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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.Journal of Biomedical Research,2017,31(6):486-493
Effective doctor-patient communication skills training optimizesfunctional organization of intrinsic brain architecture: a restingstate functional MRI study
Received:October 23, 2016  Revised:January 08, 2017
DOI10.7555/JBR.31.20160135
Keywordsbrain architecture, function, resting-state functional MRI (rs-fMRI), doctor-patient communication
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Bing Zhang Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Ling Ni Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Fangfang Wang Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Weiping Li Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Xin Zhang Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Xiaohua Gu Department of Intensive Care Unit, Northern Jiangsu Province Hospital, Yangzhou, Jiangsu, China
Zuzana Nedelska Memory Disorders Clinic, Department of Neurology, Charles University in Prague, 2ndFaculty of Medicine and Motol University Hospital, Prague, Czech Republic;International Clinical Research Center, St. Anne's University Hospital Brno, Brno, Czech Republic
Fei Chen Department of Radiology, Affiliated Yancheng Hospital of Southeast University Medical College, Yancheng, Jiangsu , China
Kun Wang Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Bin Zhu Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Renyuan Liu Department of Radiology, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu , China
Jun Xu Department of Neurology, Brain Centre, Neurology Institute, Northern Jiangsu Province Hospital, Yangzhou, Jiangsu, China
Jinfan Wang School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu , China
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Abstract
      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 = C0.734, 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.
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