Health anxiety - An indicator of higher interoceptive sensitivity?
- Publikationstyp:
- Zeitschriftenaufsatz
- Metadaten:
-
- Autoren
- Susann Krautwurst
- Alexander L Gerlach
- Lara Gomille
- Wolfgang Hiller
- Michael Witthoeft
- Autoren-URL
- https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:000334013400012&DestLinkType=FullRecord&DestApp=WOS_CPL
- DOI
- 10.1016/j.jbtep.2014.02.001
- eISSN
- 1873-7943
- Externe Identifier
- Clarivate Analytics Document Solution ID: AE5FO
- PubMed Identifier: 24584036
- ISSN
- 0005-7916
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- JOURNAL OF BEHAVIOR THERAPY AND EXPERIMENTAL PSYCHIATRY
- Schlüsselwörter
- Health anxiety
- Interoception
- Heartbeat perception
- Nonspecific skin conductance fluctuations
- Paginierung
- 303 - 309
- Datum der Veröffentlichung
- 2014
- Status
- Published
- Titel
- Health anxiety - An indicator of higher interoceptive sensitivity?
- Sub types
- Article
- Ausgabe der Zeitschrift
- 45
Datenquelle: Web of Science (Lite)
- Andere Metadatenquellen:
-
- Autoren
- Susann Krautwurst
- Alexander L Gerlach
- Lara Gomille
- Wolfgang Hiller
- Michael Witthöft
- DOI
- 10.1016/j.jbtep.2014.02.001
- ISSN
- 0005-7916
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- Journal of Behavior Therapy and Experimental Psychiatry
- Sprache
- en
- Paginierung
- 303 - 309
- Datum der Veröffentlichung
- 2014
- Status
- Published
- Herausgeber
- Elsevier BV
- Herausgeber URL
- http://dx.doi.org/10.1016/j.jbtep.2014.02.001
- Datum der Datenerfassung
- 2018
- Titel
- Health anxiety – An indicator of higher interoceptive sensitivity?
- Ausgabe der Zeitschrift
- 45
Datenquelle: Crossref
- Abstract
- <h4>Background and objectives</h4>According to cognitive-behavioral models, health anxiety arises from the misattribution of normal bodily sensations as signs of a severe illness. Consequently, higher levels of interoceptive accuracy might be critically involved in the development of health anxiety.<h4>Methods</h4>To test this central assumption of cognitive behavioral models of health anxiety, we assessed interoceptive accuracy in a sample of college students (N = 100). Two interoceptive tasks (detection of one's own heartbeat using the Schandry paradigm and detection of nonspecific skin conductance fluctuations, NSCFs) were used.<h4>Results</h4>We found no indication for a positive association between facets of health anxiety and a higher interoceptive accuracy in the two tasks. In fact, worse heartbeat perception was associated with higher health anxiety as measured by two questionnaires whereas perception of NSCFs was not significantly related to any facet of health anxiety. In addition, we found a bias to overestimate NSCFs in people with heightened health anxiety.<h4>Limitations</h4>Because a sample of college students served as participants, the generalization of the findings is limited and further studies in patients with the diagnosis of hypochondriasis are necessary.<h4>Conclusions</h4>The findings of both interoceptive paradigms suggest that health anxiety is not associated with better but rather with less accurate and biased interoceptive sensitivity. Probably, not a heightened interoceptive sensitivity but rather the bias in overestimating harmless somatic cues is more relevant for the maintenance of health anxiety. Our results are in line with recent research in other somatoform disorders.
- Addresses
- Department of Psychology, Johannes Gutenberg-University Mainz, Germany. Electronic address: krautwur@uni-mainz.de.
- Autoren
- Susann Krautwurst
- Alexander L Gerlach
- Lara Gomille
- Wolfgang Hiller
- Michael Witthöft
- DOI
- 10.1016/j.jbtep.2014.02.001
- eISSN
- 1873-7943
- Externe Identifier
- PubMed Identifier: 24584036
- Open access
- false
- ISSN
- 0005-7916
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- Journal of behavior therapy and experimental psychiatry
- Schlüsselwörter
- Humans
- Regression Analysis
- Anxiety
- Awareness
- Perception
- Galvanic Skin Response
- Heart Rate
- Adult
- Female
- Male
- Young Adult
- Surveys and Questionnaires
- Sprache
- eng
- Medium
- Print-Electronic
- Online publication date
- 2014
- Paginierung
- 303 - 309
- Datum der Veröffentlichung
- 2014
- Status
- Published
- Datum der Datenerfassung
- 2014
- Titel
- Health anxiety--an indicator of higher interoceptive sensitivity?
- Sub types
- Research Support, Non-U.S. Gov't
- Journal Article
- Ausgabe der Zeitschrift
- 45
Datenquelle: Europe PubMed Central
- Abstract
- BACKGROUND AND OBJECTIVES: According to cognitive-behavioral models, health anxiety arises from the misattribution of normal bodily sensations as signs of a severe illness. Consequently, higher levels of interoceptive accuracy might be critically involved in the development of health anxiety. METHODS: To test this central assumption of cognitive behavioral models of health anxiety, we assessed interoceptive accuracy in a sample of college students (N = 100). Two interoceptive tasks (detection of one's own heartbeat using the Schandry paradigm and detection of nonspecific skin conductance fluctuations, NSCFs) were used. RESULTS: We found no indication for a positive association between facets of health anxiety and a higher interoceptive accuracy in the two tasks. In fact, worse heartbeat perception was associated with higher health anxiety as measured by two questionnaires whereas perception of NSCFs was not significantly related to any facet of health anxiety. In addition, we found a bias to overestimate NSCFs in people with heightened health anxiety. LIMITATIONS: Because a sample of college students served as participants, the generalization of the findings is limited and further studies in patients with the diagnosis of hypochondriasis are necessary. CONCLUSIONS: The findings of both interoceptive paradigms suggest that health anxiety is not associated with better but rather with less accurate and biased interoceptive sensitivity. Probably, not a heightened interoceptive sensitivity but rather the bias in overestimating harmless somatic cues is more relevant for the maintenance of health anxiety. Our results are in line with recent research in other somatoform disorders.
- Date of acceptance
- 2014
- Autoren
- Susann Krautwurst
- Alexander L Gerlach
- Lara Gomille
- Wolfgang Hiller
- Michael Witthöft
- Autoren-URL
- https://www.ncbi.nlm.nih.gov/pubmed/24584036
- DOI
- 10.1016/j.jbtep.2014.02.001
- eISSN
- 1873-7943
- Ausgabe der Veröffentlichung
- 2
- Zeitschrift
- J Behav Ther Exp Psychiatry
- Schlüsselwörter
- Health anxiety
- Heartbeat perception
- Interoception
- Nonspecific skin conductance fluctuations
- Adult
- Anxiety
- Awareness
- Female
- Galvanic Skin Response
- Heart Rate
- Humans
- Male
- Perception
- Regression Analysis
- Surveys and Questionnaires
- Young Adult
- Sprache
- eng
- Country
- Netherlands
- Paginierung
- 303 - 309
- PII
- S0005-7916(14)00005-6
- Datum der Veröffentlichung
- 2014
- Status
- Published
- Datum, an dem der Datensatz öffentlich gemacht wurde
- 2014
- Titel
- Health anxiety--an indicator of higher interoceptive sensitivity?
- Sub types
- Journal Article
- Research Support, Non-U.S. Gov't
- Ausgabe der Zeitschrift
- 45
Datenquelle: PubMed
- Beziehungen:
- Eigentum von