Improving heartbeat perception in patients with medically unexplained symptoms reduces symptom distress

Biological Psychology

Volumn 101, Issue 1, 2014, Pages 69-76

  Schaefer, Manuela ^a   Egloff, Boris ^a   Gerlach, Alexander L ^b   Witthöft, Michael ^a,c  

^a JOHANNES GUTENBERG UNIVERSITY   (Germany)

^b UNIVERSITY OF COLOGNE   (Germany)

^c UNIVERSITY OF MANNHEIM   (Germany)

Author keywords

Heartbeat perception; Interoception; Medically unexplained symptoms; Somatoform disorders; Training procedure

Indexed keywords

ADULT; ARTICLE; BEHAVIOR THERAPY; BRAIN MAPPING; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; DEPTH PERCEPTION; DISEASE SEVERITY; DISTRESS SYNDROME; FEMALE; HEART BEAT; HEART BEAT PERCEPTION THERAPY; HUMAN; HYPOCHONDRIASIS; MALE; MENTAL HEALTH CARE; PRIORITY JOURNAL; RISK REDUCTION; SELF CONCEPT; SOMATOFORM DISORDER; STIMULUS RESPONSE; SYMPTOMATOLOGY; TASK PERFORMANCE; ANXIETY; DEPRESSION; INTEROCEPTION; HEART RATE; MIDDLE AGED; PSYCHOLOGY;

ANTIDEPRESSANT AGENT;

ADULT; ANXIETY; FEMALE; HEART RATE; HUMANS; INTEROCEPTION; MALE; MIDDLE AGED; SOMATOFORM DISORDERS;

EID: 84904916735     PISSN: 03010511     EISSN: 18736246     Source Type: Journal    
DOI: 10.1016/j.biopsycho.2014.05.012     Document Type: Article

References (40)

1. American Psychiatric Association Diagnostic and statistical manual for mental disorders. Fourth edition (DSM-IV) 1994, APA Press, Washington.
2. American Psychiatric Association Diagnostic and statistical manual for mental disorders. Fifth edition (DSM-5) 2013, APA Press, Washington.
3. Barsky A.J. Amplification, somatization, and the somatoform disorder. Psychosomatics 1992, 33:28-34. 10.1016/S0033-3182(92)72018-0.
4. Bogaerts K., Van Eylen L., Li W., Bresseleers J., Van Diest I., De Peuter S., et al. Distorted symptom perception in patients with medically unexplained symptoms. Journal of Abnormal Psychology 2010, 119:226-234. 10.1037/a0017780.
5. Brown R.J. Psychological mechanisms of medically unexplained symptoms: An integrative conceptual model. Psychological Bulletin 2004, 130:793-812. 10.1037/0033-2909.130.5.793.
6. Brown R.J., Brunt N., Poliakoff E., Lloyd D.M. Illusory touch and tactile perception in somatoform dissociators. Journal of Psychosomatic Research 2010, 69:241-248. 10.1016/j.jpsychores.2009.11.010.
7. Ceunen E., Van Diest I., Vlaeyen J.W.S. Accuracy and awareness of perception: Related, yet distinct (commentary on Herbert et al., 2012). Biological Psychology 2013, 92:426-427. 10.1016/j.biopsycho.2012.09.012.
8. Deary V., Chalder T., Sharpe M. The cognitive behavioural model of medically unexplained symptoms: A theoretical and empirical review. Clinical Psychology Review 2007, 27:781-797. 10.1016/j.cpr.2007.07.002.
9. Domschke K., Stevens S., Pfleiderer B., Gerlach A.L. Interoceptive sensitivity in anxiety and anxiety disorders: An overview and integration of neurobiological findings. Clinical Psychology Review 2010, 30:1-11. 10.1016/j.cpr.2009.08.008.
10. Ehlers A. Why Van der Does, Van Dyck and Spinhoven (1997) did not demonstrate that superior heartbeat perception in panic disorder is partly an artefact. Journal of Affective Disorders 1998, 49:241-244. 10.1016/S0165-0327(98)00022-6.
11. Fjorback L.O., Arendt M., Ornbol E., Walach H., Rehfeld E., Schroder A., et al. Mindfulness therapy for somatization disorder and functional somatic syndromes: Randomized trial with one-year follow-up. Journal of Psychosomatic Research 2013, 74:31-40. 10.1016/j.jpsychores.2012.09.006.
12. Garfinkel S.N., Critchley H.D. Interoception, emotion and brain: New insights link internal physiology to social behaviour (Commentary on: "Anterior insular cortex mediates bodily sensibility and social anxiety," by Terasawa et al., 2012). SCAN 2013, 8:231-234. 10.1093/scan/nss140.
13. Gropalis M., Bleichhardt G., Hiller W., Witthöft M. Specificity and modifiability of cognitive biases in hypochondriasis. Journal of Consulting and Clinical Psychology 2013, 81:558-565. 10.1037/a0028493.
14. Gropalis M., Bleichhardt G., Witthöft M., Hiller W. Hypochondriasis, somatoform disorders, and anxiety disorders. Sociodemographic variables, general psychopathology, and naturalistic treatment effects. The Journal of Nervous and Mental Disease 2012, 200:406-412. 10.1097/NMD.0b013e31825322e5.
15. Hautzinger M., Keller F., Kühner C. Beck Depression Inventory II, (BDI-II) 2006, Harcourt Test Services, Frankfurt/Main, German version [in German].
16. Herbert B.M., Muth E.R., Pollatos O., Herbert C. Interoception across modalities: On the relationship between cardiac awareness and the sensitivity for gastric functions. PLoS ONE 2012, 7:e36646. 10.1371/journal.pone.0036646.
17. Hiller W., Rief W. Internationale Skalen für Hypochondrie. Deutschsprachige Adaptation des Whiteley-Index (WI) und der Illness Attitude Scales (IAS) (Manual) 2004, Huber, Bern.
18. Hiller W., Rief W., Fichter M.M. Dimensional and categorical approaches to hypochondriasis. Psychological Medicine 2002, 32:707-718. 10.1017/S0033291702005524.
19. Katzer A., Oberfeld D., Hiller W., Gerlach A.L., Witthöft M. Tactile perceptual processes and their relationship to somatoform disorders. Journal of Abnormal Psychology 2012, 121:530-543. 10.1037/a0026536.
20. Katzer A., Oberfeld D., Hiller W., Witthöft M. Tactile perceptual processes and their relationship to medically unexplained symptoms and health anxiety. Journal of Psychosomatic Research 2011, 71:335-341. 10.1016/j.jpsychores.2011.03.009.
21. Kirmayer L.J., Robbins J.M. Three forms of somatization in primary care: Prevalence, co-occurrence, and sociodemographic characteristics. Journal of Nervous and Mental Disease 1991, 179:647-655. 10.1097/00005053-199111000-00001.
22. Kleinstäuber M., Witthöft M., Hiller W. Efficacy of short-term psychotherapy for multiple medically unexplained physical symptoms: A meta-analysis. Clinical Psychology Review 2011, 31:146-160. 10.1016/j.cpr.2010.09.001.
23. Krohne H.W., Egloff B., Kohlmann C.-W., Tausch A. Untersuchung mit einer deutschen Form der Positive and Negative Affect Schedule (PANAS). Diagnostica 1996, 42:139-156.
24. MacLeod C., Mathews A. Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology 2012, 8:189-217. 10.1146/annurev-clinpsy-032511-143052.
25. Mayou R., Kirmayer L.J., Simon G., Kroenke K., Sharpe M. Somatoform disorders: Time for a new approach in DSM-V. American Journal of Psychiatry 2005, 162:847-855. 10.1176/appi.ajp.162.5.847.
26. Nanke A., Rief W. Biofeedback in somatoform disorders and related syndromes. Current Opinion in Psychiatry 2004, 17:133-138. 10.1097/01.yco.0000120432.39447.d6.
27. Pollatos O., Herbert B.M., Wankner S., Dietel A., Wachsmuth C., Henningsen P., et al. Autonomic imbalance is associated with reduced facial recognition in somatoform disorders. Journal of Psychosomatic Research 2011, 71:232-239. 10.1016/j.jpsychores.2011.03.012.
28. Pollatos O., Traut-Mattausch E., Schroeder H., Schandry R. Interoceptive awareness mediates the relationship between anxiety and the intensity of unpleasant feelings. Journal of Anxiety Disorders 2007, 21:931-943. 10.1016/j.janxdis.2006.12.004.
29. Rief W., Hiller W. Screening für Somatoforme Störungen (SOMS). Manual 2008, Hans Huber, Bern.
30. Schaefer M., Egloff B., Witthöft M. Is interoceptive awareness really altered in somatoform disorders? Testing competing theories with two paradigms of heartbeat perception. Journal of Abnormal Psychology 2012, 121:719-724. 10.1037/a0028509.
31. Schandry R. Heartbeat perception and emotional experience. Psychophysiology 1981, 18:483-488. 10.1111/j.1469-8986.1981.tb02486.x.
32. Schandry R. Vom Herz zum Hirn. Deutsche Medizinische Wochenschrift 2003, 128:2707-2711. 10.1055/s-2003-812550.
33. Schandry R., Weitkunat R. Enhancement of heartbeat-related brain potentials through cardiac awareness training. International Journal of Neuroscience 1990, 53:243-253. 10.3109/00207459008986611.
34. Scholz O.B., Ott R., Sarnoch H. Proprioception in somatoform disorders. Behaviour Research and Therapy 2001, 39:1429-1438. 10.1016/S0005-7967(00)00108-X.
35. Schröder S., Dikmani M., Martin A. Fähigkeit zur Interozeption bei nicht-kardialem Brustschmerz: Wie genau können Sie Ihren eigenen Herzschlag wahrnehmen?. Talk at the 30th Symposium of the Division of Clinical Psychology and Psychotherapy of the German Psychological Association (DGPs) 2012.
36. Warwick H.M.C. A cognitive-behavioural approach to hypochondriasis and health anxiety. Journal of Psychosomatic Research 1989, 33:705-711. 10.1016/0022-3999(89)90086-X.
37. Weitkunat R., Schandry R., Sparrer B., Beck K. Zur Trainierbarkeit der Herzwahrnehmung. Zeitschrift für experimentelle und angewandte Psychologie 1987, 34:340-350.
38. Wittchen H.U., Wunderlich U., Gruschwitz S., Zaudig M. Strukturiertes Klinisches Interview für DSM-IV (SKID-I) 1997, Hogrefe, Göttingen.
39. Witthöft M., Basfeld C., Steinhoff M., Gerlach A.L. Can't suppress this feeling: Automatic negative evaluations of somatosensory stimuli are related to the experience of somatic symptom distress. Emotion 2012, 12:640-649. 10.1037/a0024924.
40. Witthöft M., Hiller W. Psychological approaches to origins and treatments of somatoform disorders. Annual Review of Clinical Psychology 2010, 6:257-283. 10.1146/annurev.clinpsy.121208.131505.