Cited by 2Face Recognition and PerceptionPsychosomatic Disorders and Their TreatmentsTactile and Sensory Interactions

Enhanced expectation of external sensations of the chest regulates the emotional perception of fearful faces

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Jung, Won-Mo, Lee, In-Seon, Lee, Ye-Seul, Ryu, Yeonhee, Park, Hi-Joon, Chae, Younbyoung·2021·Brain Sciences

Abstract

Emotional perception can be shaped by inferences about bodily states. Here, we investigated whether exteroceptive inferences about bodily sensations in the chest area influence the perception of fearful faces. Twenty-two participants received pseudo-electrical acupuncture stimulation at three different acupoints: CV17 (chest), CV23 (chin), and PC6 (left forearm). All stimuli were delivered with corresponding visual cues, and the control condition included visual cues that did not match the stimulated body sites. After the stimulation, the participants were shown images with one of five morphed facial expressions, ranging from 100% fear to 100% disgust, and asked to classify them as fearful or disgusted. Brain activity was measured using functional magnetic resonance imaging during the facial expression classification task. When the participants expected that they would receive stimulation of the chest (CV17), the ratio of fearful to non-fearful classifications decreased compared to the control condition, and brain activities within the periaqueductal gray and the default mode network decreased when they viewed fearful faces. Our findings suggest that bodily sensations around the chest, but not the other tested body parts, were selectively associated with fear perception and that altering external inferences inhibited the perception of fearful faces.

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  1. [1]Bechara A. Damasio H. Damasio A.R. Emotion, decision making and the orbitofrontal cortex Cereb. Cortex. 2000 10 295 307 10.1093/cercor/10.3.295 10731224 · DOI · Paper page
  2. [2]Critchley H.D. Psychophysiology of neural, cognitive and affective integration: fMRI and autonomic indicants Int. J. Psychophysiol. 2009 73 88 94 10.1016/j.ijpsycho.2009.01.012 19414044 PMC2722714 · DOI · Paper page
  3. [3]Critchley H.D. Nagai Y. Gray M.A. Mathias C.J. Dissecting axes of autonomic control in humans: Insights from neuroimaging Auton. Neurosci. 2011 161 34 42 10.1016/j.autneu.2010.09.005 20926356 · DOI · Paper page
  4. [4]Critchley H.D. Wiens S. Rotshtein P. Öhman V. Dolan R.J. Neural systems supporting interoceptive awareness Nat. Neurosci. 2004 7 189 195 10.1038/nn1176 14730305 · DOI · Paper page
  5. [5]Gray M.A. Rylander K. Harrison N.A. Wallin B.G. Critchley H.D. Following one’s heart: Cardiac rhythms gate central initiation of sympathetic reflexes J. Neurosci. 2009 29 1817 1825 10.1523/JNEUROSCI.3363-08.2009 19211888 PMC2869038 · DOI
  6. [6]Harrison N.A. Brydon L. Walker C. Gray M.A. Steptoe A. Critchley H.D. Inflammation causes mood changes through alterations in subgenual cingulate activity and mesolimbic connectivity Biol. Psychiatry 2009 66 407 414 10.1016/j.biopsych.2009.03.015 19423079 PMC2885494 · DOI · Paper page
  7. [10]James W. The physical basis of emotion Psychol. Rev. 1994 101 205 210 10.1037/0033-295X.101.2.205 8022955 · DOI
  8. [11]Aminoff E.M. Kveraga K. Bar M. The role of the parahippocampal cortex in cognition Trends Cogn. Sci. 2013 17 379 390 10.1016/j.tics.2013.06.009 23850264 PMC3786097 · DOI
  9. [12]Barrett L.F. Quigley K.S. Bliss-Moreau E. Interoceptive sensitivity and self-reports of emotional experience J. Pers. Soc. Psychol. 2004 87 684 10.1037/0022-3514.87.5.684 15535779 PMC1224728 · DOI · Paper page
  10. [13]Terasawa Y. Moriguchi Y. Tochizawa S. Umeda S. Interoceptive sensitivity predicts sensitivity to the emotions of others Cogn. Emot. 2014 28 1435 1448 10.1080/02699931.2014.888988 24559130 · DOI · Paper page
  11. [16]Garfinkel S.N. Critchley H.D. Threat and the Body: How the Heart Supports Fear Processing Trends Cogn. Sci. 2016 20 34 46 10.1016/j.tics.2015.10.005 26628111 · DOI · Paper page
  12. [18]Khalsa S.S. Rudrauf D. Feinstein J.S. The pathways of interoceptive awareness Nat. Neurosci. 2009 12 1494 1496 10.1038/nn.2411 19881506 PMC2787640 · DOI · Paper page
  13. [19]Paton J.F. Li Y.W. Kasparov S. Reflex response and convergence of pharyngoesophageal and peripheral chemoreceptors in the nucleus of the solitary tract Neuroscience 1999 93 143 154 10.1016/S0306-4522(99)00098-6 10430479 · DOI
  14. [21]Singer T. Critchley H.D. Preuschoff K. A common role of insula in feelings, empathy and uncertainty Trends Cogn. Sci. 2009 13 334 340 10.1016/j.tics.2009.05.001 19643659 · DOI · Paper page
  15. [22]Hietanen J.K. Glerean E. Hari R. Nummenmaa L. Bodily maps of emotions across child development Dev. Sci. 2016 19 1111 1118 10.1111/desc.12389 26898716 · DOI · Paper page
  16. [23]Jung W.M. Ryu Y. Lee Y.S. Wallraven C. Chae Y. Role of interoceptive accuracy in topographical changes in emotion-induced bodily sensations PLoS ONE 2017 12 e0183211 10.1371/journal.pone.0183211 28877218 PMC5587262 · DOI · Paper page
  17. [25]Jung W.M. Lee Y.S. Lee I.S. Wallraven C. Ryu Y. Chae Y. Enhanced bodily states of fear facilitates bias perception of fearful faces Mol. Brain 2020 13 157 10.1186/s13041-020-00674-6 33225980 PMC7682010 · DOI · Paper page
  18. [28]Schauder K.B. Mash L.E. Bryant L.K. Cascio C.J. Interoceptive ability and body awareness in autism spectrum disorder J. Exp. Child Psychol. 2015 131 193 200 10.1016/j.jecp.2014.11.002 25498876 PMC4303499 · DOI · Paper page
  19. [29]Suzuki K. Garfinkel S.N. Critchley H.D. Seth A.K. Multisensory integration across exteroceptive and interoceptive domains modulates self-experience in the rubber-hand illusion Neuropsychologia 2013 51 2909 2917 10.1016/j.neuropsychologia.2013.08.014 23993906 · DOI · Paper page
  20. [30]Tsakiris M. Tajadura-Jimenez A. Costantini M. Just a heartbeat away from one’s body: Interoceptive sensitivity predicts malleability of body-representations Proc. Biol. Sci. 2011 278 2470 2476 10.1098/rspb.2010.2547 21208964 PMC3125630 · DOI · Paper page
  21. [33]Friston K. Kilner J. Harrison L. A free energy principle for the brain J. Physiol. Paris 2006 100 70 87 10.1016/j.jphysparis.2006.10.001 17097864 · DOI · Paper page
  22. [35]Jung W.M. Ryu Y. Park H.J. Lee H. Chae Y. Brain activation during the expectations of sensory experience for cutaneous electrical stimulation Neuroimage Clin. 2018 19 982 989 10.1016/j.nicl.2018.06.022 30003035 PMC6039842 · DOI
  23. [36]Isoyama D. Cordts E.B. van Niewegen A.M.B.d.S. Effect of acupuncture on symptoms of anxiety in women undergoing in vitro fertilisation: A prospective randomised controlled study Acupunct. Med. 2012 30 85 88 10.1136/acupmed-2011-010064 22499825 · DOI
  24. [37]Kurono Y. Minagawa M. Ishigami T. Acupuncture to Danzhong but not to Zhongting increases the cardiac vagal component of heart rate variability Auton. Neurosci. 2011 161 116 120 10.1016/j.autneu.2010.12.003 21216208 · DOI
  25. [38]Kim H. Park H.J. Han S.M. Hahm D.H. Lee H.J. Kim K.S. Shim I. The effects of acupuncture stimulation at PC6 (Neiguan) on chronic mild stress-induced biochemical and behavioral responses Neurosci. Lett. 2009 460 56 60 10.1016/j.neulet.2009.05.008 19427367 · DOI
  26. [39]Kim H. Park H.J. Shim H.S. Han S.M. Hahm D.H. Lee H. Shim I. The effects of acupuncture (PC6) on chronic mild stress-induced memory loss Neurosci. Lett. 2011 488 225 288 10.1016/j.neulet.2010.09.080 20946936 · DOI
  27. [40]Zhao Z.L. Zhao G.W. Li H.Z. Yang X.D. Wu Y.Y. Lin F. Guan L.X. Zhai F.G. Liu J.Q. Yang C.H. Acupuncture Attenuates Anxiety-Like Behavior by Normalizing Amygdaloid Catecholamines during Ethanol Withdrawal in Rats Evid. Based Complement. Altern. Med. 2011 2011 429843 10.1093/ecam/neq045 21869897 PMC3159395 · DOI
  28. [41]Beissner F. Therapeutic Sensations: A New Unifying Concept Evid. Based Complement. Altern. Med. 2020 2020 7630190 10.1155/2020/7630190 32831879 PMC7428881 · DOI
  29. [42]Jung W.M. Shim W. Lee T. Park H.J. Ryu Y. Beissner F. Chae Y. More than DeQi: Spatial Patterns of Acupuncture-Induced Bodily Sensations Front. Neurosci. 2016 10 462 10.3389/fnins.2016.00462 27807402 PMC5069343 · DOI · Paper page
  30. [43]Cox R.W. AFNI: Software for analysis and visualization of functional magnetic resonance neuroimages Comput. Biomed. Res. 1996 29 162 173 10.1006/cbmr.1996.0014 8812068 · DOI · Paper page
  31. [44]Paus T. Otaky N. Caramanos Z. In vivo morphometry of the intrasulcal gray matter in the human cingulate, paracingulate, and superior-rostral sulci: Hemispheric asymmetries, gender differences and probability maps J. Comp. Neurol. 1996 376 664 673 10.1002/(SICI)1096-9861(19961223)376:4<664::AID-CNE12>3.0.CO;2-M 8978477 · DOI
  32. [45]Forman S.D. Cohen J.D. Fitzgerald M. Eddy W.F. Mintun M.A. Noll D.C. Improved assessment of significant activation in functional magnetic resonance imaging (fMRI): Use of a cluster-size threshold Magn. Reson. Med. 1995 33 636 647 10.1002/mrm.1910330508 7596267 · DOI · Paper page
  33. [46]Eccles J.A. Garfinkel S.N. Harrison N.A. Ward J. Taylor R.E. Bewley A.P. Critchley H.D. Sensations of skin infestation linked to abnormal frontolimbic brain reactivity and differences in self-representation Neuropsychologia 2015 77 90 96 10.1016/j.neuropsychologia.2015.08.006 26260311 · DOI
  34. [47]Behbehani M.M. Functional characteristics of the midbrain periaqueductal gray Prog. Neurobiol. 1995 46 575 605 10.1016/0301-0082(95)00009-K 8545545 · DOI · Paper page
  35. [48]Carrive P. Bandler R. Dampney R.A. Viscerotopic control of regional vascular beds by discrete groups of neurons within the midbrain periaqueductal gray Brain Res. 1989 493 385 390 10.1016/0006-8993(89)91176-1 2765906 · DOI · Paper page
  36. [49]Mobbs D. Petrovic P. Marchant J.L. Hassabis D. Weiskopf N. When fear is near: Threat imminence elicits prefrontal-periaqueductal gray shifts in humans Science 2007 317 1079 1083 10.1126/science.1144298 17717184 PMC2648508 · DOI · Paper page
  37. [50]Zelena D. Menant O. Andersson F. Chaillou E. Periaqueductal gray and emotions: The complexity of the problem and the light at the end of the tunnel, the magnetic resonance imaging Endocr. Regul. 2018 52 222 238 10.2478/enr-2018-0027 31517609 · DOI
  38. [52]Harricharan S. Rabellino D. Frewen P.A. Densmore M. Theberge J. Mckinnon M.C. Schore R. Lanius A. fMRI functional connectivity of the periaqueductal gray in PTSD and its dissociative subtype Brain Behav. 2016 6 e00579 10.1002/brb3.579 28032002 PMC5167004 · DOI · Paper page
  39. [53]Weng H.Y. Feldman J.L. Leggio L. Napadow V. Park J. Price C. Interventions and Manipulations of Interoception Trends Neurosci. 2021 44 52 62 10.1016/j.tins.2020.09.010 33378657 PMC7805576 · DOI
  40. [55]Lutz A. Slagter H.A. Dunne J.D. Davidson R. Attention regulation and monitoring in meditation Trends Cogn. Sci. 2008 12 163 169 10.1016/j.tics.2008.01.005 18329323 PMC2693206 · DOI · Paper page
  41. [56]Kleckner I.R. Zhang J. Touroutoglou A. Chanes L. Xia C. Simmons W.K. Quigley K.S. Dickerson B.C. Barrett L.F. Evidence for a Large-Scale Brain System Supporting Allostasis and Interoception in Humans Nat. Hum. Behav. 2017 1 1 14 10.1038/s41562-017-0069 28983518 PMC5624222 · DOI · Paper page
  42. [57]Abbruzzese L. Magnani N. Robertson I.H. Mancuso M. Age and Gender Differences in Emotion Recognition Front. Psychol. 2019 10 2371 10.3389/fpsyg.2019.02371 31708832 PMC6819430 · DOI
  43. [58]Li G. Zhang S. Le T.M. Tang X. Li C.S.R. Neural responses to negative facial emotions: Sex differences in the correlates of individual anger and fear traits Neuroimage 2020 221 117 171 10.1016/j.neuroimage.2020.117171 32682098 PMC7789231 · DOI

Cited by

Sorted by citations

Authors
Jung, W.-M., Lee, I.-S., Lee, Y.-S., Ryu, Y., Park, H.-J., & Chae, Y.
Affiliations
  • Kyung Hee University (KR)
  • Jaseng Medical Foundation (KR)
  • Korea Institute of Oriental Medicine (KR)
Corresponding author
Chae, Younbyoung
Venue
Brain Sciences
Publisher
MDPI AG
Published
2021-07-19
Volume
11
Issue
7
Pages
946
ISSN
2076-3425 (ISSN-L)
OpenAlex
W3183466190
Cited by
2
References
16
Citations by year
2026: 2
FWCI
0.00
Type
journal article
Language
en
Open access
Locations
  • Brain Sciences (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Research Foundation of Korea (No. 2021R1F1A1046705, No. 2020R1A4A1018598)
  • Korea Institute of Oriental Medicine (K18181)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Face Recognition and Perception
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
Keywords
fear perception, facial expression recognition, acupoint stimulation, periaqueductal gray, default mode network, disgust, emotion perception

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