Neural, physiological and behavioural correlates of empathy for pain in Tourette syndrome.

Tourette syndrome echophenomena empathy mirror neuron system mu suppression

Journal

Brain communications
ISSN: 2632-1297
Titre abrégé: Brain Commun
Pays: England
ID NLM: 101755125

Informations de publication

Date de publication:
2023
Historique:
received: 18 01 2023
revised: 17 07 2023
accepted: 10 08 2023
medline: 21 8 2023
pubmed: 21 8 2023
entrez: 21 8 2023
Statut: epublish

Résumé

Persons with Tourette syndrome show altered social behaviours, such as echophenomena and increased personal distress in emotional situations. These symptoms may reflect an overactive mirror neuron system, causing both increased automatic imitation and a stronger tendency to share others' emotions. To test this, we measured the individual level of echophenomena with a video protocol and experimentally induced empathy for pain in 21 participants with Tourette syndrome and 25 matched controls. In the empathy for pain paradigm, pictures of hands and feet in painful or neutral situations were presented, while we measured participants' EEG and skin conductance response. Changes in somatosensory mu suppression during the observation of the pictures and pain ratings were compared between groups, and correlations were calculated with the occurrence of echophenomena, self-reported empathy and clinical measures. Our Tourette syndrome sample showed significantly more echophenomena than controls, but the groups showed no behavioural differences in empathic abilities. However, controls, but not patients with Tourette syndrome, showed the predicted increased mu suppression when watching painful compared to neutral actions. While echophenomena were present in all persons with Tourette syndrome, the hypothesis of an overactive mirror neuron system in Tourette syndrome could not be substantiated. On the contrary, the Tourette syndrome group showed a noticeable lack of mu attenuation in response to pain stimuli. In conclusion, we found a first hint of altered processing of others' emotional states in a brain region associated with the mirror neuron system.

Identifiants

pubmed: 37601409
doi: 10.1093/braincomms/fcad212
pii: fcad212
pmc: PMC10438210
doi:

Types de publication

Journal Article

Langues

eng

Pagination

fcad212

Informations de copyright

© The Author(s) 2023. Published by Oxford University Press on behalf of the Guarantors of Brain.

Déclaration de conflit d'intérêts

The authors report no competing interests.

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Auteurs

Ronja Weiblen (R)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.
Department of Psychiatry and Psychotherapy, University of Lübeck, 23562 Lübeck, Germany.

Carina Robert (C)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.

Pauline Petereit (P)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.

Marcus Heldmann (M)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.
Department of Psychology, University of Lübeck, 23562 Lübeck, Germany.
Center of Brain, Behavior and Metabolism, University of Lübeck, 23562 Lübeck, Germany.

Thomas F Münte (TF)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.
Department of Psychology, University of Lübeck, 23562 Lübeck, Germany.
Center of Brain, Behavior and Metabolism, University of Lübeck, 23562 Lübeck, Germany.

Alexander Münchau (A)

Center of Brain, Behavior and Metabolism, University of Lübeck, 23562 Lübeck, Germany.
Institute of Systems Motor Science, University of Lübeck, 23562 Lübeck, Germany.

Kirsten Müller-Vahl (K)

Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, 30625 Hannover, Germany.

Ulrike M Krämer (UM)

Department of Neurology, University of Lübeck, 23562 Lübeck, Germany.
Department of Psychology, University of Lübeck, 23562 Lübeck, Germany.
Center of Brain, Behavior and Metabolism, University of Lübeck, 23562 Lübeck, Germany.

Classifications MeSH