Interoception, the perception of the body's physiological state, is often studied in relation to emotion processing. Particularly, cardioception has been largely implicated in anxiety. Three related but distinct dimensions of interoception have recently emerged in the literature: sensibility (IS), accuracy (IAC), and awareness (IAW). Divergent findings regarding interoception and anxiety may result from lacking appreciation for interoceptive dimensions. Additionally, the role of cardiovascular afferent feedback in anxiety and interoception is largely unknown. Baroreflex sensitivity (BRS) has been implicated in interoceptive processes yet no known research directly measures this in relation to multidimensional cardioception. The present study aimed to assess the degree to which IS, IAC, IAW, and BRS predict trait anxiety at rest and during anticipatory anxiety. Results partially suggest increased IAC and BRS, but more variable IS and IAW in relation to trait anxiety. Overall, results show complex associations among factors, suggesting increased specificity among the constructs. Results highlight the importance of attention to construct validity and method variance in the study of interoceptive subdomains. Finally, the present study helps to pave the way for continued investigations concerning cardioception in enduring anxiety and the related role of the baroreflex in cardiac afferent processes. / PHD / Interoception, the perception of the body’s physiological state, is often studied in relation to emotion processing. Particularly, cardioception (the sense of cardiac activity, such as the perception of a racing heart) has been largely implicated in anxiety. Three related but distinct dimensions of interoception have recently emerged in the literature: sensibility (IS), accuracy (IAC), and awareness (IAW). Divergent findings regarding interoception and anxiety may result from lacking appreciation for interoceptive dimensions. Additionally, the role of cardiovascular feedback to the brain in anxiety and interoception is largely unknown. The baroreflex system rapidly modulates activity of the heart in accordance with short-term blood pressure changes. The sensitivity of this homeostatic baroreflex system (BRS) also plays a role in interoceptive processes, yet no known research directly measures this in relation to multidimensional cardioception. The present study aimed to assess the degree to which IS, IAC, IAW, and BRS predict dispositional anxiety at rest and during anticipatory anxiety. Results partially suggest increased IAC and BRS, but more variable IS and IAW in relation to dispositional anxiety. Overall, results show complex associations among factors, suggesting increased specificity among the variables. Results highlight the importance of attention to measurement precision and various ways to assess the dimensions of interoception. Finally, the present study helps to pave the way for continued research concerning perception of the heart’s activity in enduring anxiety and the related role of cardiovascular activity at various levels of conscious awareness. Ultimately, research on this topic is highly important for the eventual improvement of existing therapeutics for individuals regularly experiencing severe anxiety.
| Identifer | oai:union.ndltd.org:VTETD/oai:vtechworks.lib.vt.edu:10919/96657 |
| Date | 10 August 2018 |
| Creators | Grant, Shara Soyini |
| Contributors | Psychology, Friedman, Bruce H., Diana, Rachel A., Bell, Martha Ann, Jones, Russell T. |
| Publisher | Virginia Tech |
| Source Sets | Virginia Tech Theses and Dissertation |
| Detected Language | English |
| Type | Dissertation |
| Format | ETD, application/pdf, application/pdf |
| Rights | In Copyright, http://rightsstatements.org/vocab/InC/1.0/ |
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