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Physician Empathy

Definition, Components, Measurement, and Relationship to Gender and Specialty

Bibliographic Data

ID23344280
AuthorsMohammadreza Hojat (0000-0002-8841-3269, Thomas Jefferson University), Joseph S Gonnella (Thomas Jefferson University), Thomas J Nasca (0000-0003-0811-5462, Thomas Jefferson University), Salvatore Mangione (0000-0001-5180-0858, Thomas Jefferson University), Michael J Vergare (Thomas Jefferson University), Michael Vergare, Michael Magee, Maggie M Magee (0009-0003-1423-7922, Thomas Jefferson University)
Year2002
Volume159
Issue9
Pages1563-1569
Publication date2002-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Psychiatry (JOURNAL)
Journal identifiersISSN: 0002-953X • E-ISSN: 1535-7228
PublisherAmerican Psychiatric Association Publishing (PUBLISHER • US)
DOI10.1176/appi.ajp.159.9.1563
PMID12202278
OpenAlexW2100545904
LanguageEN
Citations received92
References cited16

OBJECTIVE: There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores. METHOD: A revised version of the Jefferson Scale of Physician Empathy (with 20 Likert-type items) was mailed to 1,007 physicians affiliated with the Jefferson Health System in the greater Philadelphia region; 704 (70%) responded. Construct validity, reliability of the empathy scale, and the differences on mean empathy scores by physicians' gender and specialty were examined. RESULTS: Three meaningful factors emerged (perspective taking, compassionate care, and standing in the patient's shoes) to provide support for the construct validity of the empathy scale that was also found to be internally consistent with relatively stable scores over time. Women scored higher than men to a degree that was nearly significant. With control for gender, psychiatrists scored a mean empathy rating that was significantly higher than that of physicians specializing in anesthesiology, orthopedic surgery, neurosurgery, radiology, cardiovascular surgery, obstetrics and gynecology, and general surgery. No significant difference was observed on empathy scores among physicians specializing in psychiatry, internal medicine, pediatrics, emergency medicine, and family medicine. CONCLUSIONS: Empathy is a multidimensional concept that varies among physicians and can be measured with a psychometrically sound tool. Implications for specialty selection and career counseling are discussed.

Construct validity · Developmental psychology · Empathy · Family medicine · Likert scale · Psychiatry · Psychometrics · Scale (ratio) · Specialty · Clinical Psychology · Empathy and Medical Education · Healthcare professionals’ stress and burnout · Innovations in Medical Education · Medicine · Psychology

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  • When Your Doctor “Gets It” and “Gets You”

    Open Access•Lauren C Howe, Kari Leibowitz et al.•Frontiers in Psychiatry•2019

  • Role of Empathy and Lifelong Learning Abilities in Physicians and Nurses Who Work in Direct Contact with Patients in Adverse Working Conditions

    Open Access•Roberto C Delgado Bolton, Montserrat San-Martín et al.•International Journal of…•2022

  • The Connection Between Anxiety and Empathy in Social Work Students

    Open Access•Mark Shaffer, Linda Houser et al.•Advances in Social Work•2025

  • Exploring Empathy Embedded in Ethics Curricula

    Open Access•Susan Gair•Advances in Social Work•2011

  • Intended Career Choice in Family Medicine in Slovenia

    Marija Petek Šter, Marija Ster et al.•Materia Socio Medica•2017

  • The Best of the Belleville Literary Review

    Craig Elliott•Medical Humanities•2008

  • Helping medical students to acquire a deeper understanding of truth-telling

    Open Access•Samia Hurst, Samia A Hurst et al.•Medical Education Online•2015

  • Association of an Educational Program in Mindful Communication With Burnout, Empathy, and Attitudes Among Primary Care Physicians

    Michael S Krasner•JAMA•2009

  • Understanding empathy training with virtual patients

    Open Access•Andrea Kleinsmith, Diego Rivera-Gutierrez et al.•Computers in Human Behavior•2015

  • Gender and Health Care

    Open Access•Ute Habel, Birgit Derntl•International Encyclopedia of the…•2015

  • Marketisation, Ethics and Healthcare

    Open Access•Angeliki Kerasidou, Ruth Horn et al.•Marketisation, Ethics and…•2018

  • What Makes Us Social

    Open Access•Chris Frith, Uta Frith•What Makes Us Social•2023

  • Association of Perceived Medical Errors With Resident Distress and Empathy

    Colin P West, Mashele M Huschka et al.•JAMA•2006

  • The Role of Empathy in Health and Social Care Professionals

    Open Access•Μαρία Μουδάτσου, Maria Moudatsou et al.•Healthcare•2020

  • The Effects of Physician Empathy on Patient Satisfaction and Compliance

    Open Access•Sung Soo Kim, Stan A Kaplowitz et al.•Evaluation & the Health Professions•2004

  • Teaching Empathy to Medical Students

    Samantha A Batt-Rawden, Samantha Batt-Rawden et al.•Academic Medicine•2013

  • Physiciansʼ Empathy and Clinical Outcomes for Diabetic Patients

    Mohammadreza Hojat, Daniel Z Louis et al.•Academic Medicine•2011

  • Effectiveness of empathy in general practice

    Frans Derksen, Jozien Bensing et al.•British Journal of General Practice•2013

  • The Devil is in the Third Year

    Mohammadreza Hojat, Michael J Vergare et al.•Academic Medicine•2009

  • Empathy in Clinical Practice

    Open Access•Ezequiel Gleichgerrcht, Jean Decety et al.•PLoS ONE•2013

  • Patient-Centred Communication in Ask-the-Expert Healthcare Websites

    Gabrina Pounds•Applied Linguistics•2016

  • Consistency Analysis in Medical Empathy Intervention Research

    Open Access•Meng‐Lin Lee, Ton‐Lin Hsieh et al.•International Journal of…•2022

  • Empathy and burnout in medical staff

    Open Access•Zongpu Yue, Yang Qin et al.•BMC Public Health•2022

  • Empathy Variation in General Practice

    Open Access•Justin Charles, Peder Ahnfeldt-Mollerup et al.•International Journal of…•2018

  • The Interplay among Empathy, Vicarious Trauma, and Burnout in Greek Mental Health Practitioners

    Open Access•Kalliopi Kounenou, Antonios Kalamatianos et al.•International Journal of…•2023

  • Personality disorder functioning styles and empathy in trainee nurses

    Open Access•Jiaoqing Pan, Jianing Pan et al.•Frontiers in Psychiatry•2025

  • Fostering Empathy, Implicit Bias Mitigation, and Compassionate Behavior in a Medical Humanities Course

    Open Access•Brian Schwartz, Brian D Schwartz et al.•International Journal of…•2020

  • Impact of a Pandemic and Remote Learning on Team Development and Elements of Compassion in Prospective Medical Students Taking a Medical Humanities Course

    Open Access•Lon J Van Winkle, Brian Schwartz et al.•International Journal of…•2021

  • Empathy Intervention to Reduce Implicit Bias in Pre-Service Teachers

    Open Access•Denise K Whitford, Andrea M Emerson•Psychological Reports•2018

  • Oncologists’ perception of depressive symptoms in patients with advanced cancer

    Open Access•Lucie Gouveia, Sophie Lelorain et al.•BMC Psychology•2015

  • Empathic and compassionate healthcare as a Christian spiritual practice

    Neil Pembroke•Practical Theology•2019

  • The relationship between empathy and mental health

    Open Access•Fan Zhang, Chenqi Jiang et al.•Frontiers in Psychiatry•2025

  • Reliability of Greek version of the Toronto empathy questionnaire in medical students and associations with sociodemographic and lifestyle factors

    Open Access•Polychronis Voultsos, Fotios Chatzinikolaou et al.•BMC Psychology•2022

  • Empathy as Related to Motivations for Medicine in a Sample of First-Year Medical Students

    Open Access•Manuel Goncalves-Pereira, José Loureiro et al.•Psychological Reports•2013

  • Nurturing empathy in new medical professionals through a community-based educational program

    Open Access•Tzu-Hung Liu, T T Liu et al.•BMC Medical Education•2026

  • Not just a calling

    Open Access•Maciej Walkiewicz, Mateusz Guziak et al.•BMC Medical Education•2026

  • Exploring the heart of care

    Open Access•Razan I Nassar, Alhareth Ahmad et al.•BMC Medical Education•2026

  • The role of narrative medicine in cultivating professional competencies

    Open Access•Weijing Liu, Rixiang Xu et al.•BMC Medical Education•2026

  • Moral judgment competence of midwifery students and its influencing factors

    Open Access•Juan Hu, Hu Juan et al.•Frontiers in Public Health•2025

  • Effects of Engineering Students’ Soft Skills and Empathy on Their Attitudes toward Curricula Integration

    Open Access•Soonhee Hwang•Education Sciences•2022

  • Emotional Intelligence in Health Contexts

    Terrance Ruth, Rose Amburose et al.•Social Work in Public Health•2026

  • Exploring the Korean adolescent empathy using the Interpersonal Reactivity Index (IRI)

    Open Access•Heesun Yang, Seong-Joo Kang•Asia Pacific Education Review•2020

  • A erosão da empatia do estudante de Medicina

    Open Access•Cecilia Maria Monteiro Barbosa, Alicia Eduarda Rios Soares et al.•Interface - Comunicação Saúde…•2026

  • Engaging otherness

    Open Access•Jolanda Van Dijke, Inge Van Nistelrooij et al.•Medicine Health Care and Philosophy•2023

  • Empathy is not so perfect! -For a descriptive and wide conception of empathy

    Open Access•Elodie Malbois, Samia Hurst•Medicine Health Care and Philosophy•2023

  • Lay Perspectives on Empathy in Patient-Physician Communication

    Open Access•Heike Gerger, Thomas Münder et al.•Health Communication•2024

  • What Does Patient-Centered Communication Look Like

    Yanmengqian Zhou, Michelle L Acevedo Callejas et al.•Health Communication•2023

  • Does Empathy Decline in the Clinical Phase of Medical Education? A Nationwide, Multi-Institutional, Cross-Sectional Study of Students at DO-Granting Medical Schools

    Open Access•Mohammadreza Hojat, Stephen Shannon et al.•Academic Medicine•2020

  • A systematic review on empathy measurement tools for care professionals

    Hyeon Hong, Alan Han•Educational Gerontology•2020

  • Equity, empathy, and diagnostic competence

    Open Access•John Øvretveit•Medical Education•2023

  • Empathy as related to gender, age, race and ethnicity, academic background and career interest

    Open Access•Mohammadreza Hojat, Jennifer DeSantis et al.•Medical Education•2020

  • Students as patients

    Open Access•Narelle Dalwood, Kelly‐Ann Bowles et al.•Medical Education•2020

  • The need for empathetic healthcare systems

    Open Access•Angeliki Kerasidou, Kristine Bærøe et al.•Journal of Medical Ethics•2021

  • Enhancing user satisfaction with healthcare conversational agents

    Open Access•Yan Xing, Xixian Peng et al.•Decision Support Systems•2026

  • Empathy in family medicine postgraduate education

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  • Twelve tips for mindful teaching and learning in medical education

    Elizabeth Ryznar, Rachel B Levine•Medical Teacher•2022

  • Measurement instruments for perspective-taking

    Open Access•Elsemarijn Leijenaar, Megan Milota et al.•Medical Teacher•2025

  • Mindfulness-based mobile app reduces anxiety and increases self-compassion in healthcare students

    Álvaro Orosa-Duarte, Roberto Mediavilla et al.•Medical Teacher•2021

  • ‘Acting it out really makes it stick in your brain’

    Open Access•Narelle Dalwood, Felicity Blackstock et al.•Medical Teacher•2026

  • Empathy among first year university students

    Open Access•Sabine Michiels, Jennifer Foucart et al.•Acta Psychologica•2026

  • Personal and Job Factors Associated with Teachers’ Active Listening and Active Empathic Listening

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  • Empathy and care within engineering

    Johannes Ströbel, Justin L Hess et al.•Engineering Studies•2013

  • Challenging the clinically-situated emotion-deficient version of empathy within medicine and medical education research

    Open Access•Barret Michalec, Frederic W Hafferty•Social Theory & Health•2021

  • The death of Hector

    R Marshall, Robert J Marshall et al.•Medical Humanities•2009

  • Researchers’ reflections of empathy following interviews with migrants

    Open Access•Mónica Laura Vázquez Maggio, Harriet Westcott•Qualitative Research Journal•2014

  • Social images of youth in residential care

    Open Access•Adena Hoffnung-Assouline, Shalhevet Attar‐schwartz et al.•European Journal of Social Work•2025

  • How do patients and General Practitioners talk about pain and negotiate empathy in consultations? A direct observational study

    Open Access•Lee Thompson, Anthony Dowell et al.•Health & Social Care in the…•2021

  • Social Work Students' Thoughts on Their (in)Ability to Empathise with a Birth Mother's Story

    Open Access•Susan Gair•Adoption & Fostering•2010

  • Measuring perceived empathy in dialogue systems

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  • Empathy, Emotion, and Ekstasis in the Patient–Physician Relationship

    Open Access•Neil Pembroke, Neil Francis Pembroke•Journal of Religion and Health•2007

  • Empathy is Associated with Meaning of Life and Mental Health Treatment but not Religiosity Among Brazilian Medical Students

    Open Access•Rodolfo Furlan Damiano, Luciana Maria de Andrade Ribeiro et al.•Journal of Religion and Health•2017

  • The mediating role of psychological capital on the relation between distress and empathy of medical residents

    Open Access•Jing Jin, Jin Jing et al.•Medical Education Online•2020

  • A scoping review on the use of virtual patients for enhancing empathy in medical students

    Open Access•Rie Yamada, Kaori Futakawa et al.•Medical Education Online•2025

  • Parents' information and support needs when their child is diagnosed with type 1 diabetes

    Open Access•David Rankin, Jeni Harden et al.•Health Expectations•2016

  • Empathy and avoidance in treating patients living with HIV/Aids (PLWHA) among service providers in China

    Chunqing Lin, Li Li et al.•AIDS Care•2012

  • Beyond Presentation Skills

    Hsiang‐Chun Lee, Hsiang-Chun Lee et al.•Journal of Nursing Education•2026

  • Individual Differences and Similarities in the Judgement of Facial Pain

    Open Access•Sheila Glenn, Helen Poole et al.•European Journal of Investigation…•2020

  • Autistic Traits, STEM, and Medicine

    Open Access•Emma Turner, E C Turner et al.•SAGE Open•2021

  • Psychometry

    Open Access•Alejandro Reyes-Reyes, Aracelis Calzadilla-Núñez et al.•SAGE Open•2021

  • What Matters Most? The Power of Kafka’s Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education

    Open Access•Courtenay Sprague•Journal of Medical Humanities•2022

  • Moral disengagement, victimization, empathy, social and emotional competencies as predictors of violence in children and adolescents

    Open Access•Raquel Espejo-Siles, Raquel Espejo‐sile et al.•Children and Youth Services Review•2020

  • Emotions in uniform

    Open Access•Renae Maree Hayward, Michelle R Tuckey•Human Relations•2011

  • Narrativas de estudantes de Medicina e Enfermagem

    Open Access•Maria Auxiliadora Craice De Benedetto, Dante Marcello Claramonte Gallian•Interface - Comunicação Saúde…•2018

  • Who Reveals, Who Conceals

    Open Access•David Niven, Alexis Straka et al.•Political Research Quarterly•2020

  • The Toronto Empathy Questionnaire

    Open Access•Ntina Kourmousi, Eirini Amanaki et al.•Social Sciences•2017

  • The strangest of all encounters

    Open Access•A James, Sherman A James•Cadernos de Saude Publica•2017

  • Training professionals' communication and motivation skills to improve spinal cord injury patients' satisfaction and clinical outcomes

    Open Access•Pilar Lusilla-Palacios, Carmina Castellano-Tejedor et al.•Journal of Health Psychology•2015

  • Feeling Their Stories

    Open Access•Susan Gair•Qualitative Health Research•2012

  • Forging convictions

    Open Access•Clare Scott, Jan Walker et al.•Social Science & Medicine•2011

  • I Understand How You Feel

    Open Access•Yulia A Strekalova, Janice L Krieger et al.•Journal of Language and Social…•2017

  • Finding Common Ground

    Open Access•Samantha Nazione, Evan K Perrault et al.•Journal of Racial and Ethnic…•2019

  • Dimensions of therapist response as causal factors in therapeutic change.

    Godfrey T Barrett‐lennard, G T Barrett-Lennard•The Psychological Monographs•1962

  • Development of an empathy scale.

    Robert Hogan•Journal of Consulting and…•1969

  • Parental Investment and Sexual Selection

    Robert Trivers, Robert L Trivers•Sexual Selection and the Descent…•2017

  • Empathy

    Mark H A Davis, Mark H Davis•Empathy•2018

  • A measure of emotional empathy1

    Open Access•Albert Mehrabian, Norman Epstein et al.•Journal of Personality•1972

  • The use of structured learning for empathy enhancement in paraprofessional psychotherapist training

    Open Access•Arnold P Goldstein, Arnold Goedhart et al.•Journal of Community Psychology•1973

  • Therapeutic relationships provided by various professionals

    Open Access•Charles B Truax, Hal Altmann et al.•Journal of Community Psychology•1974

  • The Role of Empathy in Improving Intergroup Relations

    Open Access•Walter G Stephan, Krystina Finlay et al.•Journal of Social Issues•1999

  • Physician Satisfaction With Primary Care Office Visits

    Anthony L Suchman, Debra Roter et al.•Medical Care•1993

  • The Influence of Gender on Physician Practice Style

    Klea D Bertakis, L Jay Helms et al.•Medical Care•1995

  • Empathy and attitudes

    Christie D Batson, Marina P Polycarpou et al.•Journal of Personality and Social…•1997

  • Measuring individual differences in empathy

    Mark H Davis•Journal of Personality and Social…•1983

  • Gender stereotypes stem from the distribution of women and men into social roles

    Alice H Eagly, Valerie J Steffen•Journal of Personality and Social…•1984

  • The distinction between sympathy and empathy

    Lauren Wispe•Journal of Personality and Social…•1986

  • Sex differences in empathy and related capacities

    Nancy Eisenberg, Randy Lennon•Psychological Bulletin•1983

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Citation span2004 - 2026 (23)
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