Body vigilance in panic disorder: Evaluating attention to bodily perturbations.

Schmidt, Norman B.; Lerew, Darin R.; Trakowski, John H.

doi:10.1037/0022-006x.65.2.214

Cited by 293 publications

(287 citation statements)

References 18 publications

Supporting

Mentioning

263

Contrasting

Unclassified

Order By: Relevance

“…Vigilance for bodily sensations was assessed using the BVS (30). The BVS assesses attentional focus for bodily sensations and consists of four items in which participants indicate on an 11-point Likert scale (0 = none to 10 = extreme) the degree to which they agree with a particular statement regarding selective attention to bodily sensations.…”

Section: Self-report Datamentioning

confidence: 99%

See 1 more Smart Citation

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

Rost

Ryckeghem

Schulz

et al. 2017

Journal of Psychosomatic Research

View full text Add to dashboard Cite

Objective: The factors underlying the aetiology of fibromyalgia (FM) are largely unknown.According to the generalized hypervigilance hypothesis (GHH), FM patients show excessive attention towards pain stimuli and other sensory events, thereby increasing pain perception and dysfunctional behaviour. We tested this notion by assessing interoceptive accuracy (IA) in FM patients and matched healthy controls. We also tested the hypothesis that FM is characterized by reduced self-regulatory capacity as indexed by heart rate variability (HRV).Methods: 47 FM patients (Mage = 45.5, 39 females) and 45 healthy controls (Mage = 44.9, 37 females) completed several self-report scales (Body Vigilance Scale, Depression Anxiety Stress Scales, Pain Catastrophizing Scale). To derive HRV, heart rate was monitored under resting conditions; for the assessment of IA participants performed a heartbeat tracking task in which they were asked to silently count their heartbeats. Results: FM patients reported higher body vigilance than healthy controls, but there were no group differences in IA. FM patients had lower HRV compared with healthy controls. HRV did not predictor IA. Conclusion: In conclusion, our findings do not support the hypothesis of generalized hypervigilance in FM patients. Patients reported a heightened focus on bodily sensations, which was not reflected in IA. It may be that hypervigilance is not a general and stable characteristic but is rather context dependent and modality-specific.

show abstract

Section: Self-report Datamentioning

confidence: 99%

“…Summing the four items derives a total score of the BVS with a range from 0 to 40. The questionnaire has adequate internal consistency in clinical and nonclinical populations (30,34). Cronbach's alpha for the current study was acceptable (α = .70).…”

Section: Self-report Datamentioning

confidence: 99%

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

Rost

Ryckeghem

Schulz

et al. 2017

Journal of Psychosomatic Research

View full text Add to dashboard Cite

show abstract

“…The Body Vigilance Scale (BVS; Schmidt et al, 1997) is a four-item questionnaire that measures vigilance for bodily symptoms on a 11-point numerical rating scale (e.g., On average, how much time do you spend each day 'scanning' your body for sensations [0= "no time", 10= "all of the time"]). The last item is an average of the awareness scores of 15 nonspecific body symptoms (e.g., Rate how much attention you pay to each of the following … heart palpitations, dizziness, nausea, … sensations [0= "none", 10= "extreme"]).…”

Section: Self-report Measuresmentioning

confidence: 99%

The effect of chronic low back pain on tactile suppression during back movements

Damme

Hulle

Danneels

et al. 2014

Human Movement Science

View full text Add to dashboard Cite

The aim of the present study was to examine whether tactile suppression, the phenomenon whereby tactile perception is suppressed during movement, would occur in the context of back movements. Of particular interest, it was investigated if tactile suppression in the back would be attenuated in those suffering from chronic low back pain. Individuals with chronic low back pain (N = 30) and a matched control group (N = 24) detected tactile stimuli on three possible locations (back, arm, chest) while performing a back or arm movement, or no movement. We hypothesized that the movements would induce tactile suppression, and that this effect would be largest for low-intense stimuli on the moving body part. We further hypothesized that, during back movements, tactile suppression on the back would be less pronounced in the chronic low back pain group than in the control group. The results showed the expected general tactile suppression effects. The hypothesis of back-specific attenuation of tactile suppression in the chronic low back pain group was not supported. However, backspecific tactile suppression in the chronic low back pain group was less pronounced in those who performed the back movements more slowly.

show abstract

“…The role of the prolonged exposure treatment in the remediation of the panic disorder is an interesting finding. Increased body vigilance and the misinterpretation of bodily symptoms has been hypothesized to play an important role in the development and maintenance of panic disorder (Clark et al, 1997;Schmidt, Lerew, & Trakowski, 1997). Exposure, albeit interoceptive exposure, has been used in the treatment of panic disorder (Barlow & Craske, 1989).…”

Section: Ptsd and Ibsmentioning

confidence: 99%

Prolonged exposure therapy and irritable bowel syndrome: A case study examining the impact of a trauma-focused treatment on a physical condition

Weaver

Nishith

Resick

1998

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

Previous research has shown that psychological treatments, particularly those employing cognitive techniques, are particularly effective in the treatment of irritable bowel syndrome (IBS). It is presumed that these psychological interventions are effective at ameliorating the IBS by treating an underlying psychological disorder (often an anxiety disorder), which may be contributing to the autonomic reactivity. This case study examined the change in the physical symptoms of IBS for a patient seeking treatment for rape-related PTSD with comorbid conditions of major depression and panic. At posttreatment, the patient no longer met criteria for PTSD, major depression, or panic. In addition, her primary symptom of IBS, diarrhea frequency, was significantly improved. These findings were maintained at 3 and 9 months posttreatment. Implications for the assessment and treatment of IBS patients with PTSD are discussed.The complex interplay between the psychological and physical impact of stressful life experiences has been receiving increased attention (Cohen & Williamson, 1991;Herbert & Cohen, 1993;Watson & Pennebaker, 1989). A condition particularly illustrative of this interplay is irritable bowel syndrome (IBS). IBS is a functional disorder of the lower gastrointestinal (GI) tract primarily characterized by cramping abdominal pain and bowel disruptions, which may include diarrhea or constipation, separately or alternating periods of each condition (Drossman, 1994). While the issue of a truly causal relationship between ongoing (daily) stressors and IBS symptoms has been questioned (Suls, Wan, & Blanchard, 1994), correlational research suggests that psychosocial stressors play an important role in IBS symptom initiation (Craig & Brown, 1984; Mendeloff, Monk, Siegel, & Lilienfeld, 1970) and exacerbation (Drossman et al., 1988).Recently, researchers have found that stressful experiences of a traumatic nature have distinguished treatment-seeking patients with functional GI illness (IBS) from patients with organic GI illness, such as inflammatory bowel disease (Drossman et al., 1990;Walker, Gelfand, Gelfand, & Katon, 1995). Treatment-seeking IBS patients are also more likely to report higher rates of psychiatric diagnoses compared with patients with inflammatory bowel disease (Blanchard, 1993;Greene & Blanchard, 1994;Walker et al., 1995). Many of these diagnoses have been in the spectrum of anxiety disorders, with particularly high rates of generalized anxiety disorder (GAD) reported (Blanchard). Anxiety disorders can include symptoms of fixed perceptions of threat, anticipation of problems, and catastrophizing. These characteristic symptoms may then trigger physiological (GI) hyperarousal associated Copyright 1998 by Association for Advancement of Behavior Therapy, All rights of reproduction in any form reserved.Correspondence concerning this article should be addressed to Terri L. Weaver, Center for Trauma Recovery and Department of Psychology, University of Missouri-St. Louis, 8001 Natural Bridge Road, St. Lo...

show abstract

Body vigilance in panic disorder: Evaluating attention to bodily perturbations.

Cited by 293 publications

References 18 publications

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

Generalized hypervigilance in fibromyalgia: Normal interoceptive accuracy, but reduced self-regulatory capacity

The effect of chronic low back pain on tactile suppression during back movements

Prolonged exposure therapy and irritable bowel syndrome: A case study examining the impact of a trauma-focused treatment on a physical condition

Contact Info

Product

Resources

About