Hypnotizability influences the cortical representation of visually and kinaesthetically imagined head position

Hypnosis-induced modulation of corticospinal excitability during motor imagery

Hypnosis can be considered an altered state of consciousness in which individuals produce movements under suggestion without apparent voluntary control. Despite its application in contexts implying motor control, evidence for the neurophysiological mechanisms underlying hypnosis is scarce. Inter-individual differences in hypnotic susceptibility suggest that sensorimotor strategies may manifest in a hypnotic state. We tested by means of transcranial magnetic stimulation applied over the primary motor cortex whether motor system activation during a motor imagery task differs in the awake and in the hypnotic state. To capture individual differences, 30 healthy volunteers were classified as high or low hypnotizable (Highs and Lows) according to ad-hoc validated scales measuring hypnotic susceptibility and personality questionnaires. Corticospinal activation during motor imagery in the hypnotic state was greater in the Highs than the Lows. Intrinsic motivation in task performance and level of persuasion modulated corticospinal activation in the Highs. Corticospinal system activation under hypnosis may have practical implications that merit research in areas where hypnosis can be applied to improve motor performance, such as loss of motor abilities and sports.

Task-independent Electrophysiological Correlates of Motor Imagery Ability from Kinaesthetic and Visual Perspectives

Motor imagery (MI) ability is highly subjective, as indicated by the individual scores of the MIQ-3 questionnaire, and poor imagers compensate for the difficulty in performing MI with larger cerebral activations, as demonstrated by MI studies involving hands/limbs. In order to identify general, task-independent MI ability correlates, 16 volunteers were stratified with MIQ-3. The scores in the kinaesthetic (K) and 1st-person visual (V) perspectives were associated with EEG patterns obtained during K-MI and V-MI of the same complex MIQ-3 movements during these MI tasks (Spearman's correlation, significance at <0.05, SnPM corrected). EEG measures were relative to rest (relaxation, closed eyes), and based on six electrode clusters both for band spectral content and connectivity (Granger causality). Lower K-MI ability was associated with greater theta decreases during tasks in fronto-central clusters and greater inward information flow to prefrontal clusters for theta, high alpha and beta bands. On the other hand, power band relative decreases were associated with V-MI ability in fronto-central clusters for low alpha and left fronto-central and both centro-parietal clusters for beta bands. The results thus suggest different computational mechanisms for MI-V and MI-K. The association between low alpha/beta desynchronization and V-MIQ scores and between theta changes and K-MIQ scores suggest a cognitive effort with greater cerebral activation in participants with lower V-MI ability. The association between information flow to prefrontal hub and K-MI ability suggest the need for a continuous update of information to support MI-related executive functions in subjects with poor K-MI ability.

Hypnotizability-Related Effects of Pain Expectation on the Later Modulation of Cortical Connectivity

This study examined hypnotizability-related modulation of the cortical network following expected and nonexpected nociceptive stimulation. The electroencephalogram (EEG) was recorded in 9 high (highs) and 8 low (lows) hypnotizable participants receiving nociceptive stimulation with (W1) and without (noW) a visual warning preceding the stimulation by 1 second. W1 and noW were compared to baseline conditions to assess the presence of any later effect and between each other to assess the effects of expectation. The studied EEG variables measured local and global features of the cortical connectivity. With respect to lows, highs exhibited scarce differences between experimental conditions. The hypnotizability-related differences in the later processing of nociceptive information could be relevant to the development of pain-related individual traits. Present findings suggest a lower impact of nociceptive stimulation in highs than in lows.

Does hypnotic assessment predict the functional equivalence between motor imagery and action?

Motor imagery is influenced by individual and contextual factors. We investigated whether the psychophysiological trait of hypnotisability modulates its subjective experience and cortical correlates similarly to what was previously shown for head postures mental images. EEG was acquired in 18 high (highs) and 15 low (lows) hypnotizable subjects (Stanford Hypnotic Susceptibility Scale, A). The experimental conditions were: baseline, a complex arm/hand movement, visual (1st person) and kinesthetic imagery of the movement. After each imagery condition, participants scored the vividness and easeness of their performance and their ability to mantain the requested modality of imagery. Subjective reports, chronometric visual/kinesthetic indices, absolute beta and fronto-central midline alpha powers were analyzed. Findings confirmed earlier reports of better kinestetic imagery ability in highs than in lows and better visual than kinesthetic imagery in lows, as well as smaller restructuring of the cortical activity in highs than in lows, during all tasks. Also, they show that hypnotisability accounts for most of the correlations between brain regions for both alpha and beta changes. Thus, imagined and actual movements were less demanding processes in highs at subjective and cortical levels. Finally, hypnotic assessment assists to plan personalized mental training for neuro-rehabilitation and sports and predict their efficacy.

Visuospatial imagery in healthy individuals with different hypnotizability levels

Hypnotizability is a psychophysiological trait associated with morpho-functional brain differences. Since also cerebellar peculiarities have been reported in individuals with different hypnotizability levels and the cerebellar function is relevant to spatial imagery, the present study was aimed at investigating possible hypnotizability-related differences in the ability of spatial imagery. Highly (highs, N = 31), low (lows, N = 17) and medium (mediums, N = 16) hypnotizable participants (classified by Stanford Hypnotic Susceptibility Scale, form A) of both genders were submitted to a test of mental rotation, which requires the integrity of both executive and cerebellar structures. In order to disentangle the role of the cerebellum from that of executive circuits as much as possible, visuospatial and verbal working memory tests, which mainly reflect executive processes, were also performed. Healthy highs exhibited higher scores of mental rotation ability compared to mediums in the absence of significant differences in visual-spatial and verbal working memory. Lows reported intermediate scores not significantly different from both highs' and mediums'. Different cognitive strategies were observed in the three groups as the correlations between mental rotation, visuospatial and verbal working memory were different in highs, mediums and lows. In conclusion, present findings represent the first report of hypnotizability-related differences in a mental rotation task, which is relevant to several cognitive functions.