The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS

Empathy is a mental ability that allows one person to understand the mental and emotional state of another and determines how to effectively respond to that person. When a person receives cues that another person is in pain, neural pain circuits within the brain are activated. Studies have shown tha...

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Main Authors: Jingdan Xie, Haibo Yang, Xiaokai Xia, Shengyuan Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-07-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2018.01089/full
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author Jingdan Xie
Haibo Yang
Xiaokai Xia
Shengyuan Yu
author_facet Jingdan Xie
Haibo Yang
Xiaokai Xia
Shengyuan Yu
author_sort Jingdan Xie
collection DOAJ
description Empathy is a mental ability that allows one person to understand the mental and emotional state of another and determines how to effectively respond to that person. When a person receives cues that another person is in pain, neural pain circuits within the brain are activated. Studies have shown that compared with non-medical staff, medical practitioners present lower empathy for pain in medical scenarios, but the mechanism of this phenomenon remains in dispute. This work investigates whether the neural correlates of empathic processes of pain are altered by professional medical knowledge. The participants were 16 medical students who were enrolled at a Chinese medical college and 16 non-medical students who were enrolled at a normal university. Participants were scanned by functional near-infrared spectroscopy while watching pictures of medical scenarios that were either painful or neutral situations. Subjects were asked to evaluate the pain intensity supposedly felt by the model in the stimulus displays, and the Interpersonal Reactivity Index-C (IRI-C) questionnaire was used to measure the empathic ability of participants. The results showed that there is no significant difference between medical professional and non-medical professional subjects in IRI-C questionnaire scores. The subjects of medical professions rated the pain degree of medical pictures significantly lower than those of non-medical professions. The activation areas in non-medical subjects were mainly located in the dorsolateral prefrontal cortex, frontal polar regions, posterior part of the inferior frontal gyrus, supramarginal gyrus, supplementary somatosensory cortex and angular gyrus, whereas there was a wide range of activation in the prefrontal lobe region in addition to the somatosensory cortex in medical professionals. These results indicate that the process of pain empathy in medical settings is influenced by medical professional knowledge.
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spelling doaj.art-94b3d9ea503e41f99bac367d2595e61d2022-12-21T20:07:17ZengFrontiers Media S.A.Frontiers in Psychology1664-10782018-07-01910.3389/fpsyg.2018.01089363709The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRSJingdan Xie0Haibo Yang1Xiaokai Xia2Shengyuan Yu3International Headache Center, Department of Neurology, Chinese PLA General Hospital, Beijing, ChinaAcademy of Psychology and Behavior, Tianjin Normal University, Tianjin, ChinaAcademy of Psychology and Behavior, Tianjin Normal University, Tianjin, ChinaInternational Headache Center, Department of Neurology, Chinese PLA General Hospital, Beijing, ChinaEmpathy is a mental ability that allows one person to understand the mental and emotional state of another and determines how to effectively respond to that person. When a person receives cues that another person is in pain, neural pain circuits within the brain are activated. Studies have shown that compared with non-medical staff, medical practitioners present lower empathy for pain in medical scenarios, but the mechanism of this phenomenon remains in dispute. This work investigates whether the neural correlates of empathic processes of pain are altered by professional medical knowledge. The participants were 16 medical students who were enrolled at a Chinese medical college and 16 non-medical students who were enrolled at a normal university. Participants were scanned by functional near-infrared spectroscopy while watching pictures of medical scenarios that were either painful or neutral situations. Subjects were asked to evaluate the pain intensity supposedly felt by the model in the stimulus displays, and the Interpersonal Reactivity Index-C (IRI-C) questionnaire was used to measure the empathic ability of participants. The results showed that there is no significant difference between medical professional and non-medical professional subjects in IRI-C questionnaire scores. The subjects of medical professions rated the pain degree of medical pictures significantly lower than those of non-medical professions. The activation areas in non-medical subjects were mainly located in the dorsolateral prefrontal cortex, frontal polar regions, posterior part of the inferior frontal gyrus, supramarginal gyrus, supplementary somatosensory cortex and angular gyrus, whereas there was a wide range of activation in the prefrontal lobe region in addition to the somatosensory cortex in medical professionals. These results indicate that the process of pain empathy in medical settings is influenced by medical professional knowledge.https://www.frontiersin.org/article/10.3389/fpsyg.2018.01089/fullmedical professional knowledgeempathypainfNIRSdorsolateral prefrontal cortex (DLPFC)
spellingShingle Jingdan Xie
Haibo Yang
Xiaokai Xia
Shengyuan Yu
The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
Frontiers in Psychology
medical professional knowledge
empathy
pain
fNIRS
dorsolateral prefrontal cortex (DLPFC)
title The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
title_full The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
title_fullStr The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
title_full_unstemmed The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
title_short The Influence of Medical Professional Knowledge on Empathy for Pain: Evidence From fNIRS
title_sort influence of medical professional knowledge on empathy for pain evidence from fnirs
topic medical professional knowledge
empathy
pain
fNIRS
dorsolateral prefrontal cortex (DLPFC)
url https://www.frontiersin.org/article/10.3389/fpsyg.2018.01089/full
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