Autonomic imbalance is associated with reduced facial recognition in somatoform disorders

Pollatos, Olga; Herbert, Beate M.; Wankner, Sarah; Dietel, Anja; Wachsmuth, Cornelia; Henningsen, Peter; Sack, Martin

doi:10.1016/j.jpsychores.2011.03.012

Cited by 79 publications

(46 citation statements)

References 62 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A previous study conducted in patients with chronic pelvic pain syndrome (CPPS) showed that men with CPPS had no significant change in HF power or cardiovagal tone upon standing compared with controls . Another study conducted several years later showed that individuals with somatoform disorders have less cardiovagal reactivity during emotional stimuli compared with controls . In addition, a pediatric study showed that children with chronic fatigue syndrome had relatively unchanged cardiovagal and cardiosympathetic tone in response to head‐up‐tilt compared with both a healthy control group and patients evaluated for syncope .…”

Section: Discussionmentioning

confidence: 99%

Autonomic response to a visceral stressor is dysregulated in irritable bowel syndrome and correlates with duration of disease

Cheng

Shih

Alberto

et al. 2013

Neurogastroenterology Motil

View full text Add to dashboard Cite

Background Previous studies reported altered autonomic nervous system (ANS) responses in IBS at baseline and to colonic balloon distension. This study examined heart rate variability (HRV) and plasma catecholamines as an index of ANS responsiveness in IBS during flexible sigmoidoscopy (FS) and explored associations of HRV with clinical measures. Methods Rome III positive IBS patients and healthy controls completed questionnaires measuring GI and psychological symptoms. HRV measures were calculated using electrocardiogram (ECG) data at rest and during FS. Plasma catecholamines were measured before and after the FS. Linear mixed effects models were used to compare HRV with IBS status and IBS duration across six time points. Significance was assessed at the 0.05 level. Results 36 IBS patients (53% F, mean age 37.89) and 31 controls (58% F, mean age 37.26) participated. After adjusting for age, sex, BMI, and HAD anxiety, IBS patients had a non-significant lower cardiovagal tone (p=0.436) and higher cardiosympathetic balance (p=0.316) at rest. During FS, controls showed a transient increase in cardiosympathetic balance and decrease in cardiovagal tone. However, IBS patients had significantly less cardiosympathetic and cardiovagal responsiveness both leading up to (p=0.003, p=0.005) and following (p=0.001, p=0.001) this stimulus. Those with longer duration of disease had less cardiosympathetic (p=0.014) and cardiovagal (p=0.009) responsiveness than those with shorter duration. No differences in catecholamines between IBS and controls were found. Conclusion IBS demonstrated dysregulated ANS responses to a visceral stressor which could be related to disease duration. Therefore, autonomic dysregulation is an objective physiologic correlate of IBS.

show abstract

Section: Discussionmentioning

confidence: 99%

Autonomic response to a visceral stressor is dysregulated in irritable bowel syndrome and correlates with duration of disease

Cheng

Shih

Alberto

et al. 2013

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…Alexithymia is particularly frequent in patients with somatoform disorders who are have often problems to relate their bodily resonance to corresponding affective situations, leading to detached feelings of pressure, burning, pain, etc., which are then attributed to assumed somatic illnesses (Duddu et al, 2003). Moreover, interoceptive sensitivity, measured as a person's ability to accurately perceive one's heartbeats at rest, has been found to be reduced in somatoform patients which was associated with a reduced capacity of emotional self-regulation (Pollatos et al, 2011; Weiß et al, 2014). Interoceptive sensitivity normally facilitates successful self-regulation by providing a fine-tuned feedback of the present emotional state (Füstös et al, 2011).…”

Section: (Psycho)pathological Implicationsmentioning

confidence: 99%

Embodied affectivity: on moving and being moved

2014

View full text Add to dashboard Cite

There is a growing body of research indicating that bodily sensation and behavior strongly influences one's emotional reaction toward certain situations or objects. On this background, a framework model of embodied affectivity1 is suggested: we regard emotions as resulting from the circular interaction between affective qualities or affordances in the environment and the subject's bodily resonance, be it in the form of sensations, postures, expressive movements or movement tendencies. Motion and emotion are thus intrinsically connected: one is moved by movement (perception; impression; affection2) and moved to move (action; expression; e-motion). Through its resonance, the body functions as a medium of emotional perception: it colors or charges self-experience and the environment with affective valences while it remains itself in the background of one's own awareness. This model is then applied to emotional social understanding or interaffectivity which is regarded as an intertwinement of two cycles of embodied affectivity, thus continuously modifying each partner's affective affordances and bodily resonance. We conclude with considerations of how embodied affectivity is altered in psychopathology and can be addressed in psychotherapy of the embodied self.

show abstract

“…Impairments in explicit facial affect recognition have been observed in a range of other disorders sharing clinical characteristics with DS, including depersonalisation disorder (26), borderline personality disorder (27), post-traumatic stress disorder (28) and mixed somatoform diagnoses (29). However, there is currently only one published study of explicit facial expression recognition in patients with DS.…”

Section: Introductionmentioning

confidence: 99%