Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder

Background: Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by excessive preoccupation with imagined defects in appearance. Optical illusions induce illusory effects that distort the presented stimulus, thus leading to ambiguous percepts. Using electroencephalography (EEG), we...

Full description

Bibliographic Details
Main Authors: Anastasios E. Giannopoulos, Ioanna Zioga, Konstantinos Kontoangelos, Panos Papageorgiou, Fotini Kapsali, Christos N. Capsalis, Charalabos Papageorgiou
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/2/293
_version_ 1797482179688660992
author Anastasios E. Giannopoulos
Ioanna Zioga
Konstantinos Kontoangelos
Panos Papageorgiou
Fotini Kapsali
Christos N. Capsalis
Charalabos Papageorgiou
author_facet Anastasios E. Giannopoulos
Ioanna Zioga
Konstantinos Kontoangelos
Panos Papageorgiou
Fotini Kapsali
Christos N. Capsalis
Charalabos Papageorgiou
author_sort Anastasios E. Giannopoulos
collection DOAJ
description Background: Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by excessive preoccupation with imagined defects in appearance. Optical illusions induce illusory effects that distort the presented stimulus, thus leading to ambiguous percepts. Using electroencephalography (EEG), we investigated whether BDD is related to differentiated perception during illusory percepts. Methods: A total of 18 BDD patients and 18 controls were presented with 39 optical illusions together with a statement testing whether or not they perceived the illusion. After a delay period, they were prompted to answer whether the statement was right/wrong and their degree of confidence in their answer. We investigated differences of BDD patients on task performance and self-reported confidence and analyzed the brain oscillations during decision-making using nonparametric cluster statistics. Results: Behaviorally, the BDD group exhibited reduced confidence when responding incorrectly, potentially attributed to higher levels of doubt. Electrophysiologically, the BDD group showed significantly reduced alpha power at the fronto-central and parietal scalp areas, suggesting impaired allocation of attention. Interestingly, the lower the alpha power of the identified cluster, the higher the BDD severity, as assessed by BDD psychometrics. Conclusions: Results evidenced that alpha power during illusory processing might serve as a quantitative EEG biomarker of BDD, potentially associated with reduced inhibition of task-irrelevant areas.
first_indexed 2024-03-09T22:27:34Z
format Article
id doaj.art-fc592fee6f4245f092015a36d713a386
institution Directory Open Access Journal
issn 2076-3425
language English
last_indexed 2024-03-09T22:27:34Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Brain Sciences
spelling doaj.art-fc592fee6f4245f092015a36d713a3862023-11-23T19:04:38ZengMDPI AGBrain Sciences2076-34252022-02-0112229310.3390/brainsci12020293Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic DisorderAnastasios E. Giannopoulos0Ioanna Zioga1Konstantinos Kontoangelos2Panos Papageorgiou3Fotini Kapsali4Christos N. Capsalis5Charalabos Papageorgiou6School of Electrical & Computer Engineering, National Technical University of Athens, 15780 Athens, GreeceDonders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, 6525 EN Nijmegen, The NetherlandsFirst Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, 11528 Athens, GreeceDepartment of Electrical and Computer Engineering, University of Patras, 26334 Patras, GreecePsychiatric Hospital of Attica, 16121 Athens, GreeceSchool of Electrical & Computer Engineering, National Technical University of Athens, 15780 Athens, GreeceNeurosciences and Precision Medicine Research Institute “Costas Stefanis”, University Mental Health, 11527 Athens, GreeceBackground: Body dysmorphic disorder (BDD) is a psychiatric disorder characterized by excessive preoccupation with imagined defects in appearance. Optical illusions induce illusory effects that distort the presented stimulus, thus leading to ambiguous percepts. Using electroencephalography (EEG), we investigated whether BDD is related to differentiated perception during illusory percepts. Methods: A total of 18 BDD patients and 18 controls were presented with 39 optical illusions together with a statement testing whether or not they perceived the illusion. After a delay period, they were prompted to answer whether the statement was right/wrong and their degree of confidence in their answer. We investigated differences of BDD patients on task performance and self-reported confidence and analyzed the brain oscillations during decision-making using nonparametric cluster statistics. Results: Behaviorally, the BDD group exhibited reduced confidence when responding incorrectly, potentially attributed to higher levels of doubt. Electrophysiologically, the BDD group showed significantly reduced alpha power at the fronto-central and parietal scalp areas, suggesting impaired allocation of attention. Interestingly, the lower the alpha power of the identified cluster, the higher the BDD severity, as assessed by BDD psychometrics. Conclusions: Results evidenced that alpha power during illusory processing might serve as a quantitative EEG biomarker of BDD, potentially associated with reduced inhibition of task-irrelevant areas.https://www.mdpi.com/2076-3425/12/2/293body dysmorphic disorderEEGoptical illusionsalpha oscillations
spellingShingle Anastasios E. Giannopoulos
Ioanna Zioga
Konstantinos Kontoangelos
Panos Papageorgiou
Fotini Kapsali
Christos N. Capsalis
Charalabos Papageorgiou
Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
Brain Sciences
body dysmorphic disorder
EEG
optical illusions
alpha oscillations
title Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
title_full Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
title_fullStr Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
title_full_unstemmed Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
title_short Deciding on Optical Illusions: Reduced Alpha Power in Body Dysmorphic Disorder
title_sort deciding on optical illusions reduced alpha power in body dysmorphic disorder
topic body dysmorphic disorder
EEG
optical illusions
alpha oscillations
url https://www.mdpi.com/2076-3425/12/2/293
work_keys_str_mv AT anastasiosegiannopoulos decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT ioannazioga decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT konstantinoskontoangelos decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT panospapageorgiou decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT fotinikapsali decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT christosncapsalis decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder
AT charalabospapageorgiou decidingonopticalillusionsreducedalphapowerinbodydysmorphicdisorder