Thursday, June 16, 2011

Scientists: docs don’t feel your pain much—and maybe that’s best

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Scientists: docs don't feel your pain much—and maybe that's best
Jan. 20, 2010
Special to World Science  
If you've ev­er felt like you've had a doc­tor who just did­n't care, your feel­ing might have some ba­sis.

Doc­tors tend to sup­press the urge to em­pa­thize with oth­er peo­ple's suf­fer­ing, re­search­ers have found in a brain study. But they claim this may be a good thing, as it could help the physi­cians fo­cus on ac­tu­ally help­ing.

"With­out emo­tion regula­t­ion skills, re­peat­ed ex­po­sure to the suf­fer­ing of oth­ers in health­care pro­fes­sion­als may be as­so­ci­at­ed with… per­son­al dis­tress, burn­out and com­pas­sion fa­tigue," wrote Jean De­cety of the Univers­ity and Chi­ca­go and col­leagues, au­thors of the study pub­lished in the Jan. 14 on­line is­sue of the jour­nal Neu­roim­age.

Past re­search has found that watch­ing or im­ag­in­ing oth­er peo­ple in pain ac­ti­vates the brain's own pain cen­ters, the group noted. Doc­tors' di­al­ing down their own pain re­sponse may thus free up "cog­ni­tive re­sources nec­es­sary for be­ing of as­sis­tance."

De­cety and col­leagues meas­ured elec­tri­cal ac­ti­vity in the brain from physi­cians, and from a matched group of non-physi­cians, as they watched im­ages of body parts pricked by ei­ther a nee­dle, or a Q-tip. The goal was to meas­ure wheth­er the brain would dis­tin­guish these "pain" and "no-pain" situa­t­ions.

Non-physi­cians showed di­verg­ing brain re­sponses to the two types of stim­u­li, the re­search­ers found. The dif­fer­ent re­sponses oc­curred early in the brain pro­cess­ing, and showed up in brain ar­eas known as front­al and centro-parietal re­gions, roughly the front and top of the scalp.

No such re­sponses were de­tected in the physi­cians, ac­cord­ing to the re­search­ers, who stud­ied elec­tri­cal ac­ti­vity by means of elec­tro­en­ceph­a­lo­gra­phy, or elec­trodes placed on the scalp. "Our re­sults in­di­cate that emo­tion regula­t­ion in physi­cians has very early ef­fects, in­hibit­ing the bottom-up pro­cess­ing of the per­cep­tion of pain in oth­ers," De­cety and col­leagues wrote.

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Eli Priyatna 16 Jun, 2011


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Source: http://basistik.blogspot.com/2011/06/scientists-docs-dont-feel-your-pain.html
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