Development of a paradigm for measuring somatic disturbance in clinical populations with medically unexplained symptoms

Donna M. Lloyd*, Liam Mason, Richard J. Brown, Ellen Poliakoff

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

40 Citations (Scopus)

Abstract

Objective:This study aimed to develop an experimental paradigm, using healthy controls, to measure change in tactile sensitivity and response bias for subsequent testing of patients with medically unexplained symptoms (MUS).
Methods:Participants judged whether or not they detected a weak tactile pulse (presented in 50% of trials). Performance in two conditions (tactile pulses presented with or without a concomitant light) was compared using signal detection analysis to assess whether a task-irrelevant light can invoke the sensation of touch, even in its absence.
Results:The results showed that the presence of a concurrent light significantly improved participants' detection of the tactile stimulus by 13.7% [t(18)=4.24, P<.001]. Also, more false alarms (perceiving that the touch was present when it was not) were made when the light was present [t(18)=2.10, P=.05]. Although differences in sensitivity between the light conditions were not significant [t(18)=1.14, P=.268], participants were more likely to report a touch, regardless of whether a touch was presented or not, in the light-present condition [t(18)=−3.84, P=.001].
Conclusion:When discriminating weak vibration pulses on the finger from no stimulation, a simultaneous light was capable of creating the sensation of touch, even when it was not present. The findings of this research will be of interest to those studying psychosomatic disorders or MUS, where patients experience physical symptoms without an identifiable organic cause. This paradigm provides an experimental measure of such distortions in perception, which may elucidate underlying mechanisms of action.
Original languageEnglish
Pages (from-to)21-24
Number of pages4
JournalJournal of Psychosomatic Research
Volume64
Issue number1
DOIs
Publication statusPublished - Jan 2008

Keywords

  • Medically unexplained symptoms
  • Signal detection theory
  • Touch
  • Vision

Fingerprint

Dive into the research topics of 'Development of a paradigm for measuring somatic disturbance in clinical populations with medically unexplained symptoms'. Together they form a unique fingerprint.

Cite this