Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder

BackgroundBody dysmorphic disorder (BDD) is characterized by an excessive preoccupation with one or more perceived flaws in one’s own appearance. Previous studies provided evidence for deficits in configural and holistic processing in BDD. Preliminary evidence suggests abnormalities at an early stag...

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Main Authors: Viktoria Ritter, Jürgen M. Kaufmann, Franziska Krahmer, Holger Wiese, Ulrich Stangier, Stefan R. Schweinberger
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00302/full
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author Viktoria Ritter
Jürgen M. Kaufmann
Franziska Krahmer
Holger Wiese
Ulrich Stangier
Stefan R. Schweinberger
author_facet Viktoria Ritter
Jürgen M. Kaufmann
Franziska Krahmer
Holger Wiese
Ulrich Stangier
Stefan R. Schweinberger
author_sort Viktoria Ritter
collection DOAJ
description BackgroundBody dysmorphic disorder (BDD) is characterized by an excessive preoccupation with one or more perceived flaws in one’s own appearance. Previous studies provided evidence for deficits in configural and holistic processing in BDD. Preliminary evidence suggests abnormalities at an early stage of visual processing. The present study is the first examining early neurocognitive perception of the own face in BDD by using electroencephalography (EEG). We investigated the face inversion effect, in which inverted (upside-down) faces are disproportionately poorly processed compared to upright faces. This effect reflects a disruption of configural and holistic processing, and in consequence a preponderance of featural face processing.MethodsWe recorded face-sensitive event-related potentials (ERPs) in 16 BDD patients and 16 healthy controls, all unmedicated. Participants viewed upright and inverted (upside-down) images of their own face and an unfamiliar other face, each in two facial emotional expressions (neutral vs. smiling). We calculated the early ERP components P100, N170, P200, N250, and the late positive component (LPC), and compared amplitudes among both groups.ResultsIn the early P100, no face inversion effects were found in both groups. In the N170, both groups exhibited the common face inversion effects, with significantly larger N170 amplitudes for inverted than upright faces. In the P200, both groups exhibited larger inversion effects to other (relative to own) faces, with larger P200 amplitudes for other upright than inverted faces. In the N250, no significant group differences were found in face processing. In the LPC, both groups exhibited larger inversion effects to other (relative to own) faces, with larger LPC amplitudes for other inverted than upright faces. These overall patterns appeared to be comparable for both groups. Smaller inversion effects to own (relative to other) faces were observed in none of these components in BDD, relative to controls.ConclusionsThe findings suggest no evidence for abnormalities at all levels of early face processing in our observed sample of BDD patients. Further research should investigate the neural substrates underlying BDD symptomatology.
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spelling doaj.art-cf51142ec0fc4e70ab6204810ad580db2022-12-21T20:35:38ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-04-011110.3389/fpsyt.2020.00302500555Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic DisorderViktoria Ritter0Jürgen M. Kaufmann1Franziska Krahmer2Holger Wiese3Ulrich Stangier4Stefan R. Schweinberger5Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University, Frankfurt, GermanyDepartment of General Psychology and Cognitive Neuroscience, Institute of Psychology, Friedrich Schiller University, Jena, GermanyDepartment of General Psychology and Cognitive Neuroscience, Institute of Psychology, Friedrich Schiller University, Jena, GermanyDepartment of Psychology, Durham University, Durham, United KingdomDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University, Frankfurt, GermanyDepartment of General Psychology and Cognitive Neuroscience, Institute of Psychology, Friedrich Schiller University, Jena, GermanyBackgroundBody dysmorphic disorder (BDD) is characterized by an excessive preoccupation with one or more perceived flaws in one’s own appearance. Previous studies provided evidence for deficits in configural and holistic processing in BDD. Preliminary evidence suggests abnormalities at an early stage of visual processing. The present study is the first examining early neurocognitive perception of the own face in BDD by using electroencephalography (EEG). We investigated the face inversion effect, in which inverted (upside-down) faces are disproportionately poorly processed compared to upright faces. This effect reflects a disruption of configural and holistic processing, and in consequence a preponderance of featural face processing.MethodsWe recorded face-sensitive event-related potentials (ERPs) in 16 BDD patients and 16 healthy controls, all unmedicated. Participants viewed upright and inverted (upside-down) images of their own face and an unfamiliar other face, each in two facial emotional expressions (neutral vs. smiling). We calculated the early ERP components P100, N170, P200, N250, and the late positive component (LPC), and compared amplitudes among both groups.ResultsIn the early P100, no face inversion effects were found in both groups. In the N170, both groups exhibited the common face inversion effects, with significantly larger N170 amplitudes for inverted than upright faces. In the P200, both groups exhibited larger inversion effects to other (relative to own) faces, with larger P200 amplitudes for other upright than inverted faces. In the N250, no significant group differences were found in face processing. In the LPC, both groups exhibited larger inversion effects to other (relative to own) faces, with larger LPC amplitudes for other inverted than upright faces. These overall patterns appeared to be comparable for both groups. Smaller inversion effects to own (relative to other) faces were observed in none of these components in BDD, relative to controls.ConclusionsThe findings suggest no evidence for abnormalities at all levels of early face processing in our observed sample of BDD patients. Further research should investigate the neural substrates underlying BDD symptomatology.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00302/fullbody dysmorphic disorderown-face perceptionface inversion effectevent-related potentialselectroencephalography
spellingShingle Viktoria Ritter
Jürgen M. Kaufmann
Franziska Krahmer
Holger Wiese
Ulrich Stangier
Stefan R. Schweinberger
Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
Frontiers in Psychiatry
body dysmorphic disorder
own-face perception
face inversion effect
event-related potentials
electroencephalography
title Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
title_full Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
title_fullStr Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
title_full_unstemmed Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
title_short Neural Correlates of Own- and Other-Face Perception in Body Dysmorphic Disorder
title_sort neural correlates of own and other face perception in body dysmorphic disorder
topic body dysmorphic disorder
own-face perception
face inversion effect
event-related potentials
electroencephalography
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00302/full
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