The role of the salience network in cognitive and affective deficits.

Analysis and interpretation of studies on cognitive and affective dysregulation often draw upon the network paradigm, especially the Triple Network Model, which consists of the default mode network (DMN), the frontoparietal network (FPN), and the salience network (SN). DMN activity is primarily dominant during cognitive leisure and self-monitoring processes. The FPN peaks during task involvement and cognitive exertion. Meanwhile, the SN serves as a dynamic "switch" between the DMN and FPN, in line with salience and cognitive demand. In the cognitive and affective domains, dysfunctions involving SN activity are connected to a broad spectrum of deficits and maladaptive behavioral patterns in a variety of clinical disorders, such as depression, insomnia, narcissism, PTSD (in the case of SN hyperactivity), chronic pain, and anxiety, high degrees of neuroticism, schizophrenia, epilepsy, autism, and neurodegenerative illnesses, bipolar disorder (in the case of SN hypoactivity). We discuss behavioral and neurological data from various research domains and present an integrated perspective indicating that these conditions can be associated with a widespread disruption in predictive coding at multiple hierarchical levels. We delineate the fundamental ideas of the brain network paradigm and contrast them with the conventional modular method in the first section of this article. Following this, we outline the interaction model of the key functional brain networks and highlight recent studies coupling SN-related dysfunctions with cognitive and affective impairments.

Brain Activity Characteristics of Patients With Disorders of Consciousness in the EEG Resting State Paradigm: A Review.

The assessment of the level of consciousness in disorders of consciousness (DoC) is still one of the most challenging problems in contemporary medicine. Nevertheless, based on the multitude of studies conducted over the last 20 years on resting states based on electroencephalography (EEG) in DoC, it is possible to outline the brain activity profiles related to both patients without preserved consciousness and minimally conscious ones. In the case of patients without preserved consciousness, the dominance of low, mostly delta, frequency, and the marginalization of the higher frequencies were observed, both in terms of the global power of brain activity and in functional connectivity patterns. In turn, the minimally conscious patients revealed the opposite brain activity pattern-the characteristics of higher frequency bands were preserved both in global power and in functional long-distance connections. In this short review, we summarize the state of the art of EEG-based research in the resting state paradigm, in the context of providing potential support to the traditional clinical assessment of the level of consciousness.

Mindreading and metacognition patterns in patients with borderline personality disorder: experimental study.

Current psychopathology attempts to understand personality disorders in relation to deficits in higher cognition such as mindreading and metacognition. Deficits in mindreading are usually related to limitations in or a complete lack of the capacity to understand and attribute mental states to others, while impairments in metacognition concern dysfunctional control and monitoring of one's own processes. The present study investigated dysfunctional higher cognition in the population of patients with borderline personality disorder (BPD) by analyzing the accuracy of metacognitive judgments in a mindreading task [reading the mind in the eyes Test (RMET)] and a subsequent metacognitive task based on self-report scales: a confidence rating scale (CR) versus a post-decision wagering scale (PDW). It turned out that people from the BPD group scored lower in the RMET. However, both groups had the same levels of confidence on the PDW scale when giving incorrect answers in the RMET test. As initially hypothesized, individuals with BPD overestimated their confidence in incorrect answers, regardless of the type of metacognitive scales used. The present findings indicate that BPD individuals show dysfunctional patterns between instances of mindreading and metacognition.

The Borderline Bias in Explicit Emotion Interpretation.

Atypical emotion interpretation has been widely reported in individuals with borderline personality disorder (iBPD); however, empirical studies reported mixed results so far. We suggest that discrepancies in observations of emotion interpretation by iBPD can be explained by biases related to their fear of rejection and abandonment, i.e., the three moral emotions of anger, disgust, and contempt. In this study, we hypothesized that iBPD would show a higher tendency to correctly interpret these three displays of social rejection and attribute more negative valence. A total of 28 inpatient iBPDs and 28 healthy controls were asked to judge static and dynamic facial expressions in terms of emotions, valence, and self-reported arousal evoked by the observed faces. Our results partially confirmed our expectations. The iBPD correctly interpreted the three unambiguous moral emotions. Contempt, a complex emotion with a difficulty in recognizing facial expressions, was recognized better by iBPD than by healthy controls. All negative emotions were judged more negatively by iBPD than by controls, but no difference was observed in the neutral or positive emotion. Alexithymia and anxiety trait and state levels were controlled in all analyses.

Empathy in Facial Mimicry of Fear and Disgust: Simultaneous EMG-fMRI Recordings During Observation of Static and Dynamic Facial Expressions.

Real-life faces are dynamic by nature, particularly when expressing emotion. Increasing evidence suggests that the perception of dynamic displays enhances facial mimicry and induces activation in widespread brain structures considered to be part of the mirror neuron system, a neuronal network linked to empathy. The present study is the first to investigate the relations among facial muscle responses, brain activity, and empathy traits while participants observed static and dynamic (videos) facial expressions of fear and disgust. During display presentation, blood-oxygen level-dependent (BOLD) signal as well as muscle reactions of the corrugator supercilii and levator labii were recorded simultaneously from 46 healthy individuals (21 females). It was shown that both fear and disgust faces caused activity in the corrugator supercilii muscle, while perception of disgust produced facial activity additionally in the levator labii muscle, supporting a specific pattern of facial mimicry for these emotions. Moreover, individuals with higher, compared to individuals with lower, empathy traits showed greater activity in the corrugator supercilii and levator labii muscles; however, these responses were not differentiable between static and dynamic mode. Conversely, neuroimaging data revealed motion and emotional-related brain structures in response to dynamic rather than static stimuli among high empathy individuals. In line with this, there was a correlation between electromyography (EMG) responses and brain activity suggesting that the Mirror Neuron System, the anterior insula and the amygdala might constitute the neural correlates of automatic facial mimicry for fear and disgust. These results revealed that the dynamic property of (emotional) stimuli facilitates the emotional-related processing of facial expressions, especially among whose with high trait empathy.

Empathic Responses for Pain in Facial Muscles Are Modulated by Actor's Attractiveness and Gender, and Perspective Taken by Observer.

Although empathy for pain is an often studied phenomenon, only few studies employing electromyography (EMG) have investigated either emotional responses to the pain of others or factors that modulate these responses. The present study investigated whether the sex and attractiveness of persons experiencing pain affected muscle activity associated with empathy for pain, the corrugator supercili (CS) and orbicularis oculi (OO) muscles, in male and female participants in two conditions: adopting a perspective of "the other" or "the self." Fifty one participants (27 females) watched movies showing situations that included the expression of pain, with female and male and more and less attractive actors under both conditions, while the CS and OO EMG were recorded. Perspective did not affect CS muscle activity, but OO muscle activity tended to be higher in women than men under the imagine-self condition. CS muscle activity, but not OO muscle activity, was modulated by the actors' gender and attractiveness. CS muscle activity was stronger in response to the pain of less attractive than more attractive actors, and to the pain of female actors compared to male actors. Moreover, a positive correlation was found between empathic concern, as a trait, and CS muscle activity, but only in the imagine-self condition.

Neural Correlates of Facial Mimicry: Simultaneous Measurements of EMG and BOLD Responses during Perception of Dynamic Compared to Static Facial Expressions.

Facial mimicry (FM) is an automatic response to imitate the facial expressions of others. However, neural correlates of the phenomenon are as yet not well established. We investigated this issue using simultaneously recorded EMG and BOLD signals during perception of dynamic and static emotional facial expressions of happiness and anger. During display presentations, BOLD signals and zygomaticus major (ZM), corrugator supercilii (CS) and orbicularis oculi (OO) EMG responses were recorded simultaneously from 46 healthy individuals. Subjects reacted spontaneously to happy facial expressions with increased EMG activity in ZM and OO muscles and decreased CS activity, which was interpreted as FM. Facial muscle responses correlated with BOLD activity in regions associated with motor simulation of facial expressions [i.e., inferior frontal gyrus, a classical Mirror Neuron System (MNS)]. Further, we also found correlations for regions associated with emotional processing (i.e., insula, part of the extended MNS). It is concluded that FM involves both motor and emotional brain structures, especially during perception of natural emotional expressions.

Psychometric properties of the Polish adaptation of short form of the Empathy Quotient (EQ-Short). / Analiza wlasciwosci psychometrycznych polskiej wersji jezykowej Skróconej Skali Ilorazu Empatii (SSIE) ­ The Empathy Quotient (EQ-Short).

OBJECTIVES: The purpose of the present study was to analyze the psychometric properties of the Polish-language version of the EQ-Short questionnaire, designed to measure affective and cognitive empathy. METHODS: 940 subjects, aged 15-80, took part in the study. Subjects fluent in both Polish and English (N = 31) completed the questionnaire in the original English version and its Polish translation. The remaining subjects (N = 909) participated in a study designed to verify construct validity and reliability of the Polish version of the tool. RESULTS: The Polish and English versions of the EQ-Short show linguistic equivalence at a satisfactory level (r = 0.80, p < 0.001). Tests of validity and reliability of the translated tool showed that the Polish-language EQ-Short has good psychometric properties (Cronbach's alpha = 0.78), comparable to the original version. In all age groups there were statistically significant sex differences in EQ-Short scores: women scored higher than men. CONCLUSIONS: The Polish-language adaptation of EQ-Short is linguistically and psychometrically similar to the English original and meets the criteria of a reliable tool for measuring empathy.

Emotional Empathy and Facial Mimicry for Static and Dynamic Facial Expressions of Fear and Disgust.

Facial mimicry is the tendency to imitate the emotional facial expressions of others. Increasing evidence suggests that the perception of dynamic displays leads to enhanced facial mimicry, especially for happiness and anger. However, little is known about the impact of dynamic stimuli on facial mimicry for fear and disgust. To investigate this issue, facial EMG responses were recorded in the corrugator supercilii, levator labii, and lateral frontalis muscles, while participants viewed static (photos) and dynamic (videos) facial emotional expressions. Moreover, we tested whether emotional empathy modulated facial mimicry for emotional facial expressions. In accordance with our predictions, the highly empathic group responded with larger activity in the corrugator supercilii and levator labii muscles. Moreover, dynamic compared to static facial expressions of fear revealed enhanced mimicry in the high-empathic group in the frontalis and corrugator supercilii muscles. In the low-empathic group the facial reactions were not differentiated between fear and disgust for both dynamic and static facial expressions. We conclude that highly empathic subjects are more sensitive in their facial reactions to the facial expressions of fear and disgust compared to low empathetic counterparts. Our data confirms that personal characteristics, i.e., empathy traits as well as modality of the presented stimuli, modulate the strength of facial mimicry. In addition, measures of EMG activity of the levator labii and frontalis muscles may be a useful index of empathic responses of fear and disgust.

Do Dynamic Compared to Static Facial Expressions of Happiness and Anger Reveal Enhanced Facial Mimicry?

Facial mimicry is the spontaneous response to others' facial expressions by mirroring or matching the interaction partner. Recent evidence suggested that mimicry may not be only an automatic reaction but could be dependent on many factors, including social context, type of task in which the participant is engaged, or stimulus properties (dynamic vs static presentation). In the present study, we investigated the impact of dynamic facial expression and sex differences on facial mimicry and judgment of emotional intensity. Electromyography recordings were recorded from the corrugator supercilii, zygomaticus major, and orbicularis oculi muscles during passive observation of static and dynamic images of happiness and anger. The ratings of the emotional intensity of facial expressions were also analysed. As predicted, dynamic expressions were rated as more intense than static ones. Compared to static images, dynamic displays of happiness also evoked stronger activity in the zygomaticus major and orbicularis oculi, suggesting that subjects experienced positive emotion. No muscles showed mimicry activity in response to angry faces. Moreover, we found that women exhibited greater zygomaticus major muscle activity in response to dynamic happiness stimuli than static stimuli. Our data support the hypothesis that people mimic positive emotions and confirm the importance of dynamic stimuli in some emotional processing.

Physical attractiveness and sex as modulatory factors of empathic brain responses to pain.

Empathy is a process that comprises affective sharing, imagining, and understanding the emotions and mental states of others. The brain structures involved in empathy for physical pain include the anterior insula (AI), and the anterior cingulate cortex (ACC). High empathy may lead people to undertake pro-social behavior. It is important to understand how this process can be changed, and what factors these empathic responses depend on. Physical attractiveness is a major social and evolutional cue, playing a role in the formation of interpersonal evaluation. The aim of the study was to determine how attractiveness affects the level of empathy both in relation to self-rated behavior and in terms of activation of specific empathy-related brain regions. Twenty-seven subjects (14 female and 13 male) were studied using functional magnetic resonance imaging (fMRI) method while they were watching short video scenes involving physically more and less attractive men and women who exhibited pain responses. In the absence of behavioral effects in compassion ratings, we observed stronger activation in empathic brain structures (ACC; AI) for less attractive men and for attractive women than for attractive men. Evolutionary psychology studies suggest that beauty is valued more highly in females than males, which might lead observers to empathize more strongly with the attractive woman than the men. Attractive mens' faces are typically associated with enhanced masculine facial characteristics and are considered to possess fewer desirable personality traits compared with feminized faces. This could explain why more empathy was shown to less attractive men. In conclusion, the study showed that the attractiveness and sex of a model are important modulators of empathy for pain.

A neural model of mechanisms of empathy deficits in narcissism.

From a multidimensional perspective, empathy is a process that includes affective sharing and imagining and understanding the emotions of others. The primary brain structures involved in mediating the components of empathy are the anterior insula (AI), the anterior cingulate cortex (ACC), and specific regions of the medial prefrontal cortex (MPFC). The AI and ACC are the main nodes in the salience network (SN), which selects and coordinates the information flow from the intero- and exteroreceptors. AI might play a role as a crucial hub - a dynamic switch between 2 separate networks of cognitive processing: the central executive network (CEN), which is concerned with effective task execution, and the default mode network (DMN), which is involved with self-reflective processes. Given various classifications, a deficit in empathy may be considered a central dysfunctional trait in narcissism. A recent fMRI study suggests that deficit in empathy is due to a dysfunction in the right AI. Based on the acquired data, we propose a theoretical model of imbalanced SN functioning in narcissism in which the dysfunctional AI hub is responsible for constant DMN activation, which, in turn, centers one's attention on the self. This might hinder the ability to affectively share and understand the emotions of others. This review paper on neural mechanisms of empathy deficits in narcissism aims to inspire and direct future research in this area.

Knowledge about cervical cancer among Polish and Finnish female students.

OBJECTIVES: The purpose of the study was to assess the knowledge of Polish and Finnish students about cervical cancer prevention and the factors influencing it. STUDY DESIGN: 427 women took part in the research, 175 of whom were Finns and 252 Poles. The questionnaire had 20 questions. The survey had three parts: (1) socio-metric, (2) a knowledge test-13 questions, (3) questions about the sources of knowledge and their evaluation. Statistical analysis was made using the SPSS 18.0 program. The impact of variables such as socio-metric values or knowledge sources on answers to individual questions was verified using the χ(2) test, while significance of these variables on the total score was assessed using ANOVA. The significance level was p<0.05. RESULTS: Respondents' knowledge was low. On average both groups got just above 50% of the maximum of 13 points (Polish M=7.1, SD=2.24, Finnish M=6.85, SD=2.42, p<0.05). In both groups the percentage of correct answers was highest in the case of questions concerning cytological examination procedures. Factors such as major subject studied, whether or not cytological examination had been undergone had an important influence on respondents' answers. CONCLUSIONS: There were differences between the studied groups of Polish and Finnish female students in levels of knowledge about cervical cancer, however, in both samples the levels were low. Due to Finns' marginal performance in the test, together with differences in the sources of knowledge and diverse cervical cancer prevention methods in studied countries, we concluded that knowledge in these domains is not indispensable for a successful cancer prevention programme. What is required, is trust in clinicians and implementation of recommended cancer prevention measures.

How we empathize with others: a neurobiological perspective.

Empathy allows us to internally simulate the affective and cognitive mental states of others. Neurobiological studies suggest that empathy is a complex phenomenon, which can be described using a model that includes 2 modes of processing: bottom-up and top-down. Bottom-up neural processing is achieved via the mirroring representation systems that play a key role in the direct sharing of the emotional states of others. Top-down processing, known as cognitive perspective-taking or theory of mind, where the feelings of others are fully imagined and understood, is based on control and inhibition mechanisms. Available evidence indicates that empathic brain responses are likely to be influenced by several different modulating factors.