Korean J Med Educ.  2019 Sep;31(3):215-226. 10.3946/kjme.2019.132.

The relationship between empathy and stress: a cross-sectional study among undergraduate medical students

Affiliations
  • 1Undergraduate Medical Program, Faculty of Medicine, Universitas Indonesia, Indonesia.
  • 2Department of Medical Educationr, Faculty of Medicine, Universitas Indonesia, Indonesia. ardi.findyartini@ui.ac.id, findyartini@yahoo.com
  • 3Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Faculty of Medicine, Universitas Indonesia, Indonesia.
  • 4Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia.
  • 5Department of Psychiatry, Dr. Cipto Mangunkusumo Hospital, Central Jakarta, Indonesia.

Abstract

PURPOSE
Empathy is critical for medical doctors, as it enables them to conduct good patient-centred care. Medical students are expected to learn this ability as part of their education and training.
METHODS
Using a cross-sectional design, the present study was conducted to identify whether the empathy levels of medical students are affected by their stress levels. A translated version of the Perceived Stress Scale-10 was used to measure the students' stress levels, while the Jefferson Scale of Physician Empathy was used to measure their empathy levels.
RESULTS
A total of 464 students from one medical school in Indonesia participated in the study. Stress levels among medical students peak in their first year of study and maintain a downward trend over the following years. The students' empathy levels increased during their first 3 years, declined significantly upon entering the first clinical year, and increased during the second clinical year. However, no correlations were found between stress level and empathy level.
CONCLUSION
These findings suggest that there may be other underlying factors that contribute to empathy decline among medical students upon entering their first clinical year. Further research should be conducted to identify these factors. The bounced-back of empathy level to a higher level in the second year highlights the importance of student adaptation in the clinical learning environment and the support system.

Keyword

Empathy; Stress; Undergraduate; Medical students

MeSH Terms

Cross-Sectional Studies*
Education
Empathy*
Humans
Indonesia
Learning
Schools, Medical
Students, Medical*
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