Pohl, Anna, Hums, Anna-Clara, Kraft, Gina, Koteles, Ferenc ORCID: 0000-0001-5460-5759, Gerlach, Alexander L. ORCID: 0000-0001-6794-5349 and Witthoeft, Michael (2021). Cardiac Interoception: A Novel Signal Detection Approach and Relations to Somatic Symptom Distress. Psychol. Assess., 33 (8). S. 705 - 716. WASHINGTON: AMER PSYCHOLOGICAL ASSOC. ISSN 1939-134X

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Abstract

Interoception is essential for the maintenance of physical and mental health. Paradigms assessing cardioceptive accuracy do not separate sensitivity from bias or are very demanding. We present the piloting (study 1; N = 60) and psychometric evaluation and validation (study 2; N = 84) of a novel task for the assessment of cardiac interoceptive perception following the principles of signal detection theory. By disentangling sensitivity and response bias, we demonstrate that the previously used interoceptive accuracy score of the heartbeat mental tracking task represents an amalgam of sensitivity and response bias. The new task demonstrated adequate test-retest reliabilities for sensitivity (d') and response bias (c). Sensitivity was inversely related (beta = -.36) to somatic symptom distress after statistically controlling for response bias. The novel cardiovascular signal detection task is easy to implement, feasible, and promising in terms of unraveling the role of (cardiac) interoceptive perception in psychopathology.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Pohl, AnnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hums, Anna-ClaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kraft, GinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Koteles, FerencUNSPECIFIEDorcid.org/0000-0001-5460-5759UNSPECIFIED
Gerlach, Alexander L.UNSPECIFIEDorcid.org/0000-0001-6794-5349UNSPECIFIED
Witthoeft, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-580630
DOI: 10.1037/pas0001012
Journal or Publication Title: Psychol. Assess.
Volume: 33
Number: 8
Page Range: S. 705 - 716
Date: 2021
Publisher: AMER PSYCHOLOGICAL ASSOC
Place of Publication: WASHINGTON
ISSN: 1939-134X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
MEDICALLY UNEXPLAINED SYMPTOMS; HEART BEAT PERCEPTION; CONSTANT STIMULI; SOMATOFORM; ACCURACY; DISCRIMINATION; AMPLIFICATION; EXPERIENCE; VALIDITY; FEEDBACKMultiple languages
Psychology, ClinicalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/58063

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