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The expectations humans have of a pleasurable sensation asymmetrically shape neuronal responses and subjective experiences to hot sauce [1]
['Yi Luo', 'Shanghai Key Laboratory Of Mental Health', 'Psychological Crisis Intervention', 'School Of Psychology', 'Cognitive Science', 'East China Normal University', 'Shanghai', 'Fralin Biomedical Research Institute', 'Virginia Tech', 'Roanoke']
Date: 2024-10
Abstract Expectations shape our perception, profoundly influencing how we interpret the world. Positive expectations about sensory stimuli can alleviate distress and reduce pain (e.g., placebo effect), while negative expectations may heighten anxiety and exacerbate pain (e.g., nocebo effect). To investigate the impact of the (an)hedonic aspect of expectations on subjective experiences, we measured neurobehavioral responses to the taste of hot sauce among participants with heterogeneous taste preferences. By identifying participants who “liked” versus those who strongly “disliked” spicy flavors and by providing contextual cues about the spiciness of the sauce to be tasted, we dissociated the effects of positive and negative expectations from sensory stimuli (i.e., visual and gustatory stimuli), which were the same across all participants. Our results indicate that positive expectations lead to modulations in the intensity of subjective experience. These modulations were accompanied by increased activity in brain regions previously linked to information integration and the placebo effect, including the anterior insula, dorsolateral prefrontal cortex, and dorsal anterior cingulate cortex, as well as a predefined “pleasure signature.” In contrast, negative expectations decreased hedonic experience and increased neural activity in the previously validated “Neurological Pain Signature” network. These findings demonstrate that hedonic aspects of one’s expectations asymmetrically shape how the brain processes sensory input and associated behavioral reports of one’s subjective experiences of intensity, pleasure, and pain. Our results suggest a dissociable impact of hedonic information: positive expectations facilitate higher-level information integration and reward processing, while negative expectations prime lower-level nociceptive and affective processes. This study demonstrates the powerful role of hedonic expectations in shaping subjective reality and suggests potential avenues for consumer and therapeutic interventions targeting expectation-driven neural processes.
Citation: Luo Y, Lohrenz T, Lumpkin EA, Montague PR, Kishida KT (2024) The expectations humans have of a pleasurable sensation asymmetrically shape neuronal responses and subjective experiences to hot sauce. PLoS Biol 22(10): e3002818.
https://doi.org/10.1371/journal.pbio.3002818 Academic Editor: Yiheng Tu, Institute of Psychology Chinese Academy of Sciences, CHINA Received: December 21, 2023; Accepted: August 29, 2024; Published: October 8, 2024 Copyright: © 2024 Luo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability: Anonymized behavioral data, neuroimaging data, and data analysis code are deposited in Open Science Framework and publicly available (
https://osf.io/cvjtd/?view_only=82aa9d97102c425f963ab1b4e52e8580). Funding: YL is supported by STI 2030—Major Projects 2021ZD0200500 (
https://en.most.gov.cn/), the Research Project of Shanghai Science and Technology Commission (
https://stcsm.sh.gov.cn/yww/; 20dz2260300), the Fundamental Research Funds for the Central Universities (
https://english.ecnu.edu.cn/), National Natural Science Foundation of China (
https://www.nsfc.gov.cn/english/site_1/index.html; 32200886), and Young Elite Scientists Sponsorship Program by China Association for Science and Technology (
http://english.cast.org.cn/; 2022QNRC001). PRM is supported by a Wellcome Trust Principal Research Fellowship (
https://wellcome.org/) and National Institutes of Health (NIH;
https://www.nih.gov/; R01MH124115). KTK is supported by the NIH (R01MH121099, R01DA048096, R01MH124115, and 5KL2TR001420), EAL is funded by NIH (R01AR051219). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. Abbreviations: ACC, anterior cingulate cortex; AI, anterior insula; DLPFC, dorsolateral prefrontal cortex; DPMS, descending pain modulatory system; ELISA, enzyme-linked immunosorbent assay; fMRI, functional magnetic resonance imaging; FWE, familywise error; GLM, general linear model; NPS, neurologic pain signature; PPM, parts per million; ROI, region of interest; ZOH, zero-order hold
Introduction Expectations, triggered by contextual signals in the environment, have a profound impact on how humans make sense of and react to the world [1]. Expectations refer to beliefs about events that are likely to be experienced in the near future and may be associated with positive or negative valence. On the one hand, expecting a positive outcome can reduce emotional distress and relieve pain [2,3]. On the other hand, expecting a negative outcome can induce anxiety and enhance the experience of pain [4]. Such effects occur commonly in clinical settings—positive expectations can produce beneficial outcomes of treatments (i.e., placebo effect), whereas negative expectations can lead to poorer outcomes (i.e., nocebo effect) [5]. Further, the effects of (an)hedonic expectations also be observed in our daily experiences, including how we experience the foods eat and the events we experience in our social networks [6]. Placebo analgesia and nocebo hyperalgesia are examples of how positive or negative expectations can relieve or enhance, respectively, human sensory experiences. Although both placebo and nocebo effects exert modulations in the insula and dorsal anterior cingulate cortex (ACC) [7], they engage distinct brain networks [8]. The placebo effect was found to engage the dorsolateral prefrontal cortex (DLPFC) and the reward-based substrates [9–11], whereas the nocebo effect was associated with increased activity of the hypothalamic–pituitary–adrenal axis [5]. Recent placebo and nocebo studies have demonstrated how positive and negative expectations can modulate sensory and emotional responses and highlight the complexity of expectation effects and the interplay between different neural circuits, including endogenous opioid and descending pain modulatory system (DPMS), as well as reward system [12–14]. For example, opioid-rich descending pain modulatory structures such as the rostral ACC, amygdala, and periaqueductal gray play a key role in both placebo and nocebo effects, mediating modulation of pain through cognitive and emotional pathways [15]. Additionally, the reward circuit, including structures such as the nucleus accumbens and the ventral tegmental area, has been implicated in the positive effects of placebo expectations, further underscoring the role of motivation and reward in pain perception [16]. A recent meta-analysis found only small placebo effects on a neurologic pain signature (NPS), a neural measure that sensitively and reliably tracks changes in nociceptive input and self-reports of pain that arise from it [17]. As the NPS (which includes lateral somatosensory and medial limbic regions) is more closely tied to primary nociceptive/affective aspects of cognitive pain modulation [18,19], it seems plausible that modulation by positive expectations may involve higher-level cognitive and affective processes rather than direct primary nociceptive processing. Further, regions associated with negative affect and pain processing (e.g., dorsal ACC and posterior insula) have been found involved in nocebo manipulations compared to placebo ones [14]. The overlap between these regions and the NPS suggests that negative expectations exert their effect in earlier nociceptive/affective processes than do positive expectations; however, this hypothesis has yet to be tested by empirical studies. One’s expectations can be complex compositions that include both sensory and hedonic components. Sensory expectations adhere to stimulus qualities, such as sensory modality and intensity. By contrast, hedonic expectations are beliefs about the degree to which one will like/dislike a stimulus [20]. A given sensory cue, even while generating identical sensory expectations, can form different hedonic expectations (i.e., positive or negative valence) in different individuals or contexts. Take the case of “spicy foods” as an example, while participants may anticipate the same external sensory input in terms of the physical properties of the spicy sauce, such as its visual, somatosensory, and olfactory features, the emphasis placed on these sensory cues may vary according to individual preferences, potentially shaping their hedonic expectations: someone who enjoys spicy food will expect a favorable experience associated with positive emotions, while someone who dislikes spicy foods will likely have an aversive expectation associated with negative emotions. In previous studies comparing positive and negative expectations, commonly used stimuli also differ in sensory intensity expectations, for example, in investigations regarding pain relief versus pain exacerbation [7,11]. It remains unknown how positive and negative expectations resulting from the same sensory experience might engage different neural circuits, leading to individual differences in people’s subjective intensity and hedonic experiences. To address the question of how subjective experiences and neural responses are modulated by positive versus negative expectations (with expectations of sensory intensity controlled), we used a behavioral paradigm where participants continuously rated their subjective experience of stimulus intensity and variations in their associated hedonic experience while ingesting squirts of high- and low-intensity hot sauces or water. As an objective sensory input, we used hot sauces with variable, but quantifiable, amounts of capsaicin, the pungent ingredient in chili peppers that activates TRPV1 receptors on nociceptive neurons to produce a sensation of burning. This input allowed us to selectively activate a robust, receptor-specific sensory experience while controlling the intensity of an objective sensory cue [21]. Unlike earlier studies, which often focused on a single aspect of pain perception, our design allows for a simultaneous assessment of both sensory intensity and preference ratings. This dual assessment provides a more comprehensive picture of how expectations influence pain experiences. More importantly, by determining individual differences in preference for spicy flavor, we tested whether and how positive versus negative expectations about the same sensory input differentially modulate people’s sensory and hedonic experiences. Using functional magnetic resonance imaging (fMRI), we also provide evidence about how neural representations are altered by expectations. We hypothesized that even when the expected stimuli are identical, positive expectations predominantly modulate sensory intensity experience and involve higher-level information integration, whereas negative expectations sensitize the perception of discomfort via priming of early nociceptive activations through which the somatosensory input is processed.
Discussion By controlling the intensity of sensory input and pairing these stimuli with visual cues, we found that the subjective experience of spiciness, as well as activations in AI and DLPFC, were modulated by expectations about the intensity of spiciness. Furthermore, by differentiating positive and negative expectations based on individual differences in hedonic preference for spicy taste, we demonstrate that, when the sensory expectations remained the same, positive expectations decreased the reported heat intensity and increased responses in AI, dorsal ACC, and DLPFC, as well as a predefined pleasure signature [23], while negative expectations decreased reported preference for the tasting experience and elevated a neural pain signature (NPS) response. Together, our results show that even when the sensory experience is the same, hedonic expectations modulate people’s conscious reports of their subjective experiences. Positive expectations appear to engage pleasure processing and neural processes that promote information integration over sensory experiences, whereas negative expectations appear to influence earlier nociceptive or negative affective processes. The effect of expectation has been observed in previous studies with different types of stimuli (e.g., beverages [28], wine [29], thermal pain [30], and nicotine [31]). Here, we found that when pooled together, participants’ subjective experiences of capsaicin spiciness changed by merely presenting visual cues indicating how intense the sensory input would be. Further, AI and DLPFC were sensitive to this expectation manipulation—when tasting the expected sauces, both regions had elevated activations compared to the same sauces being tasted without the intensity predictively cued. AI has been proposed to integrate sensory and visceral information to reach an interoceptive representation of the body that guides decision-making [31]. DLPFC has been associated with integration processes that support both perceptual and value-based decision-making [32,33]. Consistent with these prior works, our results suggest that the expectations triggered by visual cues were integrated with the actual somatosensory input to generate significant changes in participants’ subjective experiences. Importantly, our findings provide novel insight over previous observations into the influence of expectations on subjective states and preferences [20,34,35] by dissociating the behavioral and neural mechanisms underlying the effects of expectations about sensory versus hedonic value. By using a quantifiable sensory stimulus (i.e., capsaicin in a flavored sauce), we were able to deliver the same objective sensory expectation and stimulus while observing the effects of polar opposite expectations of hedonic value. On the one hand, in people who preferred the spicy sauces, the subjective experience of spiciness intensity changed after simply observing a predictive visual cue that generated an expectation of capsaicin intensity. These expectations also induced increased activation in the AI, dorsal ACC, DLPFC, and areas in the pleasure signature for spicy sauces, but only in the group that liked the spicy sauces. These findings suggest a specific neural effect of positive expectations. Psychophysiological changes driven by positive expectations have been proposed to be a key underlying mechanism for placebo effects [5] and were linked to reward anticipating/processing [24]. Indeed, previous studies in the placebo research field also found that open administration (expecting a positive treatment outcome) of medical treatments is more effective than hidden administration (no expectation) [36,37]. The increased activations in dorsal ACC and DLPFC induced by positive expectation echo the result from a recent meta-analysis identifying increased DLPFC and ACC responses associated with placebo effect [9]. Previous studies found that the disruption of the function of bilateral DLPFC [38], as well as the connectivity between DLPFC and ACC [39,40] could block or attenuate placebo effects, suggesting a causal role of these regions in the impact of expectation on perception and subjective states. The DLPFC and ACC have been related to core executive functions that generate, integrate, and modulate cognitive representations needed to produce the contextually appropriate response [41,42]. Meanwhile, the significant differences observed in ratings between the neutral and intensity cue conditions, along with the lack of significant differences in reaction times for heat ratings across runs (S3 Table), suggest that potential cognitive load difference between runs did not differentially affect the participants’ heat ratings. The AI has also been considered important for the integration of external environment and internal state and generates subjective feelings that guide behavior [43,44]. Taken together, these studies demonstrate that the modulation of positive expectation involves complex affective and cognitive processes that evaluate and integrate contextual cues and sensory input as well as their internal states. On the other hand, in people who did not like the spicy sauces, visual cues that predicted the spiciness intensity did not change their subjective rating of capsaicin intensity, but these cues did significantly decrease their rating of the pleasantness of the sauce tasting compared to the same sauces tasting without intensity-predicting cues. This behavioral finding suggests a specific exacerbation of discomfort induced by negative expectations. However, we should hasten to note that while we observed distinct effects within the liking group and disliking group, respectively, these should not be interpreted as differences between the groups in the absence of significant interaction effects. Interestingly, negative expectations also induced stronger NPS responses, a validated measure that tracks levels of nociceptive pain [26,27]. Thus, modulation of spiciness by negative expectations might have sensitized these participants to the perception of discomfort and even pain [35,45], via priming of early nociceptive activations through which the somatosensory input was processed. A recent meta-analysis found that the placebo effect was modest on the NPS [17]. As a comparison, our findings suggest that, unlike the effect of positive expectations that support the placebo effect and engage pleasure processing, negative expectations enhance early nociceptive processes, indicating asymmetric effects of the 2 types of expectations. Future studies using temporally more specific tools such as magnetoencephalography or electroencephalogram could help determine whether the influence of negative expectations happens earlier than the effect of positive expectations. Our findings indicate an asymmetric effect of hedonic expectation on sensory experience. Specifically, positive expectations (intensity cues) led to a significant reduction in the perceived spiciness of the low sauce in the liking group. This modulation was not observed in the disliking group or for high sauces in either group. The lack of significant interaction for high sauces may suggest a ceiling effect, where the high baseline intensity of spiciness might have limited the modulatory impact of expectations. This highlights the nuanced nature of sensory modulation by expectations, indicating that positive expectations may only significantly alter sensory perception when the stimulus intensity is not overwhelming. This asymmetric effect underscores the influence of hedonic predisposition on how sensory expectations are processed and perceived. In summary, the current study brings novel insights into the interplay of psychological and neural processes underlying the interaction between mind, body, and environment. Our study contributes to the growing body of literature on the mechanisms of hedonic expectations by demonstrating neural and behavioral responses to positive and negative expectations. Earlier studies that induced positive or negative expectations showed modulated sensory and emotional responses [46–48], our experimental design provides a more comprehensive assessment of both sensory and hedonic responses to pain, with hedonic expectation and sensory expectation dissociated. In alignment with recent meta-analytic evidence showing that placebo analgesia is associated with higher-level cognitive and affective processes [49] and that distinct neural circuits are involved in placebo and nocebo effects [14], we further demonstrate that when sensory expectations are kept consistent, the hedonic characteristic of one’s expectations modulates their experiences, as well as the associated neural processes in an asymmetric manner: positive expectations modulate the intensity of subjective experience and engage brain areas involved in information integration and reward processing, while negative expectations diminish hedonic experience and elevate neural activity regions associated with pain processing, particularly its affective component. This nuanced understanding of top-down modulation of sensory experience offers potential avenues for the development of tailored interventions that harness the power of expectations for improved patient care and treatment efficacy in clinical settings.
Methods Ethics statement The study has been conducted according to the principles expressed in the Declaration of Helsinki. All participants gave written consent to participate in the study, and all procedures were approved by Virginia Tech Institutional Review Board (approval number: VT IRB# 11–377). Participants Fifty-three participants enrolled in the current study. Among them, 48 participants completed the 2 runs of tasks while undergoing fMRI scanning. The other 5 participants who only completed the first run of the task were excluded from data analyses. One participant was excluded because they did not respond behaviorally in the second run of the task, which leaves 47 subjects in total who completed the experiment (23 females, 30 ± 11.4 years old [mean ± SD]). Finally, only 1 participant did not show a significant correlation (positive or negative) between their heat intensity and sauce preference ratings and was excluded from further analyses. None of the participants have a history of neurological or psychiatric disorders. All participants had a normal or corrected-to-normal vision. Stimuli Hot sauce preparation and delivery. As shown in the left panel in Fig 1a, high sauce and low sauce were prepared for each participant 1 day before the scan. “Arriba! hot red salsa” sauce was blended and then filtered through a cheesecloth to remove the pulp from the sauce, which was then saved in the refrigerator to be used as the high sauce in the experiment. A small portion of the prepared sauce was saved in a separate test tube and sent to the lab for ELISA (enzyme-linked immunosorbent assay) test. The same procedure was done on “Arriba! mild red salsa” sauce to prepare the low sauce used in the experiment. ELISA tests to identify the concentration of capsaicin were done for high and low sauces used for each participant (details in S1 Text). Experiment procedure On the scan day, while the participant was lying in the scanner, high and low sauces, as well as water were delivered into the participant’s mouth, one squirt at a time, through 3 tubes (one for each type of squirt) bundled by a mouthpiece (Fig 1a, right panel). Sauces and water were slowly ejected from the tubes using a computer-controlled syringe pump (Harvard Apparatus) located outside of the scanner room. At any time during the task, participants were to rate their subjective experiences about the current taste in their mouth on 2 scales which were discretized in 11 arbitrary units on a vertical visual digital scale (i.e., ranging from 0 to 10, numbers not shown on scale, Fig 1a). We asked the participants to rate 2 dimensions of subjective experiences throughout the task: (1) “How ‘spicy’ or ‘hot’ does your mouth feel” (0 = not hot at all; 10 = extremely hot), and (2) “How much do you like the flavor that you taste?” (0 = do not like at all; 10 = like very much) (detailed instructions in S1 Text). Throughout the entire task, 2 rating bars were presented side-by-side—one to rate “how hot” the other to rate “preference.” All ratings were made through hand-held button boxes. The side that each rating bar was presented (and hand used to control rating) was randomized at the level of participant, so that one participant would always rate “heat” with the same hand and “preference” with the other but across participants, the hand used to rate each scale was counterbalanced. Specifically, participants were asked to continuously update their subjective experiences by adjusting the rating bar to the appropriate level based on how the experience in their mouth evolved. We stressed that the participants need to adjust these bars as the experience changed, not just when they receive a squirt and swallow, but throughout the entire task (e.g., while they receive a squirt, while they taste the sauce, during and after they have swallowed, and while they wait for the next squirt). Throughout the experiment, participants could raise or lower these bars to whatever levels they feel best described their level of experience as the experience changed. Stimuli were presented and participants’ behavioral responses were collected using NEMO (Human Neuroimaging Laboratory, Fralin Biomedical Research Institute at VTC, Virginia Tech). Run 1 with Neutral Cues. In the first run, a total of 60 squirts of sauce or water were delivered into the participant’s mouth, one squirt at a time. Among them, 30 test squirts, including 10 water squirts, 10 low squirts, and 10 high squirts, were delivered in a randomized order. In addition, 1 water squirt (a rinse squirt) was administered before each of the 30 test squirts to rinse and restore the participant’s mouth to a baseline level prior to the next test squirt (Fig 1d as an example). Six seconds prior to each squirt, a visual cue showing 2 gray peppers (i.e., Neutral Cue) was displayed (Fig 1b). Each cue was displayed for 6 s, and each squirt was delivered immediately after the cue disappeared. Each squirt was approximately 1 ml and delivered within 1 s. The interval between any squirt and its following cue was jittered (mean ± SD, 18 ± 1.9 s). Run 2 with Intensity Cues. The second run was nearly identical to run 1, except that the visual pepper cues were colored to indicate the heat intensity of the upcoming squirt (Fig 1b). A total of 60 squirts were delivered in this run, including 30 test squirts (10 water, 10 low, and 10 high) in a randomized order and 30 rinse squirts, each preceding a test squirt. The interval between any squirt and its following cue was also jittered (mean ± SD, 18 ± 1.9 s). A cue with 2 colored peppers (Intensity Cue) indicated the intensity of the spiciness of the upcoming squirt displayed 6 s before each squirt to indicate its spiciness: 2 red peppers for “high” sauce, 1 red pepper and 1 blue pepper for “low” sauce, and 2 blue peppers for water and rinse. Participants were not explicitly informed of the meaning of the cues. Behavioral data analysis differentiating participants who liked versus disliked spicy taste A Spearman’s rank-order correlation comparing the participant’s ratings of “heat” and “like” during run 1 (there were no expectations about sauce spiciness intensity cued) was conducted to determine their preference for the spicy sauces (see S1 Table for the correlation coefficient and significance of correlation for each participant). Participants with a positive correlation were operationally defined as participants who like spicy sauce (Liking group, N = 24, 11 females, 32 ± 11.6 years old), whereas those with a negative correlation were operationally defined as participants who dislike spicy sauce (Disliking group, N = 22; 12 females, 27 ± 10.9 years old). One participant did not show a significant correlation between the 2 subjective rating scales and was excluded from further analysis. Confirmed by independent-samples t tests, there was no significant difference between the Liking group and the Disliking group in the concentrations of capsaicin either in the high sauce (Liking group: 9.89 ± 0.42 PPM; Disliking group: 10.20 ± 0.42 PPM; t(44) = 0.514, p = 0.611, Cohen’s d = 0.152) or in the low sauce (Liking group: 2.92 ± 0.07 PPM; Disliking group: 2.87 ± 0.06 PPM; t(44) = 0.534, p = 0.596, Cohen’s d = 0.158). Heat rating comparisons. For each participant, the subjective rating of experienced heat on a 0 to 10 scale (integers from 0 to 10) was converted to z-scores which made each participant’s heat ratings have a mean of 0 and standard deviation of 1 (see S8 Fig for raw heat ratings). The z-scored rating was interpolated with zero-order hold (ZOH) at 0.1 s intervals. In ZOH interpolation, the value of each sample is held constant until the next sample point is reached. This means that the signal is essentially represented by a series of constant segments between consecutive sample points, creating a staircase-like approximation of the original signal. A correction was then done with the baseline being the average rating during the 5 s before the cue display. We first conducted a 3-way ANOVA test of group (between-subjects: Liking group, Disliking group) × stimulus (within-subjects: high, low, water) × expectation manipulation (within-subjects: Neutral Cue, Intensity Cue) on the average heat rating during the saturated phase (15~24 s after the cue displayed). After that, we conducted a repeated 2-way ANOVA test of stimulus (within-subjects: high, low, water) × expectation manipulation (within-subjects: Neutral Cue, Intensity Cue) was also done within each group on the average heat rating during the saturated phase. This planned comparison was based on well-established literature (e.g., [8,14,50,51]) that expectations can be associated with either positive or negative valence and exert different effects. Post hoc tests were done to confirm the effect of expectation on each type of squirt in each group. Like rating comparisons. The subjective rating of flavor preference was also converted to z-scores within each subject. The z-scored heat ratings were interpolated with ZOH at 0.1 s intervals and then baseline-corrected by the average rating during the 5 s before the cue display. We also conducted a 3-way ANOVA test of group × stimulus × expectation manipulation on the average like rating during the saturated phase. After that, a repeated 2-way ANOVA test of stimulus × expectation manipulation was also done within each group on the average like rating during the saturated phase, followed by post hoc tests checking the effect of expectation on each type of squirt in each group. fMRI data acquisition and preprocessing Imaging was conducted on a 3.0 Tesla Siemens Trio scanner. High-resolution T1-weighted scans (voxel size: 0.479 × 0.479 × 1.0 mm) were acquired using an MPRAGE sequence (Siemens). Functional images were acquired using echoplanar imaging (repetition time = 2,000 ms; echo time = 30 ms; flip angle = 90°; 34 slices; voxel size: 3.44 × 3.44 × 4.0 mm). Images were analyzed using SPM12 (
http://www.fil.ion.ucl.ac.uk/spm/software/spm12/). The first 2 EPI volumes of each run were discarded for signal stabilization. Slice timing correction was first applied to temporally align all the functional images with the temporal middle slice as the reference. Motion correction to the first functional image was performed using a six-parameter rigid-body transformation. T1-weighted images were coregistered to the average of the motion-corrected images and segmented into gray matter, white matter, and cerebral spinal fluid images to estimate the normalization parameters to the Montreal Neurological Institute (MNI) template. These transformation parameters were applied to the functional images for spatial normalization to the MNI space and interpolated to 2 × 2 × 2 mm voxels. Finally, the normalized functional images were smoothed with an 8 mm isotropic Gaussian kernel and then high-pass filtered (128 s width) in the temporal domain. Two participants (both from the disliking group) were excluded because of compromised quality of imaging data. Four participants (3 from the liking group and 1 from the disliking group) with excessive head motions were excluded from further analyses. Therefore, 21 participants from the liking group, 19 participants from the disliking group, and another participant who did not belong to either group were included in further brain-level analyses. fMRI data analyses Univariate voxel-wise analysis of fMRI data. General linear models (GLMs) were specified for each participant (first-level analysis). All visually and orally delivered stimuli and motor responses were modeled in the design matrix that was constructed by convolving each event onset with a canonical hemodynamic response function in SPM12. Residual effects of head motion were corrected by including the estimated 6 motion parameters for each participant as covariates. Low-frequency drifts were removed using a high-pass filter (128 s cutoff). Beta maps at squirt delivery were estimated respectively for each regressor at each run for each participant and then entered into group-level analyses. After dividing participants into the liking group and the disliking group, we tested how positive and negative expectations manipulate brain responses to spicy taste by conducting a whole-brain contrast: (sauce _Intensity Cue −water _ Intensity Cue )–(sauce _Neutral Cue versus water _Neutral Cue ) with high and low sauces pooled within each group. Additionally, we also tested the contrast of (high _Intensity Cue −water _ Intensity Cue )–(high _Neutral Cue vs. water _Neutral Cue ) as well as the contrast of (low _Intensity Cue −water _ Intensity Cue )–(low _Neutral Cue vs. water _Neutral Cue ) within each group. Statistics maps were overlaid on a standard brain in Montreal Neurological Institute space using Mango (
http://ric.uthscsa.edu/mango/mango.html). The threshold for whole-brain analyses was set at p < 0.05, familywise error (FWE) cluster-wise corrected (cluster-defining threshold, p < 0.001) unless otherwise stated. Pleasure signature response. To examine the activations in pleasure/reward-related brain areas, we conducted a region of interest (ROI) analysis using a mask of pleasure signature identified by a previous meta-analysis [23]. We extracted and averaged beta values from this mask, including only voxels with positive coefficients (i.e., positively predicting pleasure). To determine whether the pleasure signature response was specifically sensitive to positive expectation, we performed a three-way ANOVA test of stimulus (sauce, water) × expectation manipulation (Intensity Cue, Neutral Cue) × group (liking group, disliking group), followed by post hoc tests comparing responses to squirts in each Cue condition within each group. Neurological pain signature response. To quantify the NPS response, the signature response was estimated for each test subject by taking the dot product of first-level activation images with the signature pattern, yielding a continuous scalar value. From there, to test whether NPS response was specifically sensitive to negative expectation, we ran a three-way ANOVA test of stimulus (sauce, water) × expectation manipulation (Intensity Cue, Neutral Cue) × group (liking group, disliking group), followed by post hoc tests comparing NPS responses to squirts in each Cue condition within each group. To further explore whether the sensory or the affective components of the NPS were more likely modulated by the negative expectations, we conducted ROI analyses within each of the key regions: S1 and thalamus (sensory), insula and amygdala (affective). Beta values were extracted from each of these regions defined by the automated anatomical atlas 3 [52] and then averaged. The same ANOVA and post hoc tests were done for these ROIs. Statistics Statistics on behavioral data were implemented using IBM SPSS Statistics 21.0 (IBM Corp., Armonk, NY). The significance level was set at 0.05 for all analyses and Greenhouse–Geisser correction non-sphericity was used when appropriate. Post hoc comparisons were evaluated using two-tailed pairwise tests with Bonferroni correction. Partial eta-squared ( ) and Cohen’s d values were provided to demonstrate effect size where appropriate.
Acknowledgments We thank Dan Bang, Sébastien Hétu, Iris Vilares, and Tingting Wu for helpful comments and discussion.
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