Accuracy and awareness of perception: Related, yet distinct (commentary on Herbert et al., 2012)

Ceunen, Erik; Diest, Ilse Van; Vlaeyen, Johan W.S.

doi:10.1016/j.biopsycho.2012.09.012

Cited by 80 publications

(83 citation statements)

References 14 publications

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“…Little is known, if the ability to count heartbeats under resting conditions allows predictions on the ability to perceive HR changes. Ceunen et al (2013) caution researchers that the results from HR-IAc experiments should be interpreted carefully and must not necessarily lead to the general conclusion that panic patients have better interoception than no-panic-controls. Supporting this line of thought, Paulus and Stein (2010) state that unimpaired IAc is expected in healthy individuals and that anxiety and depression are associated with a decrease of interoceptive accuracy out of an "increased but noisy afferent input" and "positive alliesthesia" (p. 456).…”

Section: Limitations Of Hr-iac Studiesmentioning

confidence: 95%

“…While the bigger part of research focuses on interoceptive accuracy, Ceunen et al (2013) make a distinction between interoceptive awareness (IAw) and interoceptive accuracy (IAc). Where accuracy is an objective measure representing the fit between subject's estimates and physiological parameters, awareness means the dispositional tendency to be internally focused and self-reported beliefs about body tendencies (Ceunen et al, 2013).…”

Section: Interoceptive Awareness In Panic and Depressionmentioning

confidence: 99%

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Panic and comorbid depression and their associations with stress reactivity, interoceptive awareness and interoceptive accuracy of various bioparameters

Limmer

Kornhuber

Martin

2015

Journal of Affective Disorders

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Section: Limitations Of Hr-iac Studiesmentioning

confidence: 95%

Section: Interoceptive Awareness In Panic and Depressionmentioning

confidence: 99%

Panic and comorbid depression and their associations with stress reactivity, interoceptive awareness and interoceptive accuracy of various bioparameters

Limmer

Kornhuber

Martin

2015

Journal of Affective Disorders

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“…For example, on both neurobiological and functional grounds, a distinction can be made between interoceptive accuracy, which refers to the ability to accurately perceive one's own internal activity, and interoceptive or body awareness, which refers to the state of being cognizant, mindful of one's own internal state (Khalsa et al, 2008(Khalsa et al, , 2009Ceunen et al, 2013). Interestingly, heightened body awareness can be both adaptive and maladaptive for perceived health (Mehling et al, 2009), whereas evidence shows that elevated symptom reporting may be related to reduced interoceptive accuracy (see further).…”

Section: Interoceptionmentioning

confidence: 99%

Symptom Perception, Awareness and Interpretation

Bergh

Bogaerts

Diest

2015

International Encyclopedia of the Social &Amp; Behavioral Sciences

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Self-reported health complaints result from a complex integration of interoceptive (bottom-up) information emerging from peripheral physiological activity with (top-down) perceptual-cognitive and affective processes. Interoceptive signals have to be sensed, perceived, attended to, appreciated and interpreted, put into language and expressed, mostly in a social context. In this article, we will discuss the role of perceptual and attentional processes, anticipation, symptom schemata and illness beliefs, emotion and personality, and memory processes. Their role may importantly influence the relationship between indicators of peripheral physiological activity and self-reported health complaints. Interoception and Symptom PerceptionAlthough all self-reported health complaints are the result of processes in the brain, a general assumption is that they accurately reflect dysfunctional processes in the peripheral body. The afferent or sensory processes transmitting information from the body to the brain can be called interoception. However, although interoception and symptom perception are related processes, they are not the same.

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“…[20]. The historic terminology of interoception has contributed to confusion: the terms interoceptive awareness and interoceptive sensitivity have previously been treated synonymously and interchangeably, although metacognitive awareness measures of interoceptive ability have seldom been probed [30,31]. Recent empirical work demonstrates a dissociation between performance accuracy for cardiac interoception and subjective belief about one's own performance aptitude (e.g.…”

Section: (B) Differentiating Interoceptive Accuracy From Metacognitivmentioning

confidence: 99%

Interoceptive dimensions across cardiac and respiratory axes

Garfinkel

Manassei

Hamilton-Fletcher

et al. 2016

Phil. Trans. R. Soc. B

250

242

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Interoception refers to the sensing of signals concerning the internal state of the body. Individual differences in interoceptive sensitivity are proposed to account for differences in affective processing, including the expression of anxiety. The majority of investigations of interoceptive accuracy focus on cardiac signals, typically using heartbeat detection tests and self-report measures. Consequently, little is known about how different organ-specific axes of interoception relate to each other or to symptoms of anxiety. Here, we compare interoception for cardiac and respiratory signals. We demonstrate a dissociation between cardiac and respiratory measures of interoceptive accuracy (i.e. task performance), yet a positive relationship between cardiac and respiratory measures of interoceptive awareness (i.e. metacognitive insight into own interoceptive ability). Neither interoceptive accuracy nor metacognitive awareness for cardiac and respiratory measures was related to touch acuity, an exteroceptive sense. Specific measures of interoception were found to be predictive of anxiety symptoms. Poor respiratory accuracy was associated with heightened anxiety score, while good metacognitive awareness for cardiac interoception was associated with reduced anxiety. These findings highlight that detection accuracies across different sensory modalities are dissociable and future work can better delineate their relationship to affective and cognitive constructs. This article is part of the themed issue ‘Interoception beyond homeostasis: affect, cognition and mental health’.

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Accuracy and awareness of perception: Related, yet distinct (commentary on Herbert et al., 2012)

Cited by 80 publications

References 14 publications

Panic and comorbid depression and their associations with stress reactivity, interoceptive awareness and interoceptive accuracy of various bioparameters

Panic and comorbid depression and their associations with stress reactivity, interoceptive awareness and interoceptive accuracy of various bioparameters

Symptom Perception, Awareness and Interpretation

Interoceptive dimensions across cardiac and respiratory axes

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