Patient-Clinician Brain Response During Clinical Encounter and Pain Treatment.
Patient-Clinician Brain Response During Clinical Encounter and Pain Treatment.
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DOI：
10.1109/embc44109.2020.9175608
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发表时间：
2020-07
期刊：
影响因子：
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通讯作者：
Napadow V
中科院分区：
文献类型：
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作者：
Anzolin A;Isenburg K;Grahl A;Toppi J;Yucel M;Ellingsen DM;Gerber J;Ciaramidaro A;Astolfi L;Kaptchuk TJ;Napadow V
众所周知，患者-临床医生关系会显著影响疼痛体验，因为同理心、相互信任和治疗联盟可以显著调节疼痛感知并影响临床治疗结果。本研究的目的是使用脑电图超扫描设置，以确定大脑和行为机制，支持病人-临床医生的关系，而这种临床二人组是从事治疗的相互作用。我们之前的研究应用功能磁共振成像超扫描，以调查是否大脑的一致性与镇痛经验的病人，而接受治疗的临床医生。在当前的超扫描项目中，我们研究了患者-临床医生二人组的类似结果，该二人组利用EEG的高时间分辨率以及当患者和临床医生在同一房间中并在实验控制的治疗环境下进行面对面互动时获取信号的可能性。先进的源定位方法允许整合的空间和光谱信息，以评估大脑相关的治疗联盟和疼痛感知在不同的临床相互作用的情况下。初步结果表明，行为和大脑的反应在整个病人-临床医生二分体显着影响的互动风格。
The patient-clinician relationship is known to significantly affect the pain experience, as empathy, mutual trust and therapeutic alliance can significantly modulate pain perception and influence clinical therapy outcomes. The aim of the present study was to use an EEG hyperscanning setup to identify brain and behavioral mechanisms supporting the patient-clinician relationship while this clinical dyad is engaged in a therapeutic interaction. Our previous study applied fMRI hyperscanning to investigate whether brain concordance is linked with analgesia experienced by a patient while undergoing treatment by the clinician. In this current hyperscanning project we investigated similar outcomes for the patient-clinician dyad exploiting the high temporal resolution of EEG and the possibility to acquire the signals while patients and clinicians were present in the same room and engaged in a face-to-face interaction under an experimentally-controlled therapeutic context. Advanced source localization methods allowed for integration of spatial and spectral information in order to assess brain correlates of therapeutic alliance and pain perception in different clinical interaction contexts. Preliminary results showed that both behavioral and brain responses across the patient-clinician dyad were significantly affected by the interaction style.