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Marheinecke R, Blasberg J, Heilmann K, Imrie H, Wesarg-Menzel C, Engert V. Measuring empathic stress - A systematic review of methodology and practical considerations for future research. Psychoneuroendocrinology 2025; 171:107216. [PMID: 39418692 DOI: 10.1016/j.psyneuen.2024.107216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2024] [Revised: 10/07/2024] [Accepted: 10/09/2024] [Indexed: 10/19/2024]
Abstract
Aside from stressors that each of us experience directly, we also share the stress of the people around us. Such empathic stress exists on psychological and physiological levels, including subjective, sympathetic, parasympathetic and endocrine activation. The objective of this review is to offer an overview of methodology over the past fifteen years of empathic stress research and derive practical considerations for future research endeavors in the field. We used a keyword search strategy in the databases Web of Science, PsycInfo and PubMed to find empathic stress studies published until December 2023, and included 17 studies into our review. The reviewed laboratory studies provide initial yet consistent evidence for the existence of empathic stress across different populations, in intimate and stranger dyads, with direct and virtual contact, across multiple levels of the stress system, and based on diverse statistical analysis methods. We discuss all findings and derive practical considerations for future empathic stress research. The diversity of methods established provides a solid foundation upon which future studies can expand.
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Affiliation(s)
- Ruth Marheinecke
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany.
| | - Jost Blasberg
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany
| | - Katja Heilmann
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany
| | - Hazel Imrie
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany; School of Psychology and Neuroscience, College of Medical, Veterinary and Life Sciences, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK
| | - Christiane Wesarg-Menzel
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany
| | - Veronika Engert
- Institute for Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Friedrich-Schiller University, Stoystraße 3, Jena 07743, Germany; Center for Intervention and Research on adaptive and maladaptive brain Circuits underlying mental health (C-I-R-C), Halle-Jena-Magdeburg, Germany; German Center for Mental Health (DZPG), Halle-Jena-Magdeburg, Germany
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De Felice S, Chand T, Croy I, Engert V, Goldstein P, Holroyd CB, Kirsch P, Krach S, Ma Y, Scheele D, Schurz M, Schweinberger SR, Hoehl S, Vrticka P. Relational neuroscience: Insights from hyperscanning research. Neurosci Biobehav Rev 2024; 169:105979. [PMID: 39674533 DOI: 10.1016/j.neubiorev.2024.105979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Revised: 10/16/2024] [Accepted: 12/05/2024] [Indexed: 12/16/2024]
Abstract
Humans are highly social, typically without this ability requiring noticeable efforts. Yet, such social fluency poses challenges both for the human brain to compute and for scientists to study. Over the last few decades, neuroscientific research of human sociality has witnessed a shift in focus from single-brain analysis to complex dynamics occurring across several brains, posing questions about what these dynamics mean and how they relate to multifaceted behavioural models. We propose the term 'Relational Neuroscience' to collate the interdisciplinary research field devoted to modelling the inter-brain dynamics subserving human connections, spanning from real-time joint experiences to long-term social bonds. Hyperscanning, i.e., simultaneously measuring brain activity from multiple individuals, has proven to be a highly promising technique to investigate inter-brain dynamics. Here, we discuss how hyperscanning can help investigate questions within the field of Relational Neuroscience, considering a variety of subfields, including cooperative interactions in dyads and groups, empathy, attachment and bonding, and developmental neuroscience. While presenting Relational Neuroscience in the light of hyperscanning, our discussion also takes into account behaviour, physiology and endocrinology to properly interpret inter-brain dynamics within social contexts. We consider the strengths but also the limitations and caveats of hyperscanning to answer questions about interacting people. The aim is to provide an integrative framework for future work to build better theories across a variety of contexts and research subfields to model human sociality.
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Affiliation(s)
| | - Tara Chand
- Jindal Institute of Behavioural Sciences, O. P. Jindal Global University, Sonipat, Haryana, India; Department of Clinical Psychology, Friedrich-Schiller University Jena, Jena, Germany
| | - Ilona Croy
- Department of Clinical Psychology, Friedrich-Schiller University Jena, Jena, Germany; German Center for Mental Health (DZPG), Site Jena-Magdeburg-Halle, Germany
| | - Veronika Engert
- German Center for Mental Health (DZPG), Site Jena-Magdeburg-Halle, Germany; Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Jena, Germany; Center for Intervention and Research on adaptive and maladaptive brain Circuits underlying mental health (C-I-R-C), Jena-Magdeburg-Halle, Jena, Germany
| | - Pavel Goldstein
- Integrative Pain Laboratory, School of Public Health, University of Haifa, Haifa, Israel
| | - Clay B Holroyd
- Department of Experimental Psychology, Ghent University, Ghent, Belgium
| | - Peter Kirsch
- Department of Clinical Psychology, Central Institute of Mental Health, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany; Institute of Psychology, University of Heidelberg, Germany; German Center for Mental Health (DZPG), Site Mannheim-Heidelberg-Ulm, Germany
| | - Sören Krach
- Klinik für Psychiatrie und Psychotherapie, University of Lübeck, Lübeck, Germany
| | - Yina Ma
- State Key Laboratory of Cognitive Neuroscience and Learning, IDG/McGovern Institute for Brain Research, Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing, China; Chinese Institute for Brain Research, Beijing, China
| | - Dirk Scheele
- Department of Social Neuroscience, Faculty of Medicine, Ruhr University Bochum, Germany; Research Center One Health Ruhr of the University Alliance Ruhr, Ruhr University Bochum, Germany
| | - Matthias Schurz
- Department of Psychology, Faculty of Psychology and Sport Science, and Digital Science Center (DiSC), University of Innsbruck, Innsbruck, Austria
| | - Stefan R Schweinberger
- German Center for Mental Health (DZPG), Site Jena-Magdeburg-Halle, Germany; Department of General Psychology, Friedrich Schiller University, Jena, Germany
| | - Stefanie Hoehl
- Faculty of Psychology, University of Vienna, Vienna, Austria.
| | - Pascal Vrticka
- Centre for Brain Science, Department of Psychology, University of Essex, Colchester, United Kingdom
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Schmidt B, Rohleder N, Engert V. Post-hypnotic safety suggestion improves stress coping with long-lasting effects. Sci Rep 2024; 14:3548. [PMID: 38347065 PMCID: PMC10861489 DOI: 10.1038/s41598-024-54071-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 02/08/2024] [Indexed: 02/15/2024] Open
Abstract
Effective coping with acute stress is important to promote mental health and to build stress resilience. Interventions improving stress coping usually require long training periods. In this study, we present a hypnosis-based intervention that produces long-term effects after a single hypnosis session. In that session, we established a post-hypnotic safety suggestion that participants can activate afterwards with a cue, the Jena Safety Anchor. We tested 60 participants in our study who all received the hypnosis session and a stress task. The safety group used the Jena Safety Anchor during acute stress (Trier Social Stress Test, TSST). The control group used a neutral anchor. We measured subjective stress responses via self-reports and physiological stress responses via saliva and blood samples as well as heart rate. One week later, all participants filled in an online survey to measure long-term effects of the post-hypnotic safety suggestion. We found that participants using the Jena Safety Anchor during the TSST reported significantly lower stress compared to the control group. The safety group also reported significantly fewer negative thoughts concerning their TSST performance than the control group during the stress recovery phase and 1 week later. All participants indicated that the Jena Safety Anchor still worked 1 week after its establishment. Suggestibility did not affect the efficacy of the Jena Safety Anchor. Our findings demonstrate that post-hypnotic safety suggestions improve stress coping with long-lasting effects, which makes it a promising intervention to promote mental health and establish stress resilience in just one hypnosis session.
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Affiliation(s)
- Barbara Schmidt
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Stoystraße 3, 07743, Jena, Germany.
| | - Nicolas Rohleder
- Chair of Health Psychology, Institute of Psychology, Friedrich-Alexander-Universität, Erlangen-Nürnberg, Germany
| | - Veronika Engert
- Institute of Psychosocial Medicine, Psychotherapy and Psychooncology, Jena University Hospital, Stoystraße 3, 07743, Jena, Germany
- Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany
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