Limited sample size and age range
The sample size of 22 couples is not large enough to generalize the findings to a broader population. Additionally, the study participants' ages are limited to young adulthood. This limits the generalizability of the findings to a broader age group.
Limited spatial resolution of EEG
EEG has limited spatial resolution compared to fMRI. Thus, it's difficult to pinpoint the precise brain regions involved in brain-to-brain coupling. The interpretations about the specific locations involved in the observed coupling should be taken with caution.
Correlation vs. causation
The study design makes it impossible to determine the causal relationship between touch, pain reduction, and brain-to-brain coupling. Further research manipulating observer empathy and analgesia administration is needed.
Only female participants experienced pain
By only inducing pain in the female partner, the study introduces potential confounding factors, since it cannot be definitively concluded that the observed changes in brain-to-brain coupling are related to touch, pain, or gender. Further research involving both male and female participants as pain targets is needed to clarify.
Potential confound from the sound cue
The sound cue signaling the start of each condition introduced a potential confound. Although the cue was present in all conditions, it might have influenced brain synchronization, so the differences in coupling patterns between conditions need to be interpreted carefully.