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Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis
Healthcare providers often underestimate patients’ pain, sometimes even when aware of their reports. This could be the effect of experience reducing sensitivity to others pain, or distrust toward patients’ self-evaluations. Across multiple experiments (375 participants), we tested whether senior med...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
eLife Sciences Publications, Ltd
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104963/ https://www.ncbi.nlm.nih.gov/pubmed/33904406 http://dx.doi.org/10.7554/eLife.63272 |
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author | Dirupo, Giada Totaro, Sabrina Richard, Jeanne Corradi-Dell'Acqua, Corrado |
author_facet | Dirupo, Giada Totaro, Sabrina Richard, Jeanne Corradi-Dell'Acqua, Corrado |
author_sort | Dirupo, Giada |
collection | PubMed |
description | Healthcare providers often underestimate patients’ pain, sometimes even when aware of their reports. This could be the effect of experience reducing sensitivity to others pain, or distrust toward patients’ self-evaluations. Across multiple experiments (375 participants), we tested whether senior medical students differed from younger colleagues and lay controls in the way they assess people’s pain and take into consideration their feedback. We found that medical training affected the sensitivity to pain faces, an effect shown by the lower ratings and highlighted by a decrease in neural response of the insula and cingulate cortex. Instead, distrust toward the expressions’ authenticity affected the processing of feedbacks, by decreasing activity in the ventral striatum whenever patients’ self-reports matched participants’ evaluations, and by promoting strong reliance on the opinion of other doctors. Overall, our study underscores the multiple processes which might influence the evaluation of others’ pain at the early stages of medical career. |
format | Online Article Text |
id | pubmed-8104963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | eLife Sciences Publications, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-81049632021-05-11 Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis Dirupo, Giada Totaro, Sabrina Richard, Jeanne Corradi-Dell'Acqua, Corrado eLife Neuroscience Healthcare providers often underestimate patients’ pain, sometimes even when aware of their reports. This could be the effect of experience reducing sensitivity to others pain, or distrust toward patients’ self-evaluations. Across multiple experiments (375 participants), we tested whether senior medical students differed from younger colleagues and lay controls in the way they assess people’s pain and take into consideration their feedback. We found that medical training affected the sensitivity to pain faces, an effect shown by the lower ratings and highlighted by a decrease in neural response of the insula and cingulate cortex. Instead, distrust toward the expressions’ authenticity affected the processing of feedbacks, by decreasing activity in the ventral striatum whenever patients’ self-reports matched participants’ evaluations, and by promoting strong reliance on the opinion of other doctors. Overall, our study underscores the multiple processes which might influence the evaluation of others’ pain at the early stages of medical career. eLife Sciences Publications, Ltd 2021-04-27 /pmc/articles/PMC8104963/ /pubmed/33904406 http://dx.doi.org/10.7554/eLife.63272 Text en © 2021, Dirupo et al https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Neuroscience Dirupo, Giada Totaro, Sabrina Richard, Jeanne Corradi-Dell'Acqua, Corrado Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title | Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title_full | Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title_fullStr | Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title_full_unstemmed | Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title_short | Medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
title_sort | medical education and distrust modulate the response of insular-cingulate network and ventral striatum in pain diagnosis |
topic | Neuroscience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8104963/ https://www.ncbi.nlm.nih.gov/pubmed/33904406 http://dx.doi.org/10.7554/eLife.63272 |
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