Linked Outcomes in Various EEG-Hyperscanning Setups

Twenty romantic pair dyads will be recruited for this study, for a total of 40 participants. Male and female participants, aged 20-60, will be recruited using Mass General Brigham (MGB) approved recruitment methods, specifically Rally. Subject recruitment will be conducted by primary investigators and study staff. Interested patients who filled out the Rally form will be sent a screening survey in RedCap, a secure online data capture system approved by MGB Human Research Committee, via a public link. Patients will be offered the alternative of a telephone screening if they are uncomfortable with this method. After successful RedCap or telephone screening, romantic pairs will be invited to our laboratory to undergo consent. At the consent visit, romantic pairs will sign the consent form, fill out baseline questionnaires, and assess their pain sensitivity using cuff pressure. Upon completing the consent visit, patients will proceed to a baseline EEG scan with either their romantic partner or a stranger, the order will be randomized. Each member of the romantic pair will be randomized to a different stranger. The participants will then complete a second EEG scan with either their romantic pair or a stranger, depending on which person they were randomized to during their first EEG scan.

At both of the EEG scans, participants will complete a variety of tasks both face-to-face and in remote settings. The two participants will be seated face to face with the EEG caps on for the face-to-face portion of the EEG experiment, and they will be in separate rooms for the remote part of the experiment. First, an EEG cap will be placed on the head of the both the participants and the signal quality will be assessed.

The participants will then start by completing 3 minutes of eyes open and 3 minutes of eyes closed rest. This will be repeated for both face-to-face and remote settings. Participants will additionally complete an intermittent light stimulation task (ILS) where a series of photic flashes delivered by a strobe light simulation on a high frame rate monitor placed 30cm from the participant's nose is presented to the participants with eyes closed. This task will be done both face-to-face as well as remotely. The ILS task includes three conditions, one where both participants receive light stimulation simultaneously, another two where each participant will receive light stimulation while the other participant receives no light stimulation. This task measures brain to brain communication in a controlled context and takes about 6 minutes.

Participants will additionally complete a communication task in which participants are asked to make a positive wish and send warm thoughts or love to the respective other (non-verbal phase) and to say why they made this wish (verbal phase). This task will be done both face-to-face as well as remotely. In the face-to-face setting, both participants are asked to sit still and relax during eye contact. The participants are instructed to "Make a wish for the other person and tell them what you wished for them and why" (verbal phase). Then, participants are asked to focus their attention on each other and send warm thoughts or love to the respective other (non-verbal phase). In the remote setting, both participants are asked to sit still and relax. One participant will be designated as the sender and will be instructed to "Think of the person in the other room and then make a wish for them. When you've made the wish, say it out loud and describe why you wish them what you wished".

Participants will additionally complete a cuff pain task. A blood pressure cuff device will be place on one of the participant's left leg and will be used to deliver moderately painful stimulations, calibrated at the consent visit. After each painful stimulation, the subject wearing the cuff will be asked to rate the pain they felt on a scale from 0-100 where 0 is no pain and 100 is the most intense pain imaginable. Simultaneously, the other participant will rate the level of pain they believe their experimental partner felt on the same 0-100 scale. The participants will then repeat the task with switched roles and participant 2 will be receiving moderate painful stimulations. This cuff task will be performed both in-person and remotely to assess the difference in brain to brain communication associated with empathy for pain and pain relief.

Lastly, patients will each complete an interoceptive awareness task - a task assessing the extent to which participants are aware of their own body sensations. The participants are instructed to alternate between focusing on their heartbeat/breathing (interoception) and visual/auditory stimuli (exteroception). After each trial, they are asked to rate the intensity of their body sensation from "No Sensation" to "Extremely Strong".

At various points throughout the EEG scan, participants will be administered questionnaires to assess their romantic relationship, their personality, and other traits.

The duration for each visit in this study will be approximately one hour for the consent visit and 2.5 hours per imaging visit. Therefore, each patient will spend a total of ~6 hours in the study.

A record will be created for each research subject, labeled by their subject ID using the software RedCap. It is a secure online data capture system which allows us to store and manage surveys and a database containing the answers to our questionnaires, notes on visits, and dates of the visits. All study visits will take place at Spaulding Rehabilitation Hospital (SRH).