Sep 11 – 13, 2025
Campus Luigi Einaudi
Europe/Rome timezone

Sensorimotor Reactivity to COVID-19 Vaccination: A TMS Study on Vaccine Hesitancy

Sep 13, 2025, 12:30 PM
2h
Poster Emotions and motivation Lunch and poster 3

Speaker

SIMONA MASSIMINO (Università di Messina)

Description

Introduction. The Centers for Disease Control and Prevention recommends updated COVID-19 vaccines for the 2024-2025 season, highlighting the importance of vaccination to protect against severe illness and hospitalization. However, vaccine hesitancy remains a significant challenge, impacting the effectiveness of vaccination campaigns and contributing to ongoing infections and outbreaks.
Method. To provide new insights into the psychological mechanisms related to vaccine hesitancy/resistance, we tested the sensorimotor mapping of others’ experiences of vaccination in individuals classified as hesitant or resistant to vaccination. We studied the amplitude of motor-evoked potentials in the deltoid, a relevant muscle for vaccine inoculation, during a computer-based presentation of pictures of individuals receiving the COVID-19 vaccine or other control conditions involving that muscle.
Results. We found a selective increase in the excitability of the deltoid motor cortex in highly vaccine-hesitant individuals compared to low-hesitant individuals when exposed to pictures depicting the inoculation of the COVID-19 vaccine, as opposed to the flu vaccine. Importantly, no difference was reported for the control muscle (extensor carpi radialis).
Discussion. These findings suggest that explicit scenes of COVID-19 vaccine injections trigger a somatotopically based facilitatory mechanism, possibly reflecting an automatic/anticipatory response of avoidance (i.e., a flight response) to the specific compound. A similar facilitation is elicited when viewing fearful/threatening pictures, indicating a potential relevance of this affective experience to explain the observed outcomes.

Keywords: COVID-19 anti-vaccination attitude; Motor evoked potentials; Deltoid; Pictures of COVID-19 vaccine injections;

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Primary author

SIMONA MASSIMINO (Università di Messina)

Co-authors

Prof. Gabriella Martino (Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy) Prof. Sebastiano Nucera (Department of Cognitive, Psychological, Educational and Cultural Studies, University of Messina, Via Concezione, 6, 98121 Messina, Italy) Prof. Alessio Avenanti (Center for Studies and Research in Cognitive Neuroscience, Department of Psychology "Renzo Canestrari", Alma Mater Studiorum Università di Bologna, Cesena Campus, 47521 Cesena, Italy) Carmelo Mario Vicario

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