Gelotophobia, the fear of being laughed at, is characterized by heightened sensitivity to ridicule and a tendency to perceive laughter in social situations as mocking. Resting-state functional magnetic resonance imaging (rs-fMRI) acquires brain functional connectivity while the individual remains at rest, without engaging in specific tasks. Recent studies have investigated task-based fMRI and white matter in gelotophobes; however, the resting-state functional connectivity (rsFC) in this group remains unclear. This study aimed to examine differences in rsFC between gelotophobes and non-gelotophobes, to provide insights into the neural networks underlying gelotophobia. Using a seed-based correlation approach, the present study analyzed rsFC in three key networks: the limbic system, default mode network (DMN), and executive control network (ECN). Compared to non-gelotophobes, gelotophobes exhibited significantly stronger amygdala-putamen connectivity within the limbic system, suggesting heightened sensitivity to social cues and altered processing of fear. Within the DMN, gelotophobes demonstrated stronger precuneus-temporoparietal junction (TPJ) and posterior cingulate cortex-TPJ functional connectivity, implying increased self-awareness and vigilance toward social evaluation. In the ECN, enhanced connectivity between the superior frontal gyrus and supplementary motor area in gelotophobes may reflect heightened attention to social cues. Notably, while individuals with gelotophobia exhibited greater amygdala-putamen functional connectivity, controls showed stronger amygdala-supplementary motor area connectivity. These distinct connectivity patterns across the limbic system, DMN, and ECN provide new insights into the neural basis of gelotophobia and its associated heightened sensitivity to social evaluation.
Keywords: DMN; ECN; Functional connectivity; Gelotophobia; Limbic system; Rs-fMRI.
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