scholarly journals The effect of intranasal oxytocin on the perception of affective touch and multisensory integration in anorexia nervosa: protocol for a double-blind placebo-controlled crossover study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e024913
Author(s):  
Laura Crucianelli ◽  
Lucy Serpell ◽  
Yannis Paloyelis ◽  
Lucia Ricciardi ◽  
Paul Robinson ◽  
...  

IntroductionAnorexia nervosa (AN) is an eating disorder characterised by restriction of energy intake, fears of gaining weight and related body image disturbances. The oxytocinergic system has been proposed as a pathophysiological candidate for AN. Oxytocin is a neuropeptide involved in bodily processes (eg, breast feeding) and in the onset of social behaviours (eg, bonding). Studies investigating the effect of intranasal oxytocin (IN-OT) in AN showed that it can improve attentional bias for high-calorie food and fat bodies stimuli, and related stress. However, less is known about the effect of IN-OT on bodily awareness and body image distortions, key features of the disorder linked to its development, prognosis and maintenance. Here, we aim to investigate the effect of IN-OT on the perception of affective, C-tactile-optimal touch, known to be impaired in AN and on multisensory integration processes underlying a body ownership illusion (ie, rubber hand illusion). For exploratory purposes, we will also investigate the effect of IN-OT on another interoceptive modality, namely cardiac awareness and its relationship with affective touch.Design, methods and analysisForty women with AN and forty matched healthy controls will be recruited and tested in two separate sessions; self-administering IN-OT (40 IU) or placebo, intranasally, in a pseudo-randomised manner. The data from this double-blind, placebo-controlled, cross-over study will be analysed using linear mixed models that allow the use of both fixed (treatment levels) and random (subjects) effects in the same analysis. To address our main hypotheses, separate analyses will be run for the affective touch task, where the primary outcome dependent variable will be the pleasantness of the touch, and for the rubber hand illusion, where we will investigate multisensory integration quantified as subjective embodiment towards the rubber hand. In the latter, we will manipulate the synchronicity of touch and the size of the hand.Ethics and disseminationEthics approval has been obtained by National Research Ethics Service NRES Committee London (Queen’s Square Committee, ref number 14/LO/1593). The results will be disseminated through conference presentations and publication in peer-reviewed journals.

2018 ◽  
Author(s):  
Donné van der Westhuizen ◽  
Teneille Page ◽  
Mark Solms ◽  
Jack van Honk

ABSTRACTThe Rubber Hand Illusion (RHI) is an experimental paradigm for assessing changes in body ownership. Recent findings in the field suggest that social-emotional variables can influence such changes. Since body ownership is a mechanism that enables subjects to organise information about the environment and interact efficiently in it, changes in body ownership should have important implications for social power. In the current study, we investigated whether 0.5mg of testosterone, a steroid hormone strongly implicated in the achievement of power and dominance, affected the RHI. Forty-nine females participated in a double-blind, placebo-controlled experiment in which the RHI was induced. Compared to placebo, testosterone had no effects on the usual alteration of subjective ownership over the rubber limb or on subjective sense of proprioceptive drift. However, unlike the placebo group, testosterone-treated participants did not display an objective decline in the temperature of their own (hidden) hand following induction of the illusion. These findings suggest that testosterone strengthens implicit but not explicit bodily self-representations. We propose that effective maintenance of implicit body boundaries can be regarded, conceptually, as a primary defensive state facilitating integrity of the self.


2020 ◽  
Vol 33 (2) ◽  
pp. 161-187 ◽  
Author(s):  
Donné van der Westhuizen ◽  
Teneille Page ◽  
Mark Solms ◽  
Jack van Honk

Abstract The Rubber Hand Illusion (RHI) is an experimental paradigm for assessing changes in body ownership. Recent findings in the field suggest that social emotions can influence such changes and that empathic motivation in particular appears to positively predict the malleability of body representations. Since the steroid hormone, testosterone, is well known to interrupt certain forms of empathic processing, in the current study we investigated whether 0.5 mg of testosterone affected ownership indices of the RHI. Forty-nine females participated in a double-blind, placebo-controlled experiment in which the RHI was induced. Compared to placebo, testosterone had no effects on the alteration of subjective ownership over the rubber limb or on subjective sense of proprioceptive drift. However, unlike the placebo group, testosterone-treated participants did not display an objective decline in the temperature of their own (hidden) hand following induction of the illusion. These findings suggest that testosterone strengthens implicit but not explicit bodily self-representations. We propose that effective maintenance of implicit body boundaries can be regarded, conceptually, as a primary defensive state facilitating integrity of the self.


2019 ◽  
Vol 44 (3) ◽  
pp. 177-184 ◽  
Author(s):  
Merel Prikken ◽  
Anouk van der Weiden ◽  
Heleen Baalbergen ◽  
Manon H.J. Hillegers ◽  
René S. Kahn ◽  
...  

Cortex ◽  
2018 ◽  
Vol 104 ◽  
pp. 180-192 ◽  
Author(s):  
Laura Crucianelli ◽  
Charlotte Krahé ◽  
Paul M. Jenkinson ◽  
Aikaterini (Katerina) Fotopoulou

2018 ◽  
Author(s):  
Maria Laura Filippetti ◽  
Louise P. Kirsch ◽  
Laura Crucianelli ◽  
Aikaterini Fotopoulou

AbstractOur sense of body ownership relies on integrating different sensations according to their temporal and spatial congruency. Nevertheless, there is ongoing controversy about the role of affective congruency during multisensory integration, i.e. whether the stimuli to be perceived by the different sensory channels are congruent or incongruent in terms of their affective quality. In the present study, we applied a widely used multisensory integration paradigm, the Rubber Hand Illusion, to investigate the role of affective, top-down aspects of sensory congruency between visual and tactile modalities in the sense of body ownership. In Experiment 1 (N = 36), we touched participants with either soft or rough fabrics in their unseen hand, while they watched a rubber hand been touched synchronously with the same fabric or with a ‘hidden’ fabric of ‘uncertain roughness’. In Experiment 2 (N = 50), we used the same paradigm as in Experiment 1, but replaced the ‘uncertainty’ condition with an ‘incongruent’ one, in which participants saw the rubber hand being touched with a fabric of incongruent roughness and hence opposite valence. We found that certainty (Experiment 1) and congruency (Experiment 2) between the felt and vicariously perceived tactile affectivity led to higher subjective embodiment compared to uncertainty and incongruency, respectively, irrespective of any valence effect. Our results suggest that congruency in the affective top-down aspects of sensory stimulation is important to the multisensory integration process leading to embodiment, over and above temporal and spatial properties.


2017 ◽  
Vol 30 (7-8) ◽  
pp. 615-637 ◽  
Author(s):  
Olga Perepelkina ◽  
Maria Boboleva ◽  
Galina Arina ◽  
Valentina Nikolaeva

The aim of the study was to investigate how emotion information processing factors, such as alexithymia and emotional intelligence, modulate body ownership and influence multisensory integration during the ‘rubber hand illusion’ (RHI) task. It was previously shown that alexithymia correlates with RHI, and we suggested that emotional intelligence should also be a top-down factor of body ownership, since it was not shown in previous experiments. We elaborated the study of Grynberg and Pollatos [Front. Hum. Neurosci.9(2015) 357] with an additional measure of emotional intelligence, and propose an explanation for the interrelation of emotion and body ownership processing. Eighty subjects took part in the RHI experiment and completed the Toronto Alexithymia Scale and the Mayer–Salovey–Caruso Emotional Intelligence Test (MSCEIT). Only MSCEIT was detected to be a significant predictor of the subjective measure of the RHI. There were no significant correlations between alexithymia scores and the test statements of the RHI or the proprioceptive drift, thus we did not replicate the results of Grynberg and Pollatos. However, alexithymia correlated with the control statements of subjective reports of the illusion, which might be explained as a disruption of the ability to discriminate and describe bodily experience. Therefore, (1) alexithymia seems to be connected with difficulties in conscious or verbal processing of body-related information, and (2) higher emotional intelligence might improve multisensory integration of body-related signals and reflect better predictive models of self-processing.


2018 ◽  
Vol 44 (suppl_1) ◽  
pp. S77-S77
Author(s):  
Neeltje Van Haren ◽  
Merel Prikken ◽  
Anouk van der Weiden ◽  
Heleen Baalbergen ◽  
Manon Hillegers ◽  
...  

1981 ◽  
Vol 26 (4) ◽  
pp. 224-227 ◽  
Author(s):  
David M. Garner

Despite much recent interest in the objective measurement of body image in anorexia nervosa, many questions remain regarding basic mechanisms responsible for the findings as well as their meaning in the disorder. It is unclear if “whole body” measures assess the same underlying phenomena as the “body part” method, and it is unclear if body image disturbances are etiologic or a byproduct of anorexia nervosa. The possible association between self-esteem and body satisfaction and the relationship of the latter variable to actual size estimation supports the hypothesis that size perception may be closely tied to satisfaction with non-physical aspects of self. Finally it must be determined if over estimation is a function of a general psychological disturbance or of a deficit of specific interest in this disorder. Despite these questions, the way in which anorexic patients see themselves as well as the cognitive and affective responses to this perception remains an interesting and potentially fruitful area of study with this disorder.


PLoS ONE ◽  
2018 ◽  
Vol 13 (11) ◽  
pp. e0207528 ◽  
Author(s):  
Angela Marotta ◽  
Massimiliano Zampini ◽  
Michele Tinazzi ◽  
Mirta Fiorio

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