Learning to fear obstructed breathing: Comparing interoceptive and exteroceptive cues

Pappens, Meike; Bergh, Omer Van den; Vansteenwegen, Debora; Ceunen, Erik; Peuter, Steven De; Diest, Ilse Van

doi:10.1016/j.biopsycho.2011.05.004

Cited by 44 publications

(59 citation statements)

References 25 publications

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“…Finally, interoceptive fear conditioning to an interoceptive and exteroceptive conditional stimulus (CS) with a severe respiratory load applied for 30s as the unconditional stimulus resulted in a CS‐load associated larger startle blinks and a smaller decrease in respiratory rate and tidal volume. In comparison, a CS‐picture evoked an increase in tidal volume and self‐reported fear . Therefore, breathing modulation via inspiratory loads is associated with the similar neural and behavioral plasticity that occurs with other exteroceptive stimuli.…”

Section: Resistive Loads—an Experimental Approach To Measure Breathinmentioning

confidence: 91%

The Breathing Conundrum-Interoceptive Sensitivity and Anxiety

Paulus

2013

Depress Anxiety

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Cognitive and affective processing has been the central focus of brain-related functions in psychology and psychiatry for many years. Much less attention has been paid to, what could be considered the primary function of the brain, to regulate the function of the body. Recent developments, which include the conceptualization of interoception as a process consisting of integrating the information coming from the inside of the body in the central nervous system (CNS) and the appreciation that complex emotional processes are fundamentally affected by the processing and regulation of somatic states, have profoundly changed the view of the function and dysfunction of the brain. This review focuses on the relationship between breathing and anxiety. Several anxiety disorders have been associated with altered breathing, perception of breathing and response to manipulations of breathing. Both clinical and experimental research studies are reviewed that relate breathing dysfunctions to anxiety. Altered breathing may be useful as a physiological marker of anxiety as well as a treatment target using interoceptive interventions.

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Section: Resistive Loads—an Experimental Approach To Measure Breathinmentioning

confidence: 91%

The Breathing Conundrum-Interoceptive Sensitivity and Anxiety

Paulus

2013

Depress Anxiety

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“…Up till now, findings from our lab generally suggest that a fear response is necessary to establish feedforward learning in adult human breathing behavior. Anticipatory fear responses were observed when using breathing loads and occlusions as US (Pappens et al, 2011(Pappens et al, , 2012a(Pappens et al, , 2013. In addition, to these anticipatory fear responses a small change in breathing behavior was observed.…”

Section: Discussionmentioning

confidence: 86%

“…In two experiments, Pappens et al (2013) compared an interoceptive CS (non-aversive resistive load) with an exteroceptive CS (neutral picture) in a fear learning paradigm with an aversive, strong resistive load as the US. They found fear conditioned changes in volume-related breathing parameters.…”

Section: Introductionmentioning

confidence: 99%

Reprint of “Learning to breathe? Feedforward regulation of the inspiratory motor drive”

Zaman

Bergh

Fannes

et al. 2014

Respiratory Physiology & Neurobiology

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“…The limited number of studies using interoceptive stimuli to induce an unpleasant affective state found a potentiation of the startle blink only during anticipation of the aversive interoceptive stimulus (Hubbard et al, 2011;Lang et al, 2011;Melzig et al, 2008;Naliboff et al, 2009;Pappens et al, 2013;Twiss et al, 2009). However, any such potentiation of startle was absent when startles were elicited simultaneously with interoceptive stimulation (Ceunen, Vlaeyen, & Van Diest, 2013;Pappens et al, 2010;.…”

Section: Discussionmentioning

confidence: 99%

“…Also during tonic cold pain and tonic heat pain, which are both interoceptive according to the definition of interoception forwarded by Craig (2002), no startle potentiation has been observed (Deuter et al, 2012;Horn et al, 2012). In contrast, during anxious anticipation of respiratory and other interoceptive sensations, the expected startle potentiation has been found (Hubbard et al, 4 | Startle responding in the context of visceral pain 4 2011; Lang et al, 2011;Melzig et al, 2008;Naliboff et al, 2009;Pappens et al, 2013;Twiss et al, 2009). …”

Section: Introductionmentioning

confidence: 99%

Startle responding in the context of visceral pain

Ceunen

Zaman

Herssens

et al. 2015

International Journal of Psychophysiology

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This study aimed to investigate affective modulation of eye blink startle by aversive visceral stimulation. Startle blink EMG responses were measured in 31 healthy participants receiving painful, intermittent balloon distentions in the distal esophagus during 4 blocks (positive, negative, neutral or no pictures), and compared to startles during 3 'safe' blocks without esophageal stimulations (positive, negative or neutral emotional pictures). Women showed enhanced startle during blocks with distentions (as compared to 'safe' blocks), both when the balloon was in an inflated and deflated state, suggesting that fear and/or expectations may have played a role. Men's startle did not differ between distention and non-distention blocks. In this particular study context affective picture viewing did not further impose any effect on startle eye blink responses. The current results may contribute to a better understanding of emotional reactions to aversive interoceptive stimulation. The present work is original as it has not been published before. It is not submitted for publication elsewhere, and will not be submitted elsewhere now that the editiorial team of the International Journal of Psychophysiology has recommended publication. The final minor changes that were recommended prior to publication, have now been implemented. ERIK CEUNENWe would like to thank you for having collected the thougthful reviews for our work and for allowing us to provide a meaningful contribution to the International Journal of Psychophysiology.Your sincerely, Erik Ceunen, also on behalf of the co-authors Please see the comments appended below to guide you in preparing your revision. Please submit a list of changes or a rebuttal against each of the points noted in the reviews along with the revised manuscript.Because we are trying to facilitate timely publication of manuscripts submitted to the International Journal of Psychophysiology, your revised manuscript should be uploaded as soon as possible but no later than 30 days.Once you have completed your revisions, kindly resubmit your manuscript as a revised paper via the Elsevier Editorial System (http://ees.elsevier.com/intpsy/). Please ensure that you use the option available under "Submissions Requiring Revision" on your author homepage.Your login details are as follows: Your username is: erik_ceunen@yahoo.com. If you need to retrieve password details, please go to http://ees.elsevier.com/intpsy/automail_query.asp.We would like to thank you for contributing this interesting paper to the International Journal of Psychophysiology, and we look forward to receiving your revised manuscript.Please note that this journal offers a new, free service called AudioSlides: brief, webcast-style presentations that are shown next to published articles on ScienceDirect (see also http://www.elsevier.com/audioslides). If your paper is accepted for publication, you will automatically receive an invitation to create an AudioSlides presentation.Yours sincerely, Response to ReviewersPaul Pauli, PhD Ac...

show abstract

Learning to fear obstructed breathing: Comparing interoceptive and exteroceptive cues

Cited by 44 publications

References 25 publications

The Breathing Conundrum-Interoceptive Sensitivity and Anxiety

The Breathing Conundrum-Interoceptive Sensitivity and Anxiety

Reprint of “Learning to breathe? Feedforward regulation of the inspiratory motor drive”

Startle responding in the context of visceral pain

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