6533b7d4fe1ef96bd12628de
RESEARCH PRODUCT
Somatosensory Illusions Elicited by Sham Electromagnetic Field Exposure: Experimental Evidence for a Predictive Processing Account of Somatic Symptom Perception
Anna PohlCarolin WoltersMichael WitthöftAlexander L. GerlachJana Harzemsubject
medicine.medical_specialtymedia_common.quotation_subjectIllusionAudiologySomatosensory systemTactile stimuli03 medical and health sciencesElectromagnetic Fields0302 clinical medicineAdverse health effectPerceptionmedicineHumansApplied Psychologymedia_commonResponse biasIllusions030227 psychiatryPsychiatry and Mental healthMedically Unexplained SymptomsSymptom perceptionTouch PerceptionTouchPerceptPsychology030217 neurology & neurosurgerydescription
OBJECTIVE According to the predictive processing theory of somatic symptom generation, body sensations are determined by somatosensory input and central nervous predictions about this input. We examined how expectations shape predictions and consequently bodily perceptions in a task eliciting illusory sensations as laboratory analogue of medically unexplained symptoms. METHODS Using the framework of signal detection theory, the influence of sham Wi-Fi on response bias (c) and somatosensory sensitivity (d') for tactile stimuli was examined using the somatic signal detection task (SSDT). A healthy student sample (n = 83) completed the SSDT twice (sham Wi-Fi on/off) in a randomized order after watching a film that promoted adverse health effects of electromagnetic fields. RESULTS When expecting a Wi-Fi signal to be present, participants showed a significantly more liberal response bias c (p = .010, ηp2 = 0.08) for tactile stimuli in the SSDT as evidence of a higher propensity to experience somatosensory illusions. No significant alteration of somatosensory sensitivity d' (p = .76, ηp2 < 0.002) was observed. CONCLUSIONS Negative expectations about the harmfulness of electromagnetic fields may foster the occurrence of illusory symptom perceptions via alterations in the somatosensory decision criterion. The findings are in line with central tenets of the predictive processing account of somatic symptom generation. This account proposes a decoupling of percept and somatosensory input so that perception becomes increasingly dependent on predictions. This biased perception is regarded as a risk factor for somatic symptom disorders.
year | journal | country | edition | language |
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2020-11-04 | Psychosomatic Medicine |