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Integrating virtual reality, electroencephalography, and transcranial magnetic stimulation to study the neural origin of the sublime: The SUBRAIN protocol

Bondi, E.; Carbone, F.; Pizzolante, M.; Schiena, G.; Ferro, A.; Mazzocut-Mis, M.; Gaggioli, A.; Chirico, A.; Brambilla, P.; Maggioni, E.

2024-04-15 psychiatry and clinical psychology
10.1101/2024.04.14.24305786 medRxiv
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IntroductionAwe is a complex emotion unveiling a positive and mixed nature, which resembles the Romantic feeling of the Sublime. It has increasingly become the object of scientific investigation in the last twenty years. However, its underlying brain mechanisms are still unclear. To fully capture its nature in the lab, researchers have increasingly relied on virtual reality (VR) as an emotion-elicitation method, which can resemble even complex phenomena in a limited space. In this work, a multidisciplinary team proposed a novel experimental protocol integrating VR, electroencephalography (EEG), and transcranial magnetic stimulation (TMS) to investigate the brain mechanisms of this emotion. MethodsA group of bioengineers, psychologists, psychiatrists, and philosophers designed the SUBRAIN study, a single-center, one-harm, non-randomized interventional study to explore the neural processes underlying awe experiences. The study will be performed on fifty adults. The experimental protocol includes different steps: (i) screening, (ii) enrollment, (iii) pre-experimental assessment, (iv) VR experimental assessment, and (v) post-experimental debriefing. The brains electrical activity is recorded using the EEG while participants navigated three immersive awe-inducing VR environments (VREs) and a neutral one. At the same time, the cortical excitability and connectivity is investigated by performing a TMS-EEG session right after each VR navigation. Along with cerebral signals, self-reported questionnaires were used to assess the VR-induced changes in the emotional state of the subjects. This data is then analyzed to delve into the cerebral mechanisms of awe. DiscussionThis study protocol is the first one that tries to fully understand the neural bases of awe by eliciting and studying this phenomenon in VR. The pairing of awe-inducing VR experiences and questionnaires investigating participants affect and emotions, with non-invasive neural techniques, can provide a novel and extensive knowledge on this complex phenomenon. The protocol can inform on the combination of different instruments showing a reproducible and reliable setting for the investigation of induced complex emotions.

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