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Somatic symptom distress is not related to cardioceptive accuracy.
Petzke, Tara M; Köteles, Ferenc; Pohl, Anna; Witthöft, Michael.
Afiliación
  • Petzke TM; Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes-Gutenberg-University Mainz, Wallstraße 3, 55122 Mainz, Germany. Electronic address: tpetzke@uni-mainz.de.
  • Köteles F; Department of General Psychology and Methodology, Károli Gáspár University of the Reformed Church in Hungary, Kálvin tér 9, 1091 Budapest, Hungary. Electronic address: koteles.ferenc.gabor@kre.hu.
  • Pohl A; Department of Psychology, Institute of Clinical Psychology and Psychotherapy, University of Cologne, Pohligstraße 1, 50969 Cologne, Germany. Electronic address: apohl2@uni-koeln.de.
  • Witthöft M; Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes-Gutenberg-University Mainz, Wallstraße 3, 55122 Mainz, Germany. Electronic address: witthoef@uni-mainz.de.
J Psychosom Res ; 181: 111655, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38609776
ABSTRACT

OBJECTIVE:

(Cardiac) interoception was long considered a key mechanism behind symptom perception in persistent somatic symptoms (PSS). In this study, we aimed to extend earlier findings to clarify this potential interoceptive mechanisms of PSS.

METHODS:

A cross-sectional sample of 251 participants (23.1% with self-reported functional somatic syndrome) completed a laboratory study with two cardioceptive accuracy tasks (Schandry task and a new cardiac signal detection task) and multiple questionnaires. Somatic symptom distress and associated constructs were assessed with the PHQ-15, as well as with a novel multidimensional questionnaire measure (HiTOP-SF1) derived from the somatoform spectrum of the Hierarchical Taxonomy of Psychopathology (HiTOP). Correlations (frequentist and Bayesian) and structural equation modelling (SEM) helped further investigate the interplay between these variables.

RESULTS:

There were no significant correlations between measures of interoception and somatic symptom distress. Self-report and behavioral cardioceptive accuracy measures did not correlate significantly. No significant covariances emerged between diagnostic tools and cardioceptive accuracy; Bayesian analyses supported the lack of association between interoception and symptom perception.

CONCLUSIONS:

Cardiac interoception (specifically cardioceptive accuracy) unlikely represents a key mechanism in PSS etiology. We recommend investigating other factors in PSS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Interocepción / Síntomas sin Explicación Médica Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Psychosom Res Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Interocepción / Síntomas sin Explicación Médica Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Psychosom Res Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido