俄罗斯医生对不确定性和风险准备的同理心和态度

E. Kryukova, T. Kornilova
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摘要

医疗不确定性问题的一个重要部分是不同专业医生的心理特征,以及移情在他们活动中的作用。本文对不同专业的医生,特别是精神科医生的个人资料中移情与对不确定性和风险的态度之间关系的特殊性的假设进行了检验。测试杰弗逊共情量表(JSE),我们使用:医疗风险量表;Budner的模糊容忍-不容忍量表,个人决策因素(LFR-21)和Dirty Dozen (DD)来识别黑暗三合一的属性。这项研究涉及265人:112名医生(年龄=36.8;SD=8.6), 153名学生也包括在JSE的批准中。医生样本包括:莫斯科精神病医生46名(Mage=38.4, SD=8.4),其中女性39名;2)其他专业医师66名(Mage=41.01, SD=12.8),其中女性37名。表示个人风险准备的医生认为,将一个决定转移到另一个决定的平均风险较低,但同时,推迟一个决定的平均风险水平较高。在讲俄语的医生样本中,杰斐逊同理心量表显示出与讲英语的样本相似的三因素结构。共情量表与医生对不确定性和风险的积极态度有关,也与他们在医疗决策中的风险评估有关,并包括在潜在概况的区分中(在精神科医生样本中)。
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Empathy and attitude to uncertainty and risk-readiness in Russian doctors
One important part of the problem of medical uncertainty is the psychological profiles of doctors of different specialties, as well as the role of empathy in their activities. This article tests hypotheses about the specificity of the relationship between empathy and attitudes to- wards uncertainty and risk in the personal profile of doctors of different specialties and, in particular, among psychiatrists. Testing the Jefferson Scale of Empathy (JSE), we used: Medical Risk Scale; Budner’s Scale of Tolerance-Intolerance of Ambiguity, Personal decision-making factors (LFR-21), and the Dirty Dozen (DD) to identify the properties of the Dark Triad. The study involved 265 people: 112 doctors (Mage=36.8; SD=8.6), as well as 153 students who were also included in the JSE approbation. Samples of doctors included: 1) 46 psychiatrists in Moscow (Mage=38.4, SD=8.4), of whom 39 are women; 2) 66 doctors of other special- ties (Mage=41.01, SD=12.8), of which 37 are women. Doctors with expressed personal risk- readiness rated average riskiness for transferring a decision to another one lower, but at the same time, the average risk level when postponing a decision was higher. The Jefferson Scale of Empathy in a Russian-speaking sample of doctors showed a similar three-factor structure to the English-speaking sample. Empathy scales are associated with a positive attitude of doctors to uncertainty and risk, also with their risk assessments in medical decisions, and are included in the differentiation of latent profiles (in a sample of psychiatrists).
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