医疗保健经验会影响疼痛特异性反应,以其他人的痛苦在前面的岛屿
Corrado Corradi-Dell'Acqua1,2,3, Christoph Hofstetter3, Gil Sharvit3,4,5
1Theory of Pain Laboratory, Department of Psychology, Faculty of Psychology and Educational Sciences (FPSE), University of Geneva, Geneva, Switzerland.
Human brain mapping
|August 23, 2023
概括
医疗保健专业人员显示,大脑对他人疼痛的反应减少了,特别是在前胰岛 (AI). 这种神经变化与低估患者的痛苦有关,影响了临床同情心.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 医学教育 医学教育
背景情况:
- 医疗保健提供者经常低估患者的疼痛.
- 这种低估与前半岛 (AI) 中神经反应的改变有关,前半岛是处理自我疼痛和负面情绪的关键区域.
- 医疗保健专业人员中这些神经变化的确切作用和特异性尚不清楚.
研究的目的:
- 研究医疗保健经验如何影响大脑对他人的疼痛,情绪和信仰的反应.
- 为了确定神经对观察到的疼痛反应的变化是否与疼痛特异,或将其泛化为其他情感状态.
- 为了比较大脑对观察到的疼痛的反应与对自我疼痛的反应.
主要方法:
- 招募医学学生和急救护士进行两项实验.
- 利用图像和语言线索来表达痛苦,情绪和信仰.
- 使用功能磁共振成像 (fMRI),表示相似性分析 (RSA) 和多变量模式分析 (MVPA) 来评估大脑活动和神经表示.
主要成果:
- 医疗保健经验显著降低了前侧胰岛 (AI) 活动,以应对观察他人的痛苦.
- 这种效应在不同的刺激模式 (图片和文本) 中是一致的,但特定于疼痛,而不是一般化到其他心理或情感状态.
- 观察到的疼痛的神经表现,特别是与第一手感知共享的组件,受到医疗保健经验的特别影响,与人工智能有更强的联系.
结论:
- 医疗保健经验导致人们减少将他人的痛苦视为自己的痛苦的倾向.
- 这与前侧胰岛 (AI) 内的疼痛特异性神经信息的招募减少有关.
- 这些发现提供了关于医疗保健提供者在临床环境中低估疼痛背后的神经机制的见解.
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