BACKGROUND
Empathy is related to enhancing skills, increasing engagement and education, improving compliance, reducing emotional distress, and enhancing quality of life. Although empathy and the Big Five personality traits have been studied in medical students, there is a lack of research addressing these factors in dental students, as well as exploring the role of resilience in the relationship between empathy and personality traits.
OBJECTIVE
The aims of this study were threefold: (1) assess the level of empathy among dental students; (2) explore the correlation between the Big Five personality traits, resilience, and empathy; and (3) investigate the mediating role of resilience in the relationship between the Big Five personality traits and empathy.
METHODS
This cross-sectional study was conducted in May 2023 with 291 participants who completed the Interpersonal Reactivity Index, Big Five Inventory, and Connor-Davidson Resilience Scale. Stratified linear regression analysis was used to investigate the mediated relationship.
RESULTS
Women had a higher level of empathy than men in the fantasy dimension of empathy (P=.003). Younger participants had a higher level of empathy than older participants in the fantasy (P=.009) and empathic concern (P=.025) dimensions. First and second year students had a higher level of empathy than students in later years in the dimensions of perspective taking (P=.030), fantasy (P=.001), and empathic concern (P=.001). Perspective taking, fantasy, and empathic concern exhibited positive correlations with extraversion (r=0.41, r=0.29, r=0.35, respectively), agreeableness (r=0.58, r=0.45, r=0.59, respectively), openness (r=0.59, r=0.52, r=0.43, respectively), and conscientiousness (r=0.48 r=0.28, r=0.36, respectively). Personal distress was negatively correlated with extraversion (r=-0.42), agreeableness (r=-0.37), openness (r=-0.30), and conscientiousness (r=-0.39).
Neuroticism was positively associated with personal distress (r=0.68) and negatively associated with perspective taking (r=-0.20) and empathic concern (r=-0.20). Resilience fully mediated the relationships between empathy and the traits of agreeableness, conscientiousness, and openness, whereas resilience was a partial mediator in the relationships between empathy and the traits of extraversion and neuroticism.
CONCLUSIONS
Interventions that focus on personality traits and resilience may be effective strategies for enhancing empathy in dental students.