Heartbeat awareness and heart rate reactivity in anxiety sensitivity: A further investigation

Stewart, Sherry H.; Buffett-Jerrott, Susan E.; Kokaram, Racqel

doi:10.1016/s0887-6185(01)00080-9

Cited by 60 publications

(44 citation statements)

References 29 publications

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“…Replicating previous studies showing a relationship between neuroticism-related personality measures and interoceptive accuracy (Critchley et al, 2004;LudwickRosenthal & Neufeld, 1985;Schandry, 1981;Stegen et al, 2001;Stewart et al, 2001;Sturges & Goetsch, 1996), the behavioral results showed an association between selfreported neuroticism and interoceptive accuracy. The correlation between neuroticism and interoceptive accuracy, controlling for arousal levels, was marginally significant [r(14) ϭ .40, p ϭ .08; one-tailed for a priori prediction; see Figure 4A (10, 18, 40)…”

Section: Behavioral Datasupporting

confidence: 82%

“…Neurotics' enhanced reporting of physiological sensations seems to reflect a greater sensitivity to internal changes, rather than a greater physiological reactivity (Asmundson, Norton, Wilson, & Sandler, 1994;Schandry, 1981;Shostak & Peterson, 1990;Stewart, Buffett-Jerrott, & Kokaram, 2001). Several studies have shown that individuals who score higher on neuroticism-related personality measures show greater interoceptive awareness of physiological changes than those who score lower on these measures do (Critchley, Wiens, Rothstein, Ohman, & Dolan, 2004;Ehlers & Breuer, 1992;Ludwick-Rosenthal & Neufeld, 1985;Schandry, 1981;Stegen, Van Diest, Van de Woestijne, & Van den Bergh, 2001;Stewart et al, 2001;Sturges & Goetsch, 1996). Second, changes in physiological arousal levels represent a discrepancy between the normal state of the body and a more aroused state.…”

Section: Assessing a Behavioral Correlate Of Neuroticismmentioning

confidence: 99%

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Personality from a controlled processing perspective: An fMRI study of neuroticism, extraversion, and self-consciousness

Eisenberger

Lieberman

Satpute

2005

Cognitive, Affective, & Behavioral Neuroscience

164

125

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Although neuroticism has been central to most theories of personality, self-reported neuroticism has had limited success in predicting expected behavioral outcomes. The reason for this may be due, in part, to the imprecision of self-reports. The purpose of this study was to examine the relationship between neural correlates of control systems and neuroticism, extraversion, and self-consciousness. In response to an oddball task, neuroticism was associated with increased dorsal anterior cingulate cortex (dACC) reactivity, typically associated with discrepancy detection, whereas extraversion and selfconsciousness were associated with lateral and medial frontoparietal networks, respectively, typically associated with task-focused (lateral) or self-focused (medial) controlled processes. We also examined whether the neural measure of neuroticism would predict a relevant behavioral outcome better than self-reports would. Interoceptive accuracy, an outcome associated with neuroticism, was better accounted for by dACC reactivity (r 2 ϭ .74) than by self-reported neuroticism (r 2 ϭ .16), suggesting that neural reactivities may provide a more direct measure of personality than self-reports do.

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Section: Behavioral Datasupporting

confidence: 82%

Section: Assessing a Behavioral Correlate Of Neuroticismmentioning

confidence: 99%

Personality from a controlled processing perspective: An fMRI study of neuroticism, extraversion, and self-consciousness

Eisenberger

Lieberman

Satpute

2005

Cognitive, Affective, & Behavioral Neuroscience

164

125

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“…Typically these include headache, sensibility deficits in chest and abdomen, and increased muscle tension. These somatic symptoms go along with altered awareness of bodily symptoms as well as altered awareness of external stimuli [21,23,24], which has been described as decreased environment focus and increased selffocus in MDD [18,[25][26][27]. At the same time the accuracy of interoceptive heartbeat perception seems to be impaired in MDD [28], which can be seen as a result of impaired cognitive and decision-making functions.…”

Section: Why Study Interoceptive Awareness In Depressed Participamentioning

confidence: 99%

Interoceptive awareness and the insula - Application of Neuroimaging Techniques in Psychotherapy

Wiebking

Northoff

2014

GSTF J Psych

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Abstract-Interoceptive awareness is defined as the awareness of stimuli originating inside one's own body such as the heartbeat. The emergence of new brain imaging techniques like functional magnetic resonance imaging (fMRI) or magnetic resonance spectroscopy (MRS) has increased our knowledge of neural substrates underlying interoceptive awareness. In particular, the bilateral brain structure of the insula has been identified as a key region involved in interoceptive processes in healthy populations. In line with prominent theories of human emotion, the insula has an important function in connecting interoceptive awareness with affective experience. This connection hinging on the insula between interoception and emotional processing is suggestive of an involvement of the insula in mood disorders such as major depressive disorder (MDD). Multilayered deficits in the insula cortex of depressed individuals such as abnormal function, biochemistry, and anatomy support this hypothesis.The aim of the present article is a) to describe the importance of the insula for the interplay between interoception and emotional processing and b) how this might be figured into psychotherapeutic treatment of depressed patients using new imaging techniques like real-time fMRI.The article begins with a brief introduction about neuroanatomical settings of the insula (I. IntroductionNeuroanatomical background of the insula). Afterwards, early behavioral studies to investigate interoceptive awareness are described (II. A step Back-First attempts to investigate interoceptive awareness), followed by a description of more recent imaging studies outlining neural mechanisms underlying interoceptive awareness and emotional processing in the insula (III. The insula as key region involved in functional interoception and emotion.) Throughout, the article addresses the question of why the investigation of individuals suffering from depression might provide novel insights into the neural underpinnings of interoceptive awareness and its link to abnormal behavior (IV. Why study interoceptive awareness in depressed participants?).Following the description of a selected study that combines for the first time functional results of interoception (using fMRI) with biochemical results of the insula (using MRS) (V. Neuroimaging in interoceptive awareness combining fMRI and MRS -A specific study), the article concludes with a perspective outlining the potential for using imaging techniques like real-time fMRI to enhance neural activity in the insula during interoceptive awareness. This approach potentially leads to faster recovery in depressed patients and might be the first therapeutic application of functional imaging in psychiatry (VI. Perspectives: Neurofeedback in major depression using real-time fMRI).

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“…6 Indeed, individuals with higher AS are more aware of their heartbeats and heart rate reactivity, 7 but the potential prognostic importance of AS has not been explored. In the Atrial Fibrillation and Congestive Heart Failure (AF-CHF) trial, 8 patients with AF and CHF responded to the Anxiety Sensitivity Inventory (ASI) 9 before random assignment to rate-control versus rhythm-control strategies.…”

Section: Editorial See P 307 Clinical Perspective On P 330mentioning

confidence: 99%

Anxiety Sensitivity Moderates Prognostic Importance of Rhythm-Control Versus Rate-Control Strategies in Patients With Atrial Fibrillation and Congestive Heart Failure

Frasure-Smith

Lespérance

Talajic

et al. 2012

Circ: Heart Failure

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Background-Patients with high anxiety sensitivity (AS) become extremely anxious with heart rate increases, palpitations, and symptoms of psychological arousal. AS predicts panic attacks. In atrial fibrillation (AF), AS correlates with symptom preoccupation and reduced quality of life. We assessed whether AS is associated with outcomes of rhythm-control versus rate-control in congestive heart failure (CHF) patients with AF.

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Heartbeat awareness and heart rate reactivity in anxiety sensitivity: A further investigation

Cited by 60 publications

References 29 publications

Personality from a controlled processing perspective: An fMRI study of neuroticism, extraversion, and self-consciousness

Personality from a controlled processing perspective: An fMRI study of neuroticism, extraversion, and self-consciousness

Interoceptive awareness and the insula - Application of Neuroimaging Techniques in Psychotherapy

Anxiety Sensitivity Moderates Prognostic Importance of Rhythm-Control Versus Rate-Control Strategies in Patients With Atrial Fibrillation and Congestive Heart Failure

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