The roles of interoceptive sensitivity and metacognitive interoception in panic View Full Text


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Article Info

DATE

2015-12

AUTHORS

Adrián Yoris, Sol Esteves, Blas Couto, Margherita Melloni, Rafael Kichic, Marcelo Cetkovich, Roberto Favaloro, Jason Moser, Facundo Manes, Agustin Ibanez, Lucas Sedeño

ABSTRACT

BACKGROUND: Interoception refers to the ability to sense body signals. Two interoceptive dimensions have been recently proposed: (a) interoceptive sensitivity (IS) -objective accuracy in detecting internal bodily sensations (e.g., heartbeat, breathing)-; and (b) metacognitive interoception (MI) -explicit beliefs and worries about one's own interoceptive sensitivity and internal sensations. Current models of panic assume a possible influence of interoception on the development of panic attacks. Hypervigilance to body symptoms is one of the most characteristic manifestations of panic disorders. Some explanations propose that patients have abnormal IS, whereas other accounts suggest that misinterpretations or catastrophic beliefs play a pivotal role in the development of their psychopathology. Our goal was to evaluate these theoretical proposals by examining whether patients differed from controls in IS, MI, or both. Twenty-one anxiety disorders patients with panic attacks and 13 healthy controls completed a behavioral measure of IS motor heartbeat detection (HBD) and two questionnaires measuring MI. FINDINGS: Patients did not differ from controls in IS. However, significant differences were found in MI measures. Patients presented increased worries in their beliefs about somatic sensations compared to controls. These results reflect a discrepancy between direct body sensing (IS) and reflexive thoughts about body states (MI). CONCLUSION: Our findings support the idea that hypervigilance to body symptoms is not necessarily a bottom-up dispositional tendency (where patients are hypersensitive about bodily signals), but rather a metacognitive process related to threatening beliefs about body/somatic sensations. More... »

PAGES

14

References to SciGraph publications

  • 2002-08. How do you feel? Interoception: the sense of the physiological condition of the body in NATURE REVIEWS NEUROSCIENCE
  • 2013-12. Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition in BEHAVIORAL AND BRAIN FUNCTIONS
  • 1996-08. Cardiac acuity in panic disorder in COGNITIVE THERAPY AND RESEARCH
  • 2010-06. Interoception in anxiety and depression in BRAIN STRUCTURE AND FUNCTION
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12993-015-0058-8

    DOI

    http://dx.doi.org/10.1186/s12993-015-0058-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1026860637

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25889157


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    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12993-015-0058-8'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12993-015-0058-8'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12993-015-0058-8'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12993-015-0058-8'


     

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