Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study  

作　　者：Bing Zhang Ling Ni Fangfang Wang Weiping Li Xin Zhang Xiaohua Gu Zuzana Nedelska Fei Chen Kun Wang Bin Zhu Renyuan Liu Jun Xu Jinfan Wang 

机构地区：[1]Department of Radiology,The Affiliated Drum Tower Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China [2]Department of Intensive Care Unit,Northern Jiangsu Province Hospital,Yangzhou,Jiangsu,China [3]Memory Disorders Clinic,Department of Neurology,Charles University in Prague,2ndFaculty of Medicine and Motol University Hospital,Prague,Czech Republic [4]International Clinical Research Center,St.Anne's University Hospital Brno,Brno,Czech Republic [5]Department of Radiology,Affiliated Yancheng Hospital of Southeast University Medical College,Yancheng,Jiangsu 224001,China [6]Department of Neurology,Brain Centre,Neurology Institute,Northern Jiangsu Province Hospital,Yangzhou,Jiangsu,China [7]School of Health Policy and Management,Nanjing Medical University,Nanjing,Jiangsu 211166,China

出　　处：《The Journal of Biomedical Research》2017年第6期486-493,共8页生物医学研究杂志（英文版）

摘　　要：We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI（rs-fMRI） with a regional homogeneity（ReHo） method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training（P〈0.001）. After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions（P 〈0.05, Alphasim corrected）. The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline（r=-0.734, P= 0.036）. The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI（rs-fMRI） with a regional homogeneity（ReHo） method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training（P〈0.001）. After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions（P 〈0.05, Alphasim corrected）. The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline（r=-0.734, P= 0.036）. The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.

关 键 词：brain architecture function resting-state functional MRI（rs-fMRI） doctor-patient communication 

分 类 号：R445.2[医药卫生—影像医学与核医学]