Perspectives on interpersonal touch are related to subjective sleep quality.

Affective touch has been reported for its calming effects; however, it is less clear whether touch is associated with sleep. Here, the relationship between different touch variables and self-reported sleep indicators was investigated. Data were extracted from the Touch Test, a cross-sectional survey conducted in 2020. Data from a sample of 15,049 healthy adults from the UK (mean age = 56.13, SD = 13.8; 75.4% female) were analysed. Participants were asked to attribute positive, negative, or no effects on sleep to hugs, strokes, massages, intimate touch, and sleep onset with and without touch. The time since last intentional touch, touch amount satisfaction, and childhood bed routine with hugs and kisses were assessed. Sleep quality, duration, latency, wake after sleep onset and diurnal preference were measured. Data were analysed using chi-square tests and logistic regressions. Affective touch before sleep was perceived to have positive effects on sleep. Touch recency emerged as a significant predictor for some sleep variables, with a longer timespan since the last intentional touch relating to improved sleep quality, longer sleep duration, and shorter and fewer instances of waking up after sleep onset in some participants. Experiencing too much touch was related to lower sleep quality and higher instances of waking up after sleep onset. These findings highlight the importance of interpersonal touch for subjective sleep quality.

Atypical emotion sharing in individuals with mirror sensory synaesthesia.

Being able to empathise with others is a crucial ability in everyday life. However, this does not usually entail feeling the pain of others in our own bodies. For individuals with mirror-sensory synaesthesia (MSS), however, this form of empathic embodiment is a common feature. Our study investigates the empathic ability of adults who experience MSS using a video-based empathy task. We found that MSS participants did not differ from controls on emotion identification and affective empathy; however, they showed higher affect sharing (degree to which their affect matches what they attribute to others) than controls. This finding indicates difficulties with self-other distinction, which our data shows results in fewer signs of prosocial behaviour. Our findings are in line with the self-other control theory of MSS and highlight how the use of appropriate empathy measures can contribute to our understanding of this important socio-affective ability, both in typical and atypical populations.

Assessing individual differences in attitudes towards touch in treatment settings: Introducing the touch & health scale.

Individuals commonly receive touch in treatment settings, but there is limited research on how they perceive it. The current project sought to address this gap by: 1) developing the Touch & Health Scale (THS) - a novel instrument to measure attitudes to touch in treatment settings 2) assessing inter-individual differences in THS scores, and 3) examining the association between individuals' THS scores and wellbeing. Data of a large U.K. adults sample (N > 12,000) were used. THS showed Cronbach's α between 0.636 and 0.816 and significant correlations (p < 0.001) with day-to-day attitudes to touch. THS scores differed as a function of extraversion and avoidant attachment style. Participants with more positive attitudes to touch in treatment settings showed greater wellbeing. Overall, the study highlights the importance of a personalised approach to touch in treatment settings and provides a new scale that may act as a screening tool for this purpose.

Associations between tactile intimacy and sleep quality in healthy adults: A systematic review.

Prior research suggests that different types of touch can affect sleep, but whether there is a consistent association between tactile intimacy and sleep quality is unclear. Here, we report a pre-registered systematic review (International Prospective Register of Systematic Reviews [PROSPERO], CRD42020158683) of studies examining the association between tactile intimacy and sleep quality in healthy adults. The databases PsycINFO, PubMed, Web of Science, the Cochrane Central Register of Controlled Trials and EMBASE were searched on August 7, 2020. A total of 13 studies met the inclusion criteria and were synthesised qualitatively. Most commonly, articles researched sexual intimacy in relation to sleep quality, but some studies also investigated non-sexual affective touch and emotionally neutral touch. Some evidence for a connection between sexual function, sexual satisfaction and masturbation with sleep quality was found; however, no evidence for an association between sexual frequency or sexual positions and sleep was found. Interestingly, studies employing more subjective approaches were more likely to report an association between touch and sleep, potentially highlighting a discrepancy between self-reported and the objectively measurable association between touch and sleep.

ASMR-Experience Questionnaire (AEQ): A data-driven step towards accurately classifying ASMR responders.

Autonomous sensory meridian response (ASMR) describes an atypical multisensory experience of calming, tingling sensations that originate in the crown of the head in response to a specific subset of audio-visual triggers. There is currently no tool that can accurately classify both ASMR-Responders and non-responders, while simultaneously identifying False-Positive cases that are similar sensory-emotional experiences. This study sought to fill this gap by developing a new online psychometric tool - the ASMR-Experiences Questionnaire (AEQ). Participants watched a series of short ASMR videos and answered sensory-affective questions immediately afterwards. Using a k-means clustering approach, we identified five data-driven groupings, based on tingle- and affect-related scores. ASMR-Responders differentiate based on ASMR propensity and intensity (ASMR-Strong; ASMR-Weak); non-responders differentiate based on response valence (Control+; Control-; False-Positive). Recommendations for how the AEQ and the respective output groups can be best utilized to enhance ASMR research are discussed.

Atypical bodily self-awareness in vicarious pain responders.

Vicarious perception refers to the ability to co-represent the experiences of others. Prior research has shown considerable inter-individual variability in vicarious perception of pain, with some experiencing conscious sensations of pain on their own body when viewing another person in pain (conscious vicarious perception/mirror-pain synaesthesia). Self-Other Theory proposes that this conscious vicarious perception may result from impairments in self-other distinction and maintaining a coherent sense of bodily self. In support of this, individuals who experience conscious vicarious perception are more susceptible to illusions of body ownership and agency. However, little work has assessed whether trait differences in bodily self-awareness are associated with conscious vicarious pain. Here we addressed this gap by examining individual difference factors related to awareness of the body, in conscious vicarious pain responders. Increased self-reported depersonalization and interoceptive sensibility was found for conscious vicarious pain responders compared with non-responders, in addition to more internally oriented thinking (associated with lower alexithymia). There were no significant differences in trait anxiety. Results indicate that maintaining a stable sense of the bodily self may be important for vicarious perception of pain, and that vicarious perception might also be enhanced by attention towards internal bodily states. This article is part of a discussion meeting issue 'Bridging senses: novel insights from synaesthesia'.

Individual Differences in Vicarious Pain Perception Linked to Heightened Socially Elicited Emotional States.

For some people (vicarious pain responders), seeing others in pain is experienced as pain felt on their own body and this has been linked to differences in the neurocognitive mechanisms that support empathy. Given that empathy is not a unitary construct, the aim of this study was to establish which empathic traits are more pronounced in vicarious pain responders. The Vicarious Pain Questionnaire (VPQ) was used to divide participants into three groups: (1) non-responders (people who report no pain when seeing someone else experiencing physical pain), (2) sensory-localized responders (report sensory qualities and a localized feeling of pain) and (3) affective-general responders (report a generalized and emotional feeling of pain). Participants completed a series of questionnaires including the Interpersonal Reactivity Index (IRI), the Empathy Quotient (EQ), the Helping Attitudes Scale (HAS), and the Emotional Contagion Scale (ECS) as well as The Individualism - Collectivism Interpersonal Assessment Inventory (ICIAI) and a self-other association task. Both groups of vicarious pain responders showed significantly greater emotional contagion and reactivity, but there was no evidence for differences in other empathic traits or self-other associations. Subsequently, the variables were grouped by a factor analysis and three main latent variables were identified. Vicarious pain responders showed greater socially elicited emotional states which included the ECS, the Emotional Reactivity Subscale of EQ and the HAS. These results show that consciously feeling the physical pain of another is mainly linked to heightened emotional contagion and reactivity which together with the HAS loaded on the socially elicited emotional states factor indicating that, in our population, these differences lead to a more helpful rather than avoidant behavior.

Modulating vicarious tactile perception with transcranial electrical current stimulation.

Our capacity to share the experiences of others is a critical part of social behaviour. One process thought to be important for this is vicarious perception. Passively viewing touch activates some of the same network of brain regions as the direct experience of touch. This vicarious experience is usually implicit, but for some people, viewing touch evokes conscious tactile sensations (mirror-touch synaesthesia). Recent work has attempted to induce conscious vicarious touch in those that do not normally experience these sensations, using transcranial direct current stimulation (tDCS). Anodal tDCS applied to primary somatosensory cortex (SI) was found to induce behavioural performance akin to mirror-touch synaesthesia on a visuotactile interference task. Here, we conducted two experiments that sought to replicate and extend these findings by examining: (i) the effects of tDCS and high-frequency transcranial random noise stimulation (tRNS) targeted at SI and temporo-parietal junction (TPJ) on vicarious tactile perception, (ii) the extent to which any stimulation effects were specific to viewing touch to humans vs. inanimate agents and (iii) the influence of visual perspective (viewing touch from one's own vs. another's perspective) on vicarious perception. In Experiment 1, tRNS targeted at SI did not modulate vicarious perception. In Experiment 2, tDCS targeted at SI, but not TPJ, resulted in some modulation of vicarious perception, but there were important caveats to this effect. Implications regarding mechanisms of vicarious perception are discussed. Collectively, the findings do not provide convincing evidence for the potential to modulate vicarious tactile perception with transcranial electrical current stimulation.