Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study

Despite their high prevalence, somatoform pain disorders are often not recognized early enough, not diagnosed reliably enough and not treated appropriately. Patients often experience a high level of suffering and the feeling of not being understood. For the medical care system, the symptoms represen...

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Main Authors: Eva Metzen, Mahboobeh Dehghan Nayyeri, Ralf Schäfer, Ulrike Dinger, Matthias Franz, Rüdiger Seitz, Jörg Rademacher
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:NeuroImage
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Online Access:http://www.sciencedirect.com/science/article/pii/S1053811925000382
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author Eva Metzen
Mahboobeh Dehghan Nayyeri
Ralf Schäfer
Ulrike Dinger
Matthias Franz
Rüdiger Seitz
Jörg Rademacher
author_facet Eva Metzen
Mahboobeh Dehghan Nayyeri
Ralf Schäfer
Ulrike Dinger
Matthias Franz
Rüdiger Seitz
Jörg Rademacher
author_sort Eva Metzen
collection DOAJ
description Despite their high prevalence, somatoform pain disorders are often not recognized early enough, not diagnosed reliably enough and not treated appropriately. Patients often experience a high level of suffering and the feeling of not being understood. For the medical care system, the symptoms represent a diagnostic and therapeutic challenge. Having the aim to get a better understanding of the disease, this study investigated the patients' emotion processing. In addition, the influence of surgical masks on facial affect processing was investigated, which has become more important since the onset of the Covid-19. The study involved an electroencephalogram (EEG) experimental paradigm extracting visual event-related potentials (vERP) evoked by emotional faces with and without surgical masks. Overall, the results of the face-related vERP indicate that the healthy control participants process the different emotional faces in a differentiated way. This can be seen from the fact that in this group the amplitudes of the vERP differ according to the different affects. In contrast, the patient group does not show any affect-specific potential differences in the vERP components. Besides, in healthy control participants, masks appear to limit the brain's ability to process emotions by hiding important facial information. Patients do not show any differences in the way they process images with and without masks, which suggests that patients generally process this content more rudimentary.
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spelling doaj-art-81423fc08399454db3bba3efc195d8882025-02-06T05:11:08ZengElsevierNeuroImage1095-95722025-02-01307121036Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-studyEva Metzen0Mahboobeh Dehghan Nayyeri1Ralf Schäfer2Ulrike Dinger3Matthias Franz4Rüdiger Seitz5Jörg Rademacher6Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich-Heine University Duesseldorf, Bergische Landstraße 2, 40629 Duesseldorf, Germany; Corresponding author.Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich-Heine University Duesseldorf, Bergische Landstraße 2, 40629 Duesseldorf, Germany; Corresponding author.Centre for Neurology and Neuropsychiatry (ZNN), LVR Clinic, Heinrich-Heine-University Duesseldorf, Duesseldorf, GermanyCentre for Neurology and Neuropsychiatry (ZNN), LVR Clinic, Heinrich-Heine-University Duesseldorf, Duesseldorf, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich-Heine University Duesseldorf, Bergische Landstraße 2, 40629 Duesseldorf, GermanyCentre for Neurology and Neuropsychiatry (ZNN), LVR Clinic, Heinrich-Heine-University Duesseldorf, Duesseldorf, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich-Heine University Duesseldorf, Bergische Landstraße 2, 40629 Duesseldorf, GermanyDespite their high prevalence, somatoform pain disorders are often not recognized early enough, not diagnosed reliably enough and not treated appropriately. Patients often experience a high level of suffering and the feeling of not being understood. For the medical care system, the symptoms represent a diagnostic and therapeutic challenge. Having the aim to get a better understanding of the disease, this study investigated the patients' emotion processing. In addition, the influence of surgical masks on facial affect processing was investigated, which has become more important since the onset of the Covid-19. The study involved an electroencephalogram (EEG) experimental paradigm extracting visual event-related potentials (vERP) evoked by emotional faces with and without surgical masks. Overall, the results of the face-related vERP indicate that the healthy control participants process the different emotional faces in a differentiated way. This can be seen from the fact that in this group the amplitudes of the vERP differ according to the different affects. In contrast, the patient group does not show any affect-specific potential differences in the vERP components. Besides, in healthy control participants, masks appear to limit the brain's ability to process emotions by hiding important facial information. Patients do not show any differences in the way they process images with and without masks, which suggests that patients generally process this content more rudimentary.http://www.sciencedirect.com/science/article/pii/S1053811925000382EEGEmotion processingSomatoform disorderERPN170P2
spellingShingle Eva Metzen
Mahboobeh Dehghan Nayyeri
Ralf Schäfer
Ulrike Dinger
Matthias Franz
Rüdiger Seitz
Jörg Rademacher
Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
NeuroImage
EEG
Emotion processing
Somatoform disorder
ERP
N170
P2
title Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
title_full Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
title_fullStr Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
title_full_unstemmed Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
title_short Emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain–An EEG-study
title_sort emotion processing of facial affect expression in patients with somatic symptom disorder with predominant pain an eeg study
topic EEG
Emotion processing
Somatoform disorder
ERP
N170
P2
url http://www.sciencedirect.com/science/article/pii/S1053811925000382
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