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The impact of stigma on quality of life in patients with epilepsy. 病耻感对癫痫患者生活质量的影响
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-04-01 Epub Date: 2025-07-20 DOI: 10.1080/17470919.2025.2536572
Mukadder Mollaoğlu, Melike Yilmaz

Objective: Epilepsy is one of the chronic neurological diseases with high stigmatization due to the psychosocial problems caused by seizures. The study was conducted to examine the quality of life and stigma in people with epilepsy (PWE).

Method: The data of the descriptive and cross-sectional study were collected using the Personal Information Form, the Quality of Life in Epilepsy Inventory (QOLIE-31), and the Stigma Scale for Epilepsy (SSE) and analyzed using the SPSS program.

Results: The study included 86 patients receiving outpatient treatment at the neurology outpatient clinic of a university hospital. The mean score of epilepsy patients in QOLIE-31 was 61.95 ± 22.68, while their mean score in the SSE was 74.67 ± 5.94. It was determined that gender, seizure type, antiepileptic drug regimen, and seizure time affected the quality of life in PWE, while educational status and seizure type affected stigma. It was determined that there was a significant relationship between the level of stigma and quality of life in epilepsy patients, and that their quality of life decreased as the level of stigma increased.

Conclusion: As a result, epilepsy negatively affects the quality of life of patients and causes stigma. Reducing stigma is effective in increasing the quality of life.

目的:癫痫是一种因癫痫发作引起的社会心理问题而被高度污名化的慢性神经系统疾病。该研究旨在调查癫痫患者的生活质量和耻辱感。方法:采用个人信息表、癫痫生活质量量表(QOLIE-31)和癫痫病耻感量表(SSE)收集描述性和横断面研究数据,采用SPSS软件进行分析。结果:本研究纳入86例在某大学医院神经内科门诊接受门诊治疗的患者。QOLIE-31组癫痫患者平均得分为61.95±22.68分,SSE组癫痫患者平均得分为74.67±5.94分。性别、癫痫发作类型、抗癫痫药物治疗方案和癫痫发作时间影响PWE患者的生活质量,而教育程度和癫痫发作类型影响病耻感。结果表明,癫痫患者的病耻感水平与生活质量之间存在显著的关系,患者的生活质量随着病耻感水平的升高而下降。结论:癫痫会对患者的生活质量产生负面影响,并引起耻辱感。减少耻辱感对提高生活质量是有效的。
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引用次数: 0
A neuroimaging-based meta-analysis of prosocial behavior in childhood and adolescence. 儿童和青少年亲社会行为的神经影像学meta分析。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-04-01 Epub Date: 2025-08-01 DOI: 10.1080/17470919.2025.2541641
Rolando Bonandrini, Francis Beveridge, Nikolaus Steinbeis

Despite increasing interest in the neural underpinnings of prosociality during childhood and adolescence, there is little convergence across studies of brain activations associated with prosocial behavior in developmental populations. Here, we build on 11 neuroimaging studies on prosocial behavior in developmental samples of average age between 8 and 17 years and conducted an Activation Likelihood Estimation meta-analysis. We found clusters of significant spatial convergence across studies in the insulae, inferior frontal gyrus, middle cingulum, and the precentral gyrus. The cluster in the cingulate cortex, which existing literature associates with cognitive control, shows overlap with previous meta-analytical data on prosocial behavior in adults. This region may constitute a core neurocognitive mechanism underlying prosociality from childhood to adulthood.

尽管人们对儿童期和青春期亲社会行为的神经基础越来越感兴趣,但在发育人群中,与亲社会行为相关的大脑激活研究几乎没有趋同。在此,我们基于11项平均年龄在8 - 17岁之间的发育样本的亲社会行为神经影像学研究,并进行了激活似然估计meta分析。我们在脑岛、额下回、中扣带和中央前回的研究中发现了显著的空间收敛簇。现有文献认为,与认知控制有关的扣带皮层中的集群与先前关于成人亲社会行为的元分析数据有重叠。这个区域可能构成了从童年到成年的亲社会行为的核心神经认知机制。
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引用次数: 0
The influence of empathic concern on evaluative processing in self and charity outcomes. 共情关注对自我评价加工和慈善结果的影响。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-04-01 Epub Date: 2025-04-22 DOI: 10.1080/17470919.2025.2493871
Min Tan, Mei Li, Xi Luo, Guanfei Zhang, Yiping Zhong

Empathy plays a crucial role in determining how one understands others' emotional experiences and behavioral decisions. This study aimed to explore whether empathic concern affects the processing of self-related and charity-related outcome evaluations. In this study, participants performed gambling tasks for themselves and low- and high-empathy charities. The behavioral results showed that low-empathy charities had a significantly higher risk rate than the self, whereas there was no significant difference between low-and high-empathy charities. The event-related potential (ERP) results showed that the P300 valence difference (d-P300) of the self was significantly higher for high-empathy charitable activities than for low-empathy charitable activities, and the d-P300 of high-empathy charitable activities was significantly higher than that of low-empathy charitable activities. The P300 valence differences primarily originated from activation difference in the posterior mid-cingulate cortex (pMCC) and medial prefrontal cortex (mPFC). The time-frequency analysis showed that positive outcomes induced greater β2 event-related desynchronization (ERD) amplitudes for high-empathy charitable activities compared to negative outcomes. These findings suggest that empathic concern increased the distinction between good and bad outcomes for charities and promoted greater cognitive effort allocation toward prosocial rewards. The d-P300 is closely linked to activations in the pMCC and mPFC.

移情在决定一个人如何理解他人的情感经历和行为决定方面起着至关重要的作用。本研究旨在探讨共情关怀是否影响自我相关和慈善相关结果评价的加工。在这项研究中,参与者分别为自己和低同理心和高同理心的慈善机构执行赌博任务。行为结果显示,低共情慈善的风险率显著高于自我,而低共情慈善与高共情慈善之间无显著差异。事件相关电位(ERP)结果显示,高共情慈善活动的自我P300效价差(d-P300)显著高于低共情慈善活动,高共情慈善活动的自我P300效价差显著高于低共情慈善活动。P300效价差异主要来源于后扣带中皮层(pMCC)和内侧前额叶皮层(mPFC)的激活差异。时间-频率分析结果表明,与消极结果相比,积极结果诱导高同理心慈善活动的β2事件相关不同步(ERD)幅度更大。这些发现表明,共情关注增加了慈善事业好坏结果的区别,并促进了对亲社会奖励的更大认知努力分配。d-P300与pMCC和mPFC的激活密切相关。
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引用次数: 0
Executive functions in adolescence: A longitudinal study comparing evaluations before and after the COVID-19 pandemic. 青少年的执行功能:一项比较COVID-19大流行前后评估的纵向研究。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-31 DOI: 10.1080/17470919.2025.2457954
G Nathzidy Rivera-Urbina, María Fernanda Orozco-Roldán, Andrés Molero-Chamizo

The change in the educational model derived from the COVID-19 pandemic might have an impact on cognitive development, particularly on Executive Functions (EFs). The aim of this study was to explore cognitive performance in adolescents at two time points (12 and 14 years of age), before and after the pandemic restrictions. We also analyzed possible sex differences in the results. We evaluated EFs using the Neuropsychological Battery of Executive Functions and Frontal Lobes (BANFE-2), which includes four cognitive indices corresponding to specific cognitive functions and associated prefrontal areas: Orbitofrontal Cortex (OC index -OCI-), Anterior Prefrontal Cortex (APCI), Dorsolateral Prefrontal Cortex (DCI), and Prefrontal cortex as an index of global EFs (EFI). The ANOVA conducted to compare the evaluations before and after the pandemic revealed no significant pre-post-pandemic differences in any sex and in any BANFE-2 index, except for the OCI, in which post-pandemic performance was impaired in boys (pre and post mean score = 96.61 vs. 66.53), but not in girls (pre and post mean score = 93.55 vs. 95.0). Our findings are thus compatible with the idea of a different vulnerability to change in the educational model between sexes, and they also reveal which specific EFs may have been affected during the pandemic.

COVID-19大流行导致的教育模式的变化可能会对认知发展,特别是对执行功能(EFs)产生影响。本研究的目的是探讨在大流行限制之前和之后的两个时间点(12岁和14岁)青少年的认知表现。我们还分析了结果中可能存在的性别差异。我们使用执行功能和额叶神经心理学电池(BANFE-2)来评估EFs,该电池包括四个与特定认知功能和相关前额叶区域相对应的认知指标:眼窝前额皮质(OC指数- oci -)、前额叶前部皮质(APCI)、背外侧前额皮质(DCI)和前额皮质作为全局EFs (EFI)的指数。为比较大流行前后的评估而进行的方差分析显示,除OCI外,任何性别和任何BANFE-2指数在大流行前后都没有显著差异,男孩在大流行后的表现受到损害(前和后平均得分= 96.61对66.53),但女孩没有(前和后平均得分= 93.55对95.0)。因此,我们的研究结果与性别之间教育模式变化的不同脆弱性的观点是一致的,它们还揭示了哪些特定的EFs可能在大流行期间受到影响。
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引用次数: 0
Hemispheric alpha asymmetry differentiates within-participants social power states: high social power increases and low social power decreases left frontal cortical activity. 半球阿尔法不对称性可区分参与者内部的社会权力状态:高社会权力会增加左额叶皮层活动,而低社会权力则会减少左额叶皮层活动。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-03-09 DOI: 10.1080/17470919.2025.2474401
Sebastian Scholz, Johanna Kissler

Social power is linked to approach and withdrawal motivational systems, with frontal alpha asymmetry (FAA) in the electroencephalogram (EEG) potentially reflecting these tendencies. Higher left-frontal activity suggests approach, while lower levels indicate withdrawal. In this study, we used a novel within-subject design to explore how social power affects FAA. Twenty-five participants completed an episodic recall task inducing high or low social power, or a neutral condition, in random order. EEG alpha power (8-12 hz) was measured to calculate FAA indices for frontal and parietal-occipital regions and compared to resting-state asymmetry. Results showed a significant increase in left-hemispheric activity during high social power recall, affecting both frontal and non-frontal regions, compared to low power and control conditions. Low social power was associated with the least left hemispheric activity. These findings highlight strong effects of social power on brain systems related to approach and avoidance but challenge the notion that FAA is confined to frontal regions. The study enhances understanding of the neural mechanisms behind social power and underscores the value of within-subject designs and baseline measurements in studying neural activity related alpha asymmetry and social power.

社会权力与接近和退缩动机系统有关,脑电图(EEG)中的额叶α不对称(FAA)可能反映了这些倾向。较高的左额叶活动表明接近,而较低的水平表明退缩。在本研究中,我们采用了一种新颖的主题内设计来探索社会权力如何影响FAA。25名参与者按随机顺序完成了一项情景性回忆任务,包括高、低社会权力,或中性条件。测量脑电α功率(8 ~ 12 hz),计算额叶区和顶叶枕叶区的FAA指数,并与静息状态不对称进行比较。结果显示,与低社会权力和控制条件相比,在高社会权力条件下,左半球活动显著增加,影响额叶和非额叶区域。社会权力低与左半球活动最少有关。这些发现强调了社会权力对与接近和回避相关的大脑系统的强大影响,但挑战了FAA仅限于额叶区域的概念。该研究加强了对社会权力背后的神经机制的理解,并强调了受试者内设计和基线测量在研究与α不对称和社会权力相关的神经活动中的价值。
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引用次数: 0
The role of the medial prefrontal cortex (mPFC) in social decision-making against high- and low-rank opponents: a transcranial direct current stimulation (tDCS) study. 内侧前额叶皮层(mPFC)在对抗高低等级对手的社会决策中的作用:一项经颅直流电刺激(tDCS)研究。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-03-09 DOI: 10.1080/17470919.2025.2474410
Hadi Mohamadpour, Mahdieh Goudarzi, Abdol-Hossein Vahabie, Soomaayeh Heysieattalab

Social hierarchy is a key determinant of behavior and individuals interact with others based on their social rank. Previous research has emphasized the role of the mPFC in learning social hierarchies. This study employed a social rank learning task alongside a modified version of the Ultimatum Game (UG) to investigate how individuals respond to monetary offers from different social ranks and whether the mPFC modulates these reactions. Our findings indicate that unfair offers are more likely to be rejected and offers made by individuals of lower social rank are more likely to be rejected compared to those from higher social rank. Additionally, men tend to respond quicker than women in the UG. Remarkably, participants who received tDCS over the mPFC demonstrated higher rejection rates and faster response times for offers of low-rank individuals, while the lower rejection rates and slower responses to offers from high-rank opponents. These results shed light on the neural mechanisms involved in social decision-making in competitive contexts. In particular, they reveal increased sensitivity of the mPFC to social ranks after electrical stimulation, which might be an evidence for its role in shaping decisions and reactions toward unfairness within the existing social hierarchies.

社会等级是行为的关键决定因素,个人根据他们的社会等级与他人互动。先前的研究强调了mPFC在学习社会等级中的作用。本研究采用社会等级学习任务和修改版本的最后通牒游戏(UG)来调查个体如何对来自不同社会等级的金钱提供做出反应,以及mPFC是否调节这些反应。我们的研究结果表明,不公平的提议更容易被拒绝,社会地位较低的人提出的提议比社会地位较高的人更容易被拒绝。此外,在欧洲,男性的反应往往比女性快。值得注意的是,在mPFC上接受tDCS的参与者对低级别对手的出价表现出更高的拒绝率和更快的反应时间,而对高级别对手的出价表现出更低的拒绝率和更慢的反应时间。这些结果揭示了在竞争环境下参与社会决策的神经机制。特别是,他们揭示了电刺激后mPFC对社会等级的敏感度增加,这可能是它在现有社会等级中形成决策和对不公平的反应中所起作用的证据。
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引用次数: 0
Social group size alters social behavior and dopaminergic and serotonergic systems. 社会群体的规模会改变社会行为和多巴胺能系统和血清素系统。
IF 1.5 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-25 DOI: 10.1080/17470919.2025.2454257
Ye-Jin Kim, Young-A Lee

Social behavior is affected by social structure type, but how neural function changes with social type remains unclear. We investigated whether social group size affects social behaviors based on dopamine (DA) and serotonin (5-HT) systems. Four-week-old male mice were housed under different social group sizes: one, two, four, and eight mice per cage (1mpc, 2mpc, 4mpc, 8mpc, respectively). After 4 weeks, social preference, social interaction, and forced swim tests were performed to test sociability and anxiety, respectively, followed by analysis of DA and 5-HT and their metabolites (3,4-dihydroxyphenylacetic acid [DOPAC], 3-methoxytyramine [3-MT], norepinephrine, and 5-hydroxyindoleacetic acid [5-HIAA]). Social interactions and anxious behavior decreased with increased social group size. DA, 3-MT, and 5-HT levels decreased with increasing social group size, whereas DOPAC and 5-HIAA levels increased in the extended mesocorticolimbic system, including the dorsal striatum. Moreover, the increased social group size resulted in increased DOPAC/DA and 5-HIAA/5-HT ratios, accompanied by a decrease in the 3-MT/DA ratio within the extended mesocorticolimbic system. Linear regression analysis also revealed that social group size affects DA and 5-HT turnover. These suggest that social group size may influence behavior and monoamine levels, potentially contributing to DA- and 5-HT-related psychiatric disorders.

社会行为受社会结构类型的影响,但神经功能如何随社会类型而变化尚不清楚。我们研究了基于多巴胺(DA)和血清素(5-HT)系统的社会群体规模是否影响社会行为。四周大的雄性小鼠被安置在不同的社会群体中:每笼一只、两只、四只和八只小鼠(分别为1mpc、2mpc、4mpc、8mpc)。4周后,分别进行社会偏好、社会互动和强迫游泳测试以测试社交能力和焦虑,随后分析DA和5-羟色胺及其代谢物(3,4-二羟基苯基乙酸[DOPAC]、3-甲氧基酪胺[3- mt]、去甲肾上腺素和5-羟基吲哚乙酸[5-HIAA])。社交互动和焦虑行为随着社交群体规模的增加而减少。DA、3-MT和5-HT水平随着社会群体规模的增加而降低,而包括背纹状体在内的扩展中皮质边缘系统的DOPAC和5-HIAA水平则升高。此外,社会群体规模的增加导致DOPAC/DA和5-HIAA/5-HT比值的增加,同时伴有扩展中皮质边缘系统内3-MT/DA比值的降低。线性回归分析还发现,社会群体规模对DA和5-HT周转有影响。这些结果表明,社会群体的大小可能会影响行为和单胺水平,从而可能导致与DA和5- ht相关的精神疾病。
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引用次数: 0
How does teaching experience impact brain processes underlying the theory of mind? Study on primary school educators. 教学经验如何影响心智理论背后的大脑过程?小学教育工作者研究。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-12-05 DOI: 10.1080/17470919.2024.2437404
Jan Szczypiński, Karolina Golec-Staśkiewicz, Agnieszka Pluta, Artur Marchewka

Despite its importance for daily social interactions, few studies have explored interindividual differences in the Theory of Mind (ToM) abilities of healthy adults. We used Children's False-Attribution (CFA), Children's False-Beliefs (CFB), and Belief-Desire Reasoning tasks, along with fMRI-based assessments, in a comparative analysis of ToM among primary school teachers (PST; n = 27), skilled in social interactions with children, and matched controls (MC; n = 24), who lacked such experience. PST demonstrated slower reaction times than MC in Adult and Child false-belief stories of CFB. However, no other behavioral differences between the groups and between-group differences were observed at the brain level. Both groups presented similar valence ratings for stories in the CFA. Notably, fMRI analysis revealed a group-by-condition interaction effect in the right lateral orbitofrontal cortex (OFC). In PSTs, OFC activation decreased during negative false-attribution stories regarding children compared to stories related to adults, whereas MC demonstrated an opposite activation pattern. Between-group differences in right lateral OFC activity possibly signify a neural efficiency effect secondary to frequent social interactions of PSTs, unlike the MCs, with children in the working environment. These results underscore the significance of everyday social experiences in the functional plasticity of ToM networks.

尽管心理理论在日常社会交往中很重要,但很少有研究探讨健康成年人心理理论(ToM)能力的个体差异。我们使用儿童错误归因(CFA)、儿童错误信念(CFB)和信念欲望推理任务,以及基于fmri的评估,对小学教师的ToM进行了比较分析(PST;n = 27),与儿童的社会互动熟练,并匹配对照(MC;N = 24),他们缺乏这样的经验。在成人和儿童错误信念故事中,PST的反应时间比MC慢。然而,两组之间和两组之间在大脑水平上没有观察到其他行为差异。两组在CFA中对故事表现出相似的效价评分。值得注意的是,fMRI分析显示右侧外侧眶额皮质(OFC)存在组-条件相互作用效应。在pst中,与成人相关的故事相比,关于儿童的负面错误归因故事中OFC的激活减少,而MC则表现出相反的激活模式。与MCs不同,pst在工作环境中与儿童进行频繁的社会互动,可能会产生神经效率效应。这些结果强调了日常社会经验在ToM网络功能可塑性中的重要性。
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引用次数: 0
Exploring how first- and third-person narrative modulates neural activation during a social cognition task. An event-related potentials (ERPs) study. 探索第一和第三人称叙述如何调节社会认知任务中的神经激活。事件相关电位(ERPs)研究。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-12-18 DOI: 10.1080/17470919.2024.2441524
Daniela Altavilla, Ines Adornetti, Valentina Deriu, Alessandra Chiera, Francesco Ferretti

Several studies showed a positive effect of stories on Theory of Mind (ToM) performance. The aim of the present exploratory study was to investigate whether and how a specific aspect of narrative, i.e., character perspective, modulates the brain activation in response to a ToM task and improve the accuracy. Fifty participants were divided in three groups based on the text assigned: first-person perspective group (1 G; n = 16), third-person perspective group (3 G; n = 18) and a scientific essay group (EG; n = 16). The electroencephalographic and behavioral responses to eyes expressions, taken from the "Reading the Mind in the Eyes" test, were recorded pre-(T0) and post-(T1) reading task. The main results showed a greater N100 on left fronto-central electrodes and a greater P220-400 on right temporo-parietal electrodes in response to eye expressions at T1 compared to T0 in 3 G. A lower N220-400 was found on right fronto-central in response to eye expressions at T1 compared to T0 in 1 G and 3 G. The results suggest that, although reading first- and third-person stories modulates self-processes in a similar way, third-person stories involve an early stage of processing and a more extended neural network including anterior-posterior brain sites.

一些研究表明,故事对心理理论(ToM)的表现有积极的影响。本研究旨在探讨叙事的特定方面,即人物视角,是否以及如何调节大脑对ToM任务的反应并提高准确性。50名参与者根据所分配的文本分为三组:第一人称视角组(1g;n = 16),第三人称视角组(3g;n = 18)和科学论文组(EG;n = 16)。在阅读前(T0)和阅读后(T1)分别记录了阅读前(T0)和阅读后(T1)对眼睛表情的脑电图和行为反应。主要结果显示,T1时与3g时相比,左侧额中央电极的N100和右侧颞顶叶电极的P220-400均有较大的变化。T1和3g时,与T0相比,T1时眼球表情反应的右侧额中央N220-400较低。结果表明,虽然阅读第一人称故事和第三人称故事以类似的方式调节自我过程,但第三人称故事涉及到处理的早期阶段和一个更广泛的神经网络,包括大脑的前后部位。
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引用次数: 0
Volition as a modulator of the intergroup empathy bias. 意愿对群体间共情偏见的调节作用。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-10-01 Epub Date: 2024-12-26 DOI: 10.1080/17470919.2024.2446816
Emilie A Caspar, Eva Nicolay, Félix Banderembaho, Guillaume P Pech

Neural reactions to others' pain are usually lower when the individual is of a different ethnicity than when they are of the same ethnicity. This suggests that empathy is not only an automatic phenomenon but also a motivated one. In the present study, we tested whether one's willingness to increase or decrease empathy would correspondingly increase or decrease the neural empathic response, as measured with electroencephalography (EEG), irrespective of ethnicity. In Study 1, participants were presented with pictures displaying painful or non-painful stimulations on an individual from a similar or different ethnic group. In Study 2, the procedure was relatively similar but employed a within-subject design and was conducted in two countries: Belgium and Rwanda. Overall, EEG results showed that participants successfully increased their neural response to the pain of others, irrespective of the others' ethnicity in Study 1. However, the within-subject design used in Study 2 revealed additional nuances, as we observed that participants increased their neural pain response selectively toward ingroup individuals. Our findings indicate that observing the pain of a single person, regardless of ethnicity, can heighten one's neural reaction. Yet, when both ingroup and outgroup members are present, the neural response intensifies only for ingroup members.

不同种族的人对他人痛苦的神经反应通常比同一种族的人要低。这表明移情不仅是一种自动现象,也是一种动机性现象。在本研究中,我们测试了一个人增加或减少共情的意愿是否会相应地增加或减少神经共情反应,正如脑电图(EEG)所测量的那样,与种族无关。在研究1中,研究人员向参与者展示了来自相似或不同种族群体的个体遭受痛苦或非痛苦刺激的图片。在研究2中,程序相对相似,但采用了受试者内设计,并在两个国家进行:比利时和卢旺达。总的来说,脑电图结果显示,在研究1中,参与者成功地增强了他们对他人疼痛的神经反应,而与他人的种族无关。然而,研究2中使用的受试者内设计揭示了额外的细微差别,因为我们观察到参与者选择性地增加了对群体内个体的神经疼痛反应。我们的研究结果表明,观察一个人的疼痛,无论种族,都可以增强一个人的神经反应。然而,当群内成员和群外成员都在场时,神经反应只对群内成员加强。
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引用次数: 0
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