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Kataoka H et al. – Factor analysis confirmed the three components of perspective taking, compassionate care, and ability to stand in patient's shoes, which had emerged in American and Mexican medical students. Item–total score correlations were all positive and statistically significant. Cronbach coefficient alpha was .80. Women outscored men, and empathy scores increased as students progressed through medical school in this cross–sectional study. Findings provide support for the construct validity and reliability of the Japanese translated version of the JSPE for medical students. Cultural characteristics and educational differences in Japanese medical schools that influence empathic behaviors are described, and implications for cross–cultural study of empathy are discussed.

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