Daniela Simon

Recognition and discrimination of prototypical dynamic expressions of pain and emotions

&NA; Facial expressions of pain and emotions provide powerful social signals, which impart information about a person’s state. Unfortunately, research on pain and emotion expression has been conducted largely in parallel with few bridges allowing for direct comparison of the expressive displays and their impact on observers. Moreover, although facial expressions are highly dynamic, previous research has relied mainly on static photographs. Here we directly compare the recognition and discrimination of dynamic facial expressions of pain and basic emotions by naïve observers. One‐second film clips were recorded in eight actors displaying neutral facial expressions and expressions of pain and the basic emotions of anger, disgust, fear, happiness, sadness and surprise. Results based on the Facial Action Coding System (FACS) confirmed the distinct (and prototypical) configuration of pain and basic emotion expressions reported in previous studies. Volunteers’ evaluations of those dynamic expressions on intensity, arousal and valence demonstrate the high sensitivity and specificity of the observers’ judgement. Additional rating data further suggest that, for comparable expression intensity, pain is perceived as more arousing and more unpleasant. This study strongly supports the claim that the facial expression of pain is distinct from the expression of basic emotions. This set of dynamic facial expressions provides unique material to explore the psychological and neurobiological processes underlying the perception of pain expression, its impact on the observer, and its role in the regulation of social behaviour.

Brain responses to dynamic facial expressions of pain.

&NA; The facial expression of pain is a prominent non‐verbal pain behaviour, unique and distinct from the expression of basic emotions. Yet, little is known about the neurobiological basis for the communication of pain. Here, subjects performed a sex‐discrimination task while we investigated neural responses to implicit processing of dynamic visual stimuli of male or female faces displaying pain or angry expressions, matched on expression intensity and compared to neutral expression. Stimuli were presented in a mixed blocked/event‐related design while blood oxygenation level dependent (BOLD) signal was acquired using whole‐brain functional magnetic resonance imaging (fMRI) at 1.5 Tesla. Comparable sustained responses to pain and angry faces were found in the superior temporal sulcus (STS). Stronger transient activation was also observed to male expression of pain (Vs neutral and anger) in high‐order visual areas (STS and fusiform face area) and in emotion‐related areas including the amygdala (highest peak t‐value = 10.8), perigenual anterior cingulate cortex (ACC), and SI. Male pain compared to anger expression also activated the ventromedial prefrontal cortex, SII/posterior insula and anterior insula. This is consistent with the hypothesis that the implicit processing of male pain expression triggers an emotional reaction characterized by a threat‐related response. Unexpectedly, several areas responsive to male expression, including the amygdala, perigenual ACC, and somatosensory areas, showed a decrease in activation to female pain faces (Vs neutral). This sharp contrast in the response to male and female faces suggests potential differences in the socio‐functional role of pain expression in males and females.

Fronto-striato-limbic hyperactivation in obsessive-compulsive disorder during individually tailored symptom provocation.

Anxiety disorders have been linked to a hyperactivated cortico-amygdalar circuitry, but the amygdalas role in the pathophysiology of obsessive-compulsive disorder (OCD) remains unclear. This fMRI study examined the cortico-limbic correlates of individually tailored symptom provocation in 14 unmedicated OCD patients and 14 controls. In addition to OCD-relevant pictures, aversive and neutral control stimuli were included. Patients showed increased fronto-striatal activation to OCD-relevant stimuli contrasted with both control categories. Briefly presented symptom-related triggers elicited stronger amygdala engagement in patients than in controls. This effect, however, did also occur to aversive stimuli and was not symptom specific. Augmented amygdala involvement in patients reflects general emotional hyperarousal. Symptom-specific frontal activation points towards a sustained endeavor to suppress exaggerated emotional responses to OCD triggers.

Timing effects of antecedent- and response-focused emotion regulation strategies.

Distraction and cognitive reappraisal influence the emotion-generative process at early stages and have been shown to effectively attenuate emotional responding. Inhibiting emotion-expressive behavior is thought to be less beneficial due to later implementation, but empirical results are mixed. Thus, the current study examined the temporal dynamics of these emotion regulation strategies at attenuating the late positive potential (LPP) while participants were shown unpleasant pictures. Results revealed that all strategies successfully reduced the LPP and self-reported negative affect. We confirmed that distraction attenuated the LPP earlier than cognitive reappraisal. Surprisingly, expressive suppression affected emotional responding as early as distraction. This suggests that suppression was used preventively and disrupted the emotion-generative process from the very beginning instead of targeting the emotional response itself. Thus, the obtained results point to the importance of considering the point in time when response-focused emotion regulation strategies are being implemented.

Altered frontal EEG asymmetry in obsessive-compulsive disorder

Hemispheric topography of alpha band power in the electroencephalogram has been linked to approach/avoidance motivation and may index the risk for anxiety disorders and depression. We quantified lower alpha band power (8-10 Hz) in 20 patients with obsessive-compulsive disorder (OCD) and 20 matched healthy controls during blocks of rest and presentation of neutral, aversive, and OCD-related pictures. Compared to the control group, OCD patients showed altered asymmetry, with frontal alpha power in the 8-10 Hz band being more dominant in the left hemisphere across all conditions. This alteration was not observed over parietal areas, and also did not show in the upper alpha, and the theta and beta bands. This change in hemispheric topography of lower alpha band power supports the hypothesis of relatively increased avoidance motivation in OCD. Altered asymmetry appears to be traitlike in OCD, suggesting a link to depressive disorders.

Altered emotion regulation in obsessive–compulsive disorder as evidenced by the late positive potential

BACKGROUND Obsessive-compulsive disorder (OCD) is associated with marked anxiety, which triggers repetitive behaviours or mental rituals. The persistence of pathological anxiety and maladaptive strategies to reduce anxiety point to altered emotion regulation. The late positive potential (LPP) is an event-related brain potential (ERP) that reflects sustained attention to emotional stimuli and is sensitive to emotion-regulation instructions. We hypothesized that patients with OCD show altered electrocortical responses during reappraisal of stimuli triggering their symptoms. METHOD To test our hypothesis, ERPs to disorder-relevant, generally aversive and neutral pictures were recorded while participants were instructed to either maintain or reduce emotional responding using cognitive distraction or cognitive reappraisal. RESULTS Relative to healthy controls, patients with OCD showed enhanced LPPs in response to disorder-relevant pictures, indicating their prioritized processing. While both distraction and reappraisal successfully reduced the LPP in healthy controls, patients with OCD failed to show corresponding LPP modulation during cognitive reappraisal despite successfully reduced subjective arousal ratings. CONCLUSIONS The results point to sustained attention towards emotional stimuli during cognitive reappraisal in OCD and suggest that abnormal emotion regulation should be integrated in models of OCD.

AUDITORY NOVELTY PROCESSING IS ENHANCED IN OBSESSIVE-COMPULSIVE DISORDER

Background: Cognitive models propose that anxiety disorders are associated with an attentional bias toward potentially threatening stimuli. In this study, it was analyzed whether patients with obsessive–compulsive disorder (OCD) show enhanced responses of their event‐related brain potentials to novel stimuli, either in a context of potential threat or in a neutral context. Methods: In this study, 20 OCD patients and 20 matched healthy control subjects performed a visual recognition task during which irrelevant repeated standard sounds and unitary novel sounds were interspersed. Results: As expected, OCD patients showed an increase in the novelty‐P3 amplitude elicited by unitary novel sounds. However, no effect of emotional context conditions was observed. Conclusion: It is suggested that the novelty P3 amplitude increase in OCD patients represents a physiological indicator of an enhanced cortical orienting response implicating stronger involuntary shifts of attention. This characteristic is driven by novelty per se and not moderated by potential threat of upcoming events. Depression and Anxiety, 2011.

A pilot study on the validity of using pictures and videos for individualized symptom provocation in obsessive-compulsive disorder.

Distressing symptom-related anxiety is difficult to study in obsessive-compulsive disorder (OCD) due to the disorders heterogeneity. Our aim was to develop and validate a set of pictures and films comprising a variety of prominent OCD triggers that can be used for individually tailored symptom provocation in experimental studies. In a two-staged production procedure a large pool of OCD triggers and neutral contents was produced and preselected by three psychotherapists specialized in OCD. A sample of 13 OCD patients and 13 controls rated their anxiety, aversiveness and arousal during exposure to OCD-relevant, aversive and neutral control stimuli. Our findings demonstrate differences between the responses of patients and controls to OCD triggers only. Symptom-related anxiety was stronger in response to dynamic compared with static OCD-relevant stimuli. Due to the small number of 13 patients included in the study, only tentative conclusions can be drawn and this study merely provides a first step of validation. These standardized sets constitute valuable tools that can be used in experimental studies on the brain correlates of OCD symptoms and for the study of therapeutic interventions in order to contribute to future developments in the field.

Autonomic responses and neural-cardiac coupling during individually tailored symptom provocation in obsessive-compulsive disorder.

Elevated anxiety in obsessive-compulsive disorder (OCD) has been linked to cortico-limbic hyperactivation, whereas hyperarousal of the autonomous nerve system (ANS) has inconsistently been found. We investigate ANS functioning during symptom provocation with individually tailored OCD-relevant pictures in 14 unmedicated patients and 14 controls and link it to activation in brain areas involved in ANS regulation. In addition to OCD-triggers, aversive and neutral control stimuli were included. Both groups showed increased skin conductance and heart rate changes to aversive control stimuli, whereas only patients demonstrated augmented skin conductance responses to OCD-triggers. Overall ANS hyperarousal in patients relative to controls was found at trend level. Activity in limbic and paralimbic areas in OCD patients was increased to both generally aversive and OCD-relevant stimuli, whereas dorsolateral prefrontal cortex (DLPFC) hyperactivation, covarying with cardiac responses in patients but not in controls, was present for disorder-relevant triggers only. Despite the small study group, these preliminary findings suggest ANS hyperactivity during OCD symptom provocation that could reflect arousal to the perceived threatening value of OCD-triggers and might mediate elevated anxiety.

Self as cultural construct? An argument for levels of self-representations

In this paper, we put forward an interdisciplinary framework describing different levels of self-representations, namely non-conceptual, conceptual and propositional self-representations. We argue that these different levels of self-representation are differently affected by cultural upbringing: while propositional self-representations rely on “theoretical” concepts and are thus strongly influenced by cultural upbringing, non-conceptual self-representations are uniform across cultures and thus universal. This differentiation offers a theoretical specification of the distinction between an independent and interdependent self-construal put forward in cross-cultural psychology. Hence, this does not only allow for a deeper understanding of different self-conceptions, but also for a formulation of new hypotheses regarding the cultural influence on self-representations. As one example, we will highlight the role of the proposed levels of self-representation for emotional experience and formulate some major implications of our interdisciplinary framework for future empirical research.