Evidence map›Paper›PMID 32362523›Full record

ArticlePatient education and counseling2020

Are clinicians' self-reported empathic concern and perspective-taking traits associated with their response to patient emotions?: Communication Studies.

Jenny Park, Somnath Saha, Dingfen Han, Monique Jindal, P Todd Korthuis, Richard Moore, Mary Catherine Beach

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Values elicitation among surgical oncologists: Findings from an international survey.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Jenny ParkJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Somnath SahaDivision of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, OR, USA; Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, USA.
Dingfen HanDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Monique JindalDivision of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
P Todd KorthuisDivision of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, OR, USA.
Richard MooreDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mary Catherine BeachDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA. Electronic address: mcbeach@jhmi.edu.
Johns Hopkins University · USOregon Health & Science University · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
Johns Hopkins HIV Clinical CohortU01DA036935 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MOORE, RICHARD DOUGLAS · 2014 to 2024
$14.9M
Maximizing respect and improving outcomes in HIV and substance abuse (MaRIPOHSA)R01DA037601 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2014 to 2019
$3.1M
Communication Quality and Patient Outcomes in HIV/AIDS and Substance AbuseK24DA037804 · NIDA · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE · 2015 to 2019
$923k
NIAID NIH HHS P30 AI094189NIDA NIH HHS K24 DA037804NIDA NIH HHS R01 DA037601NIDA NIH HHS U01 DA036935
6 · The paper itself

Abstract

objectiveTo understand whether clinicians' empathic concern and perspective-taking traits are associated with their response to patient emotions.

methodsWe audio-recorded 41 HIV clinician interactions with 342 patients at two academic medical centers. We assessed clinicians' self-reported empathic concern and perspective-taking traits using the Interpersonal Reactivity Index and coded emotional communication using the Verona Coding Definitions of Emotional Sequences. We used random effects models to assess associations between clinician traits and clinician responses to patients' negative emotions, accounting for clustering of emotions within encounters and patients within clinicians.

resultsClinicians with more self-reported empathic concern received fewer emotional expressions from their patients (β -0.06; 95% CI -0.10, -0.01) and had greater odds of responding to emotions by giving information/advice (OR 1.10; 95% CI 1.01, 1.20). There were no associations between empathic concern or perspective-taking and any other clinician responses.

conclusionClinicians with higher levels of empathic concern respond to patient emotions by giving information and advice, a response traditionally thought of as a missed empathic opportunity, not by exploring emotions or providing empathy. Whether this is helpful to patients is unknown. PRACTICE IMPLICATIONS: Clinicians should be aware of their tendency to give information to patients with emotional distress, and consider whether this response is helpful to patients.

Indexed as

Attitude of Health PersonnelCommunicationEmotionsEmpathyPhysician-Patient RelationsAdultCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPhysiciansSelf ReportTape RecordingConcernsEmotionsEmpathyHIV carePatient-provider communicationQuality

Identifiers

PMID32362523
PMCPMC7423637
OpenAlexW3016912655

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.