Universität zu Köln

Schroeder, Stefanie, Gerlach, Alexander L. ORCID: 0000-0001-6794-5349 and Martin, Alexandra (2014). Implicit affective evaluation of somatosensory sensations in patients with noncardiac chest pain. J. Behav. Ther. Exp. Psychiatry, 45 (3). S. 381 - 389. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1873-7943

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Abstract

Background and objectives: Etiological models of noncardiac chest pain (NCCP) stress the importance of abnormal implicit affective evaluations of somatosensory sensations, but this has never been studied empirically. The aim was therefore to assess implicit affective evaluations of somatosensory stimuli in NCCP using an experimental design. Methods: A total of 34 patients with NCCP, 24 patients with cardiac chest pain, and 46 healthy controls, took part in the study. Participants completed a tactile modification of the Affect Misattribution Procedure (tAMP) and answered self-report measures on anxiety sensitivity, somatosensory amplification, and somatic symptom distress. Results: A 3 x 3-ANOVA revealed that most negative judgments were found in the aversive condition, but this effect was not specific to patients with NCCP. Anxiety sensitivity was positively associated with negative implicit evaluations of aversive tactile stimuli in the tAMP. Limitations: The task seemed to be too difficult for older participants. Also, future studies should apply clinically more relevant, e.g., heart related, stimuli that are more ecologically valid than the electrical stimulation of the finger used as a proxy for aversive somatosensory sensations here. Conclusions: Against theoretical assumptions, patients with NCCP do not seem to show a stronger implicit negative interpretation bias concerning somatosensory sensations in comparison to patients either with cardiac chest pain, or without chest pain. Nevertheless, anxiety sensitivity seems to contribute significantly to implicit affective interpretations of somatic sensations. Further studies are required investigating the relevance of implicit interpretative processes for the course of NCCP and distressing somatic symptoms in general. (C) 2014 Elsevier Ltd. All rights reserved.

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 Martin, Alexandra UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-431205
DOI:	10.1016/j.jbtep.2014.04.002
Journal or Publication Title:	J. Behav. Ther. Exp. Psychiatry
Volume:	45
Number:	3
Page Range:	S. 381 - 389
Date:	2014
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication:	OXFORD
ISSN:	1873-7943
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANXIETY SENSITIVITY; SELF-CONCEPT; PSYCHOSOCIAL FACTORS; PREVALENCE; MORBIDITY; ATTITUDES; SYMPTOMS; BELIEFS; BIAS; FEAR Multiple languages Psychology, Clinical; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43120