Association Between Trait Empathy and Resting Brain Activity in Women With Primary Dysmenorrhea During the Pain and Pain-Free Phases.

Association Between Trait Empathy and Resting Brain Activity in Women With Primary Dysmenorrhea During the Pain and Pain-Free Phases.
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原发性痛经女性在疼痛和无痛阶段的同理心特征与静息大脑活动之间的关系

DOI:
10.3389/fpsyt.2020.608928
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发表时间:
2020
影响因子:
4.7
通讯作者:
Liu H
Liu H
中科院分区:
医学3区
文献类型:
--
作者:
Dun W;Fan T;Wang Q;Wang K;Yang J;Li H;Liu J;Liu H

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移情是指理解他人情绪的能力,并随着健康个体的当前状态而波动。然而,对不同疼痛状态下临床人群的共情神经网络知之甚少。本研究以原发性痛经(PDM)患者为研究对象,探讨长期疼痛对共情相关网络的影响以及共情在不同疼痛状态下是否存在差异。采用多变量偏最小二乘法对46名PDM妇女和46名健康对照(HC)在排卵期、黄体期和月经期进行分析。我们确定了两组中与同理心不同方面相关的神经网络。PDM中部分移情相关网络的活性与HC相似,包括右前额叶等区域,而其他区域的活性与HC相反,包括额下回和右顶下小叶。这些结果表明PDM对共情的调节异常。此外,疼痛和无疼痛状态下PDM的共情关联模式没有差异。这项研究表明,长期的疼痛体验可能会导致大脑网络的移情处理功能异常,而这种功能并不随月经周期中的疼痛或无痛状态而变化。
Empathy refers to the ability to understand someone else's emotions and fluctuates with the current state in healthy individuals. However, little is known about the neural network of empathy in clinical populations at different pain states. The current study aimed to examine the effects of long-term pain on empathy-related networks and whether empathy varied at different pain states by studying primary dysmenorrhea (PDM) patients. Multivariate partial least squares was employed in 46 PDM women and 46 healthy controls (HC) during periovulatory, luteal, and menstruation phases. We identified neural networks associated with different aspects of empathy in both groups. Part of the obtained empathy-related network in PDM exhibited a similar activity compared with HC, including the right anterior insula and other regions, whereas others have an opposite activity in PDM, including the inferior frontal gyrus and right inferior parietal lobule. These results indicated an abnormal regulation to empathy in PDM. Furthermore, there was no difference in empathy association patterns in PDM between the pain and pain-free states. This study suggested that long-term pain experience may lead to an abnormal function of the brain network for empathy processing that did not vary with the pain or pain-free state across the menstrual cycle.
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