Empathy for pain‑related dorsolateral prefrontal activity is modulated by angry face perception
Abstract
Empathy, i.e., the ability to perceive and share another person's affective state, is associated with activity in a complex neural network, including the anterior insula, the anterior and mid-cingulate cortex, and the lateral prefrontal cortex. Here, we were interested in the question how facial emotions influence the activation of the 'pain network'. In the present study, we used functional magnetic resonance imaging to investigate the neuronal correlates of empathy for pain and its interaction with emotional face recognition in 20 healthy subjects. We identified various brain regions commonly associated with empathy for pain, including the right mid-cingulate cortex, the left anterior insula (AI), and the left dorsolateral prefrontal cortex (dlPFC), with an increased neuronal response in the left dlPFC after the presentation of angry faces. Furthermore, a negative correlation between psychological measures of alexithymia and empathy for pain-related brain activity was observed in the left AI. The dlPFC is an important brain region involved in cognitive reappraisal or in 'top-down' control of the limbic system. Our findings could therefore reflect a regulatory response associated with distancing from negatively valenced stimuli. Moreover, our results underline the involvement of the AI in empathy for pain responses and their relationship to alexithymia.
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Alexithymia is associated with impaired abilities known to rely upon interoception, such as emotion regulation, emotion recognition, empathy, reward processing, and decision-making.
“alexithymia is associated with impaired abilities known to rely upon interoception, such as emotion regulation (Stasiewicz et al., 2012), emotion recognition (Grynberg et al., 2012), empathy (e.g. Enzi et al., 2016; Gleichgerrcht et al., 2015; Moriguchi et al., 2007a; Silani et al., 2008), reward processing (Bibby and Ferguson, 2011; Goerlich et al., 2016; Morie et al., 2016) and decision-making,”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Enzi et al., 2016
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- Authors
- Enzi, B., Amirie, S., & Brüne, M.
- Affiliations
- LWL-Universitätsklinikum Bochum (DE)
- University Hospitals of the Ruhr-University of Bochum (DE)
- Corresponding author
- Brüne, Martin
- ORCID
- Brüne, Martin
- Venue
- Experimental Brain Research
- Published
- 2016-07-22
- Volume
- 234
- Issue
- 11
- Pages
- 3335-3345
- ISSN
- 0014-4819 (ISSN-L)
- 1432-1106
- OpenAlex
- W2487581604
- Cited by
- 33
- References
- 49
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 1 · 2019: 4 · 2018: 5 · 2017: 2
- FWCI
- 5.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Brain Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
- Keywords
- empathy for pain, dorsolateral prefrontal cortex, anterior insula, midcingulate cortex, facial emotion recognition, alexithymia, pain network, cognitive reappraisal, top-down control
- MeSH terms
- Facial Recognition, Adult, Analysis of Variance, Emotions, Empathy, Female, Humans, Image Processing, Computer-Assisted, Functional Laterality, Magnetic Resonance Imaging, Male, Neuropsychological Tests, Oxygen, Pain, Photic Stimulation, Statistics as Topic, Prefrontal Cortex, Young Adult
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