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Racial outgroup favoritism in neural responses     A Review of Effects of Spinal Cord Stimulation
            to others' pain emerges during sociocultural       on Spectral Features in Resting-State
            interactions (2022)                                Electroencephalography (2023)


                      Zhou, Yuqing; Pang, Chenyu; Pu, Yue; Han, Shihui                  Witjes, Bart; Ottenheym, Lucas A; Huygen, Frank J P M;
                                                               de Vos, Cecile C
            School of Psychological and Cognitive Sciences, PKU-IDG/
            McGovern Institute for Brain Research, Beijing Key Laboratory   Department of Anesthesiology, Center for Pain Medicine,
            of Behavior and Mental Health, Peking University, Beijing,   Erasmus University Medical Center, Rotterdam, The Neth-
            China. Electronic address: [email protected];   erlands. Electronic address: [email protected]; Joint
            School of Psychological and Cognitive Sciences, PKU-IDG/Mc-  Degree Technical Medicine, Leiden University Medical Center,
            Govern Institute for Brain Research, Beijing Key Laboratory of   Delft University of Technology and Erasmus University Medi-
            Behavior and Mental Health, Peking University, Beijing, China.   cal Center, Rotterdam, The Netherlands
            Electronic address: [email protected]
                                                               BACKGROUND Spinal cord stimulation (SCS) is an ef-
            ABSTRACT Racial ingroup favoritism in empathic brain   fective therapy for patients with refractory chronic pain
            activity has been widely observed and is associated   syndromes. Although studies have shown that SCS has
            with biased behavior toward same-race and other-race   both spinal and supraspinal effects, the current under-
            individuals. We investigated whether racial outgroup   standing of cortical effects is still limited. Neuroimaging
            favoritism in neural responses to others' pain - an   techniques, such as magnetoencephalography (MEG)
            objective measure of empathy - may emerge during   and electroencephalography (EEG), combined here as
            sociocultural interactions in a new social environment.   M/EEG, can reveal modulations in ongoing resting-state
            We recorded magnetoencephalography to pain and     cortical activity. We aim to provide an overview of avail-
            neutral expressions of Asian and White faces from   able literature on resting-state M/EEG in patients with
            White students who had stayed in China for 6-36 weeks   chronic pain who have been treated with SCS.
            (Experimental group) or 2-4 weeks (Control group). The
            experimental group showed better neural decoding of   MATERIALS AND METHODS We searched multiple
            and greater insular/sensorimotor responses to pain vs.   online data bases for studies on SCS, chronic pain, and
            neutral expressions of Asian compared to White faces.   resting-state M/EEG. Primary outcome measures were
            By contrast, the control group showed better neural   changes in spectral features, combined with brain
            decoding of pain vs. neutral expressions of White than   regions in which these changes occurred.
            Asian faces. In addition, participants of the experi-
            mental group who had stayed longer in China showed   RESULTS We included eight studies reporting various
            greater sensorimotor responses to pain (vs. neutral)   SCS paradigms (tonic, burst, high-dose, and high-
            expressions of Asian faces but weaker sensorimotor   frequency stimulation) and revealing heterogeneity in
            responses to pain (vs. neutral) expressions of White   outcome parameters. We summarized changes in corti-
            faces. Our findings revealed emerging racial outgroup   cal activity in various frequency bands: theta (4-7 Hz),
            favoritism in brain activities associated with sensorimo-  alpha (7-12 Hz), beta (13-30 Hz), and gamma (30-44 Hz).
            tor resonance and affective sharing of others' pain   In multiple studies, the somatosensory cortex showed
            during sociocultural interactions.                 modulation of cortical activity under tonic, burst, and
                                                               high-frequency stimulation. Changes in connectivity
            Keywords: Empathy, Insula, MEG, Pain expression, Racial   were found in the dorsal anterior cingulate cortex, dor-
            outgroup favoritism                                solateral prefrontal cortex, and parahippocampus.


            Neuropsychologia (2022), Vol. 174 (35835232) (0 citations)  CONCLUSIONS The large heterogeneity observed in
                                                               outcome measures is probably caused by the large







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