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Rutkowska JM, Ghilardi T, Vacaru SV, van Schaik JE, Meyer M, Hunnius S, Oostenveld R. Optimal processing of surface facial EMG to identify emotional expressions: A data-driven approach. Behav Res Methods 2024:10.3758/s13428-024-02421-4. [PMID: 38773029 DOI: 10.3758/s13428-024-02421-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2024] [Indexed: 05/23/2024]
Abstract
Surface facial electromyography (EMG) is commonly used to detect emotions from subtle facial expressions. Although there are established procedures for collecting EMG data and some aspects of their processing, there is little agreement among researchers about the optimal way to process the EMG signal, so that the study-unrelated variability (noise) is removed, and the emotion-related variability is best detected. The aim of the current paper was to establish an optimal processing pipeline for EMG data for identifying emotional expressions in facial muscles. We identified the most common processing steps from existing literature and created 72 processing pipelines that represented all the different processing choices. We applied these pipelines to a previously published dataset from a facial mimicry experiment, where 100 adult participants observed happy and sad facial expressions, whilst the activity of their facial muscles, zygomaticus major and corrugator supercilii, was recorded with EMG. We used a resampling approach and subsets of the original data to investigate the effect and robustness of different processing choices on the performance of a logistic regression model that predicted the mimicked emotion (happy/sad) from the EMG signal. In addition, we used a random forest model to identify the most important processing steps for the sensitivity of the logistic regression model. Three processing steps were found to be most impactful: baseline correction, standardisation within muscles, and standardisation within subjects. The chosen feature of interest and the signal averaging had little influence on the sensitivity to the effect. We recommend an optimal processing pipeline, share our code and data, and provide a step-by-step walkthrough for researchers.
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Affiliation(s)
- J M Rutkowska
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
- Department of Psychology, University of Zurich, Zurich, Switzerland
- Jacobs Center for Productive Youth Development, University of Zurich, Zurich, Switzerland
| | - T Ghilardi
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
- Centre for Brain and Cognitive Development, Department of Psychological Sciences, Birkbeck, University of London, London, UK
| | - S V Vacaru
- Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
- Department of Psychology, New York University - Abu Dhabi, Abu Dhabi, United Arab Emirates
| | - J E van Schaik
- Behavioral Science Institute, Radboud University, Nijmegen, The Netherlands
| | - M Meyer
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
| | - S Hunnius
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands
| | - R Oostenveld
- Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, The Netherlands.
- NatMEG, Karolinska Institutet, Stockholm, Sweden.
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Provenzano L, Gohlke H, Saetta G, Bufalari I, Lenggenhager B, Lesur MR. Fluid face but not gender: Enfacement illusion through digital face filters does not affect gender identity. PLoS One 2024; 19:e0295342. [PMID: 38568979 PMCID: PMC10990241 DOI: 10.1371/journal.pone.0295342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Accepted: 11/17/2023] [Indexed: 04/05/2024] Open
Abstract
It has been shown that observing a face being touched or moving in synchrony with our own face increases self-identification with the former which might alter both cognitive and affective processes. The induction of this phenomenon, termed enfacement illusion, has often relied on laboratory tools that are unavailable to a large audience. However, digital face filters applications are nowadays regularly used and might provide an interesting tool to study similar mechanisms in a wider population. Digital filters are able to render our faces in real time while changing important facial features, for example, rendering them more masculine or feminine according to normative standards. Recent literature using full-body illusions has shown that participants' own gender identity shifts when embodying a different gendered avatar. Here we studied whether participants' filtered faces, observed while moving in synchrony with their own face, may induce an enfacement illusion and if so, modulate their gender identity. We collected data from 35 female and 33 male participants who observed a stereotypically gender mismatched version of themselves either moving synchronously or asynchronously with their own face on a screen. Our findings showed a successful induction of the enfacement illusion in the synchronous condition according to a questionnaire addressing the feelings of ownership, agency and perceived similarity. However, we found no evidence of gender identity being modulated, neither in explicit nor in implicit measures of gender identification. We discuss the distinction between full-body and facial processing and the relevance of studying widely accessible devices that may impact the sense of a bodily self and our cognition, emotion and behaviour.
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Affiliation(s)
- Luca Provenzano
- Center for Life Nano- & Neuro-Science, Italian Institute of Technology, Rome, Italy
| | - Hanna Gohlke
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Gianluca Saetta
- Department of Psychology, University of Zurich, Zurich, Switzerland
- Professorship for Social Brain Sciences, Department of Humanities, Social and Political Sciences, ETH Zurich, Zurich, Switzerland
| | - Ilaria Bufalari
- Department of Psychology of Developmental and Socialization Processes, Sapienza University of Rome, Rome, Italy
| | | | - Marte Roel Lesur
- Department of Psychology, University of Zurich, Zurich, Switzerland
- Department of Computer Science and Engineering, Universidad Carlos III de Madrid, Madrid, Spain
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Lisi MP, Fusaro M, Aglioti SM. Visual perspective and body ownership modulate vicarious pain and touch: A systematic review. Psychon Bull Rev 2024:10.3758/s13423-024-02477-5. [PMID: 38429591 DOI: 10.3758/s13423-024-02477-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2024] [Indexed: 03/03/2024]
Abstract
We conducted a systematic review investigating the influence of visual perspective and body ownership (BO) on vicarious brain resonance and vicarious sensations during the observation of pain and touch. Indeed, the way in which brain reactivity and the phenomenological experience can be modulated by blurring the bodily boundaries of self-other distinction is still unclear. We screened Scopus and WebOfScience, and identified 31 articles, published from 2000 to 2022. Results show that assuming an egocentric perspective enhances vicarious resonance and vicarious sensations. Studies on synaesthetes suggest that vicarious conscious experiences are associated with an increased tendency to embody fake body parts, even in the absence of congruent multisensory stimulation. Moreover, immersive virtual reality studies show that the type of embodied virtual body can affect high-order sensations such as appropriateness, unpleasantness, and erogeneity, associated with the touched body part and the toucher's social identity. We conclude that perspective plays a key role in the resonance with others' pain and touch, and full-BO over virtual avatars allows investigation of complex aspects of pain and touch perception which would not be possible in reality.
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Affiliation(s)
- Matteo P Lisi
- CLN2S@Sapienza, Fondazione Istituto Italiano di Tecnologia (IIT) and Department of Psychology, Sapienza University of Rome, Viale Regina Elena 291, 00161, Rome, Italy.
- IRCCS, Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy.
| | - Martina Fusaro
- CLN2S@Sapienza, Fondazione Istituto Italiano di Tecnologia (IIT) and Department of Psychology, Sapienza University of Rome, Viale Regina Elena 291, 00161, Rome, Italy
- IRCCS, Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy
| | - Salvatore Maria Aglioti
- CLN2S@Sapienza, Fondazione Istituto Italiano di Tecnologia (IIT) and Department of Psychology, Sapienza University of Rome, Viale Regina Elena 291, 00161, Rome, Italy
- IRCCS, Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy
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Grewe CM, Liu T, Hildebrandt A, Zachow S. The Open Virtual Mirror Framework for enfacement illusions : Enhancing the sense of agency with avatars that imitate facial expressions. Behav Res Methods 2023; 55:867-882. [PMID: 35501531 PMCID: PMC10027650 DOI: 10.3758/s13428-021-01761-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/25/2021] [Indexed: 11/08/2022]
Abstract
Enfacement illusions are traditionally elicited by visuo-tactile stimulation, but more active paradigms become possible through the usage of virtual reality techniques. For instance, virtual mirrors have been recently proposed to induce enfacement by visuo-motor stimulation. In a virtual mirror experiment, participants interact with an avatar that imitates their facial movements. The active control over the avatar greatly enhances the sense of agency, which is an important ingredient for successful enfacement illusion induction. Due to technological challenges, most virtual mirrors so far were limited to the imitation of the participant's head pose, i.e., its location and rotation. However, stronger experiences of agency can be expected by an increase in the avatar's mimicking abilities. We here present a new open-source framework for virtual mirror experiments, which we call the Open Virtual Mirror Framework (OVMF). The OVMF can track and imitate a large range of facial movements, including pose and expressions. It has been designed to run on standard computer hardware and easily interfaces with existing toolboxes for psychological experimentation, while satisfying the requirement of a tightly controlled experimental setup. Further, it is designed to enable convenient extension of its core functionality such that it can be flexibly adjusted to many different experimental paradigms. We demonstrate the usage of the OVMF and experimentally validate its ability to elicit experiences of agency over an avatar, concluding that the OVMF can serve as a reference for future experiments and that it provides high potential to stimulate new directions in enfacement research and beyond.
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Affiliation(s)
- C Martin Grewe
- Computational Diagnosis and Therapy Planning Group, Department of Visual and Data-Centric Computing, Zuse Institute Berlin, Takustraße 14, 14195, Berlin, Germany.
| | - Tuo Liu
- Department of Psychology, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Germany
| | - Andrea Hildebrandt
- Department of Psychology, Carl von Ossietzky Universität Oldenburg, Ammerländer Heerstr. 114-118, 26129, Oldenburg, Germany
| | - Stefan Zachow
- Computational Diagnosis and Therapy Planning Group, Department of Visual and Data-Centric Computing, Zuse Institute Berlin, Takustraße 14, 14195, Berlin, Germany
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Cook C, Crucianelli L, Filippetti ML. Changes in self-other boundaries modulate children's body image attitudes. Front Hum Neurosci 2023; 17:1181395. [PMID: 37206310 PMCID: PMC10191255 DOI: 10.3389/fnhum.2023.1181395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 04/12/2023] [Indexed: 05/21/2023] Open
Abstract
One's own face is a key distinctive feature of our physical appearance, yet multisensory visuo-tactile stimulation can alter self-other boundaries, eliciting changes in adult's self-face representation and social cognition processes. This study tested whether changing self-face representation by altering self-other boundaries with the enfacement illusion modulates body image attitudes toward others in 6-11-year-old children (N = 51; 31 girls; predominantly White). Across all ages, congruent multisensory information led to stronger enfacement (η2p = 0.06). Participants who experienced a stronger enfacement illusion showed preference for larger body size, suggesting increased positive body size attitudes. This effect was stronger in 6-7-year-olds compared to 8-9-year-olds. Thus, blurring self-other boundaries successfully modulates self-face representation and body image attitudes toward others in children. Our results suggest that increased self-resemblance through self-other blurring resulting from the enfacement illusion may reduce social comparisons between self and other and result in positive body size attitudes.
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Affiliation(s)
- Caryn Cook
- Department of Psychology, Centre for Brain Science, University of Essex, Colchester, United Kingdom
| | - Laura Crucianelli
- Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Maria Laura Filippetti
- Department of Psychology, Centre for Brain Science, University of Essex, Colchester, United Kingdom
- *Correspondence: Maria Laura Filippetti,
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Bottiroli S, Matamala-Gomez M, Allena M, Guaschino E, Ghiotto N, De Icco R, Sances G, Tassorelli C. The Virtual "Enfacement Illusion" on Pain Perception in Patients Suffering from Chronic Migraine: A Study Protocol for a Randomized Controlled Trial. J Clin Med 2022; 11:jcm11226876. [PMID: 36431353 PMCID: PMC9699363 DOI: 10.3390/jcm11226876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Revised: 11/15/2022] [Accepted: 11/17/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND given the limited efficacy, tolerability, and accessibility of pharmacological treatments for chronic migraine (CM), new complementary strategies have gained increasing attention. Body ownership illusions have been proposed as a non-pharmacological strategy for pain relief. Here, we illustrate the protocol for evaluating the efficacy in decreasing pain perception of the enfacement illusion of a happy face observed through an immersive virtual reality (VR) system in CM. METHOD the study is a double-blind randomized controlled trial with two arms, involving 100 female CM patients assigned to the experimental group or the control group. The experimental group will be exposed to the enfacement illusion, whereas the control group will be exposed to a pleasant immersive virtual environment. Both arms of the trial will consist in three VR sessions (20 min each). At the baseline and at the end of the intervention, the patients will fill in questionnaires based on behavioral measures related to their emotional and psychological state and their body satisfaction. Before and after each VR session, the level of pain, the body image perception, and the affective state will be assessed. DISCUSSION this study will provide knowledge regarding the relationship between internal body representation and pain perception, supporting the effectiveness of the enfacement illusion as a cognitive behavioral intervention in CM.
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Affiliation(s)
- Sara Bottiroli
- Faculty of Law, Giustino Fortunato University, 82100 Benevento, Italy
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
- Correspondence:
| | - Marta Matamala-Gomez
- Mind and Behavior Technological Center, Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy
| | - Marta Allena
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
| | - Elena Guaschino
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
| | - Natascia Ghiotto
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
| | - Roberto De Icco
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
| | - Grazia Sances
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
| | - Cristina Tassorelli
- Headache Science and Neurorehabilitation Center, IRCCS Mondino Foundation, 27100 Pavia, Italy
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
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Boukarras S, Ferri D, Frisanco A, Farnese ML, Consiglio C, Alvino I, Bianchi F, D’Acunto A, Borgogni L, Aglioti SM. Bringing social interaction at the core of organizational neuroscience. Front Psychol 2022; 13:1034454. [PMID: 36467198 PMCID: PMC9714489 DOI: 10.3389/fpsyg.2022.1034454] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 10/31/2022] [Indexed: 10/25/2023] Open
Abstract
Organizations are composed of individuals working together for achieving specific goals, and interpersonal dynamics do exert a strong influence on workplace behaviour. Nevertheless, the dual and multiple perspective of interactions has been scarcely considered by Organizational Neuroscience (ON), the emerging field of study that aims at incorporating findings from cognitive and brain sciences into the investigation of organizational behaviour. This perspective article aims to highlight the potential benefits of adopting experimental settings involving two or more participants (the so-called "second person" approach) for studying the neural bases of organizational behaviour. Specifically, we stress the idea that moving beyond the individual perspective and capturing the dynamical relationships occurring within dyads or groups (e.g., leaders and followers, salespersons and clients, teams) might bring novel insights into the rising field of ON. In addition, designing research paradigms that reliably recreate real work and life situations might increase the generalizability and ecological validity of its results. We start with a brief overview of the current state of ON research and we continue by describing the second-person approach to social neuroscience. In the last paragraph, we try and outline how this approach could be extended to ON. To this end, we focus on leadership, group processes and emotional contagion as potential targets of interpersonal ON research.
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Affiliation(s)
- Sarah Boukarras
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- Santa Lucia Foundation, IRCCS, Rome, Italy
| | - Donato Ferri
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- EY, Rome, Italy
| | - Althea Frisanco
- Santa Lucia Foundation, IRCCS, Rome, Italy
- Sapienza University of Rome and CLNS@Sapienza, Italian Institute of Technology, Rome, Italy
| | | | - Chiara Consiglio
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Ilario Alvino
- Department of Legal Sciences, Sapienza University of Rome, Rome, Italy
| | - Francesco Bianchi
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- EY, Rome, Italy
| | | | - Laura Borgogni
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Salvatore Maria Aglioti
- Santa Lucia Foundation, IRCCS, Rome, Italy
- Sapienza University of Rome and CLNS@Sapienza, Italian Institute of Technology, Rome, Italy
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Bresciani C, Cordoni G, Palagi E. Playing together, laughing together: rapid facial mimicry and social sensitivity in lowland gorillas. Curr Zool 2021; 68:560-569. [PMID: 36324534 PMCID: PMC9616060 DOI: 10.1093/cz/zoab092] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 11/01/2021] [Indexed: 11/12/2022] Open
Abstract
In nonhuman animals, the phenomenon of rapid facial mimicry (RFM)—the automatic, involuntary, and rapid (<1 s) replication of others’ facial expressions—has been mainly investigated in the playful domain. In immature lowland gorillas Gorilla gorilla gorilla both play face (PF) and full PF (FPF) are rapidly mimicked between the players. This makes the species suitable to test hypotheses on the factors influencing RFM during play. The observations on 3 captive groups of lowland gorillas (N = 27) revealed that contrary to expectations, the closeness of social bond negatively influenced the occurrence of RFM but it did not affect either RFM latency or its overlapping index (OVERLAP). RFM was affected by the degree of symmetry of play fighting: the more balanced the session, the higher the occurrence of RFM. Players of the same sex class responded faster than players of different sex. These findings suggest that RFM may help synchronizing behaviors of playmates matching in size (same-sex) and promote symmetric playful interactions. “Laughing together” (measured by the RFM OVERLAP) lasted longer when the responder perfectly mirrored the partner expression (PF→PF; FPF→FPF). If PF and FPF convey information on the different play roughness degree, through “laughing together” the players could coordinate their actions and share positive moods and playful intensity. If the perfect congruency in the motor resonance, also known as social sensitivity, can foster a possible emotional dialogue between gorillas remains to be investigated.
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Affiliation(s)
- Chiara Bresciani
- Natural History Museum, University of Pisa, Via Roma 79, Calci (Pisa) 56011, Italia
| | - Giada Cordoni
- Natural History Museum, University of Pisa, Via Roma 79, Calci (Pisa) 56011, Italia
| | - Elisabetta Palagi
- Natural History Museum, University of Pisa, Via Roma 79, Calci (Pisa) 56011, Italia
- Department of Biology, Unit of Ethology, University of Pisa, Via A. Volta 6, Pisa 56126, Italia
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Kanske P, Murray RJ. The neurobiological bases of understanding others. Cortex 2021; 134:351-357. [PMID: 33390214 DOI: 10.1016/j.cortex.2020.12.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Philipp Kanske
- Clinical Psychology and Behavioral Neuroscience, Faculty of Psychology, Technische Universität Dresden, Germany.
| | - Ryan J Murray
- Department of Psychiatry, Faculty of Medicine, University of Geneva, Switzerland
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Minio-Paluello I, Porciello G, Pascual-Leone A, Baron-Cohen S. Face individual identity recognition: a potential endophenotype in autism. Mol Autism 2020; 11:81. [PMID: 33081830 PMCID: PMC7576748 DOI: 10.1186/s13229-020-00371-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2019] [Accepted: 08/11/2020] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Face individual identity recognition skill is heritable and independent of intellectual ability. Difficulties in face individual identity recognition are present in autistic individuals and their family members and are possibly linked to oxytocin polymorphisms in families with an autistic child. While it is reported that developmental prosopagnosia (i.e., impaired face identity recognition) occurs in 2-3% of the general population, no prosopagnosia prevalence estimate is available for autism. Furthermore, an autism within-group approach has not been reported towards characterizing impaired face memory and to investigate its possible links to social and communication difficulties. METHODS The present study estimated the prevalence of prosopagnosia in 80 autistic adults with no intellectual disability, investigated its cognitive characteristics and links to autism symptoms' severity, personality traits, and mental state understanding from the eye region by using standardized tests and questionnaires. RESULTS More than one third of autistic participants showed prosopagnosia. Their face memory skill was not associated with their symptom's severity, empathy, alexithymia, or general intelligence. Face identity recognition was instead linked to mental state recognition from the eye region only in autistic individuals who had prosopagnosia, and this relationship did not depend on participants' basic face perception skills. Importantly, we found that autistic participants were not aware of their face memory skills. LIMITATIONS We did not test an epidemiological sample, and additional work is necessary to establish whether these results generalize to the entire autism spectrum. CONCLUSIONS Impaired face individual identity recognition meets the criteria to be a potential endophenotype in autism. In the future, testing for face memory could be used to stratify autistic individuals into genetically meaningful subgroups and be translatable to autism animal models.
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Affiliation(s)
- Ilaria Minio-Paluello
- Department of Psychology, Sapienza University of Rome, Rome, Italy.
- IRCCS Fondazione Santa Lucia, Rome, Italy.
- Institute of Cognitive Sciences and Technologies, National Research Council, Rome, Italy.
| | - Giuseppina Porciello
- Department of Psychology, Sapienza University of Rome, Rome, Italy
- IRCCS Fondazione Santa Lucia, Rome, Italy
| | - Alvaro Pascual-Leone
- Hinda and Arthur Marcus Institute for Aging Research and Center for Memory Health, Hebrew SeniorLife, Boston, MA, USA
- Department of Neurology, Harvard Medical School, Boston, MA, USA
- Guttmann Brain Health Institute, Institut Guttmann de Neurorehabilitació, Universitat Autonoma de Barcelona, Badalona, Spain
| | - Simon Baron-Cohen
- Autism Research Centre, Department of Psychiatry, University of Cambridge, Cambridge, UK
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Characterizing Body Image Distortion and Bodily Self-Plasticity in Anorexia Nervosa via Visuo-Tactile Stimulation in Virtual Reality. J Clin Med 2019; 9:jcm9010098. [PMID: 31906009 PMCID: PMC7019698 DOI: 10.3390/jcm9010098] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 12/19/2019] [Indexed: 02/06/2023] Open
Abstract
We combined virtual reality and multisensory bodily illusion with the aim to characterize and reduce the perceptual (body overestimation) and the cognitive-emotional (body dissatisfaction) components of body image distortion (BID) in anorexia nervosa (AN). For each participant (20 anorexics, 20 healthy controls) we built personalized avatars that reproduced their own body size, shape, and verisimilar increases and losses of their original weight. Body overestimation and dissatisfaction were measured by asking participants to choose the avatar that best resembled their real and ideal body. Results show higher body dissatisfaction in AN, caused by the desire of a thinner body, and no body-size overestimation. Interpersonal multisensory stimulation (IMS) was then applied on the avatar reproducing participant’s perceived body, and on the two avatars which reproduced increases and losses of 15% of it, all presented with a first-person perspective (1PP). Embodiment was stronger after synchronous IMS in both groups, but did not reduce BID in participants with AN. Interestingly, anorexics reported more negative emotions after embodying the fattest avatar, which scaled with symptoms severity. Overall, our findings suggest that the cognitive-emotional, more than the perceptual component of BID is severely altered in AN and that perspective (1PP vs. 3PP) from which a body is evaluated may play a crucial role. Future research and clinical trials might take advantage of virtual reality to reduce the emotional distress related to body dissatisfaction.
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