{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T16:20:53Z","timestamp":1778170853099,"version":"3.51.4"},"reference-count":34,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T00:00:00Z","timestamp":1619049600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/05210\/2020"],"award-info":[{"award-number":["UIDB\/05210\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>This study aimed to examine the patterns of associations between empathy and coping among undergraduate men and women studying at Allied Health Sciences. This cross-sectional study is part of a larger longitudinal study conducted in an Allied Health Sciences School. Participants were 183 undergraduate students from 12 training programs (e.g., Physiotherapy, Occupational Therapy, Speech Therapy). Their mean age was 20.79 years (SD = 2.64), and they were in their first, third, and fourth years of school. The instruments were the Brief-COPE and the Interpersonal Reactivity Index (IRI). Empathy correlated with coping strategies in both genders, though showing different patterns of association. First, distinct coping strategies were associated with the same empathy dimension (perspective taking) among women (positive reframing and self-blame) and among men (active coping). Second, the same three coping strategies appeared in both genders (seeking emotional or instrumental support and resorting to religion) but associated with different empathy dimensions (cognitive empathy among women and mostly emotional empathy among men). Third, among women (but not among men), two coping strategies (positive reframing and behavioral disengagement) were each simultaneously correlated with cognitive and emotional empathy in opposite directions. Fourth, emotional empathy correlated, only among women, with several coping strategies considered to be maladaptive (behavioral disengagement, denial and substance use). Among men, only one significant coping strategy was considered to be maladaptive (behavioral disengagement) and it was negatively correlated with cognitive empathy (perspective taking). Unlike in women, relationships between the empathic dimension of fantasy and coping strategies were non-significant among men. These distinct patterns of associations emerged despite significant differences in empathy by gender (fantasy, personal distress and empathic concern) and in coping strategies (instrumental support, emotional support, religion and venting). These results support the idea that the display of empathy might be associated with gender differences in the underlying empathy dimensions and in the coping strategies used to deal with stress in the undergraduate programs of Allied Health Sciences.<\/jats:p>","DOI":"10.3390\/healthcare9050497","type":"journal-article","created":{"date-parts":[[2021,4,22]],"date-time":"2021-04-22T13:59:14Z","timestamp":1619099954000},"page":"497","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Empathy and Coping in Allied Health Sciences: Gender Patterns"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4595-9816","authenticated-orcid":false,"given":"Artemisa R.","family":"Dores","sequence":"first","affiliation":[{"name":"Center for Rehabilitation Research, School of Health, Polytechnic Institute of Porto, 4200-072 Porto, Portugal"}]},{"given":"Helena","family":"Martins","sequence":"additional","affiliation":[{"name":"Departamento HM, School of Business and Economics, Lus\u00f3fona University, 1749-024 Lisboa, Portugal"},{"name":"CEOS.PP\u2014Porto Accounting and Business School, Polytechnic Institute of Porto, 4465-004 S\u00e3o Mamede de Infesta, Portugal"}]},{"given":"Ana C.","family":"Reis","sequence":"additional","affiliation":[{"name":"Santa Maria Health School, 4049-024 Porto, Portugal"}]},{"given":"Irene P.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Clinical Neurosciences and Mental Health Department and CINTESIS, Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,22]]},"reference":[{"key":"ref_1","unstructured":"Hojat, M. (2007). Empathy in Patient Care: Antecedents, Development, Measurement, and Outcomes, Springer."},{"key":"ref_2","first-page":"85","article-title":"A multidimensional approach to individual differences in empathy","volume":"10","author":"Davis","year":"1980","journal-title":"Jsas Cat. Sel. Doc. Psychol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1097\/ACM.0b013e3182628fbf","article-title":"The relationship between physician empathy and disease complications: An empirical study of primary care physicians and their diabetic patients in Parma, Italy","volume":"87","author":"Canale","year":"2012","journal-title":"Acad. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/j.pec.2011.01.009","article-title":"Perception of empathy in the therapeutic encounter: Effects on the common cold","volume":"85","author":"Rakel","year":"2011","journal-title":"Patient Educ. Couns."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"631","DOI":"10.3109\/10253890.2015.1078787","article-title":"Enhanced emotional empathy after psychosocial stress in young healthy men","volume":"18","author":"Wolf","year":"2015","journal-title":"Stress Int. J. Biol. Stress"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.bbr.2014.12.049","article-title":"Neural activity related to cognitive and emotional empathy in post-traumatic stress disorder","volume":"282","author":"Mazza","year":"2015","journal-title":"Behav. Brain Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.psyneuen.2015.07.561","article-title":"Empathy under stress: Gender-specific effects on empathic accuracy","volume":"61","author":"Nitschke","year":"2015","journal-title":"Psychoneuroendocrinology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.yhbeh.2009.01.011","article-title":"Social cognition under stress: Differential effects of stress-induced cortisol elevations in healthy young men and women","volume":"55","author":"Smeets","year":"2009","journal-title":"Horm. Behav."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.psyneuen.2014.02.006","article-title":"Is stress affecting our ability to tune into others? Evidence for gender differences in the effects of stress on self-other distinction","volume":"43","author":"Tomova","year":"2014","journal-title":"Psychoneuroendocrinology"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijpsycho.2016.04.011","article-title":"Sex-dependent effects of stress on brain correlates to empathy for pain","volume":"105","author":"Breidenstein","year":"2016","journal-title":"Int. J. Psychophysiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1007\/s10862-016-9538-x","article-title":"Altered cortico-limbic functional connectivity during an empathy task in subjects with post-traumatic stress disorder","volume":"38","author":"Pino","year":"2016","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Quince, T.A., Kinnersley, P., Hales, J., da Silva, A., Moriarty, H., Thiemann, P., Hyde, S., Brimicombe, J., Wood, D., and Barclay, M. (2016). Empathy among undergraduate medical students: A multi-centre cross-sectional comparison of students beginning and approaching the end of their course. BMC Med. Educ., 16.","DOI":"10.1186\/s12909-016-0603-7"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Song, Y., and Shi, M. (2017). Associations between empathy and big five personality traits among Chinese undergraduate medical students. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0171665"},{"key":"ref_14","unstructured":"Lazarus, R.S., and Folkman, S. (1984). Stress, Appraisal, and Coping, Springer."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"827","DOI":"10.2224\/sbp.2016.44.5.827","article-title":"Gender, Coping, and mental health: A bayesian network model analysis","volume":"44","year":"2016","journal-title":"Soc. Behav. Personal. Int. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1023\/A:1012731520781","article-title":"Coping with severe mental illness: Relations of the brief COPE with symptoms, functioning, and well-being","volume":"23","author":"Meyer","year":"2001","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1037\/0022-3514.56.2.267","article-title":"Assessing coping strategies: A theoretically based approach","volume":"56","author":"Carver","year":"1989","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"216","DOI":"10.3390\/rel2030216","article-title":"A systematic review of studies using the Brief COPE: Religious coping in factor analyses","volume":"2","year":"2011","journal-title":"Religions"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1207\/S15327957PSPR0601_1","article-title":"Sex differences in coping behavior: A meta-analytic review and an examination of relative coping","volume":"6","author":"Tamres","year":"2002","journal-title":"Pers. Soc. Psychol. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1001\/jama.2010.1318","article-title":"Relationship between burnout and professional conduct and attitudes among US medical students","volume":"304","author":"Dyrbye","year":"2010","journal-title":"J. Am. Med. Assoc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1097\/00001888-199706000-00022","article-title":"A longitudinal study of students\u2019 depression at one medical school","volume":"72","author":"Rosal","year":"1997","journal-title":"Acad. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1089\/jwh.2015.5604","article-title":"The toxicity of self-blame: Sex differences in burnout and coping in internal medicine trainees","volume":"25","author":"Spataro","year":"2016","journal-title":"J. Women\u2019s Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1207\/s15327558ijbm0401_6","article-title":"You want to measure coping but your protocol\u2019s too long: Consider the brief COPE","volume":"4","year":"1997","journal-title":"Int. J. Behav. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1037\/0022-3514.44.1.113","article-title":"Measuring individual differences in empathy: Evidence for a multidimensional approach","volume":"44","author":"Davis","year":"1983","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_25","first-page":"3","article-title":"Quest\u00f5es acerca do coping: A prop\u00f3sito do estudo de adapta\u00e7\u00e3o do Brief Cope","volume":"5","author":"Rodrigues","year":"2004","journal-title":"Psicol. Sa\u00fade Doen\u00e7as"},{"key":"ref_26","first-page":"171","article-title":"Measuring empathy: Portuguese adaptation of the Interpersonal Reactivity Index","volume":"8","author":"Limpo","year":"2010","journal-title":"Laborat\u00f3rio Psicol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1093\/geronb\/gbs055","article-title":"Empathic concern and perspective taking: Linear and quadratic effects of age across the adult life span","volume":"68","author":"Konrath","year":"2013","journal-title":"J. Gerontol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1080\/00981389.2015.1046575","article-title":"Professional distress and meaning in health care: Why professional empathy can help","volume":"54","author":"Ekman","year":"2015","journal-title":"Soc. Work Healthc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1007\/s11199-012-0144-4","article-title":"Forgiveness, empathy, and gender: A Malaysian perspective","volume":"67","author":"Mellor","year":"2012","journal-title":"Sex Roles"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Quince, T.A., Parker, R.A., Wood, D.F., and Benson, J.A. (2011). Stability of empathy among undergraduate medical students: A longitudinal study at one UK medical school. BMC Med. Educ., 11.","DOI":"10.1186\/1472-6920-11-90"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1136\/bmjopen-2020-041810","article-title":"Searching for the erosion of empathy in medical undergraduate students: A longitudinal study","volume":"10","author":"Blanco","year":"2020","journal-title":"BMJ Open"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1097\/ACM.0b013e3181b17e55","article-title":"The devil is in the third year: A longitudinal study of erosion of empathy in Medical School","volume":"84","author":"Hojat","year":"2009","journal-title":"Acad. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1080\/10401334.2017.1347046","article-title":"Medical students\u2019 use of different coping strategies and relationship with academic performance in preclinical and clinical years","volume":"30","author":"Schiller","year":"2018","journal-title":"Teach. Learn. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1097\/ACM.0000000000001449","article-title":"Measuring medical students\u2019 empathy: Exploring the underlying constructs of and associations between two widely used self-report instruments in five countries","volume":"92","author":"Costa","year":"2017","journal-title":"Acad. Med."}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/9\/5\/497\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:51:23Z","timestamp":1760161883000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/9\/5\/497"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,22]]},"references-count":34,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5]]}},"alternative-id":["healthcare9050497"],"URL":"https:\/\/doi.org\/10.3390\/healthcare9050497","relation":{},"ISSN":["2227-9032"],"issn-type":[{"value":"2227-9032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,22]]}}}