Testing two competitive models of empathic ...
Document type :
Article dans une revue scientifique: Article original
DOI :
Title :
Testing two competitive models of empathic communication in cancer care encounters: A factorial analysis of the CARE measure
Author(s) :
Gehenne, Lucie [Auteur]
Lelorain, Sophie [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Anota, Amélie [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Brédart, Anne [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS (URP_4057)]
Mécanismes d'action des toxiques sur les membranes du système nerveux
Dolbeault, Sylvie [Auteur]
Centre de recherche en épidémiologie et santé des populations [CESP]
Institut Curie [Paris]
Troubles du comportement alimentaire de l'adolescent [UMR_S 669]
Sultan, Serge [Auteur]
CHU Sainte Justine [Montréal]
Piessen, Guillaume [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Grynberg, Delphine [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Baudry, Anne‐sophie [Auteur]
Centre Léon Bérard [Lyon]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Christophe, Véronique [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Lelorain, Sophie [Auteur]

Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Anota, Amélie [Auteur]
Centre Hospitalier Régional Universitaire de Besançon [CHRU Besançon]
Brédart, Anne [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS (URP_4057)]
Mécanismes d'action des toxiques sur les membranes du système nerveux
Dolbeault, Sylvie [Auteur]
Centre de recherche en épidémiologie et santé des populations [CESP]
Institut Curie [Paris]
Troubles du comportement alimentaire de l'adolescent [UMR_S 669]
Sultan, Serge [Auteur]
CHU Sainte Justine [Montréal]
Piessen, Guillaume [Auteur]

Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Grynberg, Delphine [Auteur]

Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Baudry, Anne‐sophie [Auteur]
Centre Léon Bérard [Lyon]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Christophe, Véronique [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Journal title :
European Journal of Cancer Care
Pages :
e13306
Publisher :
Wiley
Publication date :
2020-09-09
ISSN :
0961-5423
HAL domain(s) :
Sciences du Vivant [q-bio]/Cancer
Sciences du Vivant [q-bio]/Neurosciences [q-bio.NC]/Sciences cognitives
Sciences du Vivant [q-bio]/Neurosciences [q-bio.NC]/Sciences cognitives
English abstract : [en]
Objective: The mechanisms associating physician empathy (PE) with patient outcomes remain unclear. PE can be considered as a whole (one process) or three subcomponents can be identified (an establishing rapport process; ...
Show more >Objective: The mechanisms associating physician empathy (PE) with patient outcomes remain unclear. PE can be considered as a whole (one process) or three subcomponents can be identified (an establishing rapport process; an emotional process; a cognitive process). The objective was to test two competitive models of PE in cancer care: a three-process model adapted from Neumann's model versus a one-process model, with the use of the Consultation and Relational Empathy measure (CARE). Methods: The CARE was completed by 488 oesogastric cancer patients from the national French database FREGAT. A confirmatory factor analysis (CFA) and a bifactor model were performed to test the two competitive models. Results: The CFA revealed that the one-factor structure showed a moderate fit to the data whereas the three-factor structure showed a good fit. However, the bifactor model favoured unidimensionality. Conclusion: We cannot provide a clear-cut conclusion about whether PE should be considered as on unique process or not. Further work is still needed. Meanwhile, one should not preclude the use of three subscores in cancer care if specific elements of the encounter need to be assessed.Show less >
Show more >Objective: The mechanisms associating physician empathy (PE) with patient outcomes remain unclear. PE can be considered as a whole (one process) or three subcomponents can be identified (an establishing rapport process; an emotional process; a cognitive process). The objective was to test two competitive models of PE in cancer care: a three-process model adapted from Neumann's model versus a one-process model, with the use of the Consultation and Relational Empathy measure (CARE). Methods: The CARE was completed by 488 oesogastric cancer patients from the national French database FREGAT. A confirmatory factor analysis (CFA) and a bifactor model were performed to test the two competitive models. Results: The CFA revealed that the one-factor structure showed a moderate fit to the data whereas the three-factor structure showed a good fit. However, the bifactor model favoured unidimensionality. Conclusion: We cannot provide a clear-cut conclusion about whether PE should be considered as on unique process or not. Further work is still needed. Meanwhile, one should not preclude the use of three subscores in cancer care if specific elements of the encounter need to be assessed.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Popular science :
Non
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