Laterality and modality-specific effects of chronic pain

Previous investigations indicated that thresholds to nonpainful tactile stimuli were elevated in chronic-pain patients when compared with pain-free individuals (Seltzer & Seltzer, 1986; Seltzer et al., 1988). The present study attempted to determine whether thresholds to tactual and visual stimuli also were elevated by chronic pain. Furthermore, lateralization of the pain effect on tactile thresholds was assessed by obtaining thresholds from both left and right arms. A decrease in tactile sensitivity to nonpainful stimuli in chronic-pain patients was confirmed, but laterality of the effect was not demonstrated. Visual thresholds were not significantly affected by chronic pain. The data in the present study, taken together with other data, support the proposition that pain does not affect right hemispheric processes more than left hemispheric processes.     

Colonic sensitivity in irritable bowel syndrome and normal subjects according to their hemispheric preference and cognitive style

According to our earlier results, non-painful, weak afferent visceral signals may exert a steady influence on brain processes, including cognitive functions. In the present series colonic impulses of irritable bowel syndrome (IBS) subjects served as a model of chronic impact from the gut. Hemispheric preference, as well as cognitive style of information processing served as indicators of covert changes in brain functions. In twentyone IBS patients and in ten control subjects of both sexes, the thresholds of minimal colonic distension sensitivity has been measured following the determination of hemispheric preference and of advantage in verbal or spatial information processing of the subjects. In IBS patients distension thresholds proved to be higher in verbals than in spatials, whereas in healthy controls the relationship of colonic thresholds and verbal versus, spatial advantage was reversed. Among the normal controls with left hemisphere preference a significantly higher distension threshold has been observed than in those with right hemisphere preference, whereas in the IBS group such threshold-differences were not observable.     

Colonic sensitivity in irritable bowel syndrome and normal subjects according to their hemispheric preference and cognitive style.

According to our earlier results, non-painful, weak afferent visceral signals may exert a steady influence on brain processes, including cognitive functions. In the present series colonic impulses of irritable bowel syndrome (IBS) subjects served as a model of chronic impact from the gut. Hemispheric preference, as well as cognitive style of information processing served as indicators of covert changes in brain functions. In twenty-one IBS patients and in ten control subjects of both sexes, the thresholds of minimal colonic distension sensitivity has been measured following the determination of hemispheric preference and of advantage in verbal or spatial information processing of the subjects. In IBS patients distension thresholds proved to be higher in verbals than in spatials, whereas in healthy controls the relationship of colonic thresholds and verbal versus spatial advantage was reversed. Among the normal controls with left hemisphere preference a significantly higher distension threshold has been observed than in those with right hemisphere preference, whereas in the IBS group such threshold-differences were not observable.     

A left hemisphere, but not right hemispace, advantage for tactual simultaneity judgments

Hemispheric asymmetries for tactile simultaneity judgments were investigated in 34 dextral adults. Pairs of vibrotactile stimuli with simultaneous or successive onsets were delivered unilaterally to the left or right hand. Participants made a forced-choice, bipedal response, indicating whether a stimulus was simultaneous or successive. The effect of hemispatial attentional biases was investigated, using ipsilateral (arms uncrossed) and contralateral (arms crossed) hand placements. Trials presented to the right hand were associated with fewer errors and a trend for faster response times than were those presented to the left hand. There was no asymmetry in response bias. Manipulations of hemispace did not affect the right hand advantage. These results confirm the existence of a left hemisphere temporal-processing advantage but fail to demonstrate that the asymmetry is the result of a rightward attentional bias. The implications of these results for absolute and relative models of hemispheric specialization are discussed.     

The effect of chronic low back pain on tactile suppression during back movements

The aim of the present study was to examine whether tactile suppression, the phenomenon whereby tactile perception is suppressed during movement, would occur in the context of back movements. Of particular interest, it was investigated if tactile suppression in the back would be attenuated in those suffering from chronic low back pain. Individuals with chronic low back pain (N = 30) and a matched control group (N = 24) detected tactile stimuli on three possible locations (back, arm, chest) while performing a back or arm movement, or no movement. We hypothesized that the movements would induce tactile suppression, and that this effect would be largest for low-intense stimuli on the moving body part. We further hypothesized that, during back movements, tactile suppression on the back would be less pronounced in the chronic low back pain group than in the control group. The results showed the expected general tactile suppression effects. The hypothesis of back-specific attenuation of tactile suppression in the chronic low back pain group was not supported. However, back-specific tactile suppression in the chronic low back pain group was less pronounced in those who performed the back movements more slowly.     

Negative and positive cognition in depressed and nondepressed chronic-pain patients

Several studies have suggested that depressed pain patients evidence more cognitive distortion than nondepressed pain patients and healthy controls. Although these studies have generally supported notions relating cognitive distortion to depressive functioning, other aspects of dysfunctional cognition have not been assessed in the chronic-pain population. The present study examined negative and positive automatic thoughts and attributional style in depressed pain patients, nondepressed pain patients, and healthy controls. Depressed chronic-pain patients were found to exhibit significantly more negative automatic thoughts than nondepressed pain patients and healthy controls. Conversely, nondepressed chronic-pain patients reported significantly more positive automatic thoughts than did depressed patients and healthy controls. No significant differences were found for attributional style. These results suggest that different cognitive-behavioral interventions might be considered for depressed compared to nondepressed chronic-pain patients.     

Reduction of Pain Sensitivity after Somatosensory Therapy in Children with Autism Spectrum Disorders

Children with autism spectrum disorders (ASD) often present with somatosensory dysfunction including an abnormal reactivity to tactile stimuli and altered pain perception. A therapy based on somatosensory stimuli has shown effectiveness in reducing pain sensitivity among adults with cerebral palsy. The present study aims at exploring the influence of somatosensory therapy on somatosensory parameters in children with ASD. Children with high-functioning ASD were randomly assigned to either the intervention (n?=?29) or the control group (n?=?30). The intervention group received a somatosensory therapy consisting of four types of exercises (touch, proprioception, vibration, stereognosis). Somatosensory function (pressure pain thresholds, tactile thresholds, stereognosis, proprioception) was assessed before and immediately after the therapy. Children in the intervention group showed a significant reduction of pain sensitivity and increase of tactile sensitivity after treatment, whereas children in the control group displayed increased pain sensitivity in the absence of changes of tactile sensitivity. No changes were observed for proprioception or stereognosis. The repetitive somatosensory stimulation therapy led to a decrease of pain sensitivity and an increase of tactile sensitivity. These findings may have important research and clinical implications, as promoting early tactile interventions in children with ASD may lead to a more adequate development of somatosensory processing and less somatosensory abnormalities upon adult life.     

Hemispheric Differences in the Recognition of Environmental Sounds

ABSTRACT— Recent work has found support for two dissociable and parallel neural subsystems underlying object and shape recognition in the visual domain: an abstract-category subsystem that operates more effectively in the left cerebral hemisphere than in the right, and a specific-exemplar subsystem that operates more effectively in the right hemisphere than in the left. Evidence of this asymmetry has been observed for linguistic stimuli (words, pseudoword forms) and nonlinguistic stimuli (objects). In the auditory domain, we previously found hemispheric asymmetries in priming effects using linguistic stimuli (spoken words). In the present study, we conducted four long-term repetition-priming experiments to investigate whether such hemispheric asymmetries would be observed for nonlinguistic auditory stimuli (environmental sounds) as well. The results support the dissociable-subsystems theory. Specificity effects were obtained when sounds were presented to the left ear (right hemisphere), but not when sounds were presented to the right ear (left hemisphere). Theoretical implications are discussed.     

Tactile gap detection and language lateralization

Recent work suggests that hemispheric language lateralization might be related to the fine-grained temporal discriminations that are required for linguistic processing (Nicholls, 1996). Studies concerning tactile processing have also shown a significant left-hemisphere (L-H) advantage for tactile gap detection (Nicholls & Whelan, 1997). We hypothesized that language and tactile processing are both preferentially processed by the left hemisphere because it is specialized for tasks requiring fine-grained temporal resolution. Thirty-two participants (16 right and 16 left handers) were tested for both linguistic processing (using the Fused Dichotic Words Test (FDWT)) and tactile gap detection. Both right and left handers showed a significant L-H advantage for both language processing and tactile gap detection. The present study supports recent claims that language lateralization is attributable to the left hemisphere's better suitability to process tasks that require fine-grained temporal resolution.     

Hemispheric asymmetry in the processing of negative and positive words: a divided field study

Research on the lateralisation of brain functions for emotion has yielded different results as a function of whether it is the experience, expression, or perceptual processing of emotion that is examined. Further, for the perception of emotion there appear to be differences between the processing of verbal and nonverbal stimuli. The present research examined the hemispheric asymmetry in the processing of verbal stimuli varying in emotional valence. Participants performed a lexical decision task for words varying in affective valence (but equated in terms of arousal) that were presented briefly to the right or left visual field. Participants were significantly faster at recognising positive words presented to the right visual field/left hemisphere. This pattern did not occur for negative words (and was reversed for high arousal negative words). These results suggest that the processing of verbal stimuli varying in emotional valence tends to parallel hemispheric asymmetry in the experience of emotion.     

Hemispheric asymmetry in the processing of negative and positive words: A divided field study

Research on the lateralisation of brain functions for emotion has yielded different results as a function of whether it is the experience, expression, or perceptual processing of emotion that is examined. Further, for the perception of emotion there appear to be differences between the processing of verbal and nonverbal stimuli. The present research examined the hemispheric asymmetry in the processing of verbal stimuli varying in emotional valence. Participants performed a lexical decision task for words varying in affective valence (but equated in terms of arousal) that were presented briefly to the right or left visual field. Participants were significantly faster at recognising positive words presented to the right visual field/left hemisphere. This pattern did not occur for negative words (and was reversed for high arousal negative words). These results suggest that the processing of verbal stimuli varying in emotional valence tends to parallel hemispheric asymmetry in the experience of emotion.     

The motor side of emotions: investigating the relationship between hemispheres, motor reactions and emotional stimuli

The aim of the present study was to analyze if the left hemisphere preferentially controls flexion responses toward positive stimuli, while the right hemisphere is specialized toward extensor responses to negative pictures. To this end, right-handed subjects had to pull or push a joystick subsequent to seeing a positive or a negative stimulus in their left or right hemifield. Flexion responses were faster for positive stimuli, while negative stimuli were associated with faster extensions responses. Overall, performance was fastest when emotional stimuli were presented to the left visual hemifield. This right hemisphere superiority was especially clear for negative stimuli, while reaction times toward positive pictures showed no hemispheric difference. We did not find any interaction between hemifield and response type. Neither was there a triple interaction between valence, hemifield and response type. We suppose that response dichotomies in humans are not as tightly linked to a hemisphere- and valence-bound reaction type as previously assumed.     

Lateralisation of diffuse positive and negative affect: Ascribing valence to ambiguous stimuli

The available evidence regarding the lateralisation of affect is rather divergent. Interestingly, the common procedure in previous research on affective lateralisation has been to measure hemispheric dominance following exposure to concrete affective stimuli. Therefore, prior research seems to tap primarily into the lateralisation of specific approach–avoidance motivations rather than diffuse affective states. The present research adopted an alternative methodological approach that excluded approach–avoidance motivations and merely studied the lateralised nature of diffuse affect. Participants evaluated ambiguous stimuli presented in either the right or left visual field. Results showed that stimuli presented in the left visual field were significantly more often ascribed a positive meaning compared to information in the right visual field. The present findings are compatible with related lateralised processes and underscore the necessity of distinguishing between specific motivations and diffuse affect.     

Hemispheric alpha asymmetries of stuttering males and nonstuttering males and females for words of high and low imagery

Alpha hemispheric asymmetries of nonstuttering males, nonstuttering females, and stuttering males were explored with electroencephalographic procedures during exposure to two lists of one-syllable words which the subjects were required to recall following presentation. One word list contained low-imagery words while the other contained high-imagery words. Stuttering males were found to have significantly less alpha in their right hemispheres, suggesting right hemispheric processing strategies. This finding was interpreted as supporting the “segmentation dysfunction” explanation of stuttering suggested by Moore and Haynes (1979b). Nonstuttering males showed less left than right alpha while nonstuttering females revealed no difference between their right and left hemispheres. Differences between nonstuttering males and females are discussed as being task and stimuli dependent relative to the segmental/nonsegmental nature of both task and stimuli. Differential hemispheric asymmetries for words of high or low-imagery were not observed.     

Selective attention to the chemosensory modality

Previous studies have shown that behavioral responses to auditory, visual, and tactile stimuli are modulated by expectancies regarding the likely modality of an upcoming stimulus (see Spence & Driver, 1997). In the present study, we investigated whether people can also selectively attend to the chemosensory modality (involving responses to olfactory, chemical, and painful stimuli). Participants made speeded spatial discrimination responses (left vs. right) to an unpredictable sequence of odor and tactile targets. Odor stimuli were presented to either the left or the right nostril, embedded in a birhinally applied constant airstream. Tactile stimuli were presented to the left or the right hand. On each trial, a symbolic visual cue predicted the likely modality for the upcoming target (the cue was a valid predictor of the target modality on the majority of trials). Response latencies were faster when targets were presented in the expected modality than when they were presented in the unexpected modality, showing for the first time that behavioral responses to chemosensory stimuli can be modulated by selective attention.     

Reevaluating split-fovea processing in word recognition: Hemispheric dominance, retinal location, and the word-nonword effect

Many studies have claimed that hemispheric projections are split precisely at the foveal midline and so hemispheric asymmetry affects word recognition right up to the point of fixation. To investigate this claim, four-letter words and nonwords were presented to the left or right of fixation, either close to fixation in foveal vision or farther from fixation in extrafoveal vision. Presentation accuracy was controlled using an eyetracker linked to a fixation-contingent display. Words presented foveally produced identical performance on each side of fixation, but words presented extrafoveally showed a clear left-hemisphere (LH) advantage. Nonwords produced no evidence of hemispheric asymmetry in any location. Foveal stimuli also produced an identical word-nonword effect on each side of fixation, whereas extrafoveal stimuli produced a word-nonword effect only for LH (not right-hemisphere) displays. These findings indicate that functional unilateral projections to contralateral hemispheres exist in extrafoveal locations but provide no evidence of a functional division in hemispheric processing at fixation.     

Can't suppress this feeling: automatic negative evaluations of somatosensory stimuli are related to the experience of somatic symptom distress

Cognitive theories of medically unexplained ("somatoform") symptoms stress the importance of alterations in attention and memory processes. Accordingly, specific schemata are hypothesized to (mis-)guide the processing of somatosensory stimuli leading to the formation of symptom-like perceptions. The current study tested a possible association between altered automatic somatosensory evaluation processes and the tendency to experience somatoform symptoms in a nonclinical sample. In a first pilot study, a modified version of the affect misattribution procedure (AMP) by Payne, Cheng, Govorun, and Stewart (2005) with aversive and nonaversive tactile stimuli (nonpainful electric vs. vibration stimulus) was successfully tested in 40 college students. In a second study (n = 50), automatic evaluations following aversive tactile stimuli were found to be positively associated (r = .35) with somatic symptom distress (PHQ). Moreover, negative affectivity significantly moderated this association (i.e., people high on negative affectivity revealed the strongest associations between somatic symptom distress and negative automatic evaluations in the tactile AMP). The findings support cognitive theories of somatoform symptom formation. The tactile AMP is suggested as a promising paradigm to study automatic evaluations of body sensations in people with somatoform disorders and related clinical conditions.     

Are the spatial features of bodily threat limited to the exact location where pain is expected?

Previous research has revealed that anticipating pain at a particular location of the body prioritizes somatosensory input presented there. The present study tested whether the spatial features of bodily threat are limited to the exact location of nociception. Participants judged which one of two tactile stimuli, presented to either hand, had been presented first, while occasionally experiencing a painful stimulus. The distance between the pain and tactile locations was manipulated. In Experiment 1, participants expected pain either proximal to one of the tactile stimuli (on the hand; near condition) or more distant on the same body part (arm; far condition). In Experiment 2, the painful stimulus was expected either proximal to one of the tactile stimuli (hand; near) or on a different body-part at the same body side (leg; far). The results revealed that in the near condition of both experiments, participants became aware of tactile stimuli presented to the “threatened” hand more quickly as compared to the “neutral” hand. Of particular interest, the data in the far conditions showed a similar prioritization effect when pain was expected at a different location of the same body part as well as when pain was expected at a different body part at the same body side. In this study, the encoding of spatial features of bodily threat was not limited to the exact location where pain was anticipated but rather generalized to the entire body part and even to different body parts at the same side of the body.