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. 2023 Dec 11;17:e20230066. doi: 10.1590/1980-5764-DN-2023-0066

Table 1. Description of the main results of the publications used in the systematic review.

Authors Study type Instruments Participants Intervention Duration of intervention Outcomes
Ahmadzadeh et al. 24 Intervention Jefferson Scale of Empathy-Health Professional Students 133 participants were distributed into four groups: A (n=42), B (n=23), C (n=22) and D (n=46) A three-hour workshop (Group A); watching the movie “The Doctor” (Group B); watching the movie “The Doctor”, then, participating in a three-hour workshop the next day (Group C); control group with no intervention (Group D). 1 or 2 days, depending on the experimental group, and reassessment of empathy a month later All of the three interventions had an immediate improving effect on empathy scores compared to the control group. One month later, only improvements on groups A and C remained significant.
Bal & Veltkamp 25 Intervention Emotional Transportation scale by Busselle and Bilandzic 39
Empathic concern scale by Davis (1980;1983)
Narrative Understanding Scale
Attentional Focus Scale
66 students in Study 1 (36 in the fiction condition and 30 in the control condition)
97 students in Study 2 (50 in the fiction condition and 47 in the control condition)
Participants in the experimental condition read a fictional narrative and participants in the control group read a nonfiction piece Participants read the book and responded the measures both immediately after and a week after Emotional transportation was positively related to the empathy scores measured after a week, but not right after the intervention
Collins et al. 28 Intervention Jefferson Scale of Empathy – Health Profession Students (JSE-HPS) 21 participants were distributed into an intervention (n=11) or control group (n=10) Participants of the experimental group read short pieces of literary fiction over the course of 8 weeks. No action was required of the students in the control group. Participants read short excerpts weekly over the course of eight weeks. Results showed a statistically insignificant increase in the scores of participants in the intervention group.
Dias-Corrêa et al. 34 Intervention Avaliação Sociocognitiva de Respostas Infantis Pós Exploração Dialogada de Narrativa Textual *
Questionário de Respostas Socialmente Habilidosas Segundo Relato do Professor (QRSH-RP)
Brazilian version of the Strengths and Difficulties Questionnaire (SDQ)
45 children distributed into two groups, which received the same intervention in two different years (2010 and 2011), group 1 (n=25) and group 2 (n=20) Reading of storybooks with a focus on mental states and emotions Two or three sessions of 50 minutes weekly, from August to November, with a total of 25 sessions Gains in children’s social cognitive abilities and development of emotion, thought, intention and behavior comprehension of the characters in the stories were observed.
Mani et al. 36 Intervention - 11 third-year undergraduate dental students After analysing literary texts, students participated in perspective-taking activities, and reflected on the effects of the study. Three months After content analysis, three main themes/learning points: facilitate empathy, stimulate self-awareness and motivate perceptive communication.
Gürcan et al. 18 Intervention The Positive and Negative Symptoms Scale (PANSS),
Reading the Mind in the Eyes Test (RMET)
Montreal Cognitive Assessment Scale (MoCA)
Dokuz Eylül Theory of Mind Index (DEToMI)
Social Functioning Assessment Scale (SFAS)
28 schizophrenia patients, medicated and clinically stable, distributed into two intervention groups: narrative therapy (n =14) and movie therapy (n = 14) Narrative therapy or movie therapy Once a week for 14 weeks A significant difference was found between PANSS negative, DEToMI, SFAS and RMET pre- and post-intervention mean scores in both groups, but RMET and DEToMI scores were higher in the MT group.
Hojat et al. 26 Intervention Jefferson Scale of Empathy-Health (JSE) 248 medical students divided into experimental group (n=129) and control group (n=119) Students in the experimental group were shown the movie clips and then asked to discuss positive and negative effects of it. Ten weeks later, the students in the experimental group were divided: half of them participated in a lecture about empathy, while the other half watched a different movie. 1 hour of presentation plus discussion, with a gap of ten weeks between phase 1 and phase 2 A significant increase in empathy was observed in the experimental group after phase one, but the improvement in empathy score was sustained after phase 2 only in the experimental group, which participated in the empathy lecture.
Kidd & Castano 31 Intervention False-belief tests as a measure of cognitive ToM
Reading the Mind in the Eyes Test (RMET)
Diagnostic Analysis of Nonverbal Accuracy 2 - Adult Faces test (DANVA2-AF)
Yoni test, which measures both cognitive and affective ToM
Author Recognition Test
86 participants in experiment 1 (randomly assigned to read literary fiction or nonfiction)
114 participants in experiment 2 (randomly assigned to read literary fiction or popular fiction)
69 participants in experiment 3 (randomly assigned to read literary fiction or popular fiction, using different texts from experiment 2)
72 participants in experiment 4 (randomly assigned to read literary fiction or popular fiction, using the same texts from experiment 3 with two additional texts for each condition)
Participants read short passages of either nonfiction, literary fiction or popular fiction. Participants read the passages and were evaluated immediately after. Literary fiction did increase ToM and results on the Author Recognition Test predicted RMET scores.
Klemenc-Ketis & Kersnik 37 Intervention - 11 fourth-year medical students Students participated in an elective course about professionalism in medicine for 4 months, which included the screening of movies. Four months Students recognised communication, empathy, doctors’ personal interests and palliative care as dimensions of the movie, and reported that these dimensions were important aspects of the medical practice.
Panero et al. 30 Intervention Reading the Mind in the Eyes Test (RMET)
Author Recognition Test (ART)
792 participants (distributed into four conditions: reading of literary fiction, nonfiction, popular fiction or no reading)
Replication of Kidd and Castano’s 31 experiment
Participants read short passages of either nonfiction, literary fiction or popular fiction. Participants read the passages and were evaluated immediately after. Literary fiction had no significant effects on theory of mind, but results on the Author Recognition Test predicted RMET scores.
Peng et al. 33 Intervention Jefferson Scale of Empathy-Health Professional Students
Semi-structured interview
45 second-year undergraduate nursing students Participants watched a movie (“Still Alice”) and participated in a Virtual Dementia Tour (VTD). The different steps of the intervention were performed in the course of three days Participants’ empathy levels demonstrated significant overall improvements.
Pino & Mazza 21 Intervention Basic Empathy Scale - Cognitive Empathy Sub-scale (BES- CES)
The Eyes Task (Revised “Reading the Mind in the Eye”)
Interpersonal Reactivity Index cognitive sub-scales (IRI)
Advanced Theory of Mind Task
Attribution of Intentions Task
Empathy Quotient Scale
First and Second Order False Belief Test
Multifaceted Empathy Test (MET) -Cognitive Empathy (CE)
Faces Test
Emotion Attribution Task
Basic Empathy Scale-Affective Empathy Sub-scale (AES)
214 participants were distributed in the three experimental conditions (reading of literary fiction, nonfiction or science fiction). Participants read literary fiction, nonfiction or science fiction books. The time between the pre- and post-reading phases was 14 days, and the participants had one week to read the book. Literary fiction facilitated changes indicative of improvement in mentalizing abilities.
Rodrigues et al. 32 Intervention Avaliação sociocognitiva de respostas infantis pós-exploração dialogada de narrativa textual * 57 first-grade children of a public school in Minas Gerais Reading of storybooks with a focus on mental states and emotions. Teacher training lasted 20 hours, distributed into three months. Increase in childrens’ attribution of mental states and significant improvement in social cognitive abilities scores after the intervention.
Samur et al. 29 Intervention Reading the Mind in the Eyes Test (RMET)
Author Recognition Test (ART)
Bermond–Vorst Alexithymia Questionnaire
Transportation Scale
Osnabrück Life Stress Scale
Adult Survey of Reading Attitudes
80 participants in experiment 1 (comparison between the effects of reading literary fiction and nonfiction on mentalizing)
80 participants in experiment 2 (comparison between the effects of reading literary fiction, nonfiction and popular fiction)
90 participants in experiment 3 (comparison between the effects of reading literary fiction, nonfiction, popular fiction and a control condition with no reading)
80 participants in experiment 4 (comparison between the effects of reading literary fiction, nonfiction, popular fiction and a control condition with no reading, using different texts from experiment 3)
Participants read short passages of either nonfiction, literary fiction or popular fiction. Participants read the passages and were evaluated immediately after. Higher RMET scores were observed on the literary fiction condition, but these findings were not statistically significant. Results on the Author Recognition Test predicted RMET scores.
Swami et al. 35 Intervention Scale of Ethnocultural Empathy 87 Malaysian citizens enrolled on undergraduate and postgraduate programs in three universities Round Table Cinema Activity (RTCA) Three different encounters, with two-week gaps in between Participants’ ethnocultural empathy showed an increase following the intervention, and qualitative data analysis revealed a trend toward improvement in participants, driven by significant changes observed throughout the study.
Tompkins 27 Intervention Social Skills Improvement System (SSIS) Rating Scales
False belief tasks
Peabody Picture Vocabulary Test - 4th edition
Adaptation of the Head Start Family and Child Experiences Survey
73 low-income children distributed into experimental, storybook control group and non-treatment group (distribution of children was not specified). Children in the experimental group participated in one-on-one book reading interactions, including questions about mental states, introduction and embedded statements and summary of false beliefs in the story. The storybook control group was read the same storybooks without statements, questions or summary. Non-treatment control group engaged in no interaction with the experimenter during the training phase. Each child received 8 to 15 storybooks on separate days, approximately 3 books per week over 5 weeks. Significant improvements were observed in the children’s false belief understanding, as well as statistically insignificant changes in the social competence of the experimental group.

Notes: *in a free translation to English, “Sociocognitive assessment of children’s responses after dialogued exploration of textual narrative”; in a free translation to English, “Questionnaire of Socially Skilled Responses, as reported by teachers”.