Regional differences in sweat gland output, skin temperature and thermoreceptor distribution can account for variations in regional perceptions of temperature, thermal comfort and wetness sensation. Large cohorts of studies have assessed these perceptual responses during sedentary activity but the findings are typically applied to a multitude of conditions, including exercise. Increases in sweat gland output, redistribution of blood flow and changes in skin and core temperature are basic responses to exercise in most conditions and these ultimately influence our perceptual responses. The primary aim of this thesis is to determine factors that influence regional differences in thermal sensation, thermal comfort and wetness sensation during exercise in moderate to hot conditions. The secondary aim is to develop and understand an additional variable, galvanic skin conductance (GSC) that can be used to predict thermal comfort and wetness sensation. The aim of the first study (Chapter 4) was to determine the influence of exercise on thermal sensitivity and magnitude sensation of warmth to a hot-dry stimulus (thermal probe at 40°C) and assess if any gender-linked differences and/or regional differences exist. From the data, body maps indicating sensitivity were produced for both genders during rest and exercise. Females had more regional differences than males. Overall sensitivity was greatest at the head, then the torso and declined towards the extremities. The data showed that exercise did not cause a significant reduction in thermal sensitivity but magnitude estimation was significantly lower after exercise for males and selected locations in females. The cause of a reduced magnitude sensation is thought to be associated with exercise induced analgesia; a reduction in sensitivity due to exercise related increases in circulating hormones. As the literature suggests that thermal comfort in the heat is influenced by the presence of sweat, the next study and all proceeding studies were concerned with this concept. In Chapter 5, building on earlier studies performed in our laboratories, the influence of local skin wettedness (wlocal) on local thermal comfort and wetness sensation was investigated in a neutral dry condition (20.2 ± 0.5°C and 43.5 ± 4.5% RH) whilst walking (4.5 km∙hr-1). Regional differences in wlocal were manipulated using specialised clothing comprising permeable and impermeable material areas. Strong correlations existed between local thermal comfort and local wetness sensation with the various measured wlocal (r2>0.88, p<0.05 and r2>0.83, p<0.05, respectively). The thermal comfort limit was defined as the wlocal value at which the participants no longer felt comfortable. Regional comfort limits for wlocal were identified (in order of high-low sensitivity); lower back (0.40), upper legs (0.44), lower legs (0.45), abdomen (0.45), chest (0.55), upper back (0.56), upper arms (0.57) and lower arms (0.65). The maximum degree of discomfort and wetness sensation experienced during the investigation was kept deliberately low in an attempt to determine the threshold values. Therefore comfort scores and wetness scores rarely reached a state of uncomfortable or wet so the next step was to assess these relationships when sweat production is high and the sensations worsened. However, pilot testing indicated that a ceiling effect would occur for wlocal at high levels of sweat production whilst thermal discomfort increased indicating wlocal was not the determining parameter in that case. Thus an additional parameter was required. The chosen parameter was galvanic skin conductance (GSC) due to its alleged ability to monitor pre-secretory sweat gland activity, skin hydration and surface sweat. In Chapter 6, the reliability, reproducibility and validity of GSC were confirmed in a series of pilot tests. Moderate to strong correlations were found between GSC and regional sweat rate (RSR) (r2>0.60, p<0.05) and wlocal (r2>0.55, p<0.05). The literature suggests standardising GSC relative to a minimum and maximum GSC value; however uncertainties arise when attempting to achieve maximum GSC. Therefore a change from baseline (∆GSC) was chosen as the proposed method of standardisation for further use. Additional results (from Chapter 9) revealed that ∆GSC also reflects pre-secretory sweat gland activity as it increased prior to sweat being present on the skin surface and prior to an increase in RSR. In Chapter 9, also hydration of the stratum corneum was measured using a moisture meter and the results revealed that it has an upper limit; indicating maximal hydration. From this point of full skin saturation ∆GSC and RSR markedly increase though sensations did not. It was also found that ∆GSC is only influenced by surface sweat that is in direct contact with the electrode and is not influenced by sweat elsewhere on the skin surface between electrodes. Higher levels of thermal discomfort have rarely been explored and neither has its relationship with wlocal. The ability of ∆GSC and wlocal to predict local thermal comfort and wetness sensation were compared in two different conditions to elicit low and high sweat production. Unlike Chapter 5, the body sites were not manipulated to control wlocal but allowed to vary naturally over time. The test was carried out on males (Chapter 7) and females (Chapter 8) to compare any gender linked differences and the results suggest that females are more sensitive than males to the initial presence of sweat. For both genders, wlocal and ∆GSC are strong predictors of thermal comfort and wetness sensation. More importantly, wlocal can only be used to predict local thermal comfort in conditions of low sweat production or low levels of thermal discomfort. However, once sweat production increases and thermal discomfort worsens ΔGSC (and not wlocal) can predict thermal comfort. Due to low sweat production observed in females indicates that this is only relevant for females. It appears that epidermal hydration has an important role on influencing thermal comfort. Receptors influencing our perceptual responses are located in the epidermis and when sweat is produced and released onto the skin surface, this epidermis swells and the sensitivity of receptors are said to increase. wlocal indicates the amount of moisture present on the skin surface, yet ∆GSC indicates presecretory sweat gland activity and epidermal hydration where the receptors are located. This may explain why on numerous occasions thermal comfort had a stronger relationship with ∆GSC than wlocal. Where Chapter 5 indicated the true local comfort limits for each respective zone, Chapter 7 and 8 provided a global picture of how local regions interact and influence local thermal comfort across the body. When wlocal varies naturally, the torso areas naturally produce more sweat than the extremities and it seemed that these areas produce so much more sweat than the extremities that they dominate local thermal comfort across the whole body. This is referred to in this thesis as a model of segmental interaction. As with thermal comfort, wetness sensation had strong relationships with wlocal and ∆GSC. The results also revealed a strong relationship between wetness sensation and thermal comfort. In contrast to the widely supported claim, a drop in skin temperature is not required to stimulate a wetness sensation. The point at which we detect sweat and when it becomes uncomfortable occurs at different wlocal values across the body. Thermal comfort is shown to be influenced by sweat during exercise in moderate-to-hot conditions. As w has an upper limit the findings suggest that it cannot predict thermal comfort during high sweat rates. Galvanic skin conductance monitors the process of sweat production more closely and thus is a better predictor of thermal comfort during all conditions and particularly during high sweat production. The strong relationship between thermal comfort and wetness sensation confirm the role of sweat production on thermal comfort. Gender differences to perceptual responses were observed, with females generally being more sensitive to sweat and a warm thermal stimulus than males. Regional differences to sweat and a warm stimulus generally suggest that the torso area is more sensitive than the extremities. This is important not only for sports clothing design but also protective clothing at the work place.

The research in this thesis focuses on the ways in which participants represent highly charged negative emotional experiences in narrative form through vocal disclosures, and the relationships between disclosure style and psychophysiological activity. This thesis also attempts to theorise some of the psychophysiological mechanisms that may be associated with the effects of emotional disclosure. Participants were randomly assigned to an emotion (disclosure) group (n = 16) in which they talked about a particular highly charged negative experience, or a neutral (control) group (n = 16) in which they talked about their typical morning. Participants undertook these tasks on three separate occasions, each separated by one week. Skin conductance levels (SCLs) were measured throughout. Statistical analyses were conducted to look at possible SCL differences between the two groups and associations between the disclosure style and SCL variations. Although there were no statistically significant differences between the two groups' SCLs, there were significant differences in SCLs with regard to disclosure style. Qualitative narrative and discourse analyses were undertaken on 4 selected participants, chosen on the basis of clinically significant SCL moves. These analyses revealed that neutral participants also engaged in forms of emotional disclosure through forms of identity negotiation that were constructed within their talk concerning their typical mornings. The qualitative analysis also identified disclosure styles that may be associated with variations in psychophysiological activity.

Writing about a personal traumatic event has been found to have psychological and physical health benefits. Focusing on traumatic memories in writing may be a form of exposure. In imagery exposure and trauma writing, greater physiological reactivity was predictive of better outcomes. Given the importance of physiological output in emotional processing, response training was developed and found to be effective in increasing appropriate physiological reactivity in imagery exposure. If response training amplifies physiological reactivity and the benefits of writing, the hypothesis that writing is a form of exposure would be strengthened, and training may be a valuable tool to improve the efficacy of psychotherapy approaches that use writing as a form of exposure. The present study examined whether response training enhances the benefits of trauma writing. In this study, participants wrote for 20 minutes on three occasions about a personal traumatic event (n = 113) or a trivial topic (n = 133) and received response imagery training (n = 79), stimulus imagery training (n = 84) or no training (n = 83). Heart rate and skin conductance were recorded in sessions one and three throughout a 10-minute baseline, writing, and a ten-minute recovery period. Self-reported trauma symptoms and emotion were assessed in each session. One month after completing the sessions, participants completed follow-up assessments of psychological and physical health outcomes. As predicted, trauma writing elicited greater physiological reactivity and self-reported trauma symptoms and emotion than neutral writing. Response training amplified physiological reactivity to trauma writing more than neutral writing, without amplifying levels of self-reported emotion or trauma symptoms. The physiological reactivity and self-reported emotion elicited by trauma writing habituated across sessions and response training enhanced these effects. Finally, increased heart rate predicted better outcomes for all trauma writers; however, response trained trauma writers who evidenced greater heart rate showed the greatest reductions in trauma, depression and physical illness symptoms at follow-up. These results support previous research which found that greater physiological reactivity was predictive of writing outcomes. The findings are the first to demonstrate that response training facilitates emotional processing and thus may be a beneficial adjunct to trauma writing.

Des troubles de la familiarité ont été décrits dans de nombreuses pathologies psychiatriques et neurologiques et seraient à l’origine d’anomalies de la cognition sociale. Dans la schizophrénie, ces troubles peuvent se développer selon deux polarités : l’hyper- et l’hypofamiliarité. Dans l’hyperfamiliarité, les sujets atteints pensent que des proches prennent l’apparence d’inconnus pour les persécuter ; le syndrome le plus décrit est le syndrome de Frégoli. A l’opposé, dans l’hypofamiliarité, les sujets reconnaissent leurs proches d’après les traits de leurs visages, mais pensent que ce sont des imposteurs qui ont pris l’apparence de leurs proches. Le syndrome de Capgras est le plus décrit dans l’hypofamiliarité et le plus étudié des troubles de la familiarité. Dans la schizophrénie, ces troubles concernent principalement les proches, mais également le sujet lui-même qui peut voir chez des inconnus des doubles de lui-même, par exemple. Bien que fréquents et largement décrits dans la schizophrénie, ces troubles restent très peu étudiés. Ainsi, les mécanismes sous-tendant les troubles de la familiarité dans la schizophrénie sont encore bien mal connus.L’objectif de ce travail de thèse a été de mieux comprendre les mécanismes sous-jacents aux troubles de la familiarité dans la schizophrénie au moyen d’études comportementales, utilisant la conductance cutanée et d’une étude en imagerie fonctionnelle par résonance magnétique (IRMf).Dans un premier temps, nous avons cherché à développer une échelle clinique permettant le diagnostic des troubles de la familiarité. En effet, à notre connaissance, aucun outil n’est actuellement validé. Il est alors difficile de caractériser ces troubles et les données épidémiologiques sont manquantes. Cette échelle a été construite d’après la proposition d’items par des experts des troubles de la familiarité, puis par la sélection des items les plus pertinents par d’autres experts. Elle est actuellement en cours de validation. Elle explore 4 dimensions de la familiarité : le soi, les proches, les lieux et les objets et cote ces dimensions respectivement pour l’hypo- et l’hyperfamiliarité.Dans un second temps, nous avons cherché à tester l’hypothèse selon laquelle les troubles de la familiarité, dans la schizophrénie, résulteraient d’une anomalie de la réponse émotionnelle lors de la reconnaissance normale d’un visage connu. Pour cela, nous avons enregistré, dans 2 études, la réponse électrodermale (RED) engendrée par la présentation de visages de soi, familiers, célèbres et inconnus. En effet, la RED est utilisée comme le reflet de l’émotion inconsciente générée par la présentation d’un stimulus (ici un visage). Les principaux résultats de nos 2 études ont montrés que : alors que chez les sujets sains, l’amplitude de la RED était faible pour la condition « inconnu », elle augmentait pour la condition « célèbre » et était encore plus élevée pour les conditions « soi » et « familier », chez les patients schizophrènes, l’amplitude de la RED était faible dans toutes les conditions. Plus spécifiquement, les patients schizophrènes ayant des troubles de la familiarité avaient une RED avec une amplitude similaire dans les différentes conditions : soi, familier, célèbre et inconnu. Ces résultats suggèrent qu’une atteinte émotionnelle puisse être responsable des troubles de la familiarité dans la schizophrénie et que cette atteinte soit du même ordre pour la familiarité que pour le soi.Enfin, dans une étude en IRMf, nous avons pu mettre en évidence une anomalie de fonctionnement des circuits neuronaux du soi et des circuits de la familiarité dans la schizophrénie. Ces résultats suggèrent une demande cognitive plus importante chez les patients (implication de régions du traitement cognitif) pour résoudre l’ambigüité créée par la présentation de visages hautement familiers, nous posons l’hypothèse que le soi et le familier sont difficiles à distinguer chez les patients. [...] / Familiarity disorders have been described in many neurological and psychiatric diseases and would be responsible for abnormal social cognition. In schizophrenia , these disorders can take two polarities: hyper- and hypofamiliarity. In hyperfamiliarity , people think relatives take appearance of strangers to persecute them;The most described syndrome is Fregoli. In contrast, in hypofamiliarity, people recognize their relatives from their facial features, but think they are imposters who took the appearance of people close to them. Capgras syndrome is the most described inhypofamiliarity and the most studied in familiarity disorders. In schizophrenia, these disorders concern mainly relatives or close people, but also the subject itself, who can see his double in unknown people, for example. Although common and extensively described in schizophrenia, these disorders remain poorly studied. Thus, the mechanisms underlying familiarity disorders in schizophrenia are still unknown.The objective of this work was to better understand the mechanisms underlying familiarity disorders in schizophrenia with behavioral studiesusing skin conductance and a study in functional magnetic resonance imaging (fMRI).As a first step, we sought to develop a clinical scale for the diagnosis of familiarity disorders. Indeed, to our knowledge, no tool is currently validated. It is difficult to characterize these disorders and epidemiological data are missing. This scale has been built with items proposed by experts in familiarity disorders, and then the most relevantof them have been selected by other experts. It is currently being validated. It explores four dimensions of familiarity: self, familiar persons, places and objects. Tthe score is rated according to these dimensions respectively for hypo- and hyperfamiliarity.In a second step, we sought to test the hypothesis that impaired familiarity in schizophrenia would result from an abnormal emotional response in regard to a normal recognition of a familiar face. For this, in 2 studies, we recorded the skin conductance response (SCR) generated by the presentation of self, familiar, famous and unknown faces. Indeed, SCR is used as an indirect measure of emotional arousal generated by the presentation of a stimulus (here a face). The main results of ours 2 studies have shown that: whereas in healthy subjects, the amplitude of the SCR was low in the “unknown” condition, it increased for the \\\\\\\"famous\\\\\\\" condition and was even higher for \\\\\\\"self\\\\\\\" and \\\\\\\"familiar\\\\\\\" conditions, in schizophrenia patients, the amplitude of the SCR was low in all conditions. More specifically, schizophrenia patients with familiarity disorders showed similar SCR magnitude whatever the conditions: self, familiar, famous and unknown. These results suggest that emotional impairment may be responsible for familiarity disorders in schizophrenia and that this impairment could be similar for familiarity and self.Finally, in an fMRI study, we were able to identify a dysfunction of neural circuits of self and familiarity in schizophrenia. These results suggest a greater cognitive demand for patients to resolve the ambiguity created by the introduction of highly familiar faces (i.e. the self and familiar are difficult to distinguish for patients).Thus, it appears that, in schizophrenia, familiarity desorders are present in all patients with varying degrees, resulting in recognition impairments of self and others that undermine interpersonal relationships and allow the emergence of delirium in the disease. Thus, familiarity disorders would be based on unconscious emotional processes, common in self and familiarity processing, and that would be disturbed in schizophrenia.

Although an iontophoretic trans-dermal drug delivery is known as an effective means for drug transportation through the human skin, it is not widely used because of the various side effects that come to life due to a high applied voltage of up to 80V. This study introduces an alternative means of drug transportation through the skin by means of sweat gland activation and reduction of an applied voltage to ensure that the iontophoresis is safe. The skin conductance studies performed on the pulmar area using 50mM of NaCl showed that the activation of sweat glands led to the increase of the skin conductance up to 8-10 times which enabled us to use a lower voltage of 2V in order to achieve noticeable results during the actual drug delivery experiment performed in the points of low ionic resistance that are located on a human biceps, also the application of Vaseline on the experimental surface does not allow the decrease of a skin conductance for as long as 11 hours which enables us to do the drug delivery over a long period of time. Finally, the drug delivery was performed and tested by means of HPLC method.

La personnalité et les émotions sont des concepts étroitement liés théoriquement comme empiriquement, cependant, la question de savoir quels aspects de la réactivité émotionnelle modulent la personnalité a été peu étudiée en soi. Cette question est abordée dans ce travail au moyen de méthodes psychophysiologiques (en particulier la réponse électrodermale et les potentiels évoqués), afin disoler les différents éléments de la réponse émotionnelle. Les résultats montrent que la personnalité module à la fois les aspects somatique et cognitif de la réponse émotionnelle. Finalement, le présent travail fait état de possibles implications de ces différences de réactivité émotionnelle liées à la personnalité sur le fonctionnement psychologique en situation de prise de décision, ainsi que dans lépisode dépressif. Personality and emotions are theoretically and empirically related concepts; however which emotional responsiveness aspect is modulated by personality has been hardly addressed. This issue is thus investigated here with psychophysiological methods (namely skin conductance response and event-related potentials), in order to separately focus on different parts of the emotional response. The results show that both somatic and cognitive aspects of the emotional response are modulated by personality. Finally, the present work reports that personality-related differences regarding emotional responsiveness might be implicated in psychological functioning in a decision-making task, as well as in depression.

Research suggests that playing violent video games increases the likelihood of aggression. However, less clear is how individual characteristics influence the mechanisms that lead to aggression. Using Anderson and Bushman’s (2002) General Aggression Model as a framework, the present study examined the independent and joint effects of individual differences and situational factors on affective and physiological reactivity to playing a violent video game. One hundred thirty-three participants completed self-report measures of trait aggression and violent video game exposure. They were randomly assigned to groups instructed to play a video game using either violent or nonviolent strategies while facial electromyography, heart rate, and electrodermal activity were measured. Positive and negative affect was assessed via self-report prior to and following video game play. It was hypothesized that trait aggression and level of past exposure to violent video games would be positively related to increases in physiological arousal and negative affect among participants in a violent, relative to a nonviolent, condition. Hierarchical regression analyses failed to detect a significant relationship between trait aggression and changes in heart rate, facial electromyography, or self-reported affect as a function of game condition. However, significant positive relationships were found between trait aggression and skin conductance, but only in the nonviolent condition. Analyses revealed that past exposure to violent video games was positively related to increased skin conductance among participants in the non-violent, but not the violent video game condition. Past exposure to violent video games was also positively related to increased heart rate, but this was among participants in the violent, but not the non-violent condition. Significant relationships between past exposure to violent video games and changes in facial electromyography and self-reported affect as a function of video game condition were not found. Findings are discussed in terms of how trait aggression and past exposure to violent video games influence arousal, and potentially, the likelihood of aggressive behavior.

Fear conditioning and extinction are central in the cognitive behavioral model of obsessive-compulsive disorder (OCD), which underlies exposure-based cognitive behavioral therapy (CBT). Youth with OCD may have impairments in conditioning and extinction that carries treatment implications. The present study examined these processes using a differential conditioning paradigm. Forty-one youth (19 OCD, 22 community controls) and their parents completed a battery of clinical interviews, rating scales, and a differential conditioning task. Skin conductance response (SCR) served as the primary dependent measure across all three phases of the conditioning procedure (habituation, acquisition, and extinction). During habituation, no meaningful differences were observed between groups. During acquisition, differential fear conditioning was identified across groups evidenced by larger SCRs to the CS+ compared to CS-, with no significant group differences. During extinction, a three-way interaction and follow-up tests revealed youth with OCD failed to exhibit differential fear conditioning during early fear extinction; whereas community controls consistently exhibited differential fear conditioning throughout extinction. Across participants, the number and frequency of OCD symptoms was positively associated with fear acquisition and negatively associated with fear extinction to the conditioned stimulus. OCD symptom severity was negatively associated with differential SCR in early extinction. Youth with OCD exhibit a different pattern of fear extinction relative to community controls that may be accounted for by impaired inhibitory learning in early fear extinction. Findings suggest the potential benefit of augmentative retraining interventions prior to CBT. Therapeutic approaches to utilize inhibitory-learning principles and/or engage developmentally appropriate brain regions during exposures may serve to maximize CBT outcomes.

Background Measuring pain in infants is important but challenging for researchers and health care professionals. The measurement of skin conductance (SC) is considered as a measure of stress and a surrogate indicator of pain. Purpose This dissertation provides insight on the validity of SC for pain measurement in infants and consists of two studies: 1) a scoping review synthesizing the methods and findings of previous studies on validating or using SC for measuring pain in infants; 2) a primary study evaluating the validity of SC for measuring pain in mechanically ventilated infants. Methods Arksey and O’Malley’s framework informed the methods of the scoping review. Nine electronic databases were searched. Data were analyzed and presented descriptively. The primary study used a prospective cross-sectional observational design. Eligible infants were those up to 12 months of age, hospitalized in intensive care units, who were mechanically ventilated, and required painful and non-painful procedures. Results Scoping review: Twenty-eight studies with 1061 infants were included, including 23 cross-sectional observation studies and five interventional studies. The validity evidence of SC was tested in relation to referent pain measures (13 variables), stimuli (13 variables), age (2 variables) and other contextual variables (11 variables). Fifteen studies evaluated the validity evidence in relation to phase of painful procedure, and SC increased significantly during painful procedures in most studies (n=14/15). However, inconsistent findings on other validity evidence and wide variation in methods existed across studies. Primary study: SC showed good validity in relation to the category of procedure, the phase of procedure and the referent pain measures in critically ill mechanically ventilated infants. The findings from diagnostic test accuracy showed that SC had good capacity of detecting moderate to severe pain. However, the values of SC need to be used with caution, due to the imperfect correlations with the referent pain measures and imperfect positive predictive value. Conclusions SC is a promising approach to measuring pain in critically ill infants. Further research testing the validity of SC in relation to pain treatments and advancing the technology of measuring and analyzing SC is needed before it can be recommended for clinical use.

Previous research suggests that attentional deficits could be the underlying cause of language impairments in people with aphasia (PWA) and that behavioral engagement ratings can be an accurate way to measure attention to specific tasks. Previous research also suggests that PWA have lower levels of behavioral engagement than neurologically healthy adults. Participants in the present study included 9 PWA and 18 neurologically healthy adults. This was an exploratory study investigating the relationships and differences between behavioral engagement and physiological measures, perceived arousal, and naming accuracy and response time in PWA and neurologically healthy adults. Participants completed a confrontational naming task while physiological measures (heart rate, heart rate variability, and skin conductance) were taken simultaneously. Subsequent video footage was used to rate participants' behavioral engagement (i.e., how engaged the participant was in the naming task). In general, PWA had lower behavioral engagement ratings of attention than neurotypical adults. Significant correlations were found between behavioral engagement ratings of attention, naming response time, and naming accuracy. No statistical significance was found between behavioral engagement ratings of attention and heart rate, heart rate variability, and skin conductance. Further research is needed to support these findings.