The awesome as well as the awful: heightened sensory sensitivity predicts the presence and intensity of Autonomous Sensory Meridian Response (ASMR)

Misophonia reactions in the general population are correlated with strong emotional reactions to other everyday sensory-emotional experiences

Misophonic experiences are common in the general population, and they may shed light on everyday emotional reactions to multi-modal stimuli. We performed an online study of a non-clinical sample to understand the extent to which adults who have misophonic reactions are generally reactive to a range of audio-visual emotion-inducing stimuli. We also hypothesized that musicality might be predictive of one's emotional reactions to these stimuli because music is an activity that involves strong connections between sensory processing and meaningful emotional experiences. Participants completed self-report scales of misophonia and musicality. They also watched videos meant to induce misophonia, autonomous sensory meridian response (ASMR) and musical chills, and were asked to click a button whenever they had any emotional reaction to the video. They also rated the emotional valence and arousal of each video. Reactions to misophonia videos were predicted by reactions to ASMR and chills videos, which could indicate that the frequency with which individuals experience emotional responses varies similarly across both negative and positive emotional contexts. Musicality scores were not correlated with measures of misophonia. These findings could reflect a general phenotype of stronger emotional reactivity to meaningful sensory inputs. This article is part of the theme issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience'.

Brain circuits in autonomous sensory meridian response and related phenomena

Autonomous sensory meridian response (ASMR) is characterized by a tingling sensation with a feeling of relaxation and a state of flow. We explore the neural underpinnings and comorbidities of ASMR and related phenomena with altered sensory processing. These phenomena include sensory processing sensitivity (SPS), synaesthesia, Alice in Wonderland syndrome and misophonia. The objective of this article is to uncover the shared neural substrates and distinctive features of ASMR and its counterparts. ASMR, SPS and misophonia exhibit common activations in the brain regions associated with social cognition, emotion regulation and empathy. Nevertheless, ASMR responders display reduced connectivity in the salience network (SN), while individuals with SPS exhibit increased connectivity in the SN. Furthermore, ASMR induces relaxation and temporarily reduces symptoms of depression, in contrast to SPS and misophonia, which are linked to depression. These observations lead us to propose that ASMR is a distinct phenomenon owing to its attention dispatch mechanism and its connection with emotion regulation. We suggest that increased activations in the insula, along with reduction in connectivity within the salience and default mode networks in ASMR responders, may account for their experiences of relaxation and flow states. This article is part of the theme issue 'Sensing and feeling: an integrative approach to sensory processing and emotional experience'.

Exploring the technological dimension of Autonomous sensory meridian response-induced physiological responses

Background

In recent years, the scientific community has been captivated by the intriguing Autonomous sensory meridian response (ASMR), a unique phenomenon characterized by tingling sensations originating from the scalp and propagating down the spine. While anecdotal evidence suggests the therapeutic potential of ASMR, the field has witnessed a surge of scientific interest, particularly through the use of neuroimaging techniques including functional magnetic resonance imaging (fMRI) as well as electroencephalography (EEG) and physiological measures such as eye tracking (Pupil Diameter), heart rate (HR), heartbeat-evoked potential (HEP), blood pressure (BP), pulse rates (PR), finger photoplethysmography (PPG), and skin conductance (SC). This article is intended to provide a comprehensive overview of technology's contributions to the scientific elucidation of ASMR mechanisms.

Methodology

A meticulous literature review was undertaken to identify studies that have examined ASMR using EEG and physiological measurements. The comprehensive search was conducted across databases such as PUBMED, SCOPUS, and IEEE, using a range of relevant keywords such as 'ASMR', 'Autonomous sensory meridian response', 'EEG', 'fMRI', 'electroencephalography', 'physiological measures', 'heart rate', 'skin conductance', and 'eye tracking'. This rigorous process yielded a substantial number of 63 PUBMED and 166 SCOPUS-related articles, ensuring the inclusion of a wide range of high-quality research in this review.

Results

The review uncovered a body of research utilizing EEG and physiological measures to explore ASMR's effects. EEG studies have revealed distinct patterns of brain activity associated with ASMR experiences, particularly in regions implicated in emotional processing and sensory integration. In physiological measurements, a decrease in HR and an increase in SC and pupil diameter indicate relaxation and increased attention during ASMR-triggered stimuli.

Conclusions

The findings of this review underscore the significance of EEG and physiological measures in unraveling the psychological and physiological effects of ASMR. ASMR experiences have been associated with unique neural signatures, while physiological measures provide valuable insights into the autonomic responses elicited by ASMR stimuli. This review not only highlights the interdisciplinary nature of ASMR research but also emphasizes the need for further investigation to elucidate the mechanisms underlying ASMR and explore its potential therapeutic applications, thereby paving the way for the development of novel therapeutic interventions.

From touch to tingles: Assessing ASMR triggers and their consistency over time with the ASMR Trigger Checklist (ATC)

Autonomous Sensory Meridian Response (ASMR) is a term describing a complex sensory-perceptual phenomena characterised by relaxing and pleasurable scalp tingling sensations. A central defining feature of ASMR is that the sensation is elicited by a core set of stimuli or so-called "triggers". The idea that ASMR is triggered by specific external stimuli is frequently invoked in conceptual definitions of ASMR and implicit in its operationalisation as a trait and state; however, it is rarely explicitly measured. In this paper, we present the 37-item ASMR Trigger Checklist (ATC), a new tool to assist researchers in ASMR-responder identification and to capture individual differences in the number and intensity of ASMR triggers across auditory (vocal, non-vocal), visual, and tactile/interpersonal stimulus domains. The ATC is related to existing measures of trait-ASMR that tap into the sensations and phenomenological aspects of the experience (ASMR-15 and AEQ) and provides a complementary assessment for researchers interested in common ASMR elicitors. Importantly, the ATC addresses concerns regarding the over-reliance of audio-visual ASMR stimuli in existing measures and conceptualisations of ASMR by emphasising tactile and interpersonal stimuli. Physical touch to the body was both the most endorsed (98%) and intense (average 5/6) ASMR trigger. 24 of the 37 ATC items were endorsed by 75% of the sample and might therefore be considered prototypical ASMR triggers. The ATC has appropriate convergent validity through its association with other individual differences known to be related to ASMR (e.g., absorption, openness to experience, aesthetic experiences). Re-administration of the ATC after 5 months showed high consistency in reports of ASMR triggers with 84% of endorsements remaining the same over time. We hope that the ATC will prove a useful tool for researchers in participant selection and recruitment as well as for measuring individual differences within the ASMR population.

Does ASMR propensity reflect a mentally flexible mindset? Exploring the relationship between ASMR propensity, transliminality, emotional contagion, schizotypal traits, roleplaying ability, and creativity

Autonomous Sensory Meridian Response (ASMR) is an alternative state of consciousness characterised by changes in affect, feelings of relaxation, and tingling sensations on the body. Online videos designed to stimulate ASMR in viewers have become increasingly popular. Although there is evidence that ASMR may improve sleep, emotion regulation, and relaxation, the current understanding of ASMR propensity remains limited. This study examined whether a mentally flexible cognitive style may underlie the ability to experience ASMR. Undergraduate students (N = 376) completed an online survey involving a series of self-report questionnaires and two performance-based creative ability tasks. Findings did not provide support for an overall mentally flexible mindset, however, transliminality, emotional contagion susceptibility, positive schizotypal traits, and roleplaying ability all significantly positively predicted ASMR propensity. These findings suggest that ASMR propensity represents several possible underlying cognitive styles relating to enhanced imagination and perceptual ability, and cannot be simply characterised by mental flexibility.

The effects of Autonomous Sensory Meridian Response (ASMR) videos versus walking tour videos on ASMR experience, positive affect and state relaxation

OBJECTIVE

Autonomous Sensory Meridian Response (ASMR), the experience of a pleasant tingling on the neck and scalp, is known to be triggered by a characteristic type of videos (ASMR videos). The present study examines whether this experience is indeed specific to these ASMR videos, or whether it can also be triggered by other types of videos, e.g. walking tour videos. A further goal was to investigate differences between ASMR-responders and ASMR-non-responders regarding their ASMR sensation and to compare ASMR and walking tour videos with regard to the elicitation of positive affect and state relaxation.

METHOD

Two online assessments were carried out in two different predominantly student samples, one involving ASMR videos (n = 205) and the other one walking tour videos (n = 96). In both groups, ASMR experience, positive affect and state relaxation were assessed.

RESULTS

Compared to the walking tour video group, the ASMR-responders in the ASMR video group reported a pronounced ASMR sensation, higher state relaxation and higher positive affect scores. For ASMR-non-responders, lower scores in ASMR sensation, state relaxation and positive affect were revealed compared to the walking tour group. Without differentiating ASMR responder types, the ASMR group showed higher ASMR scores and lower positive affect scores compared to the walking tour group.

CONCLUSIONS

Watching ASMR videos induced significantly more characteristic ASMR sensations compared to walking tour videos. Since ASMR videos typically include a simulated interaction of the video protagonist with the viewer and walking tour videos do not, the simulated interaction with the viewer might be one important factor for triggering ASMR. As the ASMR observer type (responder or non-responder) is crucial for benefitting from ASMR videos, future scientific evaluation of ASMR needs to consider this differention when evaluating effects of ASMR on mental heath associated domains.

Similar but different: High prevalence of synesthesia in autonomous sensory meridian response (ASMR)

Autonomous sensory meridian response (ASMR) is a complex sensory-emotional experience characterized by pleasant tingling sensations initiating at the scalp. ASMR is triggered in some people (called ASMR-responders) by stimuli including whispering, personal attention, and crisp sounds (termed ASMR triggers). Since its inception, ASMR has been likened to synesthesia, but convincing empirical data directly linking ASMR with synesthesia is lacking. In this study, we examined whether the prevalence of synesthesia is indeed significantly higher in ASMR-responders than non-responders. A sample of working adults and students (N = 648) were surveyed about their experience with ASMR and common types of synesthesia. The proportion of synesthetes who were classified as ASMR-responders was 52%, whereas 22% of ASMR-responders were also synesthetes. These results suggest that: (1) over half of those identifying as synesthetes also experience ASMR, and (2) that synesthesia is up to four times as common among ASMR-responders as among non-responders (22% vs. 5%). Findings also suggest a prevalence rate for ASMR of approximately 20%. Overall, the co-occurrence of ASMR and synesthesia lends empirical support to the idea that ASMR may be driven by synesthetic mechanisms, but future research would benefit from examining how ASMR and synesthesia are different, as well as similar.

"No pain, no gain": The impact of autonomous sensory meridian response on pain perception

Autonomous sensory meridian response (ASMR) is a phenomenon characterised by a static-like tingling sensation spreading from the scalp and neck to the periphery in response to a variety of audio, visual, and tactile triggers resulting in a highly relaxed state and boosted positive affect. The limited literature on this phenomenon points to a potential of ASMR to alleviate pain. Emerging evidence also suggests that ASMR may be linked to increased sensory sensitivity more broadly. This study aimed to objectively address these claims by administering an algometer (measure of pain tolerance), and a visual analog scale (VAS) (measure of subjective pain sensitivity) to ASMR experiencers and controls at baseline, following an ASMR video, and a control video. Findings indicate that ASMR experiencers have a higher pain sensitivity than controls; however, there was no difference between the two groups in terms of pain tolerance. In addition, any potential analgesic properties associated with experiencing ASMR may reflect protective properties of ASMR buffering against the increased pain sensitivity among ASMR experiencers relative to controls.

Touching you, touching me: Higher incidence of mirror-touch synaesthesia and positive (but not negative) reactions to social touch in Autonomous Sensory Meridian Response

The characterisation of autonomous sensory meridian response (ASMR) as an audio-visual phenomenon overlooks how tactile experiences are not just perceptual concurrents of ASMR (i.e., tingling) but also commonly strong ASMR inducers. Here we systematically investigated whether ASMR-responders show altered tactile processing compared to controls. Using a screening measure of vicarious touch with a predefined cut-off for mirror-touch synaesthesia (MTS; a condition where tactile sensations are experienced when viewing, but not receiving, touch), we found that ASMR-responders had more frequent and intense vicarious touch experiences, as well as a strikingly higher incidence of MTS, than non-responders. ASMR-responders also reported greater reactivity to positive, but not negative, interpersonal touch. Correlations further showed these patterns to be more prevalent in those responders with stronger ASMR. We discuss the implications of our findings in terms of heightened sensory sensitivity, bodily awareness, and the underlying neuro-cognitive mechanisms driving vicarious tactile perception in ASMR and MTS.

ASMR-Experience Questionnaire (AEQ): A data-driven step towards accurately classifying ASMR responders

Autonomous sensory meridian response (ASMR) describes an atypical multisensory experience of calming, tingling sensations that originate in the crown of the head in response to a specific subset of audio-visual triggers. There is currently no tool that can accurately classify both ASMR-Responders and non-responders, while simultaneously identifying False-Positive cases that are similar sensory-emotional experiences. This study sought to fill this gap by developing a new online psychometric tool - the ASMR-Experiences Questionnaire (AEQ). Participants watched a series of short ASMR videos and answered sensory-affective questions immediately afterwards. Using a k-means clustering approach, we identified five data-driven groupings, based on tingle- and affect-related scores. ASMR-Responders differentiate based on ASMR propensity and intensity (ASMR-Strong; ASMR-Weak); non-responders differentiate based on response valence (Control+; Control-; False-Positive). Recommendations for how the AEQ and the respective output groups can be best utilized to enhance ASMR research are discussed.