How does a physician's accurate understanding of a cancer patient's unmet needs contribute to patient perception of physician empathy?
Patient Education and CounselingPublished 25 March 2015
Sophie Lelorain, Anne Brédart, Sylvie Dolbeault, Alejandra Cano, Angélique Bonnaud‐Antignac, Florence Cousson‐Gélie
Citations27
SJR quartileQ1
SJR score1.24
SNIP1.37
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Physician AU has the power to protect the doctor-patient relationship in spite of high patient unmet needs, but only in certain conditions.
Abstract
Physicians should be encouraged toward AU but warned that high rapport and patient low emotional expression may impede an accurate reading of patients. In this latter case, they should request a formal assessment of their patients' needs.
Keywords
MedicineHealth ProfessionsArts and Humanities
Journal of School PsychologyA practical guide to multilevel modeling
1,377 Citations2009James Peugh
The purpose of this article is to clarify the seven major steps involved in a multilevel analysis: clarifying the research question, choosing the appropriate parameter estimator, assessing the need for MLM, building the level-1 model, building a level-2 model, and likelihood ratio model testing.
Family PracticeThe consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure
920 Citations2004Stewart W Mercer
Preliminary results support the validity and reliability of the CARE measure as a tool for measuring patients' perceptions of relational empathy in the consultation.
Trends in Cognitive SciencesCauses and consequences of mind perception
684 Citations2010Adam Waytz, Kurt Gray +2 more
Understanding the causes and consequences of mind perception can explain when this most social of cognitive skills will be used, and why it matters.
PLoS ONEEmpathy in Clinical Practice: How Individual Dispositions, Gender, and Experience Moderate Empathic Concern, Burnout, and Emotional Distress in Physicians
541 Citations2013Ezequiel Gleichgerrcht, Jean Decety
Physicians who have difficulty regulating their negative arousal and describing and identifying emotions seem to be more prone to emotional exhaustion, detachment, and a low sense of accomplishment, while the ability to engage in self-other awareness and regulate one’s emotions, seem to contribute to the sense of compassion that comes from assisting patients in clinical practice.
Journal of Evaluation in Clinical PracticeBrief assessment of adult cancer patients' perceived needs: development and validation of the 34‐item Supportive Care Needs Survey (SCNS‐SF34)
530 Citations2009Allison Boyes, Afaf Girgis +1 more
The SCNS-SF34 is a valid instrument for measuring cancer patients' perceived needs across a range of domains, and could be utilized as part of routine cancer care.
Cochrane Database of Systematic ReviewsCommunication skills training for healthcare professionals working with people who have cancer
443 Citations2013Philippa Moore, Solange Rivera +2 more
Whether CST works and which types of CST, if any, are the most effective in improving the communication skills of HCPs involved in cancer care, and in improving patient health status and satisfaction is assessed.
Choice Reviews OnlineEmpathy in patient care: antecedents, development, measurement, and outcomes
422 Citations2007
This book discusses empathy as Related to Sex, Personal Qualities, Clinical Competence, and Career Choice, as well as the Interpersonal Dynamics in Clinician-Patient Relationships.
Academic MedicineThe Jefferson Scale of Physician Empathy
405 Citations2002Mohammadreza Hojat, Joseph S. Gonnella +4 more
It is found that female students and physicians scored higher in empathy than males, and a significant overlap between empathy and clinical competence constitutes key validity evidence for the empathy scale.
Journal of Clinical OncologyOncologist Communication About Emotion During Visits With Patients With Advanced Cancer
404 Citations2007Kathryn I. Pollak, Robert M. Arnold +7 more
To reduce patient anxiety and increase patient satisfaction and adherence, oncologists may need training to encourage patients to express emotions and to respond empathically to patients' emotions.
Psychology Press eBooksHandbook of Imagination and Mental Simulation
392 Citations2012Keith D. Markman
Journal of PersonalityA Framework for Profile Similarity: Integrating Similarity, Normativeness, and Distinctiveness
351 Citations2008R. Michael Furr
The normativeness problem is described, articulating the need to evaluate profile similarity alongside norm ativeness and distinctiveness and presenting conceptual and psychometric foundations of a framework differentiating these elements for pairs of profiles.
Journal of the American Medical Informatics AssociationInformation seeking and social support in online health communities: impact on patients' perceived empathy
293 Citations2011Priya Nambisan
The study finds that HCOs that provide online health communities for their patients need to focus more on developing tools that will make information seeking more effective and efficient.
Psycho-OncologyA systematic review of the associations between empathy measures and patient outcomes in cancer care
291 Citations2012Sophie Lelorain, Anne Brédart +2 more
This review investigates the links between physicians' or nurses' empathy and patient outcomes in oncology.
Patient Education and CounselingEmpirical research on empathy in medicine—A critical review
280 Citations2009Reidar Pedersen
The empirical studies of empathy in medicine tend to separate empathy from main parts of clinical perception, judgment, and communication, which means important aspects and influences of empathy have been relatively neglected.
BMC Family PracticeTo be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice
270 Citations2014Martin Lamothe, Émilie Boujut +2 more
Deficits in PT alone might be a risk factor for burnout, whereas higher PT and EC might be protective, and educators should take into account how the various components of empathy are potentially associated with emotional outcomes in physicians.
A User's Guide To Mlwin
259 Citations2015Jon Rasbash, Fiona Steele +3 more
The multilevel analysis was performed with the computer program MlwiN, and all other analyses were performed using A User's Guide to MLwiN Version 1.10.0.
Patient Education and CounselingDeterminants and patient-reported long-term outcomes of physician empathy in oncology: A structural equation modelling approach
246 Citations2007Melanie Neumann, Markus Wirtz +5 more
It is suggested that reducing physicians' stress at the organizational and individual level may be required to enhance patient-physician communication and through this pathway having a preventive effect on depression and improving Qol.
Multivariate Behavioral ResearchThe Social Accuracy Model of Interpersonal Perception: Assessing Individual Differences in Perceptive and Expressive Accuracy
237 Citations2010Jeremy C. Biesanz
The social accuracy model of interpersonal perception is a componential model that estimates perceiver and target effects of different components of accuracy across traits simultaneously and represents an integration of Cronbach's componential approach with Kenny's social relations model.
BMC Family PracticeSelf-rated health in multimorbid older general practice patients: a cross-sectional study in Germany
199 Citations2014Anna Nützel, Anne Dahlhaus +12 more
In multimorbid patients symptoms and consequences of diseases such as pain and activity limitations, as well as depression, seem to be far stronger associated with SRH than the diseases themselves.
EmotionUnpacking the informational bases of empathic accuracy.
178 Citations2009Jamil Zaki, Niall Bolger +1 more
Results suggest that auditory, and especially verbal information, is critical to EA, and expressive targets varying in trait emotional expressivity predicted both target behavior and EA, an effect influenced by the valence of the events they discussed.
Patient Education and CounselingAssociation between nonverbal communication during clinical interactions and outcomes: A systematic review and meta-analysis
170 Citations2011Stephen G. Henry, Andrea Fuhrel-Forbis +2 more
Communication-based interventions that target clinician warmth and listening and nurse negativity may lead to greater patient satisfaction, and more studies are needed to evaluate the impact of nonverbal communication on patients' mental and physical health.
EmotionSources of accuracy in the empathic accuracy paradigm.
163 Citations2007Judith A. Hall, Marianne Schmid Mast
Sources of accuracy in the empathic accuracy paradigm were investigated by presenting the stimulus tape in several cue modalities and with differing instructions (infer thoughts and feelings, infer thoughts, or infer feelings); verbal information contributed the most to accuracy, followed by vocal nonverbal cues.
Academic MedicineDoes Perspective-Taking Increase Patient Satisfaction in Medical Encounters?
147 Citations2010Benjamin Blatt, Susan LeLacheur +3 more
Perspective-taking increased patient satisfaction in all three studies, across medical schools, clinical disciplines, and racially diverse students and SPs.
PubMedRelationships between scores on the Jefferson Scale of physician empathy, patient perceptions of physician empathy, and humanistic approaches to patient care: a validity study.
140 Citations2007Karen Glaser, Fred W. Markham +3 more
Findings provide further support for the validity of the Jefferson Scale of Physician Empathy and implications for the assessments of empathy in the physician-patient relationship as related to clinical outcomes are discussed.
Simple Intercepts, Simple Slopes, and Regions of Significance in MLR 2-Way Interactions
138 Citations2004Kristopher J. Preacher, Patrick J. Curran +1 more
Psychological InquiryReintegrating the Study of Accuracy Into Social Cognition Research
132 Citations2011Jamil Zaki, Kevin N. Ochsner
PLoS ONEPersistence on Therapy and Propensity Matched Outcome Comparison of Two Subcutaneous Interferon Beta 1a Dosages for Multiple Sclerosis
130 Citations2013Tomáš Kalinčík, Timothy Spelman +50 more
Propensity score matching effectively minimised baseline covariate imbalance between two directly compared sub-populations from a large observational registry and replicating in a registry dataset derived from “real-world” database the results of the pivotal randomised trial.
The Journal of Alternative and Complementary MedicineA Pilot Prospective Study on the Consultation and Relational Empathy, Patient Enablement, and Health Changes over 12 Months in Patients Going to the Glasgow Homoeopathic Hospital
122 Citations2005Annemieke Bikker, Stewart W Mercer +1 more
Empathy is crucial for enablement, which, in turn, is strongly related to perceived change in main complaint and well-being, and the length of the first consultation appears to be an important factor in these complex relationships among process and outcome.
Journal of Counseling PsychologyMultilevel modeling: Overview and applications to research in counseling psychology.
109 Citations2011Jeffrey H. Kahn
This tutorial is intended to be a first step in learning about MLM; readers are referred to other sources for more advanced explorations of MLM.
Journal of General Internal MedicineComparing a Self-Administered Measure of Empathy with Observed Behavior Among Medical Students
105 Citations2009Daniel Chen, M. Elaine Pahilan +1 more
Self-reported empathy measured by a self-administered scale decreased, whereas observed empathy increased among medical students with more medical training.
Journal of Clinical OncologyPatient-Oncologist Alliance, Psychosocial Well-Being, and Treatment Adherence Among Young Adults With Advanced Cancer
100 Citations2013Kelly M. Trevino, Karen Fasciano +1 more
By developing a strong alliance, oncologists may enhance psychosocial well-being and increase treatment adherence in young adult patients with advanced cancer.
Psycho-OncologyBreast cancer and problems with medical interactions: Relationships with traumatic stress, emotional self-efficacy, and social support
97 Citations2004Win T. Han, Kate Collie +7 more
These patient characteristics identify women with primary breast cancer who are likely to experience difficulty in their interactions with nurses and physicians and to be less satisfied with their physicians.
The American Journal of BioethicsThe “Difficult” Patient Reconceived: An Expanded Moral Mandate for Clinical Ethics
95 Citations2012Autumn Fiester
It is argued that the phenomenon of patients being deemed “difficult” can be better explained as a response to problematic interactions related to health care delivery, and there is an ethical obligation to address this perception of harm.
Supportive Care in CancerIdentifying and predicting subgroups of information needs among cancer patients: an initial study using latent class analysis
95 Citations2010Melanie Neumann, Markus Wirtz +7 more
Nurses and physicians seem to be able to reduce CaPts’ unmet information needs by establishing a relationship with the patient, which is trusting, caring and empathic.
Supportive Care in CancerAsking the right questions: investigating needs assessments and health-related quality-of-life questionnaires for use in oncology clinical practice
92 Citations2007Claire Snyder, Sydney M. Dy +5 more
This preliminary study suggests that the issues patients most want help with may not be the issues that health professionals feel most able to address in managing cancer patients’ HRQOL issues and needs.
Journal of Personality and Social PsychologyToo much experience: A desensitization bias in emotional perspective taking.
81 Citations2014Troy Campbell, Ed O’Brien +3 more
A novel paradox in emotional perspective taking is revealed: If people experience an evocative event many times, they may not become wiser companions but worse, unable to disentangle self-change from other-oriented thinking.
Annals of OncologyAssessment of needs, health-related quality of life, and satisfaction with care in breast cancer patients to better target supportive care
78 Citations2013Anne Brédart, Jean‐Luc Kop +9 more
Assessment of needs, HRQOL, and satisfaction with care highlights the subgroups of BC patients requiring better supportive care targeting.
European Review of Applied PsychologyÉvaluation de deux stratégies de régulation émotionnelle : la suppression expressive et la réévaluation cognitive
78 Citations2008Véronique Christophe, Pascal Antoine +2 more
Patient Education and CounselingClinicians’ accuracy in perceiving patients: Its relevance for clinical practice and a narrative review of methods and correlates
72 Citations2011Judith A. Hall
Clinicians' interpersonal sensitivity is an important component of quality of care and deserves further research, and should be incorporated into training programs to improve clinician-patient communication.
Patient Education and CounselingPatterns in clinicians’ responses to patient emotion in cancer care
69 Citations2013Arnstein Finset, Lena Günterberg Heyn +1 more
Responses of clinicians which provide room for further disclosure do not occur at random and are systematically dependent on the source, explicitness and timing of the cue or concern.
Journal of Applied Psychology"Trust Me...": Psychological and Behavioral Predictors of Perceived Physician Empathy.
67 Citations2007Jo Silvester, Fiona Patterson +2 more
A sociocognitive model of distal and proximal predictors of empathic judgments was tested and support was found for the hypotheses; however, patients, but not medical assessors, associated empathy with reassurance and provision of medical information.
Health ExpectationsIn search of compassion: a new taxonomy of compassionate physician behaviours
61 Citations2013Rachel A. Cameron, Benjamin L. Mazer +3 more
There are few studies that systematically document the behavioural features of physician compassion and the ways in which physicians communicate compassion to patients.
Patient Education and CounselingBreast cancer patients’ trust in physicians: The impact of patients’ perception of physicians’ communication behaviors and hospital organizational climate
56 Citations2009Christoph Kowalski, Anika Nitzsche +4 more
A trusting physician-patient relationship among breast cancer patients is associated with both the perceived quality of the hospital organizational climate and perceived physicians' communication behaviors.
European Journal of Cancer CareValidation of the 34-item Supportive Care Needs Survey and 8-item Breast module French versions (SCNS-SF34-Fr and SCNS-BR8-Fr) in breast cancer patients
56 Citations2012A. Brédart, Jean‐Luc Kop +10 more
The French version of the Supportive Care Needs Survey and breast cancer module present adequate psychometric properties despite some redundant items, and these questionnaires allow for the crucial endeavour to design appropriate care services according to BC patients' characteristics.
Patient Education and CounselingPatients’ reflections on communication in the second-opinion hematology–oncology consultation
54 Citations2009Roberta E. Goldman, Amy Sullivan +4 more
Patients' perceptions of their second-opinion hematology-oncology consultation are explored to investigate physician-patient communication in malignant disease at a critical juncture in cancer patients' care and decision-making.
Psycho-OncologyPatient–physician communication during oncology consultations
52 Citations2008Hanna Fagerlind, Åsa Kettis Lindblad +5 more
The aim of this study was to characterize the content of patient‐physician communication in standard oncology care and to investigate the role of clinician‐patient communication in cancer care.
Patient Education and CounselingA comprehensive model for optimizing empathy in person-centered care
51 Citations2013Hannah B. Bayne, Ed Neukrug +2 more
A seven-tier model of empathy is developed that displays the facilitative conditions and potential barriers that may impact the full expression of empathy within the medical setting and conceptualizes ideal conditions for empathic treatment.
Psycho-OncologyBehind closed doors: systematic analysis of breast cancer consultation communication and predictors of satisfaction with communication
47 Citations2009Thomas F. Hack, Tom Pickles +4 more
The predictive relationships between patient and oncologist consultation factors and patient satisfaction with communication are examined and the content of primary adjuvant treatment consultations in breast oncology is explained.
Psycho-OncologyBehind closed doors II: systematic analysis of prostate cancer patients' primary treatment consultations with radiation oncologists and predictors of satisfaction with communication
45 Citations2011Thomas F. Hack, Joseph D. Ruether +4 more
Patient Education and CounselingEvaluation of the “Consultation and Relational Empathy” (CARE) measure by means of Rasch-analysis at the example of cancer patients
43 Citations2011Markus Wirtz, Maren Boecker +2 more
Analysis of unidimensionality of the German version of the "Consultation and Relational Empathy" (CARE) measure and identification of moderating variables affecting the scale structure are conducted.
Medical TeacherEmpathy and its correlates in Iranian physicians: A preliminary psychometric study of the Jefferson Scale of Physician Empathy
42 Citations2010Seyed Vahid Shariat, Elham Eshtad +1 more
Results support the construct and criterion-related validities and reliability of the Persian version of the Jefferson Scale of Physician Empathy and suggest that score difference between Iranian and American samples may not reflect a genuine difference in empathy trait and can be explained by cultural factors.
Psycho-OncologyPerceived communication between physicians and breast cancer patients as a predicting factor of patients' health-related quality of life: a longitudinal analysis
41 Citations2013Julie G. Trudel, Nicole Leduc +1 more
This longitudinal study aimed to ascertain whether perceived communication between physicians and breast cancer patients is a determining factor in their HRQOL along the disease's trajectory at three points in time.
HAL (Le Centre pour la Communication Scientifique Directe)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 Jefferson Scale of Physician
38 Citations2012Émilie Boujut, C Buffel +8 more
A negative relationship was observed between empathy factors and burnout and it is suggested that the use of a general empathy score is not warranted.
Journal of Clinical OncologyDiscordance in Perceived Needs Between Patients and Physicians in Oncology Practice: A Nationwide Survey in Korea
36 Citations2011Dong Wook Shin, So Young Kim +8 more
Significant underestimation of patient needs and poor concordance between patients and physicians in assessing perceived needs of supportive care are revealed.
International Journal for Quality in Health CarePatients' perceived support from physicians and the role of hospital characteristics
34 Citations2012Lena Ansmann, Christoph Kowalski +3 more
Preliminary evidence is provided that the quality of patient-physician communication depends not only on the patient or physician but also on hospital organization, which suggests that the influence of hospital characteristics on patient-reported outcomes may be shaped by the hospital environment.
Quality of Life ResearchThe patient–physician relationship in patients with breast cancer: influence on changes in quality of life after rehabilitation
31 Citations2012Erik Farin‐Glattacker, Michaela Nagl
By taking into consideration the patient’s communication and participation needs, physicians can contribute to an improved HRQOL after rehabilitation, which shows that rehabilitation care can be more effective if it accounts for the specific situation of socially disadvantaged individuals.
Supportive Care in CancerDo patient attributes predict oncologist empathic responses and patient perceptions of empathy?
30 Citations2009Kathryn I. Pollak, Robert M. Arnold +6 more
Oncologists, in general, did not respond empathically to patient's negative emotion, and did this equally for most patients, although oncologists responded more empathicallyTo patients who were less economically advantaged, patients with lower economic security perceived more empathy.
European Journal of Cancer CareIs doctors' ability to identify cancer patients' worry and wish for information related to doctors' self-efficacy with regard to communicating about difficult matters?
29 Citations2006Camilla Fröjd, Louise von Essén
The findings underscore the importance of further enhancing doctors' self-efficacy with regard to communicating about difficult matters and ability to identify patients who are less worried/wish more information than the average patient.
European Journal of Cancer CareDoes communication skills training make a difference to patients' experiences of consultations in oncology and palliative care services?
29 Citations2012Laurel A. Johnson, C Gorman +3 more
This pilot study evaluated whether the advanced communications skills training improves patients' experience of consultations by evaluating whether the patients' perceptions of relational empathy in the consultation were improved.
PubMedPredictors of empathy in health science students.
27 Citations2011Ted Brown, Malcolm Boyle +5 more
The findings indicate that People and Time listening styles and the Friendly and Relaxed communication styles were significant predictors of empathy in health science students and suggest that promoting effective communication among health scienceStudents may improve their ability to empathize.
Patient Education and CounselingPatient satisfaction with physician errors in detecting and identifying patient emotion cues
25 Citations2013Danielle Blanch‐Hartigan
Results suggest it may be better for physicians to incorrectly identify than miss an emotion, and training for healthcare providers should consider incorporating emotion detection.
Making It Up and Making Do: Simulation, Imagination, and Empathic Accuracy
23 Citations2015Michael W. Myers, Sara D. Hodges
Patient Education and CounselingHow can we explain physician accuracy in assessing patient distress? A multilevel analysis in patients with advanced cancer
11 Citations2013Sophie Lelorain, Anne Brédart +5 more
This study adds to the understanding of EA in oncological settings, particularly in challenging the common assumption that EA depends largely on physician characteristics or that better rapport would always favor higher EA.
European Journal of Cancer CareAre cancer patients whose problems are overestimated by nurses less satisfied with their care?
9 Citations2009Gunilla Mårtensson, Martin Carlsson +1 more
Patients whose depressive problems were underestimated by nurses were significantly less satisfied with the care they received and nurses need to improve their ability to identify cancer patients' emotional distress if they are to satisfy patients' needs.
Patient Education and CounselingCharacteristics associated with empathic behavior in Japanese oncologists
7 Citations2013Kyoko Kondo, Maiko Fujimori +5 more
It was found that empathic behaviors were more frequent in younger oncologists, and this information could be useful in determining the best approach for implementing future empathy and communication training programs for experienced oncologist in Japanese medical institutions.
Psychological AssessmentCharacteristics of current tasks that contribute to mentalizing judgments: Does the engagement of the participants in the social interaction matter? Comment on Achim et al. (2013).
7 Citations2013Maud Champagne‐Lavau, Noémie Moreau
Several arguments and results from the ToM literature are reviewed suggesting that merely observing a social interaction is not equivalent to participating in an interaction in terms of cognitive processes involved in the attribution of mental states to others.
Patient Education and CounselingEliciting the patient's perspective: Does experience or type of case make a difference?
6 Citations2010Hannah Maxfield, John E Delzell +1 more
This study hypothesized that students would be more patient-centered earlier in the year and with an ambiguous diagnosis and later in their third year, and measured Patient-centeredness by an eliciting the patient's perspective (EPP) score based on the checklist items.
