Dissociation between the cognitive and interoceptive components of mindfulness in the treatment of chronic worry

Delgado-Pastor, Luis Carlos; Ciria, Luís F.; Beatriz, Blanca; Mata, José Luís; Vera, María Nieves; Vila, Jaime

doi:10.1016/j.jbtep.2015.04.001

Cited by 33 publications

(13 citation statements)

References 41 publications

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“…Maher-Edwards et al (2011) showed that metacognitive factors (including need for control of thoughts) predict individual levels of fatigue symptoms in CFS; however, the metacognitive assessment did not specifically consider interoception. Delgado-Pastor et al (2015) did focus on metacognition of interoception and showed that increasing metacognitive abilities about interoception (by mindfulness-based interoceptive training) reduced worry more than increasing metacognition about other cognitive processes; however, this study did not specifically examine fatigue.…”

Section: A Hierarchical Bayesian View On Fatigue and Depression As Mementioning

confidence: 74%

Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression

Stephan

Manjaly

Mathys

et al. 2016

Front. Hum. Neurosci.

343

462

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This paper outlines a hierarchical Bayesian framework for interoception, homeostatic/allostatic control, and meta-cognition that connects fatigue and depression to the experience of chronic dyshomeostasis. Specifically, viewing interoception as the inversion of a generative model of viscerosensory inputs allows for a formal definition of dyshomeostasis (as chronically enhanced surprise about bodily signals, or, equivalently, low evidence for the brain's model of bodily states) and allostasis (as a change in prior beliefs or predictions which define setpoints for homeostatic reflex arcs). Critically, we propose that the performance of interoceptive-allostatic circuitry is monitored by a metacognitive layer that updates beliefs about the brain's capacity to successfully regulate bodily states (allostatic self-efficacy). In this framework, fatigue and depression can be understood as sequential responses to the interoceptive experience of dyshomeostasis and the ensuing metacognitive diagnosis of low allostatic self-efficacy. While fatigue might represent an early response with adaptive value (cf. sickness behavior), the experience of chronic dyshomeostasis may trigger a generalized belief of low self-efficacy and lack of control (cf. learned helplessness), resulting in depression. This perspective implies alternative pathophysiological mechanisms that are reflected by differential abnormalities in the effective connectivity of circuits for interoception and allostasis. We discuss suitably extended models of effective connectivity that could distinguish these connectivity patterns in individual patients and may help inform differential diagnosis of fatigue and depression in the future.

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Section: A Hierarchical Bayesian View On Fatigue and Depression As Mementioning

confidence: 74%

Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression

Stephan

Manjaly

Mathys

et al. 2016

Front. Hum. Neurosci.

343

462

View full text Add to dashboard Cite

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“…As a component of larger behavioral interventions, MM produces symptom reduction and improved QOL for individuals suffering from anxiety disorders (e.g., Chen et al, 2012;Khoury et al, 2013;Serpa, Taylor, & Tillisch, 2014). Brief mindfulness training helps individuals learn how to regulate negative responses to stimuli, and even infrequently practiced MM increases well-being and reduces worry, general anxiety symptoms, and psychological distress for people with mild anxiety symptoms (Call, Miron, & Orcutt, 2014;Cavanagh et al, 2013;Delgado-Pastor et al, 2015;Vesa, Liedberg, & Rönnlund, 2016;Yamada & Victor, 2012). However, mindfulness-based treatments are not always successful, particularly when anxiety symptom reduction is the desired outcome (Strauss, Cavanagh, Oliver, & Pettman, 2014).…”

Section: Mindfulnessmentioning

confidence: 99%

Evaluation of the contribution of values clarification to a brief mindfulness meditation intervention for anxiety

et al. 2018

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“…(18) There are also a number of mindfulness-based intervention studies that have examined RSA as a marker of clinical improvements. (46-49) To date, there is considerable variability in the published literature across study designs and the rigor with which psychophysiological methods have been applied. However, based upon our review, four studies merit further mention based upon strong study designs and relatively thorough description of psychophysiological methods and analyses (see Table 1).…”

Section: Interoceptive Awareness and Self-regulation In Mindfulness-bmentioning

confidence: 99%

“…sustained attention to bodily sensations in response to stress to explore response to external events and related internal or behavioral responses) [18]. A number of mindfulness-based intervention studies have also examined RSA as a marker of clinical improvements [46][47][48][49]. To date, there is considerable variability in the published literature across study designs and the rigor with which psychophysiological methods have been applied.…”

Section: Interoceptive Awareness and Self-regulation In Mindfulness-bmentioning

confidence: 99%

Respiratory sinus arrhythmia as a potential measure in substance use treatment–outcome studies

Price

Crowell

2016

Addiction

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Background and Aims Dysfunction of physiological regulation systems may underlie the disrupted emotional and self-regulatory processes among people with substance use disorder (SUD). This paper reviews evidence as to whether respiratory sinus arrhythmia (RSA), as a psychophysiological index of emotional regulation, could provide useful information in treatment-outcome research to provide insights into recovery processes. Methods We reviewed use of RSA in clinical research and studies on SUD treatment. Search terms for the review of RSA in clinical research included respiratory sinus arrhythmia, heart rate variability, vagal, cardiac vagal control, psychophysiology, intervention, treatment, mindfulness, mind-body, mental health, substance use, chemical dependence, regulation, emotion regulation. For the review of RSA in intervention studies, we included only those that provided adequate description of psychophysiological methods, and examined RSA in the context of an intervention study. Results RSA appears to be able to provide an index of self-regulatory capacity; however it has been little used in either intervention or treatment research. Of the four intervention studies included in this review, all were mindfulness-based interventions. Two studies were with substance using samples and both showed pre-post increases in RSA and related improved substance use outcomes. Two of the three studies were RCTs and both showed significant increases in RSA in the experimental compared to comparison condition. Conclusion Respiratory sinus arrhythmia may be a useful index of emotional regulation in people with substance use disorder, and a potential measure of underlying mechanisms for SUD treatment studies, particularly mindfulness-based interventions.

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Dissociation between the cognitive and interoceptive components of mindfulness in the treatment of chronic worry

Cited by 33 publications

References 41 publications

Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression

Allostatic Self-efficacy: A Metacognitive Theory of Dyshomeostasis-Induced Fatigue and Depression

Evaluation of the contribution of values clarification to a brief mindfulness meditation intervention for anxiety

Respiratory sinus arrhythmia as a potential measure in substance use treatment–outcome studies

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