EMPATHY AND COMPASSION

MEASURES OF EMPATHY AND COMPASSION

Empathy and compassion are crucial to our day to day functioning and relationships. Learning more about how people can be more compassionate and empathic in ways that bolster their own and others' health and well-being is one of hte most important scientific questions of our time.

These constructs can be complex though, and challenging to measure. Advancing the science of compassion and empathy requires that we develop and select measures best suited to answering research questions and evaluating effectiveness of training. This project reviewed surveys and observational/behavioral measures of empathy and compassion published over the last 8 decades. This project was supported by the Sanford Institute for Empathy and Compassion.

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Defining Empathy and Compassion

Results of Our Scoping Review

Find a Measure of Empathy or Compassion

DEFINING EMPATHY AND COMPASSION

Empathy and compassion are related, yet distinct constructs, each of which have multiple dimensions: affective, cognitive, behavioral, intentional, motivational, spiritual, moral, and others. In addition to their multidimensionality, compassion and empathy are crowded by multiple adjacent constrcuts with which they overlap to varying degrees, such as kindness, caring, concern, sensitvity, respect, and a host of behaviors, such as listening, accurately responding, patience and so on. Both compassion and empathy can be conceptualized at state and/or trait levels: people can have context-dependent experiences of empathy or compassion (i.e., state), or can have a tendency to be empathic or compassionate (i.e., trait). Compassion and empathy also appear to differ in underlying structure as well as brain function. When assessing compassion and empathy, it is often important to measure their opposites, or constructs that present barriers to experiencing and expressing compassion or empathy. “Compassion fatigue” is more accurately characterized as empathy fatigue, and some evidence indicates that compassion can actually counteract negative aspects of empathy.

A distinction can be drawn between positive empathy and/or compassion versus over-empathizing, which can lead to what has been termed “compassion fatigue” and burnout

Compassion

  • The heartfelt wish to reduce the suffering of self and others
  • Promotes social connection and is an important predictor of overall quality of life and well-being
 

Protects against stress and anxiety

 

Compassionate love toward self and others is associated with disease outcomes as well, such as increased long-term survival rates in patients with HIV. Self-compassion appears to reduce anxiety, depression, and rumination, and increase psychological well-being and connections with others.

Empathy

  • Understanding and vicariously sharing other people’s positive emotions
  • Related to prosocial behaviors (e.g., helping, giving, emotional support), positive affect, quality of life, closeness, trust, and relationship satisfaction
Linked to reduced burnout, medical errors, and malpractice claims

 

In healthcare professionals, empathy is associated with patient satisfaction, diagnostic accuracy, adherence to treatment recommendations, clinical outcomes, clinical competence, and physician retention.

How did we select the articles?

Inclusion Criteria

  • Focused on development or psychometric validation/evaluation of whole or partial scales, tasks, or activities designed to measure empathy, compassion or synonymous or adjacent constructs
  • Behavioral tasks or observational measures reported in English

Exclusion Criteria

  • Conference proceedings & abstracts and grey-literature
  • Written in a language other than English or did not include human participants
  • Did not focus on reporting on development or psychometric validation of measures of compassion, empathy, or adjacent constructs

We identified 503 measures of compassion and empathy. Most measures were developed in the past decade and were self-report scales (412 scales). 53 scales were peer/corollary report measures (a description of the individuals’ thoughts, feelings motives or behaviors) and 38 were behavioral/expert coder measures (someone trained to assess the target’s thoughts, feelings, motives, or behaviors). The number of items of each scale varied from 1 item to 567 items. The average number of items was 32.

FIND A MEASURE OF EMPATHY OR COMPASSION

Use this interactive data visualization to find measures of empathy and compassion that meet your needs.

Click here or the  button on the lower right for full-screen (For instructions of how to navigate, please click here): 

QUESTIONS TO ASK YOURSELF WHEN SELECTING MEASURES

  1. Which precise domains of empathy, compassion, or adjacent constructs do you want to measure? See the “General Construct” dropdown menu.
  2. What measurement type is best suited to answering your research/evaluation question, or what is feasible for your setting and sample size? Use the “Type of Measure” filter.
  3. What measure length, number of items, or time it takes to complete the assessment is feasible for the study? Refer to the X-axis. 
  4. What population(s) are you working with? Use the “Population” filter.
  5. Do you want to differentiate the domain you are measuring from other adjacent constructs, such as sympathy or altruism, or distinguish between empathy and compassion? Select and include measures of each construct. 
  6. How much has the measure been subjected to psychometric validation? Refer to the Y-axis.

QUESTION? COMMENT? HAVE A MEASURE TO ADD?

Please fill out the form below or email info@imagination.ucsd.edu with “Compassion Measures” in the subject line.

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Practitioners of the emergent field of Speculative Futures Studies use speculative forms – including, but not limited to, art, literature, and theory- to confront the legacies of imperialism, colonialism, and racism in order to imagine and enact more sustainable and just futures.

Science explains it, but
art may be the key to finding it.

The Speculative Futures Collective seeks to cultivate research with faculty, graduate students, and community members using speculative cultural forms and theories to collaborate on the future of education, ecology, gender, sexuality, and race.

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The science of imagination needs
a guide for the future.

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