Expertise modulates the perception of pain in others
Expertise modulates the perception of pain in others
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DOI：
10.1016/j.cub.2007.09.020
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发表时间：
2007-10-09
期刊：
影响因子：
9.2
通讯作者：
Decety, Jean
中科院分区：
文献类型：
--
作者：
Cheng, Yawei;Lin, Ching-Po;Decety, Jean
感知他人的痛苦会激活观察者大脑中疼痛矩阵的很大一部分。因为这种共同的神经表征会导致共情或个人痛苦[2,3]，所以必须对那些在患者群体中实施痛苦手术的人进行调节机制，以防止他们的痛苦损害他们提供帮助的能力。在这项功能性磁共振成像MRI研究中，练习针灸的医生与幼稚的参与者进行比较，同时观察动画视觉刺激，描绘针被插入不同的身体部位，包括嘴区、手和脚。结果表明，对照组的前岛体感皮层、导水周围灰质和前扣带皮层被显著激活，而专家组的内侧、上前额叶皮层和参与情绪调节和心理理论的颞顶叶交界处被激活。
Perceiving the pain of others activates a large part of the pain matrix in the observer [1]. Because this shared neural representation can lead to empathy or personal distress [2, 3], regulatory mechanisms must operate in people who inflict painful procedures in their practice with patient populations in order to prevent their distress from impairing their ability to be of assistance. In this functional magnetic resonance imaging MRI study, physicians who practice acupuncture were compared to naive participants while observing animated visual stimuli depicting needles being inserted into different body parts, including the mouth region, hands, and feet. Results indicate that the anterior insula somatosensory cortex, periaqueducal gray, and anterior cingulate cortex were significantly activated in the control group, but not in the expert group, who instead showed activation of the medial and superior prefrontal cortices and the temporoparietal junction, involved in emotion regulation and theory of mind.