From numerical to empathy: the dual impact of psychological contracts in doctor-patient communication
To investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals' pain empathy and probability estimation bias in simulated doctor-patient communication contexts. We included 60 healthcare profess...
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| Vydáno v: | Frontiers in psychiatry Ročník 16; s. 1530932 |
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| Jazyk: | angličtina |
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Frontiers Media S.A
2025
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| Abstract | To investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals' pain empathy and probability estimation bias in simulated doctor-patient communication contexts.
We included 60 healthcare professionals with the same mathematical ability and divided them into two groups to complete the probability estimation bias task of decision events and the classification task of pain non-pain pictures with and without psychological contracts. The data are analyzed by generalized estimation equation (Gee).
The fulfillment of psychological contracts significantly affects the level of empathy for pain[0.3(95% CI 0.1, 0.4),
0.001], and the probability bias of decision events with an impact of [19.2 (95% CI 8.5, 29.8),
0.001] in small probability events and [-21.2 (95% CI -41.7, -0.5),
<0.05] in large probability events.
The establishment of psychological contract reduced the difference between the different data representation forms, significantly improved the pain empathy of the healthcare professionals, and reduced the probability estimation bias of risk decision events. |
|---|---|
| AbstractList | ObjectiveTo investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals’ pain empathy and probability estimation bias in simulated doctor–patient communication contexts.MethodsWe included 60 healthcare professionals with the same mathematical ability and divided them into two groups to complete the probability estimation bias task of decision events and the classification task of pain non-pain pictures with and without psychological contracts. The data are analyzed by generalized estimation equation (Gee).ResultsThe fulfillment of psychological contracts significantly affects the level of empathy for pain[0.3(95% CI 0.1, 0.4), p <0.001], and the probability bias of decision events with an impact of [19.2 (95% CI 8.5, 29.8), p <0.001] in small probability events and [−21.2 (95% CI −41.7, −0.5), p<0.05] in large probability events.ConclusionsThe establishment of psychological contract reduced the difference between the different data representation forms, significantly improved the pain empathy of the healthcare professionals, and reduced the probability estimation bias of risk decision events. To investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals' pain empathy and probability estimation bias in simulated doctor-patient communication contexts. We included 60 healthcare professionals with the same mathematical ability and divided them into two groups to complete the probability estimation bias task of decision events and the classification task of pain non-pain pictures with and without psychological contracts. The data are analyzed by generalized estimation equation (Gee). The fulfillment of psychological contracts significantly affects the level of empathy for pain[0.3(95% CI 0.1, 0.4), 0.001], and the probability bias of decision events with an impact of [19.2 (95% CI 8.5, 29.8), 0.001] in small probability events and [-21.2 (95% CI -41.7, -0.5), <0.05] in large probability events. The establishment of psychological contract reduced the difference between the different data representation forms, significantly improved the pain empathy of the healthcare professionals, and reduced the probability estimation bias of risk decision events. To investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals' pain empathy and probability estimation bias in simulated doctor-patient communication contexts.ObjectiveTo investigate how the presence or absence of psychological contracts and different formats of probabilistic data representation influence healthcare professionals' pain empathy and probability estimation bias in simulated doctor-patient communication contexts.We included 60 healthcare professionals with the same mathematical ability and divided them into two groups to complete the probability estimation bias task of decision events and the classification task of pain non-pain pictures with and without psychological contracts. The data are analyzed by generalized estimation equation (Gee).MethodsWe included 60 healthcare professionals with the same mathematical ability and divided them into two groups to complete the probability estimation bias task of decision events and the classification task of pain non-pain pictures with and without psychological contracts. The data are analyzed by generalized estimation equation (Gee).The fulfillment of psychological contracts significantly affects the level of empathy for pain[0.3(95% CI 0.1, 0.4), p <0.001], and the probability bias of decision events with an impact of [19.2 (95% CI 8.5, 29.8), p <0.001] in small probability events and [-21.2 (95% CI -41.7, -0.5), p<0.05] in large probability events.ResultsThe fulfillment of psychological contracts significantly affects the level of empathy for pain[0.3(95% CI 0.1, 0.4), p <0.001], and the probability bias of decision events with an impact of [19.2 (95% CI 8.5, 29.8), p <0.001] in small probability events and [-21.2 (95% CI -41.7, -0.5), p<0.05] in large probability events.The establishment of psychological contract reduced the difference between the different data representation forms, significantly improved the pain empathy of the healthcare professionals, and reduced the probability estimation bias of risk decision events.ConclusionsThe establishment of psychological contract reduced the difference between the different data representation forms, significantly improved the pain empathy of the healthcare professionals, and reduced the probability estimation bias of risk decision events. |
| Author | Yu, Yi Song, Jinyan Chen, Yating Zhou, Qiang Wang, Xinru Liang, Weixian Jiang, Huan Ying, Liang |
| Author_xml | – sequence: 1 givenname: Xinru surname: Wang fullname: Wang, Xinru – sequence: 2 givenname: Yating surname: Chen fullname: Chen, Yating – sequence: 3 givenname: Yi surname: Yu fullname: Yu, Yi – sequence: 4 givenname: Huan surname: Jiang fullname: Jiang, Huan – sequence: 5 givenname: Jinyan surname: Song fullname: Song, Jinyan – sequence: 6 givenname: Weixian surname: Liang fullname: Liang, Weixian – sequence: 7 givenname: Qiang surname: Zhou fullname: Zhou, Qiang – sequence: 8 givenname: Liang surname: Ying fullname: Ying, Liang |
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| Cites_doi | 10.1016/j.actpsy.2011.08.006 10.1111/1471-0528.18314 10.1016/j.tmp.2021.100854 10.1016/S1053-8119(09)70770-0 10.1001/jamainternmed.2018.6735 10.1007/BF00122574 10.1108/IJCMA-07-2019-0119 10.1186/s12913-018-2927-y 10.1002/hbm.22661 10.1006/cogp.1998.0710 10.1016/j.neuron.2008.11.023 10.1002/job.112 10.1097/MCC.0b013e328315a611 10.1371/journal.pone.0198488 10.1177/0272989X07307271 10.3390/app15052446 10.1186/s41235-025-00641-6 10.1371/journal.pone.0228152 10.7326/M14-0295 10.1016/j.pec.2014.07.027 10.1016/j.brainres.2011.05.014 10.1126/science.290.5500.2261 10.1016/j.amepre.2021.12.020 10.3389/fpsyg.2018.02190 10.1353/pbm.0.0130 10.1007/s11606-021-07008-9 10.1007/s10728-023-00473-9 10.1016/j.pec.2022.08.015 10.1002/pon.6108 10.7326/0003-4819-127-11-199712010-00003 10.3389/fnhum.2014.00273 10.1186/s12909-025-07117-7 10.1037/apl0001269 10.1177/0272989X15576487 10.2147/PPA.S137263 |
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| Keywords | empathy pain doctor-patient relationship psychological contracts probability estimation bias |
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| References | Chang (B13) 2020; 31 Lipkus (B29) 2007; 27 Humphries (B32) 2018; 18 Danziger (B11) 2009; 61 Lee (B36) 2017; 11 Sun (B31) 2018; 9 Ng (B26) 2025; 110 Rodriguez-Osorio (B34) 2008; 14 Hoffrage (B28) 2000; 290 Sun (B1) 2020; 15 Kowalski (B3) 2024; 32 Trautmann (B18) 2012; 139 Elwyn (B27) 2014; 97 Coulehan (B5) 2009; 52 Ibáñez (B12) 2011; 1398 Lenartowicz (B16) 2009; 47 Cifu (B35) 2019; 179 Wu (B7) 2022; 37 Gonzalez (B17) 1999; 38 Musio (B2) 2025; 15 Bunderson (B33) 2001; 22 Seidel (B15) 2015; 36 Oudhoff (B20) 2015; 35 Bradley (B22) 2025 Riess (B10) 2018 Jobling (B4) 2022; 105 Bernardo (B9) 2018; 13 Schwartz (B21) 1997; 127 Abdalla (B30) 2021; 39 Ahlheim (B14) 2014; 8 Zipkin (B19) 2014; 161 Tversky (B25) 1992; 5 Lelorain (B6) 2023; 32 Jia (B24) 2022; 63 Han (B8) 2025; 25 Perrin (B23) 2025; 10 41311823 - Front Psychiatry. 2025 Nov 12;16:1737146. doi: 10.3389/fpsyt.2025.1737146. |
| References_xml | – volume: 139 year: 2012 ident: B18 article-title: Prospect theory or construal level theory publication-title: Acta Psychologica doi: 10.1016/j.actpsy.2011.08.006 – start-page: 1471 year: 2025 ident: B22 article-title: How should we communicate information regarding birth choices to women?: an online randomised survey publication-title: BJOG doi: 10.1111/1471-0528.18314 – volume: 39 year: 2021 ident: B30 article-title: COVID-19 and unpaid leave: Impacts of psychological contract breach on organizational distrust and turnover intention: Mediating role of emotional exhaustion publication-title: Tourism Manage Perspect doi: 10.1016/j.tmp.2021.100854 – volume: 47 start-page: S95 year: 2009 ident: B16 article-title: Rejection of risky gambles is correlated with increases in frontal-striatal functional connectivity, and varies with loss aversion publication-title: NeuroImage doi: 10.1016/S1053-8119(09)70770-0 – volume: 179 start-page: 141 year: 2019 ident: B35 article-title: Long-term physician-patient relationships—Persevering in a practice publication-title: JAMA Intern Med doi: 10.1001/jamainternmed.2018.6735 – volume: 5 start-page: 297 year: 1992 ident: B25 article-title: Advances in prospect theory: Cumulative representation of uncertainty publication-title: J Risk Uncertainty doi: 10.1007/BF00122574 – volume: 31 year: 2020 ident: B13 article-title: Psychological contract violation and patient’s antisocial behaviour: A moderated mediation model of patient trust and doctor-patient communication publication-title: IJCMA doi: 10.1108/IJCMA-07-2019-0119 – volume: 18 start-page: 144 year: 2018 ident: B32 article-title: Failing to retain a new generation of doctors: qualitative insights from a high-income country publication-title: BMC Health Serv Res doi: 10.1186/s12913-018-2927-y – volume: 36 year: 2015 ident: B15 article-title: Uncertainty during pain anticipation: The adaptive value of preparatory processes publication-title: Hum Brain Mapp doi: 10.1002/hbm.22661 – volume: 38 year: 1999 ident: B17 article-title: On the shape of the probability weighting function publication-title: Cogn Psychol doi: 10.1006/cogp.1998.0710 – volume: 61 year: 2009 ident: B11 article-title: Can we share a pain we never felt? Neural correlates of empathy in patients with congenital insensitivity to pain publication-title: Neuron doi: 10.1016/j.neuron.2008.11.023 – volume: 22 year: 2001 ident: B33 article-title: How work ideologies shape the psychological contracts of professional employees: doctors’ responses to perceived breach publication-title: J Organ Behav doi: 10.1002/job.112 – volume: 14 year: 2008 ident: B34 article-title: Medical decision making: paternalism versus patient-centered (autonomous) care publication-title: Curr Opin Crit Care doi: 10.1097/MCC.0b013e328315a611 – volume: 13 year: 2018 ident: B9 article-title: Physicians’ self-assessed empathy levels do not correlate with patients’ assessments publication-title: PLoS One doi: 10.1371/journal.pone.0198488 – volume: 27 start-page: 696 year: 2007 ident: B29 article-title: Numeric, verbal, and visual formats of conveying health risks: suggested best practices and future recommendations publication-title: Med Decis Making doi: 10.1177/0272989X07307271 – volume: 15 year: 2025 ident: B2 article-title: The critical link in the successful application of advanced clinical decision making—Revisiting the physician–patient relationship from a practical and pragmatic perspective publication-title: Appl Sci doi: 10.3390/app15052446 – year: 2018 ident: B10 article-title: The empathy effect: Seven neuroscience-based keys for transforming the way we live, love, work, and connect across differences publication-title: Sounds True – volume: 10 start-page: 32 year: 2025 ident: B23 article-title: Numerate people are less likely to be biased by regular science reporting: the critical roles of scientific reasoning and causal misunderstanding publication-title: Cognit Res doi: 10.1186/s41235-025-00641-6 – volume: 15 year: 2020 ident: B1 article-title: The relationship between psychological health and social support: Evidence from physicians in China publication-title: PLoS One doi: 10.1371/journal.pone.0228152 – volume: 161 year: 2014 ident: B19 article-title: Evidence-based risk communication: A systematic review publication-title: Ann Intern Med doi: 10.7326/M14-0295 – volume: 97 year: 2014 ident: B27 article-title: Collaborative deliberation: A model for patient care publication-title: Patient Educ Couns doi: 10.1016/j.pec.2014.07.027 – volume: 1398 start-page: 72 year: 2011 ident: B12 article-title: Subliminal presentation of other faces (but not own face) primes behavioral and evoked cortical processing of empathy for pain publication-title: Brain Res doi: 10.1016/j.brainres.2011.05.014 – volume: 290 year: 2000 ident: B28 article-title: Communicating statistical information publication-title: Science doi: 10.1126/science.290.5500.2261 – volume: 63 start-page: 93 year: 2022 ident: B24 article-title: Health literacy, numeracy, and health promotion: A secondary analysis of the choosewell 365 workplace trial publication-title: Am J Prev Med doi: 10.1016/j.amepre.2021.12.020 – volume: 9 year: 2018 ident: B31 article-title: Why can’t we accurately predict others’ Decisions? Prediction discrepancy in risky decision-making publication-title: Front Psychol doi: 10.3389/fpsyg.2018.02190 – volume: 52 start-page: 585 year: 2009 ident: B5 article-title: Compassionate solidarity: suffering, poetry, and medicine publication-title: pbm doi: 10.1353/pbm.0.0130 – volume: 37 year: 2022 ident: B7 article-title: The relationship between the physician-patient relationship, physician empathy, and patient trust publication-title: J Gen Intern Med doi: 10.1007/s11606-021-07008-9 – volume: 32 year: 2024 ident: B3 article-title: The doctor-patient relationship, partnership theory, and the patient as partner: finding a balance between domination and partnership publication-title: Health Care Anal doi: 10.1007/s10728-023-00473-9 – volume: 105 year: 2022 ident: B4 article-title: Exploring student perceptions of empathy development during medical school – A phenomenological study publication-title: Patient Educ Couns doi: 10.1016/j.pec.2022.08.015 – volume: 32 year: 2023 ident: B6 article-title: The association of physician empathy with cancer patient outcomes: A meta-analysis publication-title: Psycho-Oncology doi: 10.1002/pon.6108 – volume: 127 year: 1997 ident: B21 article-title: The role of numeracy in understanding the benefit of screening mammography publication-title: Ann Intern Med doi: 10.7326/0003-4819-127-11-199712010-00003 – volume: 8 year: 2014 ident: B14 article-title: Dissociating dynamic probability and predictability in observed actions—an fMRI study publication-title: Front Hum Neurosci doi: 10.3389/fnhum.2014.00273 – volume: 25 start-page: 741 year: 2025 ident: B8 article-title: Patient’s perceived empathy can predict doctor-patient relationship in medical interaction publication-title: BMC Med Educ doi: 10.1186/s12909-025-07117-7 – volume: 110 year: 2025 ident: B26 article-title: Perceived general obligation: A meta-analysis publication-title: J Appl Psychol doi: 10.1037/apl0001269 – volume: 35 start-page: 487 year: 2015 ident: B20 article-title: The effect of different graphical and numerical likelihood formats on perception of likelihood and choice publication-title: Med Decis Making doi: 10.1177/0272989X15576487 – volume: 11 year: 2017 ident: B36 article-title: The mediatory role of medication adherence in improving patients' medication experience through patient-physician communication among older hypertensive patients publication-title: PPA doi: 10.2147/PPA.S137263 – reference: 41311823 - Front Psychiatry. 2025 Nov 12;16:1737146. doi: 10.3389/fpsyt.2025.1737146. |
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| Title | From numerical to empathy: the dual impact of psychological contracts in doctor-patient communication |
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