Attitudes toward patient-centeredness, personality and empathy of Chinese medical students

The Mechanism of Cumulative Ecological Risk Affecting College Students' Sense of Social Responsibility: The Double Fugue Effect of Belief in a Just World and Empathy

According to bioecological theory, the development of college students' social responsibility is affected by the cumulative effect of ecological risks. However, research on the impact of cumulative ecological risk on social responsibility and its potential mechanisms are still lacking. Carol Gilligan (1982) proposed that the ethics of care and justice are like two related but independent melodies, which together constitute the whole of moral psychology. However, despite being an important part of moral psychology, social responsibility has rarely been investigated empirically with regards to the psychological mechanisms of justice and caring orientation. Therefore, the current study had 1607 college students complete questionnaires regarding cumulative ecological risk, social responsibility, belief in a just world, and empathy, aiming to explore the impact of cumulative ecological risk on college students' sense of social responsibility and the mediating roles of belief in a just world and empathy. Results showed that: (1) cumulative ecological risk was significantly negatively correlated with college students' sense of social responsibility, belief in a just world, and empathy, whereas social responsibility, belief in a just world, and empathy were significantly positively correlated; (2) belief in a just world and empathy played mediating roles in the relationship between cumulative ecological risk and social responsibility. The results also showed that the development of college students' sense of social responsibility was affected by the cumulative ecological risk from various directions; this influence was also seen to play a role in the motivation system of social responsibility through the ethics of care with empathy as the important part, as well as through the ethics of justice. The results suggest that we should reduce the ecological risks at their source, and improve and consolidate students' social support systems; moreover, we should not only enhance college students' sense of mission and responsibility to consciously maintain social justice order, but also adopt empathy training as a part of the curriculum to improve students' empathy at the individual level.

Parental care and depressive symptoms among Chinese medical students: roles of empathy and gender

BACKGROUND

Medical students in China who face the dual pressure of study and employment tend to experience subclinical depressive symptoms. Parental care plays an important direct and indirect role in the psychological development of medical students, and the extent and mechanism of this role urgently need to be studied and discussed.

METHODS

After simple random sampling and screening of valid questionnaires, data from a total of 924 people were used. The participants completed the parental bonding instrument, self-rating depression scale, Chinese version of the Jefferson empathy scale-medical student edition and self-rating anxiety scale to evaluate parental care, empathy, depressive symptoms and anxiety. The data were statistically processed using a descriptive analysis, correlation analysis and test of moderated mediation.

RESULTS

Maternal care had a significant negative predictive effect on depressive symptoms among medical students. Strong maternal care can reduce the occurrence of depressive symptoms in medical students. Empathy played a positive mediating role such that both types of empathy could alleviate the effect of weak maternal care on the depressive symptoms of medical students. However, neither cognitive empathy nor affective empathy played a mediating role in the relationship between paternal care and depressive symptoms. Nevertheless, the relationship between maternal care and empathy was moderated by the medical students' gender.

CONCLUSIONS

The effect of this relationship on female medical students deserves special attention. The results of this study provide a reference and basis for the adjustment of medical education. This study could also help in the design of effective psychological intervention measures to reduce the degree of depressive symptoms and enhance personal empathy.