Universität zu Köln

Schroeder, Stefanie, Gerlach, Alexander L. ORCID: 0000-0001-6794-5349, Achenbach, Stephan and Martin, Alexandra (2015). The Relevance of Accuracy of Heartbeat Perception in Noncardiac and Cardiac Chest Pain. Int. J. Behav. Med., 22 (2). S. 258 - 268. NEW YORK: SPRINGER. ISSN 1532-7558

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Abstract

Background The development and course of noncardiac chest pain are assumed to be influenced by interoceptive processes. Purpose It was investigated whether heartbeat perception was enhanced in patients suffering from noncardiac chest pain and to what degree it was associated with self-reported cognitive-perceptual features and chest pain characteristics. Methods A total of 42 patients with noncardiac chest pain (NCCP), 35 patients with cardiac chest pain, and 52 healthy controls were recruited. Heartbeat perception was assessed using the Schandry task and a modified Brener-Kluvitse task. Self-report measures assessed anxiety sensitivity, somatosensory amplification, heart-focused anxiety, and chest pain characteristics. Results Heartbeat perception was not more accurate in patients with NCCP, compared to patients with cardiac chest pain and healthy controls. However, in patients with NCCP, the error score (Schandry task) was significantly associated with stronger chest pain impairment, and the response bias (Brener-Kluvitse task) was associated with lower chest pain intensity. Conclusion Against assumptions of current etiological models, heartbeat perception was not enhanced in patients with NCCP. Chest pain characteristics and particularly their appraisal as threatening might be more relevant to NCCP than the perceptional accuracy of cardiac sensations and should be focused in psychological interventions. However, associations with chest pain impairment suggest cardiac interoception to influence the course of NCCP.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schroeder, Stefanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerlach, Alexander L. UNSPECIFIED orcid.org/0000-0001-6794-5349 UNSPECIFIED Achenbach, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Martin, Alexandra UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-409028
DOI:	10.1007/s12529-014-9433-3
Journal or Publication Title:	Int. J. Behav. Med.
Volume:	22
Number:	2
Page Range:	S. 258 - 268
Date:	2015
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1532-7558
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSYCHOSOCIAL FACTORS; ANXIETY SENSITIVITY; SOMATIC AWARENESS; BEAT PERCEPTION; FOCUSED ANXIETY; PANIC DISORDER; SOMATOFORM; SYMPTOMS; PREVALENCE; CARE Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40902