Interoceptive accuracy scores from the heartbeat counting task are problematic: Evidence from simple bivariate correlations

Zamariola, Giorgia; Maurage, Pierre; Luminet, Olivier; Corneille, Olivier

doi:10.1016/j.biopsycho.2018.06.006

Cited by 229 publications

(213 citation statements)

References 25 publications

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“…Including objective assessments may thus be useful, but even with objective measurements caution is warranted. The heartbeat perception test (Schandry, ) is the most widely used assessment of interoceptive accuracy; however, several recent articles have questioned its validity along a number of dimensions (Murphy, Brewer, Hobson, Catmur, & Bird, ; Ring, Brener, Knapp, & Mailloux, ; Zamariola, Maurage, Luminet, & Corneille, ). Additionally, interoception is a broad construct and encompasses awareness of multiple physiological symptoms, so relying only on cardiac awareness risks being overly reductive.…”

Section: Discussionmentioning

confidence: 99%

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Smith

Dodd

Ortiz

et al. 2019

Suicide & Life Threat Behav

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Objective Previous research shows that interoceptive deficits are associated with harmful behaviors such as nonsuicidal self‐injury (NSSI), eating disorder pathology, and suicide attempts. The present study replicates and extends this area of research by examining the association between interoceptive deficits and suicidality in a military sample. Method In Study 1, respondents to an online survey (N = 134) answered self‐report questionnaires related to interoceptive deficits. Study 2 consisted of a secondary data analysis of 3,764 military service members who had previously completed questionnaires on interoceptive indicators, NSSI, suicide thoughts and attempts, and other psychopathology. Results Study 1 demonstrated that our interoceptive deficits latent variable had adequate psychometric properties. In Study 2, multigroup confirmatory factor analysis showed that scores on the interoceptive deficits latent variable were highest among suicide attempters, lowest among those with no suicide history, and intermediary among participants who had thought about but not attempted suicide. The interoceptive deficits latent variable was more strongly related to NSSI and suicidality than were posttraumatic stress disorder symptoms, hopelessness, gender, and age. Conclusions These results confirm—and extend to a military sample—previous research showing that interoceptive deficits can provide important information about suicide risk.

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Section: Discussionmentioning

confidence: 99%

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Smith

Dodd

Ortiz

et al. 2019

Suicide & Life Threat Behav

View full text Add to dashboard Cite

show abstract

“…Interoceptive accuracy is distinct from subjective conceptualization of one’s own interoceptive sensitivity (interoceptive sensibility assessed via self‐rated questionnaires) and metacognitive interoceptive awareness (insight; i.e., alignment of objective accuracy with subjective sensibility), which more precisely indexes conscious awareness of bodily signals (Garfinkel et al, ; Khalsa et al, ). Moreover, HB discrimination depends won perceptual discrimination between internal bodily cues and external stimuli, a process that is more cognitively demanding than heartbeat counting/tracking yet without the same confounding issues of time estimation, knowledge of one’s heart rate, and systematic underreporting of heartbeats (Ring & Brener, ; Zamariola et al, ; cf. Ainley, Brass, & Tsakiris, ).…”

Section: Discussionmentioning

confidence: 99%

“…In the heartbeat tracking task (Schandry, 1981), participants focus on and count their heartbeats over different time periods, and their reported number of felt heartbeats is compared to the actual number recorded. While this appears to be an easy way to implement direct measure of interoceptive experience, for which graded correlations across populations can usefully track affective variables (Dunn et al, 2010), tracking performance is influenced by factors including practice, ability to judge time, and knowledge of one's heart rate (Ring & Brener, 1996Zamariola, Maurage, Luminet, & Corneille, 2018). An alternative task, heartbeat discrimination (Whitehead, , Heiman, & Blackwell, 1977), requires participants to judge whether external stimuli (e.g., auditory tone) occur synchronously with one's heartbeat.…”

Section: Introductionmentioning

confidence: 99%

Interoceptive accuracy predicts nonplanning trait impulsivity

et al. 2019

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Influential theories concerning personality argue that many impulsive individuals show physiological underarousal at rest. This interoceptive state is proposed to be egodystonic, motivating impulsive maladaptive actions to enhance arousal. However, there is little empirical research on this matter. The current study tested the relationship between physiological markers of arousal, measures of interoceptive (in)sensitivity, and trait impulsivity in a nonclinical sample of young adults. Experiment 1 investigated whether individuals (N = 31) with high trait impulsivity show decreased resting measures of arousal (indexed from heart rate, heart rate variability, and sympathetic electrodermal activity). Experiment 2 assessed whether trait impulsivity is linked to interoceptive abilities (N = 60). Overall, our results do not provide any compelling support for the underarousal theory of impulsivity. However, impaired interoceptive (cardiac discrimination) accuracy predicted the degree of Barratt nonplanning impulsivity, such that individuals with a better ability to distinguish between internal (bodily) and external signals manifest lower levels of nonplanning trait impulsivity. These findings open an avenue for potential novel interventions aimed at improving planning abilities via better interoceptive discrimination.

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“…2Note that none of those findings were based exclusively on the heartbeat counting task, which was shown to be a flawed measure of interoceptive accuracy (Zamariola, Maurage, Luminet, & Corneille, 2018). …”

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confidence: 99%

Metacognition across sensory modalities: Vision, warmth, and nociceptive pain

et al. 2019

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The distinctive experience of pain, beyond mere processing of nociceptive inputs, is much debated in psychology and neuroscience. One aspect of perceptual experience is captured by metacognition—the ability to monitor and evaluate one’s own mental processes. We investigated confidence in judgements about nociceptive pain (i.e. pain that arises from the activation of nociceptors by a noxious stimulus) to determine whether metacognitive processes contribute to the distinctiveness of the pain experience. Our participants made intensity judgements about noxious heat, innocuous warmth, and visual contrast (first-order, perceptual decisions) and rated their confidence in those judgements (second-order, metacognitive decisions). First-order task performance between modalities was balanced using adaptive staircase procedures. For each modality, we quantified metacognitive efficiency (meta-d’/d’)—the degree to which participants’ confidence reports were informed by the same evidence that contributed to their perceptual judgements—and metacognitive bias (mean confidence)—the participant’s tendency to report higher or lower confidence overall. We found no overall differences in metacognitive efficiency or mean confidence between modalities. Mean confidence ratings were highly correlated between all three tasks, reflecting stable inter-individual variability in metacognitive bias. However, metacognitive efficiency for pain varied independently of metacognitive efficiency for warmth and visual perception. That is, those participants who had higher metacognitive efficiency in the visual task also tended to have higher metacognitive efficiency in the warmth task, but not necessarily in the pain task. We thus suggest that some distinctive and idiosyncratic aspects of the pain experience may stem from additional variability at a metacognitive level. We further speculate that this additional variability may arise from the affective or arousal aspects of pain.

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Interoceptive accuracy scores from the heartbeat counting task are problematic: Evidence from simple bivariate correlations

Cited by 229 publications

References 25 publications

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Interoceptive deficits differentiate suicide groups and associate with self‐injurious thoughts and behaviors in a military sample

Interoceptive accuracy predicts nonplanning trait impulsivity

Metacognition across sensory modalities: Vision, warmth, and nociceptive pain

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