ArticleBMC primary care2026
Self-care and emotional engagement in therapeutic contexts: a predictive study of healthcare practitioners.
Article in BMC primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundClinical empathy is essential to therapy quality, patient satisfaction, and practitioner well-being. Mindful self-care has been shown to prevent burnout, but less is known about its association with adaptive professional abilities such as clinical empathy. This research examined whether multidimensional mindful self-care predicts healthcare practitioner clinical empathy.
methodsA cross-sectional predictive design was employed with a sample of 153 healthcare practitioners in Saudi Arabia. Participants filled out the Arabic versions of the Multidimensional Clinical Empathy Scale (M-CES) and the Mindful Self-Care Scale–Brief (MSCS-Brief). We used Pearson correlations, multiple regression, and structural equation modelling (SEM) to look at the data. To ensure model parsimony, professional experience was retained as the sole control variable in the structural model.
resultsThe relational and structural self-care dimensions had the most robust positive correlations with total clinical empathy. Multiple regression analysis revealed that self-care dimensions collectively accounted for 28.5% of the variance in empathy (R² = 0.285, p < .001). Supportive structure and supportive relationships were identified as significant positive predictors, whereas physical care exhibited a negative association. The structural equation model demonstrated acceptable fit χ²(43) = 92.82, CFI = 0.91, RMSEA = 0.09) and confirmed a significant direct association of mindful self-care on clinical empathy (β = 0.51, p < .001). When self-care was taken into account, professional experience did not substantially predict empathy (β = 0.14, p = .076).
conclusionThe results show that multidimensional self-regulatory self-care activities have a stronger association with clinical empathy than professional experience. Relational and structural self-care strategies seem to be especially important for sustaining empathic involvement in therapy. These findings support a process-oriented perspective of empathy as a cultivable professional skill rooted in deliberate self-regulation.
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