Translation, validity, and reliability of the European Portuguese version of the Touch Experiences and Attitudes Questionnaire

Neurophysiological Responses to Vicarious Affective Touch: An Electroencephalography (EEG) Study

Affective touch is a somatosensory modality involved in forming and consolidating rewarding social interactions and is hypothesised to be encoded by a population of cutaneous unmyelinated low threshold mechanosensory C-tactile afferents (CT). CTs are preferentially activated by a caressing type of touch delivered at speeds around 3 cm/s (CT-optimal speed) and at skin temperature. Given its social relevance, the vicarious observation of affective touch can cause high empathic resonance in the observer. However, little is known whether the observation of CT-optimal touch is processed differently in the observer's brain than at other CT-suboptimal speeds. In our study, we evaluated subjective reports of the pleasantness/willingness of observers to receive such touch while recording the electroencephalogram (EEG) as they watched touch videos at three different speeds: static, slow (CT-optimal), and fast touch. We found that CT-optimal touch was rated as more pleasant and elicited greater willingness to engage, compared to static or fast touch. CT-optimal touch also led to significantly lower beta power, reflecting greater EEG desynchronisation, compared to the other conditions. Other frequency bands, such as theta and alpha, showed increased modulation to slow and fast touch compared to static touch. However, no differences were found between slow and fast conditions in the alpha and theta bands. Our results suggest that vicarious processing of affective touch at the optimal speed for CT receptors involves broader neural resources and higher activation of somatosensory areas, highlighting the significance of this touch modality in sensory processing.

Brain oscillatory dynamics during discriminative vs CT-optimal touch

The affective dimension of touch is conveyed by low-threshold mechanoreceptors known as C-Tactile (CT) afferents. Literature has shown that the stimulation of these fibers appears to have an important modulatory function in neural oscillations. However, much remains to be explored in this field. This study aims to provide background knowledge about the brain oscillatory dynamics and spatial field distributions of CT stimulation, by comparing the brain's spectral power and the microstates to affective (stroking) vs discriminative touch (vibration) conditions. Thirty-four healthy participants (18 female) received tactile stimulation with a cosmetic brush at CT-optimal speeds or vibrotactile stimulation (at around 200 Hz) on the left forearm's dorsum. They evaluated the pleasantness and intensity ratings of the stimulation while an electroencephalogram was recorded. Stroking stimulation was rated as more pleasant than the vibrotactile stimuli, with no significant differences in the intensity ratings. Power spectral density results revealed reduced power in alpha/mu and beta bands in central/Rolandic areas for the stroking condition compared to the vibration condition. Microstates analysis showed a reduced prevalence of class A and an increased prevalence of classes B and D during stroking. These findings indicate that CT-tuned stroking increased sensorimotor cortical excitability and engaged greater attentional resources, suggesting that this form of touch may be a prioritised type of information.

The effects of C-tactile stimulation on temporal summation of second pain: A study of the central and peripheral neural correlates

Affective touch is mediated by specialized receptors sensitive to gentle and slow touch called C-tactile afferents (CT). The activation of these receptors has shown promise in reducing subjective pain ratings, however, how this type of touch can affect central sensitization processes is poorly studied. This work aimed to investigate if affective touch is able to modulate pain sensitization and its electrophysiological correlates during Temporal Summation of Second Pain (TSSP), a phenomenon characterized by an increase in pain perception due to repeated noxious stimuli. Thirty-seven participants underwent a TSSP protocol involving three conditions: TSSP alone, TSSP during vibrotactile stimulation, and TSSP during CT stimulation (administered with a brush mounted in a robot arm). We measured subjective pain ratings, electroencephalographic (N2-P2 complex) and electrocardiographic activity during these conditions. Participants reported a significantly lower increase of pain during CT stimulation compared to vibrotactile stimulation, but not to TSSP alone. In addition, TSSP was reduced when administered in the ipsilateral arm compared to the other somatosensory stimulation. Subjective reports of attention towards painful stimuli, amplitude of the N2-P2 complex, and heart rate were also reduced during CT stimulation. Conclusion: Our results indicated that the activation of CT receptors may reduce sensitization compared to other types of somatosensory stimulation, which is possibly related to the reduction of the attention devoted to nociceptive stimulation. Our results suggest that activation of CT receptors may alleviate the occurrence of central pain sensitization.

Reliability and validity of a simplified touch experiences and attitudes questionnaire for Chinese college students

Touch cultures have both differences and commonalities in different regions. The Touch Experiences and Attitudes Questionnaire (TEAQ) is a widely applicable self-report tool. The purpose of our research was to examine the validity and reliability of the Chinese version of TEAQ for Chinese college students. We translated the 57 items of the original TEAQ into Chinese and assessed its cultural and linguistic adaptation in Chinese context. Two samples were recruited for the assessment of validity and reliability. The Social Support Rating Scale, Index of Well-being Scale and Security Questionnaire were chosen as criterion-related validity indicators. Item analysis, principal component analysis and confirmatory factor analysis indicated that the simplified Chinese version of TEAQ contained 18 items in three factors: Attitude to Intimate Touch, Childhood Touch and Current Positive Touch, with a cumulative variance contribution rate of 57.12%. The 3-factor model had good validity and reliability. The TEAQ was positively correlated with social support, sense of security and well-being. There were demographic differences in sex and left-behind experience. We anticipate the simplified TEAQ will be a valuable tool for the research of touch among Chinese college students.