Understanding COVID-19 Vaccine Hesitancy: A Neuroscientific Protocol.

Publication date: May 24, 2025

Background: Vaccine hesitancy (VH) is a significant public health challenge, especially during the COVID-19 pandemic. Despite extensive research on the psychological and socio-political determinants of VH, its psychophysiological mechanisms remain unexplored. Grounded in the Somatic Marker Hypothesis, this study aims to investigate the neurophysiological and affective processes underlying VH. Methods: Two experiments will assess sensorimotor resonance and affective processes in VH. In the first experiment, motor-evoked potentials (MEPs) will be recorded from the deltoid and extensor carpi radialis muscles while participants view images of people receiving COVID-19 and influenza vaccines, as well as blood injections (Block 1), and images of vial containing the same substances (Block 2). Facial electromyographic (EMG) activity will measure disgust and fear responses. In the second experiment, skin conductance response (SCR) will be recorded during a virtual reality-based fear conditioning and extinction paradigm. Expected Outcomes: We hypothesize that vaccine-hesitant individuals will exhibit altered sensorimotor resonance, higher affective responses to vaccination stimuli, and impaired fear extinction learning. Psychological traits such as disgust sensitivity, paranoia, anxiety, and dogmatism are expected to be associated with VH. Conclusions: By identifying the psychophysiological mechanisms of VH, this study will contribute to developing effective vaccine promotion strategies to address future public health emergencies.

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Concepts Keywords
Covid COVID-19
Dogmatism electromyography
Electromyographic embodiment
Pandemic motor evoked potentials
Vaccine psychological traits
psychophysiology
research methods
skin conductance response
vaccine hesitancy
virtual reality

Semantics

Type Source Name
disease MESH COVID-19 pandemic
disease IDO blood
disease MESH paranoia
disease MESH anxiety
disease MESH emergencies
disease MESH influenza
disease MESH impulsivity
disease MESH phobia
disease IDO process
drug DRUGBANK Coenzyme M
disease MESH educational level
disease MESH handedness
disease IDO history
disease MESH psychiatric disorders
disease MESH Contraindications
drug DRUGBANK Tilmicosin
disease MESH substance abuse
disease MESH alcohol dependence
disease IDO pathogen
disease MESH uncertainty
disease IDO susceptibility
drug DRUGBANK Pentaerythritol tetranitrate
drug DRUGBANK Albendazole
drug DRUGBANK Titanium
disease MESH Death
disease MESH Emerging Infectious Diseases
pathway KEGG Coronavirus disease
drug DRUGBANK Sulfasalazine
disease MESH AIDS
drug DRUGBANK Phenytoin
disease MESH Facial Expressions
disease MESH gambling
drug DRUGBANK Methylergometrine

Original Article

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