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Doctors inhibit social threat empathy in the later stage of cognitive processing: Electrophysiological evidence
Affiliation:1. School of Education Science, Huaiyin Normal University, 111, West Changjiang Road, Huaiyin District, Huaian 223001, China;2. Wenzhou Medical University, Wenzhou 325035, China;3. Faculty of Education, East China Normal University, 3663, Zhongshan North Road, Putuo District, Shanghai 200062, China;1. Department of Anaesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;2. Department of Pain Treatment, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;3. Anaesthesia and Operation Center, Chinese PLA General Hospital, Beijing, China;1. Departament de Cognició, Desenvolupament i Psicologia de l’Educació, Faculty of Psychology, University of Barcelona, Barcelona, Spain;2. Institut de Neurociències, Universitat de Barcelona, Barcelona, Spain;3. Institut de Recerca Pediàtrica Hospital Sant Joan de Déu, Barcelona, Spain;4. Braingaze SL, Mataró, Spain;5. Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain;1. College of Nursing and Midwifery, Charles Darwin University, Brisbane, Australia;2. School of Nursing, Southwest Medical University, Luzhou, China;3. School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region;4. The Affiliated Hospital of Southwest Medical University, Luzhou, China;1. Nursing Department, The First People''s Hospital of Yunnan, 157 Jinbi Road, Xishan District, Kunming, Yunnan 650000, PR China;2. Evidence-based Nursing Center, School of Nursing, Lanzhou University, NO. 28 Yanxi Road, Lanzhou, Gansu 730000, PR China;3. Department of Intensive Care Unit, Kunming City Guandu District People’s Hospital, Guandu District, Kunming, Yunnan 650220, PR China;4. The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan 650000, PR China
Abstract:Previous studies have found that repeatedly exposed to a threatening situation may reduce doctors' level of empathy, reducing psychological stress and avoiding burnout and compassion fatigue. However, many essential studies found that it does not seem universal but rather modulated by group membership. In this study, we recorded event-related potentials (ERP) when doctors and controls watched visual stimuli describing patients attacking doctors (Threat events) or shaking hands with doctors (Neutral events). The present study showed an early N190 and a later centro-parietal P3 differential amplitude between threat stimuli and neutral stimuli were observed in the controls. For the doctors, there was such ERP differentiation in early N190. However, later stage P3 differential amplitude was not observed. The current research suggests that doctors could regulate empathy and avoid allocating more attention resources when processing social threats to ensure treatment efficiency and avoid burnout.
Keywords:Empathy  Doctor  Group membership  Threat  ERP
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