Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training

Frontiers in Psychology

Volumn 5, Issue OCT, 2014, Pages

  Bornemann, Boris ^a   Herbert, Beate M ^b,c   Mehling, Wolf E ^d   Singer, Tania ^a  

^a MAX PLANCK INSTITUTE FOR HUMAN COGNITIVE AND BRAIN SCIENCES   (Germany)

^b UNIVERSITY OF TÜBINGEN   (Germany)

^c UNIVERSITY OF ULM   (Germany)

^d UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Body awareness; Change; Contemplative training; Interoception; Interoceptive awareness; Meditation; Mindfulness; Questionnaire

Indexed keywords

EID: 84926619015     PISSN: None     EISSN: 16641078     Source Type: Journal    
DOI: 10.3389/fpsyg.2014.01504     Document Type: Article

References (77)

1. Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., and Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment 13, 27-45. doi: 10.1177/1073191105283504.
2. Berlucchi, G., and Aglioti, S. M. (2010). The body in the brain revisited. Exp. Brain Res. 200, 25-35. doi: 10.1007/s00221-009-1970-7.
3. Bird, G., Silani, G., Brindley, R., White, S., Frith, U., and Singer, T. (2010). Empathic brain responses in insula are modulated by levels of alexithymia but not autism. Brain J. Neurol. 133(Pt 5), 1515-1525. doi: 10.1093/brain/awq060.
4. Bland, J. M., and Altman, G. M. (1994). Statistic notes: regression towards the mean. Br. Med. J. 308, 1499. doi: 10.1136/bmj.308.6942.1499.
5. Brener, J., and Jones, J. M. (1974). Interoceptive discrimination in intact humans: detection of cardiac activity. Physiol. Behav. 13, 763-767. doi: 10.1016/0031-9384(74)90259-5.
6. Cameron, O. G. (2001). Interoception: the inside story-a model for psychosomatic processes. Psychosom. Med. 63, 697-710. doi: 10.1097/00006842-200109000-00001.
7. Carmody, J., and Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. J. Behav. Med. 31, 23-33. doi: 10.1007/s10865-007-9130-7.
8. Carmody, J., and Baer, R. A. (2009). How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress. J. Clin. Psychol. 65, 627-638. doi: 10.1002/jclp.20555.
9. Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, 2nd Edn. Hillsdale: Lawrence Erlbaum Associates.
10. Cohen, J., Cohen, P., West, S. G., and Aiken, L. S. (2003). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences, III Edn. Mahwah, NJ: Lawrence Erlbaum Associates.
11. Craig, B. (2002). How do you feel? Interoception: the sense of the physiological condition of the body. Nat. Rev. Neurosci. 3, 655-666. doi: 10.1038/nrn894.
12. Craig, B. (2009). How do you feel-now? The anterior insula and human awareness. Nat. Rev. Neurosci. 10, 59-70. doi: 10.1038/nrn2555.
13. Critchley, H. D., Wiens, S., Rotshtein, P., Ohman, A., and Dolan, R. J. (2004). Neural systems supporting interoceptive awareness. Nat. Neurosci. 7, 189-195. doi: 10.1038/nn1176.
14. Daubenmier, J. J. (2005). The relationship of yoga, body awareness, and body responsiveness to self-objectification and disordered eating. Psychol. Women Q. 29, 207-219. doi: 10.1111/j.1471-6402.2005.00183.x.
15. Daubenmier, J. J., Sze, J., Kerr, C. E., Kemeny, M. E., and Mehling, W. (2013). Follow your breath: respiratory interoceptive accuracy in experienced meditators. Psychophysiology 50, 777-789. doi: 10.1111/psyp.12057.
16. Davenport, P. W., Chan, P.-Y. S., Zhang, W., and Chou, Y.-L. (2007). Detection threshold for inspiratory resistive loads and respiratory-related evoked potentials. J. Appl. Physiol. 102, 276-285. doi: 10.1152/japplphysiol.01436.2005.
17. Dunn, B. D., Dalgleish, T., Ogilvie, A. D., and Lawrence, A. D. (2007). Heartbeat perception in depression. Behav. Res. Ther. 45, 1921-1930. doi: 10.1016/j.brat.2006.09.008.
18. Dunn, B. D., Galton, H. C., Morgan, R., Evans, D., Oliver, C., Meyer, M., et al. (2010). Listening to your heart. How interoception shapes emotion experience and intuitive decision making. Psychol. Sci. 21, 1835-1844. doi: 10.1177/0956797610389191.
19. Feldt, L. S. (1969). A test of the hypothesis that cronbach's alpha or kuder-richardson coefficient twenty is the same for two tests. Psychometrica 34, 363-373. doi: 10.1007/BF02289364.
20. Fox, K. C. R., Zakarauskas, P., Dixon, M., Ellamil, M., Thompson, E., and Christoff, K. (2012). Meditation experience predicts introspective accuracy. PLoS ONE 7:e45370. doi: 10.1371/journal.pone.0045370.
21. Füstös, J., Gramann, K., Herbert, B. M., and Pollatos, O. (2013). On the embodiment of emotion regulation: interoceptive awareness facilitates reappraisal. Soc. Cogn. Affect. Neurosci. 8, 911-917. doi: 10.1093/scan/nss089.
22. George, D., and Mallery, P. (2003). SPSS for Windows Step by Step: a simple Guide and Reference, 11.0 update, 4th Edn. Boston: Allyn & Bacon.
23. Goldstein, J., and Kornfield, J. (1995). The Path of Insight Meditation. Boston: Shambala Publications.
24. Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. J. Psychosom. Res. 64, 405-408. doi: 10.1016/j.jpsychores.2008.02.001.
25. Hart, W. (1987). The Art of Living: Vipassana Meditation As Taught, ed. S.N. Goenka. (New York: HarperCollins).
26. Herbert, B. M., Blechert, J., Hautzinger, M., Matthias, E., and Herbert, C. (2013). Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index. Appetite 70, 22-30. doi: 10.1016/j.appet.2013.06.082.
27. Herbert, B. M., Herbert, C., and Pollatos, O. (2011). On the relationship between interoceptive awareness and alexithymia: is interoceptive awareness related to emotional awareness? J. Personal. 79, 1149-1175. doi: 10.1111/j.1467-6494.2011.00717.x.
28. Herbert, B. M., Herbert, C., Pollatos, O., Weimer, K., Enck, P., Sauer, H., et al. (2012a). Effects of short-term food deprivation on interoceptive awareness, feelings and autonomic cardiac activity. Biol. Psychol. 89, 71-79. doi: 10.1016/j.biopsycho.2011.09.004.
29. Herbert, B. M., Muth, E. R., Pollatos, O., and Herbert, C. (2012b). Interoception across modalities: on the relationship between cardiac awareness and the sensitivity for gastric functions. PLoS ONE 7:e36646. doi: 10.1371/journal.pone.0036646.
30. Herbert, B. M., and Pollatos, O. (2014). Attenuated interoceptive sensitivity in overweight and obese individuals. Eat. Behav. 15, 445-448. doi: 10.1016/j.eatbeh.2014.06.002.
31. Herbert, B. M., Ulbrich, P., and Schandry, R. (2007). Interoceptive sensitivity and physical effort: implications for the self-control of physical load in everyday life. Psychophysiology 44, 194-202. doi: 10.1111/j.1469-8986.2007.00493.x.
32. Hofmann, S. G., Sawyer, A. T., Witt, A. A., and Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: a meta-analytic review. J. Consult. Clin. Psychol. 78, 169-183. doi: 10.1037/a0018555.
33. Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., and Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective. Perspect. Psychol. Sci. 6, 537-559. doi: 10.1177/1745691611419671.
34. Hu, H., Real, E., Takamiya, K., Kang, M.-G., Ledoux, J., Huganir, R. L., et al. (2007). Emotion enhances learning via norepinephrine regulation of AMPA-receptor trafficking. Cell 131, 160-173. doi: 10.1016/j.cell.2007.09.017.
35. Impett, E. A., Daubenmier, J. J., and Hirschman, A. L. (2006). Minding the body: yoga, embodiment, and well-being. Sex. Res. Soc. Policy 3, 39-48. doi: 10.1525/srsp.2006.3.4.39.
36. Jensen, C. G., Vangkilde, S., Frokjaer, V., and Hasselbalch, S. G. (2012). Mindfulness training affects attention-or is it attentional effort? J. Exp. Psychol. Gen. 141, 106-123. doi: 10.1037/a0024931.
37. Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York: Delta Trade Paperbacks.
38. Kerr, C. E., Sacchet, M. D., Lazar, S. W., Moore, C. I., and Jones, S. R. (2013). Mindfulness starts with the body: somatosensory attention and top-down modulation of cortical alpha rhythms in mindfulness meditation. Front. Hum. Neurosci. 7:12. doi: 10.3389/fnhum.2013.00012.
39. Khalsa, S. S., Rudrauf, D., Damasio, A. R., Davidson, R. J., Lutz, A., and Tranel, D. (2008). Interoceptive awareness in experienced meditators. Psychophysiology 45, 671-677. doi: 10.1111/j.1469-8986.2008.00666.x.
40. Koch, A., and Pollatos, O. (2014). Cardiac sensitivity in children: sex differences and its relationship to parameters of emotional processing. Psychophysiology 51, 932-941. doi: 10.1111/psyp.12233.
41. Lamm, C., and Singer, T. (2010). The role of anterior insular cortex in social emotions. Brain Struct. Funct. 214, 579-591. doi: 10.1007/s00429-010-0251-3.
42. Landsman-Dijkstra, J. J. A., Van Wijck, R., Groothoff, J. W., and Rispens, P. (2004). The short-term effects of a body awareness program: better self-management of health problems for individuals with chronic a-specific psychosomatic symptoms. Patient Educ. Couns. 55, 155-167. doi: 10.1016/j.pec.2004.02.014.
43. Lazar, S. W., Kerr, C. E., Wasserman, R. H., Gray, J. R., Douglas, N., Treadway, M. T., et al. (2005). Meditation experience is associated with increased cortical thickness. Neuroreport 16, 1893-1897.
44. Mehling, W. E., Cynthia, P. J., Daubenmier, J., Mike, A., Bartmess, E., and Stewart, A. (2014). Body awareness and the practice of yoga or meditation in 435 primary care patients with past or current low back pain. J. Altern. Complement. Med. 20, A63-A64. doi: 10.1089/acm.2014.5165.abstract.
45. Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., and Stewart, A. (2009). Body awareness: construct and self-report measures. PLoS ONE 4:e5614. doi: 10.1371/journal.pone.0005614.
46. Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., and Stewart, A. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE 7:e48230. doi: 10.1371/journal.pone.0048230.
47. Mehling, W. E., Wrubel, J., Daubenmier, J. J., Price, C. J., Kerr, C. E., Silow, T., et al. (2011). Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies. Philos. Ethics Humanit. Med. 6, 6. doi: 10.1186/1747-5341-6-6.
48. Melloni, M., Sedeño, L., Couto, B., Reynoso, M., Gelormini, C., Favaloro, R., et al. (2013). Preliminary evidence about the effects of meditation on interoceptive sensitivity and social cognition. Behav. Brain Funct. 9, 47. doi: 10.1186/1744-9081-9-47.
49. Miller, L. C., Murphy, R., and Buss, A. H. (1981). Consciousness of body: private and public. J. Pers. Soc. Psychol. 41, 397-406. doi: 10.1037//0022-3514.41.2.397.
50. Morone, N. E., Lynch, C. S., Greco, C. M., Tindle, H. A., and Weiner, D. K. (2008). "I felt like a new person." the effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. J. Pain 9, 841-848. doi: 10.1016/j.jpain.2008.04.003.
51. Nielsen, L., and Kaszniak, A. W. (2006). Awareness of subtle emotional feelings: a comparison of long-term meditators and nonmeditators. Emotion 6, 392-405. doi: 10.1037/1528-3542.6.3.392.
52. Otto, D. (2012). Achtsamkeit-Selbstzuwendung oder Vermeidungsverhalten? Eine Studie über den Zusammenhang von Achtsamkeit, psychopathologischem Befinden, emotionaler Kompetenz und Bindungsfähigkeit, Diploma-Thesis, University of Hamburg, Hamburg.
53. Pace, T. W. W., Negi, L. T., Adame, D. D., Cole, S. P., Sivilli, T. I., Brown, T. D., et al. (2009). Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology 34, 87-98. doi: 10.1016/j.psyneuen.2008.08.011.
54. Park, H. D., and Tallon-Baudry, C. (2014). The neural subjective frame: from bodily signals to perceptual consciousness. Philos. Trans. R. Soc. Lond. B Bio. Sci. 369, 1-9. doi: 10.1098/rstb.2013.0208.
55. Parkin, L., Morgan, R., Rosselli, A., Howard, M., Sheppard, A., Evans, D., et al. (2013). Exploring the relationship between mindfulness and cardiac perception. Mindfulness 5, 298-313. doi: 10.1007/s12671-012-0181-7.
56. Pekrun, R., Goetz, T., Titz, W., and Perry, R. P. (2002). Academic emotions in students' self-regulated learning and achievement: a program of qualitative and quantitative research. Educ. Psychol. 37, 91-105. doi: 10.1207/S15326985EP3702_4.
57. Petitmengin, C. (2006). Describing one's subjective experience in the second person: an interview method for the science of consciousness. Phenomenol. Cogn. Sci. 5, 229-269. doi: 10.1007/s11097-006-9022-2.
58. Rani, N. J., and Rao, P. V. K. (1994). Body awareness and yoga training. Percept. Mot. Skills 79, 1103-1106. doi: 10.2466/pms.1994.79.3.1103.
59. Rinpoche, T., and Swanson, E. (2012). Open Heart, Open Mind. New York: Harmony Books.
60. Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., and Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice. J. Psychosom. Res. 68, 29-36. doi: 10.1016/j.jpsychores.2009.03.010.
61. Sanfey, A. G., Rilling, J. K., Aronson, J. A., Nystrom, L. E., and Cohen, J. D. (2003). The neural basis of economic decision-making in the Ultimatum Game. Science 300, 1755-1758. doi: 10.1126/science.1082976.
62. Schandry, R. (1981). The relation of HBP and emotional experience. Psychophysiology 18, 483-488. doi: 10.1111/j.1469-8986.1981.tb02486.x.
63. Schure, M. B., Christopher, J., and Christopher, S. (2008). Mind-body medicine and the art of self-care: teaching mindfulness to counseling students through yoga, meditation, and qigong. J. Couns. Dev. 86, 47-56. doi: 10.1002/j.1556-6678.2008.tb00625.x.
64. Selby, J. (1992). Kundalini Awakening: A Gentle Guide to Chakra Activation and Spiritual Growth. New York: Bantam Books.
65. Shapiro, S. L., Carlson, L. E., Astin, J. A., and Freedman, B. (2006). Mechanisms of mindfulness. J. Clin. Psychol. 62, 373-386. doi: 10.1002/jclp.20237.
66. Shields, S., Mallory, M., and Simon, A. (1989). The body awareness questionnaire: reliability and validity. J. Pers. Assess. 53, 802-815. doi: 10.1207/s15327752jpa5304_16.
67. Silani, G., Bird, G., Brindley, R., Singer, T., Frith, C., and Frith, U. (2008). Levels of emotional awareness and autism: an fMRI study. Soc. Neurosci. 3, 97-112. doi: 10.1080/17470910701577020.
68. Singer, T., Critchley, H. D., and Preuschoff, K. (2009). A common role of insula in feelings, empathy and uncertainty. Trends Cogn. Sci. 13, 334-340. doi: 10.1016/j.tics.2009.05.001.
69. Spielberger, C. D., Gorsuch, R. L., and Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto: Consulting Psychologists Press.
70. Sütterlin, S., Schulz, S. M., Stumpf, T., Pauli, P., and Vögele, C. (2013). Enhanced cardiac perception is associated with increased susceptibility to framing effects. Cogn. Sci. 37, 922-935. doi: 10.1111/cogs.12036.
71. Sze, J. A., Gyurak, A., Yuan, J. W., and Levenson, R. W. (2010). Coherence between emotional experience and physiology: does body awareness training have an impact? Emotion 10, 803-814. doi: 10.1037/a0020146.
72. Terasawa, Y., Moriguchi, Y., Tochizawa, S., and Umeda, S. (2014). Interoceptive sensitivity predicts sensitivity to the emotions of others. Cogn. Emot. 8, 1435-1448. doi: 10.1080/02699931.2014.888988.
73. Varela, F., Thompson, E., and Rosch, E. (1991). The Embodied Mind. Cognitive Science and Human Experience. Cambridge: MIT Press.
74. Vaughan, F. (2002). What is spiritual intelligence? J. Humanist. Psychol. 42, 16-33. doi: 10.1177/0022167802422003.
75. Wallace, B. A. (2006). The Attention Revolution-Unlocking the Power of the Focussed Mind. Boston: Wisdom Publications.
76. Whitehead, W. E., Drescher, V. M., Heiman, P., and Blackwell, B. (1977). Relation of heart rate control to heartbeat perception. Biofeedback Self Regul. 2, 371-392. doi: 10.1007/BF00998623.
77. Williams, M., and Penman, D. (2011). Mindfulness. A practical Guide to Finding Peace in a Frantic World. London: Piatkus.