title: Neural Correlates of Empathy with Pain Show Habituation Effects. An fMRI Study.
abstract: BACKGROUND
  Neuroimaging studies have demonstrated that the actual experience of pain and the perception of another person in pain share common neural substrates, including the bilateral anterior insular cortex and the anterior midcingulate cortex. As many fMRI studies include the exposure of participants to repeated, similar stimuli, we examined whether empathic neural responses were affected by habituation and whether the participants' prior pain experience influenced these habituation effects.
  
  
  METHODS
  In 128 trials (four runs), 62 participants (31 women, 23.0 ± 4.2 years) were shown pictures of hands exposed to painful pressure (pain pictures) and unexposed (neutral pictures). After each trial, the participants rated the pain of the model. Prior to the experiment, participants were either exposed to the same pain stimulus (pain exposure group) or not (touch exposure group). In order to assess possible habituation effects, linear changes in the strength of the BOLD response to the pain pictures (relative to the neutral pictures) and in the ratings of the model's pain were evaluated across the four runs.
  
  
  RESULTS
  Although the ratings of the model's pain remained constant over time, we found neural habituation in the bilateral anterior/midinsular cortex, the posterior midcingulate extending to dorsal posterior cingulate cortex, the supplementary motor area, the cerebellum, the right inferior parietal lobule, and the left superior frontal gyrus, stretching to the pregenual anterior cingulate cortex. The participant's prior pain experience did neither affect their ratings of the model's pain nor their maintenance of BOLD activity in areas associated with empathy. Interestingly, participants with high trait personal distress and fantasy tended to show less habituation in the anterior insula.
  
  
  CONCLUSIONS
  Neural structures showed a decrease of the BOLD signal, indicating habituation over the course of 45 minutes. This can be interpreted as a neuronal mechanism responding to the repeated exposure to pain depictions, which may be regarded as functional in a range of contexts.
authors: Georg-August University of Goettingen, Georg-Elias-Mueller Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Goßlerstraße 14, 37073, Goettingen, Germany.
authors: Mira A
authors: MA
authors: Preis
authors: Georg-August University of Goettingen, Georg-Elias-Mueller Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Goßlerstraße 14, 37073, Goettingen, Germany.
authors: Birgit
authors: B
authors: Kröner-Herwig
authors: University Medical Center Goettingen, Department of Cognitive Neurology, MR Research in Neurology and Psychiatry, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
authors: Carsten
authors: C
authors: Schmidt-Samoa
authors: University Medical Center Goettingen, Department of Cognitive Neurology, MR Research in Neurology and Psychiatry, Robert-Koch-Straße 40, 37075, Göttingen, Germany.
authors: Peter
authors: P
authors: Dechent
authors: Philipps University of Marburg, Department of Clinical Psychology and Psychotherapy, Gutenbergstraße 18, 35032, Marburg, Germany.
authors: Antonia
authors: A
authors: Barke
mesh_terms: D000328:Adult; D002540:Cerebral Cortex / Q000503:physiopathology; D004645:Empathy / Q000502:physiology*; D005260:Female; D006179:Gyrus Cinguli / Q000503:physiopathology; D006185:Habituation, Psychophysiologic; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010146:Pain / Q000503:physiopathology* / Q000523:psychology*; D055815:Young Adult