Existential neuroscience: self-esteem moderates neuronal responses to mortality-related stimuli

Social-coalitional trait is related to coping capacity with mortality threat: association with leadership and a reduced parietal response to mortality salience

Introduction

Coping with mortality threat, a psychological threat unique to humans and distinct from general emotional distress, is traditionally characterized by immediate suppression and prolonged worldview defense within the framework of the influential terror management theory (TMT). Views regarding the personality-trait concepts for this coping capacity diverge: some favor a broad definition based on general psychological attitudes (e.g., hardiness), while others prefer a narrow definition linked to interpersonal attitudes related to social coalition (e.g., attachment style and self-transcendence).

Methods

Using functional MRI, we presented healthy older participants with death-related words and explored correlations between the neural responses to mortality threat and the factor scores of the Power to Live questionnaire, which measures eight resilience-related psychobehavioral traits.

Results

We observed a significant association between the factor score and a neural response only for leadership; individuals with a high leadership score exhibited reduced neural response to mortality salience in the right inferior parietal lobule.

Discussion

Within the TMT framework, our findings align with the concept of the immediate suppression of death-thought accessibility associated with a secure attachment style, a trait conceptually linked to leadership. These findings highlight the unique role for the narrowly defined social-coalitional trait during the immediate stage of the coping process with mortality salience, in contrast to the broadly defined resilience-related personality traits associated with a prolonged worldview defense process. The deterioration of this coping process could constitute a distinct aspect of psychopathology, separate from dysfunction in general emotion regulation.

Distinct neurocognitive mechanisms underlying learning and representations of symbols of life and death

Life and death are 2 fundamental concepts regarding existence of organisms. People often signify these concepts using symbols to facilitate communications, but how the brain learns and represents these symbols remains unclear. In the present study, we quantified behavioral and brain responses during learning associations between words ("life" or "death") with shapes as concrete referents. Behavioral responses to word-shape pairs showed an affirmative response bias to life-shape pairs but a denial response bias to death-shape pairs. Multimodal brain imaging results revealed that the right frontal and dorsal cingulate cortices monitored these response biases, respectively. Moreover, relative to unlearned shapes, life-related shapes induced increased alpha (9-14 Hz) oscillations in the right parietal cortex and precuneus, whereas death-related shapes enhanced beta (15-30 Hz) oscillations in the left parietal cortex, superior temporal sulcus, and precuneus. Our findings unraveled distinct neurocognitive mechanisms underlying learning and representations of concrete referents of life and death concepts.

Mortality salience enhances neural activities related to guilt and shame when recalling the past

Mortality salience (MS) influences cognition and behavior. However, its effect on emotion (especially moral emotions) and the underlying neural correlates are unclear. We investigated how MS priming modulated guilt and shame in a later recall task using functional magnetic resonance imaging. The behavioral results indicated that MS increased self-reported guilt but not shame. The neural results showed that MS strengthened neural activities related to the psychological processes of guilt and shame. Specifically, for both guilt and shame, MS increased activation in a region associated with self-referential processing (ventral medial prefrontal cortex). For guilt but not shame, MS increased the activation of regions associated with cognitive control (orbitofrontal cortex) and emotion processing (amygdala). For shame but not guilt, MS decreased brain functional connectivity related to self-referential processing. A direct comparison showed that MS more strongly decreased a functional connectivity related to self-referential processing in the shame than in the guilt condition. Additionally, the activation of insula during MS priming was partly predictive of neural activities related to guilt and shame in the subsequent recall task. Our study sheds light on the psychological and neural mechanisms of MS effects on moral emotions and provides theoretical insights for enriching terror management theory.

Religious Afterlife Beliefs Decrease Behavioral Avoidance of Symbols of Mortality

An astonishing cultural phenomenon is where, far away from or close to a city center, people in different societies localize cemeteries that function as both sites of memory of lost ones and symbols of mortality. Yet a psychological account of such differences in behavioral responses to symbols of mortality is lacking. Across five studies (N = 1,590), we tested a psychological model that religious afterlife beliefs decrease behavioral avoidance of symbols of mortality (BASM) by developing and validating a word-position task for quantifying BASM. We showed evidence that religious believers, including Christians, Muslims, Hindus, and Buddhists, exhibited decreased BASM relative to nonbelievers. We also provide evidence for a causal relationship between religious afterlife beliefs and reduced BASM. Our findings provide new insight into the functional role of religious afterlife beliefs in modulating human avoidance behavior in response to symbols of mortality.

The Psychological Consequences of COVID-19 Outbreak Among the German Population

The world is currently facing an unprecedented pandemic crisis. The highly contagious coronavirus, or COVID-19, first occurred in Wuhan (China) in December 2019. The outbreak of the virus quickly spread all over the world, reaching Europe in January 2020. The first case in Germany was reported to be diagnosed on January 27. This study focuses on assessing the mental health consequences of the German public during COVID-19 outbreak. Psychological discomfort, generalized anxiety disorder, sleep disturbances, depressive symptoms and threat perception are especially investigated with respect to demographics, security importance and negative affectivity. The psychological vulnerabilities that go along with the pandemic are evaluated in detail. The cross-sectional online survey conducted in Germany reveals a prevalence of depressive symptoms, psychological discomfort, threat perception, generalized anxiety disorder and sleep disturbances associated with the pandemic crisis. The results also indicate a relationship between mental health issues and negative affectivity as well as the perception of threat. This paper gives an outlook on long-term consequences and what could be the strategies to mitigate the negative mental health outcomes of the crisis.

Nostalgia enhances detection of death threat: neural and behavioral evidence

An experiment examined the potency of nostalgia-a sentimental longing for one's past-to facilitate detection of death-related stimuli, using functional magnetic resonance imaging (fMRI) and behavioral techniques (i.e., judgmental accuracy, reaction times). We hypothesized and found that, at the neural level, nostalgic (relative to control) participants evinced more intense activation in right amygdala in response to death-related (vs. neutral) words. We also hypothesized and found that, at the behavioral level, nostalgic (relative to control) participants manifested greater accuracy in judging whether two death-related (vs. neutral) words belonged in the same category. Exploratory analyses indicated that nostalgic (relative to control) participants did not show faster reaction times to death-related (vs. neutral) words. In all, nostalgia appeared to aid in death threat detection. We consider implications for the relevant literatures.

An Ontological Framework to Facilitate Early Detection of 'Radicalization' (OFEDR)-A Three World Perspective

This paper presents an ontology that involves using information from various sources from different disciplines and combining it in order to predict whether a given person is in a radicalization process. The purpose of the ontology is to improve the early detection of radicalization in persons, thereby contributing to increasing the extent to which the unwanted escalation of radicalization processes can be prevented. The ontology combines findings related to existential anxiety that are related to political radicalization with well-known criminal profiles or radicalization findings. The software Protégé, delivered by the technical field at Stanford University, including the SPARQL tab, is used to develop and test the ontology. The testing, which involved five models, showed that the ontology could detect individuals according to "risk profiles" for subjects based on existential anxiety. SPARQL queries showed an average detection probability of 5% including only a risk population and 2% on a whole test population. Testing by using machine learning algorithms proved that inclusion of less than four variables in each model produced unreliable results. This suggest that the Ontology Framework to Facilitate Early Detection of 'Radicalization' (OFEDR) ontology risk model should consist of at least four variables to reach a certain level of reliability. Analysis shows that use of a probability based on an estimated risk of terrorism may produce a gap between the number of subjects who actually have early signs of radicalization and those found by using probability estimates for extremely rare events. It is reasoned that an ontology exists as a world three object in the real world.

Brain Activation during Thoughts of One's Own Death and Its Linear and Curvilinear Correlations with Fear of Death in Elderly Individuals: An fMRI Study

Facing one's own death and managing the fear of death are important existential issues, particularly in older populations. Although recent functional magnetic resonance imaging (fMRI) studies have investigated brain responses to death-related stimuli, none has examined whether this brain activation was specific to one's own death or how it was related to dispositional fear of death. In this study, during fMRI, 34 elderly participants (aged, 60-72 years) were presented with either death-related or death-unrelated negative words and asked to evaluate the relevance of these words to the "self" or the "other." The results showed that only the left supplementary motor area (SMA) was selectively activated during self-relevant judgments of death-related words. Regression analyses of the effect of fear of death on brain activation during death-related thoughts identified a significant negative linear correlation in the right supramarginal gyrus (SMG) and an inverted-U-shaped correlation in the posterior cingulate cortex (PCC) only during self-relevant judgments. Our results suggest potential involvement of the SMA in the existential aspect of thoughts of death. The distinct fear-of-death-dependent responses in the SMG and PCC may reflect fear-associated distancing of the physical self and the processing of death-related thoughts as a self-relevant future agenda, respectively.

Self-esteem and cultural worldview buffer mortality salience effects on responses to self-face: Distinct neural mediators

Terror management theory proposes cultural worldview and self-esteem as two buffers against death anxiety. The neural mediators of these buffering effects, however, have not been fully understood. The present work investigated neural mediation mechanisms between self-esteem/cultural trait (self-construal) and mortality salience (MS) effects on self-face processing. We found that MS (vs. NA) priming eliminated self-face advantage in behavioral judgments of face-orientation in low self-esteem individuals and reduced self-face advantage in behavioral judgments of facial-familiarity in individuals with high interdependent self-construals. Our functional magnetic resonance imaging (fMRI) results showed that, following MS priming, insular activities mediated the relationship between self-esteem and self-face advantage in face-orientation judgments, whereas dorsal medial prefrontal activity mediated the relationship between interdependent self-construal and self-face advantage in face-familiarity judgments. Our findings suggest that distinct neural mechanisms are engaged in mediating the relationships between self-esteem/cultural trait and MS effects on the emotional and cognitive processes of self-relevant information.

Neural mechanisms of reinforcement learning under mortality threat

Reinforcement learning - to adjust behaviors in response to feedback regarding reward and punishment - is pivotal to our survival. The present work investigated whether and how reinforcement learning is affected by thoughts of mortality that endanger one's survival. We recorded electroencephalographic while adults performed a probabilistic learning task that required a forced-choice between two visual patterns for monetary reward for different beneficiaries (i.e., self, stranger, or no one) followed by reward or no-reward feedback. We found that verbal reminders of mortality (vs. negative emotion) enlarged an early positive component (P1) at the occipital electrodes but decreased a late positive potential (LPP) at the frontocentral electrodes in response to learning stimuli. While no-reward feedback relative to reward feedback stimuli elicited a feedback-related negativity (FRN) and increased non-phase locked theta band (4-8 Hz) activity at the frontocentral electrodes during reward learning for all beneficiaries, verbal reminders of mortality (vs. negative emotion) significantly reduced the FRN amplitude but failed to modulate the theta band activity. These results suggest that mortality salience enhances early attentional processing but dampens late cognitive evaluation of the learning stimuli during reinforcement learning. Moreover, mortality salience decreases the neural sensitivity to feedback signaling the absence of monetary reward.

Prediction-based neural mechanisms for shielding the self from existential threat

The human mind has an automatic tendency to avoid awareness of its mortality. How this protective mechanism is implemented at the neuronal level is unknown. Here we test the hypothesis that prediction-based mechanisms mediate death-denial by shielding the self from existential threat. We provide evidence that self-specific predictive processes are downregulated during the perception of death-related linguistic stimuli and that this mechanism can predict fear-of-death. Using a magnetoencephalography visual mismatch paradigm, we show that the brain's automatic prediction response to deviancy is eliminated when death words and self-face representations are coupled, but remains present when coupled to other-face or to negative words. We further demonstrate a functional link between how death impacts self-image vs. Other-image, and show that it predicts fear-of-death. Finally, we confirm this effect in a behavioral active inference experiment showing that death-related words bias perceptual judgment on facial self and other morphed video clips. Together these results lay out, for the first time, a plausible neural-based mechanism of death-denial.

Thoughts of death affect reward learning by modulating salience network activity

Thoughts of death substantially influence human behavior and psychological well-being. A large number of behavioral studies have shown evidence that asking individuals to think about death or mortality salience leads to significant changes of their behaviors. These findings support the well-known terror management theory to account for the psychological mechanisms of existential anxiety. However, despite increasing findings of mortality salience effects on human behavior, how the brain responds to reminders of mortality and changes the activity underlying subsequent behavior remains poorly understood. By scanning healthy adults (N = 80) of both sexes using functional magnetic resonance imaging, we showed that, relative to reading emotionally neutral sentences, reading sentences that evoke death-related thoughts decreased the salience network activity, reduced the connectivity between the cingulate cortex and other brain regions during a subsequent resting state, and dampened the speed of learning reward-related objects and cingulate responses to loss feedback during a subsequent reward learning task. In addition, the decreased resting-state cingulate connectivity mediated the association between salience network deactivations in response to reminders of mortality and suppressed cingulate responses to loss feedback. Finally, the suppressed cingulate responses to loss feedback further predicted the dampened speed of reward learning. Our findings demonstrate sequential modulations of the salience network activity by mortality salience, which provide a neural basis for understanding human behavior under mortality threat.

Strength of socio-political attitudes moderates electrophysiological responses to perceptual anomalies

People with strong (vs. moderate) political attitudes have been shown to exhibit less phasic reactivity to perceptual anomalies, presumably to prevent their committed meaning systems from being challenged by novel experiences. Several researchers have proposed that (but not tested whether) firmly committed individuals also engage in more attentional suppression of anomalies, likely mediated by prestimulus alpha power. We expected participants with strong (vs. moderate) political attitudes to display increased pre-stimulus alpha power when processing perceptual anomalies. We recorded electrophysiological activity during the presentation of normal cards (control group) or both normal and anomalous playing cards (experimental group; total N = 191). In line with our predictions, the presence of anomalous playing cards in the stimulus set increased prestimulus alpha power only among individuals with strong but not moderate political attitudes. As potential markers of phasic reactivity, we also analyzed the late positive potential (LPP) and earlier components of the event-related potential, namely P1, N1, and P300. The moderating effect of extreme attitudes on ERP amplitudes remained inconclusive. Altogether, our findings support the idea that ideological conviction is related to increased tonic responses to perceptual anomalies.

Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses

Decades of behavioral science research have documented functional shifts in attitudes and ideological adherence in response to various challenges, but little work to date has illuminated the neural mechanisms underlying these dynamics. This paper describes how continuous theta burst transcranial magnetic stimulation may be employed to experimentally assess the causal contribution of cortical regions to threat-related ideological shifts. In the example protocol provided here, participants are exposed to a threat prime-an explicit reminder of their own inevitable death and bodily decomposition-following a downregulation of the posterior medial frontal cortex (pMFC) or a sham stimulation. Next, disguised within a series of distracter tasks, participants' relative degree of ideological adherence is assessed-in the present example, with regard to coalitional prejudice and religious belief. Participants for whom the pMFC has been downregulated exhibit less coalitionally biased responses to an immigrant critical of the participants' national in-group, and less conviction in positive afterlife beliefs (i.e., God, angels, and heaven), despite having recently been reminded of death. These results complement prior findings that continuous theta burst stimulation of the pMFC influences social conformity and sharing and illustrate the feasibility of investigating the neural basis of high-level social cognitive shifts using transcranial magnetic stimulation.

5-HTTLPR moderates the association between interdependence and brain responses to mortality threats

While behavioral research suggests an association between cultural worldview and decreased anxiety of death, the underlying neurobiological mechanisms remain unclear. Using functional MRI, we investigated whether and how the serotonin transporter promoter polymorphism (5-HTTLPR), which has been associated with mental disorders such as anxiety and depression, moderates the associations between a cultural trait (i.e., interdependence) and self-report of death anxiety/depression and between interdependence and brain responses to mortality threats. Long/long and short/short allele carriers of the 5-HTTLPR were scanned using fMRI while they performed a one-back task on death-related, death-unrelated negative, and neutral words. Participants' interdependence and death anxiety/depression were assessed using questionnaires after scanning. We found that participants who assessed themselves with greater interdependence reported lower death anxiety/depression and showed decreased neural response to death-related words in emotion-related brain regions including the anterior cingulate, putamen, and thalamus. However, these results were evident in long/long allele carriers of the 5-HTTLPR but not in short/short allele carriers who even showed positive associations between interdependence and neural activities in the anterior cingulate, putamen and thalamus in response to death-related words. Our findings suggest candidate mechanisms for explaining the complex relationship between genotype, cultural traits, and mental/neural responses to mortality threats. Hum Brain Mapp 38:6157-6171, 2017. © 2017 Wiley Periodicals, Inc.

Tolerating dissimilar other when primed with death: neural evidence of self-control engaged by interdependent people in Japan

Mortality salience (MS) has been shown to lead to derogation of others with dissimilar worldviews, yet recent research has shown that Asian-Americans who presumably adopt an interdependent self-construal (SC) tend to reveal greater tolerance after MS induction. In the present study, we demonstrated that Japanese individuals who are high on interdependent SC indeed show greater tolerance toward worldview-threatening other in the MS (vs control) condition, thus replicating the prior research. Extending this research, we also found that interdependent people's tolerance toward worldview-threatening other was mediated by increased activity in the right ventrolateral prefrontal cortex in the MS condition. These data suggested that when exposed to death-related stimuli, highly interdependent individuals may spontaneously activate their neural self-control system which may serve to increase tolerance toward others.

Distinct effects of reminding mortality and physical pain on the default-mode activity and activity underlying self-reflection

Behavioral research suggests that reminding both mortality and negative affect influences self-related thoughts. Using functional magnetic resonance imaging (MRI), we tested the hypothesis that reminders of mortality and physical pain decrease brain activity underlying self-related thoughts. Three groups of adults underwent priming procedures during which they answered questions pertaining to mortality, physical pain, or leisure time, respectively. Before and after priming, participants performed personality trait judgments on oneself or a celebrity, identified the font of words, or passively viewed a fixation. The default-mode activity and neural activity underlying self-reflection were identified by contrasting viewing a fixation vs. font judgment and trait judgments on oneself vs. a celebrity, respectively. The analyses of the pre-priming functional MRI (fMRI) data identified the default-mode activity in the posterior cingulate cortex (PCC), ventral medial prefrontal cortex (MPFC), and parahippocampal gyrus, and the activity underlying instructed self-reflection in both the ventral and dorsal regions of the MPFC. The analyses of the post-priming fMRI data revealed that, relative to leisure time priming, reminding mortality significantly reduced the default-mode PCC activity, and reminding physical pain significantly decreased the dorsal MPFC activity during instructed self-reflection. Our findings suggest distinct neural underpinnings of the effect of reminding morality and aversive emotion on default-mode and instructed self-reflection.

Neural evidence that the behavioral inhibition system is involved in existential threat processing

According to threat-general perspectives, existentially threatening prospects such as the inevitability of mortality or uncontrollability represent motivational discrepancies that activate the behavioral inhibition system (BIS). The aim of the present paper is to test this claim using neuroimaging and neurophysiological methods. In Study 1, we used neuroimaging to show that both mortality- and uncontrollability-related stimuli elicit activation in the anterior cingulate cortex, which is a key BIS region in humans. Focusing on the idea that BIS activation is associated with increased attention, Study 2 used electroencephalography to demonstrate that both mortality- and uncontrollability-related stimuli enhanced the late positive potential, an indicator of motivated attention. Together, these studies provide support for the model's prediction that existential threat activates the BIS.

Neuromodulation of group prejudice and religious belief

People cleave to ideological convictions with greater intensity in the aftermath of threat. The posterior medial frontal cortex (pMFC) plays a key role in both detecting discrepancies between desired and current conditions and adjusting subsequent behavior to resolve such conflicts. Building on prior literature examining the role of the pMFC in shifts in relatively low-level decision processes, we demonstrate that the pMFC mediates adjustments in adherence to political and religious ideologies. We presented participants with a reminder of death and a critique of their in-group ostensibly written by a member of an out-group, then experimentally decreased both avowed belief in God and out-group derogation by downregulating pMFC activity via transcranial magnetic stimulation. The results provide the first evidence that group prejudice and religious belief are susceptible to targeted neuromodulation, and point to a shared cognitive mechanism underlying concrete and abstract decision processes. We discuss the implications of these findings for further research characterizing the cognitive and affective mechanisms at play.

Mortality salience enhances racial in-group bias in empathic neural responses to others' suffering

Behavioral research suggests that mortality salience (MS) leads to increased in-group identification and in-group favoritism in prosocial behavior. What remains unknown is whether and how MS influences brain activity that mediates emotional resonance with in-group and out-group members and is associated with in-group favoritism in helping behavior. The current work investigated MS effects on empathic neural responses to racial in-group and out-group members' suffering. Experiments 1 and 2 respectively recorded event related potentials (ERPs) and blood oxygen level dependent signals to pain/neutral expressions of Asian and Caucasian faces from Chinese adults who had been primed with MS or negative affect (NA). Experiment 1 found that an early frontal/central activity (P2) was more strongly modulated by pain vs. neutral expressions of Asian than Caucasian faces, but this effect was not affected by MS vs. NA priming. However, MS relative to NA priming enhanced racial in-group bias in long-latency neural response to pain expressions over the central/parietal regions (P3). Experiment 2 found that MS vs. NA priming increased racial in-group bias in empathic neural responses to pain expression in the anterior and mid-cingulate cortex. Our findings indicate that reminding mortality enhances brain activity that differentiates between racial in-group and out-group members' emotional states and suggest a neural basis of in-group favoritism under mortality threat.

The self-liking brain: a VBM study on the structural substrate of self-esteem

Abundant evidence suggests that self-esteem is an important personality resource for emotion regulation in response to stressful experiences. It was thus hypothesized that the relative grey matter volume of brain regions involved in responding to and coping with stress is related to individual differences in trait self-esteem. Using structural magnetic resonance imaging of 48 healthy adults in conjunction with voxel-based morphometry and diffeomorphic anatomical registration using exponentiated lie algebra (VBM-DARTEL), positive associations between self-esteem and regional grey matter volume were indeed found in the anterior cingulate cortex (ACC), right lateral prefrontal cortex (LPFC), right hippocampus, and left hypothalamus. In addition, self-esteem positively covaried with grey matter volume in the right temporo-parietal junction (TPJ), which has been implicated in pride and theory of mind. The results suggest that persons with low self-esteem have reduced grey matter volume in brain regions that contribute to emotion/stress regulation, pride, and theory of mind. The findings provide novel neuroanatomical evidence for the view that self-esteem constitutes a vital coping resource.