laurence Erlbaum Associates.
Costa, P., de Carvalho Filho, M. A., Schweller, M., Thiemann, P., Salgueira, A., Benson, J., Costa, M. J., & Quince, T. (2017). Measuring medical students' empathy: Exploring the underlying constructs of and associations between two widely used self-report instruments in five countries. Academic Medicine, 92(6), 860–867. https://doi.org/10.1097/ACM.0000000000001449.
Crissman, H. P., Berger, M. B., Graham, L. F., & Dalton, V. K. (2017). Transgender demographics: a household probability sample of US adults, 2014. American Journal of Public Health – Transgender Health, 107(2), 213–215. https://doi.org/10.2105/AJPH.2016.303571.
Crutzen, R., & Peters, G. J. Y. (2017). Scale quality: Alpha is an inadequate estimate and factor-analytic evidence is needed first of all. Health Psychology Review, 11(3), 242–247. https://doi.org/10.1080/17437199.2015.1124240.
Dávila-Pontón, Y., Reyes-Reyes, A., Calzadilla-Núñez, A., Utsman, R., Torres-Martínez, P. A., & Díaz-Narváez, V. P. (2020). Empathy and personality styles in medical students. Revista Colombiana de Psicología, 29(2), 73–87. https://doi.org/10.15446/rcp.v29n2.8298.
Davis, M. H. (1980). A multidimensional approach to individual differences in empathy. JSAS Catalog of Selected Documents in Psychology, 10, 85.
Davis, M. H. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44, 113–126. https://doi.org/10.1037/0022-3514.44.1.113.
De Corte, K., Buysse, A., Verhofstad, L. L., Roeyers, H., Ponnet, K., & Davis, M. H. (2007). Measuring empathic tendencies: Reliability and validity of the Dutch version of the interpersonal reactivity index. Psychologica Belgica, 47, 235–260. https://doi.org/10.5334/pb-47-4-235.
Decety, J., Bartal, I. B.-A., Uzefovsky, F., & Knafo-Noam, A. (2016). Empathy as a driver of prosocial behaviour: Highly conserved neurobehavioural mechanisms across species. Philosophical Transactions of the Royal Society B, 371, 20150077. https://doi.org/10.1098/rstb.2015.0077.
Desai, N., Zhao, R., & Szafron, D. (2017). Effects of gender on perception and interpretation of video game character behavior and emotion. IEEE Transactions on Computational Intelligence and AI in Games, 9(4), 333–341. https://doi.org/10.1109/TCIAIG.2016.2570006.
Di Stefano, C., & Morgan, G. B. (2014). A comparison of diagonal weighted least squares robust estimation techniques for ordinal data. Structural Equation Modeling: A Multidisciplinary Journal, 21(3), 425–438. https://doi.org/10.1080/10705511.2014.915373.
Domes, G., Heinrichs, M., Michel, A., Berger, C., & Herpertz, S. C. (2007). Oxytocin improves ‘mind-reading’ in humans. Biological Psychiatry, 61, 731–733. https://doi.org/10.1016/j.biopsych.2006.07.015.
Dores, A. R., Martins, H., Reis, A. C., & Carvalho, I. P. (2021). Empathy and coping in allied health sciences: Gender patterns. Healthcare, 9, 497. https://doi.org/10.3390/healthcare9050497.
Duarte, M. I. F., Raposo, M. L. B., da Silva Farinha Rodrigues, J. F., & Branco, M. C. (2016). Measuring empathy in medical students, gender differences and level of medical education: An identification of a taxonomy of students. Investigación en Educación Médica, 5, 253–260. https://doi.org/10.1016/j.riem.2016.04.007.
Eklund, J. H., & Meranius, M. S. (2021). Toward a consensus on the nature of empathy: A review of reviews. Patient Education and Counseling, 104, 300–307. https://doi.org/10.1016/j.pec.2020.08.022.
Fauvet, L., Jakoubovitch, S., & Mikol, F. (2015). Profil et parcours des étudiants en première année commune aux études de santé. Études et Résultats, 927. Retrieved (December 2020) from https://ireps-ors-paysdelaloire.centredoc.fr/index.php?lvl=bulletin_display&id=3892#.YFzF49KSlQA.
Ferreira-Valente, A., Costa, P., Elorduy, M., Virumbrales, M., Costa, M. J., & Palés, J. (2016). Psychometric properties of the Spanish version of the Jefferson scale of empathy: Making sense of the total score through a second order confirmatory factor analysis. BMC Medical Education, 16, 242. https://doi.org/10.1186/s12909-016-0763-5.
Finset, A., & Ørnes, K. (2017). Empathy in the clinician–patient relationship: The role of reciprocal adjustments and processes of synchrony. Journal of Patient Experience, 4(2), 64–68. https://doi.org/10.1177/2374373517699271.
Gilet, A.-L., Mella, N., Studer, J., Grühn, D., & Labouvie-Vief, G. (2013). Assessing dispositional empathy in adults: A French validation of the interpersonal reactivity index (IRI). Canadian Journal of Behavioral Science, 45, 42–48. https://doi.org/10.1037/a0030425.
Gleichgerrcht, E., & Decety, J. (2014). The relationship between different facets of empathy, pain perception and compassion fatigue among physicians. Frontiers in Behavioral Neuroscience, 8, 243. https://doi.org/10.3389/fnbeh.2014.00243.
Gonullu, I., Erden, S., & Gokmen, D. (2017). Evaluation of student empathy level during the first five years of medical education at Ankara University. Journal of Higher Education and Science, 7(3), 651–656. https://doi.org/10.5961/jhes.2017.241.
Grevenstein, D. (2020). Factorial validity and measurement invariance across gender groups of the German version of the interpersonal reactivity index. Measurement Instruments for the Social Sciences, 2, 8. https://doi.org/10.1186/s42409-020-00015-2.
Grynberg, D., & López-Pérez, B. (2018). Facing others' misfortune: Personal distress mediates the association between maladaptive emotion regulation and social avoidance. PLoS One, 13(3), e0194248. https://doi.org/10.1371/journal.pone.0194248.
Hafford-Letchfield, T., Pezzella, A., Cole, L., & Manning, R. (2017). Transgender students in post-compulsory education: A systematic review. International Journal of Educational Research, 86, 1–12. https://doi.org/10.1016/j.ijer.2017.08.004.
Hawk, S. T., Keijsers, L., Branje, S. J. T., Van der Graaff, J., de Minet, W., & Meeus, W. (2012). Examining the interpersonal reactivity index (IRI) among early and late adolescents and their mothers. Journal of Personality Assessment, 95(1), 96–106. https://doi.org/10.1080/00223891.2012.696080.
Hay, J. (2000). Functions of humor in the conversations of men and women. Journal of Pragmatics, 32, 709–742. https://doi.org/10.1016/S0378-2166(99)00069-7.
Hayes, A. F., & Coutts, J. J. (2020). Use omega rather than Cronbach’s alpha for estimating reliability. Communication Methods and Measures, 14(1), 1–24. https://doi.org/10.1080/19312458.2020.1718629.
Hojat, M. (2018). Change in empathy in medical school. Medical Education, 52, 456–458. https://doi.org/10.1111/medu.13497.
Hojat, M., De Santis, J., Shannon, S. C., Mortensen, L. H., Speicher, M. R., Bragan, L., LaNoue, M., & Calabrese, L. H. (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., Gonnella, J. S., Mangione, S., Nasca, T. J., Veloski, J. J., Erdmann, J. B., Callahan, C. A., & Magee, M. (2002). Empathy in medical students as related to academic performance, clinical competence and gender. Medical Education, 36(6), 522–527. https://doi.org/10.1046/j.1365-2923.2002.01234.x.
Hojat, M., Gonnella, J. S., Nasca, T., & Magee, M. (2003). Physician empathy in medical education and practice: Experience with the Jefferson scale of physician empathy. Seminars in Integrative Medicine, 1(1), 25–41. https://doi.org/10.1016/S1543-1150(03)00002-4.
Hojat, M., & Gonnella, S. (2017). What matters more about the interpersonal reactivity index and the Jefferson scale of empathy? Their underlying constructs or their relationships with pertinent measures of clinical competence and patient outcomes? Academic Medicine, 92, 743–745. https://doi.org/10.1097/ACM.0000000000001424.
Hojat, M., Louis, D. Z., Maio, V., & Gonnella, J. S. (2013). Empathy and health care quality. American Journal of Medical Quality, 28(1), 6–7. https://doi.org/10.1177/1062860612464731.
Hojat, M., Shannon, S. C., De Santis, J., Speicher, M. R., Bragan, L., & Calabrese, L. H. (2020). Does empathy decline in the clinical phase of medical education? A nationwide, multi-institutional, cross-sectional study of students at DO-granting medical schools. Academic Medicine, 95(6), 911–918. https://doi.org/10.1097/ACM.0000000000003175.
Hojat, M., Vergare, M. J., Maxwell, K., Brainard, G., Herrine, S. K., Isenberg, G. A., Veloski, J., & Gonnella, 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.
Hong, H., & Han, A. (2020). A systematic review on empathy measurement tools for care professionals. Educational Gerontology, 46(2), 72–83. https://doi.org/10.1080/03601277.2020.1712058.
Hu, L., & Bentler, P. M. (1999). Cut off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1–55. https://doi.org/10.1080/10705519909540118.
Ingoglia, S., Lo Coco, A., & Albiero, P. (2016). Development of a brief form of the interpersonal reactivity index (B-IRI). Journal of Personality Assessment, 98(5), 461–471. https://doi.org/10.1080/00223891.2016.1149858.
Israel, S., Lerer, E., Shalev, I., Uzefovsky, F., Riebold, M., Laiba, E., Bachner-Melman, R., Maril, A., Bornstein, G., Knafo, A., & Ebstein, R. P. (2009). The oxytocin receptor (OXTR) contributes to prosocial fund allocations in the dictator game and the social value orientations task. PLoS One, 4(5), e5535. https://doi.org/10.1371/journal.pone.0005535.
JASP Team. (2020). JASP (Version 0.14.1) [Computer software]. Retrieved (April 2021) from https://jasp-stats.org/download/.
Kataoka, H. U., Koide, N., Ochi, K., Hojat, M., & Gonnella, J. S. (2009). Measurement of empathy among Japanese medical students: Psychometrics and score differences by gender and level of medical education. Academic Medicine, 84, 1192–1197. https://doi.org/10.1097/ACM.0b013e3181b180d4.
Kimmig, A.-C. S., Wildgruber, D., Wendel, S.-M. U., Sundström-Poromaa, I., & Derntl, B. (2021). Friend vs. foe: cognitive and affective empathy in women with different hormonal states. Frontiers in Neuroscience, 15, 608768. https://doi.org/10.3389/fnins.2021.608768.
Kliszcz, J., Nowicka Sauer, K., Trzeciak, B., Nowak, P., & Sadowska, A. (2006). Empathy in health care providers-validation study of the polish version of the Jefferson scale of empathy. Advances in Medical Sciences, 51, 219–225.
Kung, K. T. F. (2020). Autistic traits, systemising, empathising, and theory of mind in transgender and non-binary adults. Molecular Autism, 11, 73. https://doi.org/10.1186/s13229-020-00378-7.
Larson, E. B., & Yao, X. (2005). Clinical empathy as emotional labor in the patient- physician relationship. The Journal of the American Medical Association, 293(9), 1100–1106. https://doi.org/10.1001/jama.293.9.1100.
Leombruni, P., Di Lillo, M., Miniotti, M., Picardi, A., Alessandri, G., Sica, C., Zizzi, F., Castelli, L., & Torta, R. (2014). Measurement properties and confirmatory factor analysis of the Jefferson scale of empathy in Italian medical students. Perspectives on Medical Education, 3(6), 419–430. https://doi.org/10.1007/s40037-014-0137-9.
Li, D., Xu, H., Kang, M., & Ma, S. (2018). Empathy in Chinese eight-year medical program students: Differences by school year, educational stage, and future career preference. BMC Medical Education, 18, 241–250. https://doi.org/10.1186/s12909-018-1348-2.
Lucas-Molina, B., Pérez-Albéniz, A., Ortuño-Sierra, J., & Fonseca-Pedrero, E. (2017). Dimensional structure and measurement invariance of the interpersonal reactivity index (IRI) across gender. Psicothema, 29(4), 590–595. https://doi.org/10.7334/psicothema2017.19.
Lwow, M., Canetti, L., & Muszkat, M. (2020). Gender differences in the effect of medical humanities program on medical students’ empathy: A prospective longitudinal study. BMC Medical Education, 20, 413. https://doi.org/10.1186/s12909-020-02333-9.
Magalhães, E., Salgueira, A. P., Costa, P., & Costa, M. J. (2011). Empathy in senior year and first year medical students: A cross-sectional study. BMC Medical Education, 29(11), 52. https://doi.org/10.1186/1472-6920-11-52.
Maximiano-Barreto, M. A., de Morais Fabrício, D., Luchesi, B. M., & Chagas, M. H. N. (2020). Factors associated with levels of empathy among students and professionals in the health field: A systematic review. Trends in Psychiatry and Psychotherapy, 42(2), 207–215. https://doi.org/10.1590/2237-6089-2019-0035.
Moreno-Poyato, A. R., Rodríguez-Nogueira, Ó., & MiRTCIME.CAT working group. (2020). The association between empathy and the nurse-patient therapeutic relationship in mental health units: A cross-sectional study. Journal of Psychiatric and Mental Health Nursing, 28(3), 335–343. https://doi.org/10.1111/jpm.12675.
Morice-Ramat, A., Goronflot, L., & Guihard, G. (2018). Are alexithymia and empathy predicting factors of the resilience of medical residents in France ? International Journal of Medical Education, 9, 122–128. https://doi.org/10.5116/ijme.5ac6.44ba.
Moudatsou, M., Stavropoulou, A., Philalithis, A., & Koukouli, S. (2020). The role of empathy in health and social care professionals. Healthcare (Basel, Switzerland), 8(1), 26. https://doi.org/10.3390/healthcare8010026.
Neumann, D. L., Chan, R. C. K., Boyle, G. J., Wang, Y., & Westbury, H. R. (2014). Measures of empathy: Sself-report, behavioral, and neuroscientific approaches. In G. J. Boyle, D. H. Saklofske, & G. Matthews (Eds.), Measures of Personality and Social Psychological Constructs (pp. 257–289). Academic Press. https://doi.org/10.1016/B978-0-12-386915-9.00010-3.
Neumann, M., Scheffer, C., Tauschel, D., Lutz, G., Wirtz, M., & Edelhäuser, F. (2012). Physician empathy: Definition, outcome-relevance and its measurement in patient care and medical education. Gesellschaft für Medizinische Ausbildung, 29(1), doc11. https://doi.org/10.3205/zma000781.
Nienhuis, J. B., Owen, J., Valentine, J. C., Winkeljohn Black, S., Halford, T. C., Parazak, S. E., Budge, S., & Hilsenroth, M. (2018). Therapeutic alliance, empathy, and genuineness in individual adult psychotherapy: A meta-analytic review. Psychotherapy Research, 28(4), 593–605. https://doi.org/10.1080/10503307.2016.1204023.
Nitschke, J. P., & Bartz, J. A. (2020). Lower digit ratio and higher endogenous testosterone are associated with lower empathic accuracy. Hormones and Behavior, 119, 104648. https://doi.org/10.1016/j.yhbeh.2019.104648.
Nolen-Hoeksema, S. (2012). Emotion regulation and psychopathology: The role of gender. Annual Review of Clinical Psychology, 8, 161–187. https://doi.org/10.1146/annurev-clinpsy-032511-143109.
ONDPS (Observatoire National des Professions de Santé). (2014). Rapport 2013–2014. Retrieved (April 2021) from https://solidarites-sante.gouv.fr/IMG/pdf/RapportONDPS_2013_2014-compressed_couv_incluses.pdf.
Park, K. H., Roh, H., Suh, D. H., & Hojat, M. (2014). Empathy in Korean medical students: Findings from a nationwide survey. Medical Teacher, 37, 1–6. https://doi.org/10.3109/0142159X.2014.956058.
Paro, H. B., Daud-Gallotti, R. M., Tiberio, I. C., Pinto, R. M., & Martins, M. A. (2012). Brazilian version of the Jefferson scale of empathy: Psychometric properties and factor analysis. BMC Medical Education, 12, 73. https://doi.org/10.1186/1472-6920-12-73.
Penšec, L., & Selič, P. (2018). Empathy and burnout in Slovenian family medicine doctors: The first presentation of Jefferson scale of empathy results. Slovenian Journal of Public Health, 57(3), 155–165. https://doi.org/10.2478/sjph-2018-0020.
Perez-Albeniz, A., & de Paul, J. (2003). Dispositional empathy in high- and low-risk parents for child physical abuse. Child Abuse & Neglect, 27, 769–780. https://doi.org/10.1016/S0145-2134(03)00111-X.
Preusche, I., & Wagner-Menghin, M. (2013). Rising to the challenge: Cross-cultural adaptation and psychometric evaluation of the adapted German version of the Jefferson scale of physician empathy for students (JSE-S). Advances in Health Sciences Education: Theory and Practice, 18(4), 573–587. https://doi.org/10.1007/s10459-012-9393-9.
Procyshyn, T. L., Watson, N. V., & Crespi, B. J. (2020). Experimental empathy induction promotes oxytocin increases and testosterone decreases. Hormones and Behavior, 117, 104607. https://doi.org/10.1016/j.yhbeh.2019.104607.
Putnick, D. L., & Bornstein, M. H. (2016). Measurement invariance conventions and reporting: The state of the art and future directions for psychological research. Developmental Review, 41, 71–90. https://doi.org/10.1016/j.dr.2016.06.004.
Putrino, N., Tabullo, A., Mesurado, B., & Richaud de Minzi, M. C. (2021). Are there differences in health professionals’ empathy due to academic and clinical experience? Current Psychology, 40, 647–654. https://doi.org/10.1007/s12144-018-9980-x.
Quince, T. A., Kinnersley, P., Hales, J., da Silva, A., Moriarty, H., Thiemann, P., Hyde, S., Brimicombe, J., Wood, D., Barclay, M., & Benson, J. (2016). Empathy among undergraduate medical students: A multi-Centre cross-sectional comparison of students beginning and approaching the end of their course. BMC Medical Education, 16, 92. https://doi.org/10.1186/s12909-016-0603-7.
Raubenheimer, J. (2004). An item selection procedure to maximise scale reliability and validity. SA Journal of Industrial Psychology, 30(4), 59–64.
Rogers, C. R. (1959). A theory of therapy, personality and interpersonal relationships, as developed in the client-centered frame-work. In S. Koch (Ed.), Psychology: A study of science (Vol. 3). Mc-Graw Hill.
Roh, M. S., Hahm, B. J., Lee, D. H., & Suh, D. H. (2010). Evaluation of empathy among Korean medical students: A cross-sectional study using the Korean version of the Jefferson scale of physician empathy. Teaching and Learning in Medicine, 22(3), 167–171. https://doi.org/10.1080/10401334.2010.488191.
Roling, G., Lutz, G., Edelhäuser, F., Hofmann, M., Valk-Draad, M. P., Wack, C., Haramati, A., Tauschel, D., & Scheffer, C. (2020). Empathy, well-being and stressful experiences in the clinical learning environment. Patient Education and Counseling, 103(11), 2320–2327. https://doi.org/10.1016/j.pec.2020.04.025.
Shaheen, A., Mahmood, M. A., Zia-Ul-Miraj, M., & Ahmad, M. (2020). Empathy levels among undergraduate medical students in Pakistan, a cross sectional study using Jefferson scale of physician empathy. The Journal of the Pakistan Medical Association, 70(7), 1149–1153. https://doi.org/10.5455/JPMA.301593.
Smith, K. E., Norman, G. J., & Decety, J. (2017). The complexity of empathy during medical school training: Evidence for positive changes. Medical Education, 51(11), 1146–1159. https://doi.org/10.1111/medu.13398.
Sulzer, S. H., Feinstein, N. W., & Wendland, C. L. (2016). Assessing empathy development in medical education: A systematic review. Medical Education, 50(3), 300–310. https://doi.org/10.1111/medu.12806.
Tavakol, S., Dennick, R., & Tavakol, M. (2011). Psychometric properties and confirmatory factor analysis of the Jefferson scale of physician empathy. BMC Medical Education, 11, 54. https://doi.org/10.1186/1472-6920-11-54.
Thirioux, B., Birault, F., & Jaafari, N. (2016). Empathy is a protective factor of burnout in physicians: New neuro-phenomenological hypotheses regarding empathy and sympathy in care relationship. Frontiers in Psychology, 7, 763. https://doi.org/10.3389/fpsyg.2016.00763.
Uzefovsky, F., Shalev, I., Israel, S., Edelman, S., Raz, Y., Mankuta, D., Knafo-Noam, A., & Ebstein, R. P. (2015). Oxytocin receptor and vasopressin receptor 1a genes are respectively associated with emotional and cognitive empathy. Hormones and Behavior, 67, 60–65. https://doi.org/10.1016/j.yhbeh.2014.11.007.
Van De Schoot, R., Schmidt, P., De Beuckelaer, A., Lek, K., & Zondervan-Zwijnenburg, M. (2015). Measurement invariance. Frontiers in Psychology, 6, 1064. https://doi.org/10.3389/fpsyg.2015.01064.
Warrier, V., Greenberg, D. M., Weir, E., Buckingham, C., Smith, P., Lai, M.-C., Allison, C., & Baron-Cohen, S. (2020). Elevated rates of autism, other neurodevelopmental and psychiatric diagnoses, and autistic traits in transgender and gender-diverse individuals. Nature Communications, 11(3959), 1–12. https://doi.org/10.1038/s41467-020-17794-1.
Wen, D., Ma, X., Li, H., Liu, Z., Xian, B., & Liu, Y. (2013). Empathy in Chinese medical students: Psychometric characteristics and differences by gender and year of medical education. BMC Medical Education, 13, 130. https://doi.org/10.1186/1472-6920-13-130.
Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017). Examining the relationship between burnout and empathy in healthcare professionals: A systematic review. Burnout Research, 6, 18–29. https://doi.org/10.1016/j.burn.2017.06.003.
Winter, S., Diamond, M., Green, J., Karasic, D., Reed, T., Whittle, S., & Wylie, K. (2016). Transgender people: Health at the margins of society. Lancet (London, England), 388(10042), 390–400. https://doi.org/10.1016/S0140-6736(16)00683-8.
Xu, H., & Tracey, T. J. G. (2017). Use of multi-group confirmatory factorial analysis in examining measurement invariance in counselling psychology research. The European Journal of Counselling Psychology, 6(1), 75–82. https://doi.org/10.5964/ejcop.v6i1.120.
Zeigler-Hill, V., McCabe, G. A., & Vrabel, J. K. (2016). The dark side of humor: DSM-5 pathological personality traits and humor styles. European Journal of Psychology, 12(3), 363–376. https://doi.org/10.5964/ejop.v12i3.1109.
Zenasni, F., Boujut, E., du Vaure, B., Catu Pinault, A., Tavani, J. L., Rigal, L., et al. (2012). Development of a French language version of the Jefferson scale of physician empathy and association with practice characteristics and burnout in a sample of general practitioners. The International Journal of Person Centered Medicine, 2, 759–766. https://doi.org/10.5750/ijpcm.v2i4.295.
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Guihard, G. Measurement invariance analysis of two empathy scales in a sample of French first year students registered in health formation. Curr Psychol 42, 6516–6531 (2023). https://doi.org/10.1007/s12144-021-01936-9
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DOI: https://doi.org/10.1007/s12144-021-01936-9