Accuracy of heartbeat perception in panic disorder, social phobia, and nonanxious subjects

Antony, Martin M.; Brown, Timothy A.; Craske, Michelle G.; Barlow, David H.; Mitchell, William B.; Meadows, Elizabeth A.

doi:10.1016/0887-6185(95)00017-i

Cited by 63 publications

(43 citation statements)

References 14 publications

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“…The heartbeat tracking task is a useful assessment paradigm, as heartbeats are easily quantifiable as discrete and determinable stimuli (13)(14)(15). Numerous studies have used this paradigm to assess IA in panic patients in order to investigate hypervigilance towards bodily sensations (16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

Rost

Ryckeghem

Schulz

et al. 2017

Journal of Psychosomatic Research

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Objective: The factors underlying the aetiology of fibromyalgia (FM) are largely unknown.According to the generalized hypervigilance hypothesis (GHH), FM patients show excessive attention towards pain stimuli and other sensory events, thereby increasing pain perception and dysfunctional behaviour. We tested this notion by assessing interoceptive accuracy (IA) in FM patients and matched healthy controls. We also tested the hypothesis that FM is characterized by reduced self-regulatory capacity as indexed by heart rate variability (HRV).Methods: 47 FM patients (Mage = 45.5, 39 females) and 45 healthy controls (Mage = 44.9, 37 females) completed several self-report scales (Body Vigilance Scale, Depression Anxiety Stress Scales, Pain Catastrophizing Scale). To derive HRV, heart rate was monitored under resting conditions; for the assessment of IA participants performed a heartbeat tracking task in which they were asked to silently count their heartbeats. Results: FM patients reported higher body vigilance than healthy controls, but there were no group differences in IA. FM patients had lower HRV compared with healthy controls. HRV did not predictor IA. Conclusion: In conclusion, our findings do not support the hypothesis of generalized hypervigilance in FM patients. Patients reported a heightened focus on bodily sensations, which was not reflected in IA. It may be that hypervigilance is not a general and stable characteristic but is rather context dependent and modality-specific.

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Section: Introductionmentioning

confidence: 99%

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

Rost

Ryckeghem

Schulz

et al. 2017

Journal of Psychosomatic Research

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“…In the other studies, participants were tested in the laboratory. In Antony et al (1994Antony et al ( , 1995 seven trials per condition were used, lasting between 14 and 22 s. Three trials per condition were used in the studies by Ehlers et al and by Van der Does et al (35,25 and 45 s).…”

Section: Methodsmentioning

confidence: 99%

“…However, Antony et al (1995) failed to ®nd dierences in HBP among groups of patients with panic disorder, patients with social phobia and normal controls. The error scores of the PD and control group were quite comparable to Ehlers et al (1995), but with less statistical power the dierence was not signi®cant.…”

Section: Introductionmentioning

confidence: 99%

“…These scores were all transformed to a 0±100 scale. In Antony et al (1994Antony et al ( , 1995, participants also rated physical arousal after each trial and pre-and posttrial anxiety, each on a 0±100 scale.…”

Section: Questionnairesmentioning

confidence: 99%

“…A number of additional questions was addressed. Firstly, Antony et al (1995) tested their participants both at rest and after a period of physical exercise, and found that exercise improved the mean accuracy scores in all groups. It would be interesting to know whether this was due to improvement in the ratio accurate/nonaccurate perceivers or to an increase in anxiety or arousal level in nonaccurate perceivers.…”

Section: Introductionmentioning

confidence: 99%

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Heartbeat perception in panic disorder: a reanalysis

Does

Antony

Ehlers

et al. 2000

Behaviour Research and Therapy

136

104

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This article describes a reanalysis of seven studies on heart beat perception (HBP) in panic disorder. The pooled sample had 709 participants from eight diagnostic categories. Accurate HBP was uncommon, but more prevalent among panic disorder patients than among healthy controls, depressed patients, patients with palpitations and individuals with infrequent panic attacks. No dierences were found between panic disorder patients and patients with other anxiety disorders. Accurate perceivers had higher anxiety sensitivity scores than inaccurate perceivers. The data remain inconclusive as to whether perceived heart rate is correlated with anxiety in inaccurate perceivers. Physical exercise, distraction, variations in instructions and treatment each in¯uenced HBP. However, the in¯uence was dierent than previously thought. Finally, it is suggested that HBP may be understood in terms of schema-guided information processing. #

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