Evidence map›Paper›PMID 40776767›Full record

Trial reportBritish journal of health psychology2025

Is compassion fatigue a self-fulfilling prophecy in health care? A preregistered experimental study of manipulated expectations in doctors and medical trainees.

Rachel Roskvist, Nathan S Consedine

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2025. 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
–field-weighted citation impact
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.

  1. Trial
  2. Article
  3. Article
  4. Observational
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

2 authors.

Rachel RoskvistDepartment of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-8367-0947
Nathan S ConsedineDepartment of Psychological Medicine, School of Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-7691-0938

Funding

Charitable Education and Research Trust of the Northland and Auckland Faculties of the Royal New Zealand College of General PractitionersGoodfellow Unit
6 · The paper itself

Abstract

objectivesTo test the possibility that narratives regarding compassion as tiring (compassion fatigue) in health care represent a form of self-fulfilling prophecy by experimentally testing whether perceptions of compassion can be manipulated and whether such manipulations change ratings of compassion toward hypothetical patients.

designPreregistered experimental study of medical practitioners and trainee doctors conducted anonymously and online using a mixed between-groups and repeated within-person design.

methodsNew Zealand doctors and medical trainees were randomized to watch a video positioning compassion as positive or negative (or a control video). Perceptions of compassion were rated before and after the manipulation, before participants rated standardized vignettes depicting patients who systematically varied in terms of presentation and responsibility for condition. Data were analysed using factorial analysis of variance (ANOVA).

resultsFactorial ANOVA revealed that perceptions of compassion were influenced by the video manipulation but group differences in ratings of care, compassion, and desire to help hypothetical patients were not found. Patient presentation and responsibility manipulations showed large effects and there was evidence for the influence of social desirability.

conclusionsThis study provides 'proof of principle' that perceptions of compassion are malleable lending support to the possibility that a focus on compassion fatigue may be contributing to a self-fulfilling prophecy. Perceptions of compassion were readily altered following a short video intervention. While group differences in responses to hypothetical patients were not seen, the findings (particularly the large effect of patient factors) support the view that multiple factors contribute to the emergence of compassion in health care.

Indexed as

Attitude of Health PersonnelCompassion FatigueEmpathyPhysiciansStudents, MedicalAdultFemaleHumansMaleMiddle AgedNew ZealandPhysician-Patient RelationsYoung Adultcompassioncompassion fatigueenvironmental factorsexpectationshealth carepatient factorsphysician

Identifiers

PMID40776767
PMCPMC12332519

What OpenQuestion holds

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Registered trials

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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.