When interoception helps to overcome negative feelings caused by social exclusion.

Social exclusion affects mental and physical health. The ability to regulate emotional responses to social exclusion is therefore essential for our well-being. As individual differences in detecting bodily signals (interoceptive sensitivity, IS) have been associated with the ability of emotion regulation, we aimed at exploring whether IS fosters coping with social exclusion and flexibility in emotion regulation. The first study investigated subjective feelings and behavioral affiliation tendencies in response to ostracism using a cyberball paradigm. Sixty-nine participants were assessed who differed with respect to IS. The second study examined habitual emotion regulation processes focusing on suppression and reappraisal as well as IS in 116 participants. Main results were that the effect of ostracism on distress and behavioral affiliation tendencies were qualified by IS-being ostracized had less impact on participants with stronger IS. Furthermore, Study 2 revealed that IS was associated with habitually stronger emotion regulation strategies. We conclude that having access to bodily signals helps (IS) reducing aversive states provoked by social exclusion, probably due to the fact that IS is associated with emotion regulation strategies.

Interaction of physical activity and interoception in children.

BACKGROUND: Physical activity (PA) is associated with positive health outcomes, whereas physical inactivity is related to an increased risk for various health issues including obesity and cardiovascular diseases. Previous research indicates that interindividual differences in the perception of bodily processes (interoceptive sensitivity, IS) interact with the degree of PA in adults. Whether there is a similar relationship between PA and IS in children has not been investigated yet. Therefore, the aim of this study was to investigate the interaction between IS and PA during physical performance tasks and in everyday situations. METHODS: IS was assessed using a heartbeat perception task in a sample of 49 children within the health promotion program "Join the Healthy Boat" which is implemented in several primary schools in the southwest of Germany. PA was examined using a physical performance task, assessing the distance covered during a standardized 6-min run. In a subsample of 21 children, everyday PA was measured by a multi-sensor device (Actiheart, CamNtech, Cambridge, UK) during five consecutive days with more than 10 h of daily data collection. RESULTS: Children with higher IS performed better in the physical performance task. Additionally, based on energy expenditure defined as metabolic equivalents, IS was positively correlated with the extent of light PA levels in the morning and afternoon. CONCLUSION: Our findings reveal that IS interacts positively with the degree of PA in children supporting the idea that interoception is important for the self-regulation of health-related behavior.

Time course of pseudoneglect in scene viewing.

When we view the visual world, our eyes move from one location to another about three times each second. When looking at pictures of natural scenes, neurologically intact individuals show a leftward bias in the direction of their first eye movement. The present study investigates the time course of this pseudoneglect and how it depends on task-related control. Eye movements were recorded from 72 participants, each viewing 135 scenes under three different viewing instructions (memorization, esthetic preference judgment, object-in-scene search). In the memorization and preference tasks, pseudoneglect had a maximum extent of about 1° and lasted for about 1500 msec, or 5 fixations. The effect was somewhat reduced in the preference task, which gave subjects free reign to fixate anywhere they wanted to. During scene search, a task that is guided primarily by top-down control, observers also showed a distinct pseudoneglect. Strikingly, a leftward bias was present even when the search object was located in the right hemispace. Search performance was not affected by the observed spatial asymmetries. The effects likely arise from a right-hemisphere dominance for visuo-spatial attention.

Intuitive eating is associated with interoceptive sensitivity. Effects on body mass index.

Intuitive eating is relevant for adaptive eating, body weight and well-being and impairments are associated with dieting and eating disorders. It is assumed to depend on the ability to recognize one's signs of hunger and fullness and to eat accordingly. This suggests a link to the individual ability to perceive and processes bodily signals (interoceptive sensitivity, IS) which has been shown to be associated with emotion processing and behavior regulation. This study was designed to clarify the relationships between IS as measured by a heartbeat perception task, intuitive eating and body mass index (BMI) in N=111 healthy young women. Intuitive eating was assessed by the Intuitive Eating Scale (IES) with three facets, reliance on internal hunger and satiety cues (RIH), eating for physical rather than emotional reasons (EPR), and unconditional permission to eat when hungry (UPE). IS was not only positively related to total IES score and RIH and EPR, and negatively predicted BMI, but also proved to fully mediate the negative relationship between RIH, as well as EPR and BMI. Additionally, the subjective appraisal of one's interoceptive signals independently predicted EPR and BMI. IS represents a promising mechanism in research on eating behavior and body weight.

How does phasic alerting improve performance in patients with unilateral neglect? A systematic analysis of attentional processing capacity and spatial weighting mechanisms.

In visual hemi-neglect, non-spatial deficits such as reduced intrinsic alertness can significantly modulate the degree of left visual field inattention. However, to date, the precise mechanisms mediating this effect are hardly understood. In the present study, we assessed the influence of increased alertness on both general attentional capacity (perceptual processing speed) and spatial attentional selection processes (spatial distribution of attentional weighting). For this purpose, a whole-report paradigm based on Bundesen's 'theory of visual attention' (TVA) was combined with a non-spatial, visual alerting cue. Three different cue-target stimulus onset asynchronies (SOAs; of 80, 200, and 650 ms), allowed us to observe the time course of the alerting-cue effects. A group of six patients with visual hemi-neglect was examined and their performance compared with six healthy control subjects matched for age, gender, and education. In neglect patients, the alerting cue evoked a phasic increase of perceptual processing speed. However, this effect was mainly found in the ipsilateral, i.e. in the "preserved" hemifield. Importantly, however, patients displayed a fast-evolving and short-lasting, phasic modulation of spatial attentional weighting, with a re-distribution of attentional weights from the pathological rightward bias to a normal, more balanced distribution of visual attention. In control participants, the cueing effects on perceptual processing speed and spatial weighting were generally less pronounced than in neglect patients. Replicating results of a prior study, cueing induced a stable, slightly leftward, distribution of attentional weights, whilst in the no-cue condition, a temporary rightward shift of attentional weights was found. This pattern of effects suggests a close interaction between alertness and spatial-attentional weighting in the syndrome of visual hemi-neglect. It supports the hypothesis that the manifestation of spatial neglect involves at least in part intrinsic alertness deficits. It also provides clues to a more detailed account of the mechanisms responsible for alleviating neglect in patients following manipulations of the alertness level, both in the short (cueing) and in the long term (alertness training).

Differential effects of alexithymia subscales on autonomic reactivity and anxiety during social stress.

OBJECTIVES: Alexithymia is characterized by a difficulty in identifying and describing one's emotions. Recent research has associated differential effects of the alexithymia facets to hypothalamic-pituitary-adrenal (HPA) axis markers during stress. This study aimed to analyze how the facets of alexithymia interact with autonomic reactivity as well as self- and observer-rated anxiety during a social stress task. METHODS: With the use of a public-speaking paradigm, skin conductance levels (SCLs) and heart rate (HR) during the defined periods of baseline, preparation, stress, and recovery were assessed in 60 volunteers (42 females, mean age 22.8) categorized as having either high (HDA) or low (LDA) degrees of alexithymia. RESULTS: We found smaller SCLs during preparation and speech in the HDA group. Regression analyses indicated that only the alexithymia facet "difficulty in describing feelings" (DDF) was associated with smaller electrodermal responses. In the HDA group, self- and observer-rated anxiety was higher in the HDA than in the LDA group, which was attributable to higher scores in the subscales "difficulty in identifying feelings" (DIF) and "externally oriented thinking" (EOT). CONCLUSIONS: Our data support and specify the decoupling hypothesis of alexithymia by showing that the facets of alexithymia are differentially related to autonomic reactivity as well as self- and observer-rated anxiety during social stress.

The influence of alertness on spatial and nonspatial components of visual attention.

Three experiments investigated whether spatial and nonspatial components of visual attention would be influenced by changes in (healthy, young) subjects' level of alertness and whether such effects on separable components would occur independently of each other. The experiments used a no-cue/alerting-cue design with varying cue-target stimulus onset asynchronies in two different whole-report paradigms based on Bundesen's (1990) theory of visual attention, which permits spatial and nonspatial components of selective attention to be assessed independently. The results revealed the level of alertness to affect both the spatial distribution of attentional weighting and processing speed, but not visual short-term memory capacity, with the effect on processing speed preceding that on the spatial distribution of attentional weighting. This pattern indicates that the level of alertness influences both spatial and nonspatial component mechanisms of visual attention and that these two effects develop independently of each other; moreover, it suggests that intrinsic and phasic alertness effects involve the same processing route, on which spatial and nonspatial mechanisms are mediated by independent processing systems that are activated, due to increased alertness, in temporal succession.

Attentional and sensory effects of lowered levels of intrinsic alertness.

Low levels of intrinsic alertness are associated with lateralized performance in visual tasks, similar to neglect of the left (ipsilesional) visual hemi-field. However, it is unclear whether reduced alertness produces a specific lateralization of spatial-attentional processes in terms of the prioritization of right- over left-side stimuli, or whether it affects more basic functions of visuo-sensory coding, and/or higher function of the top-down control of selection, of stimuli on the left side. To decide between these alternatives, the present study examined the effects of lowered alertness, induced by a 50-min vigilance task, in a partial-report paradigm of briefly presented letter displays. With only one (unilateral) stimulus in display, no specific hemi-field effects were found under low-alertness conditions, indicating that reduced alertness impairs neither sensory effectiveness nor the top-town control of selection. However, with dual, bilateral stimuli, report accuracy was specifically affected for left-side targets (in subjects who showed comparable performance for both sides under normal-alertness conditions). This pattern can be interpreted in terms of a specific bias in spatial-attentional weighting, where prioritization of stimuli on the right leads to (mild) extinction of targets on the left. Moreover, participants who had a lower general level of alertness also showed a more pronounced re-distribution of weights, evidenced by a more severe imbalance in report accuracy, in a low compared to a normal state of alertness. This suggests that a low general level of intrinsic alertness engenders a specific vulnerability to neglect-like performance with a (mild) left-side extinction.

Preattentive surface and contour grouping in Kanizsa figures: evidence from parietal extinction.

Visual extinction commonly occurs after unilateral, parietal brain damage and manifests in a failure to identify contralesional stimuli when presented simultaneously with other, ipsilesional stimuli - but full awareness for single stimulus presentations. However, extinction can be substantially reduced when preattentive grouping operations link fragmentary items across hemifields into a coherent object. For instance, one study demonstrated preserved access to bilateral stimulus segments when these could be grouped to form a Kanizsa square [Mattingley, J. B., Davis, G., & Driver, J. (1997). Preattentive filling-in of visual surfaces in parietal extinction. Science, 275, 671-674]. Here, we investigated the relative contributions of distinct object attributes to the spared access in Kanizsa figure completion in extinction, by systematically varying the degree to which bilateral surface filling-in and contour interpolations group disparate items. We demonstrate that surface information can substantially reduce extinction, whereas contour completions showed comparably smaller influences. In summary, such graded influences of object attributes support recurrent models of grouping, first, linking fragmentary parts into coherent surfaces and, second, interpolating the precise boundaries.

On the relationship between interoceptive awareness and the attentional processing of visual stimuli.

Mental processes related to visceral activity have gained growing interest during the last few years. The following study is the first to investigate possible interactions between interoceptive awareness and measures of attentional performance. We tested the hypothesis whether interoceptive awareness is positively related to indices of selective and divided attentional performances. Using a heartbeat perception task, 29 healthy female participants were separated into two groups scoring either high or low in an interoceptive awareness task. Attentional performance was assessed by several tests including the 'd2 test of attention' and subtests from the 'TAP: Test Battery for Attentional Performance'. We observed a significantly better performance in selective and divided attention for participants with high interoceptive awareness. Our data suggests that interoceptive awareness is related to a better performance especially in tasks assessing selective and divided attention. We conclude 1) that perception of bodily states might be a crucial determinant for the processing of external, visual stimuli, 2) that the ability to perceive internal signals might be an indicator of self-focused attention, and 3) that bodily signals may use, at least in part, similar processing resources as signals from the attention system.

Deficits in early emotional reactivity in alexithymia.

Alexithymia is characterized by a difficulty in identifying and describing one's emotions. This study addressed the question of whether alexithymic tendencies are related to limited affective reactivity to briefly presented emotional stimuli. Skin conductance responses were assessed and backward masking was used to minimize elaborated processing of emotional pictures. Results indicated that alexithymic tendencies are associated with smaller electrodermal responses to briefly presented negative pictures. These effects were driven by difficulties in identifying and communicating emotions whereas externally orientated thinking was unrelated to affective reactivity. We conclude that there is an early processing deficit in response to negative stimuli in participants with high scores in alexithymia. Differences in the early emotional reactivity to arousing material could contribute to difficulties in emotional processes related to alexithymia.

Heartbeat perception and P300 amplitude in a visual oddball paradigm.

OBJECTIVE: The perception of bodily signals ("interoceptive awareness") was found to modulate evoked potential components, especially the P300, in response to emotional pictures and to internal signals. It remains an open question whether this variable is related to more elaborated information processing in general. METHODS: The present study investigated the relationship between heartbeat perception and the amplitude of the P300 to target stimuli in a visual oddball paradigm. RESULTS: Interoceptive awareness was positively correlated with the P300 amplitude at Cz which remained significant after controlling for anxiety differences. CONCLUSIONS: Our results demonstrate a positive relationship between interoceptive awareness and the attentive processing of visual stimuli. SIGNIFICANCE: Interoception is related to more elaborated information processing in general. This effect could be mediated by arousal differences and might rely on common neuroanatomical structures.

Heart rate response after emotional picture presentation is modulated by interoceptive awareness.

The perception of visceral signals plays a crucial role in many theories of emotions. The present study was designed to investigate the relationship between interoceptive awareness, emotional experience and heart rate responses in an emotional stimulation paradigm. Based on their performance in a heartbeat perception task 38 participants (16 males, 22 females) were classified as subjects with either high (n=19; 8 males) or low interoceptive awareness (n=19; 8 males). 120 pictures (40 pleasant, 40 unpleasant, 40 neutral slides) from the International Affective Picture System served as emotional stimuli. Heart rate changes were recorded during baseline and during slide presentation. After each slide, the subjects had to rate emotional valence and arousal on a 9-point self-report scale. Statistical analyses revealed significantly stronger heart rate responses to pleasant and unpleasant stimuli in subjects with high interoceptive awareness. Furthermore, subjects with high interoceptive awareness rated pleasant and unpleasant slides as significantly more arousing; no differences were found in the emotional valence ratings. Heartbeat perception scores correlated significantly positive with both the mean arousal rating and with the mean heart rate changes. Our results demonstrate a strong relationship between the perception of cardiac signals and the peripheral processing of emotional stimuli.

Essential hypotension is accompanied by deficits in attention and working memory.

In the present study, the authors investigated the relationship between low blood pressure (BP) and attentional performance through the application of a multidimensional diagnostic approach. The authors compared 40 subjects with essential hypotension (mean systolic BP = 97.6 mmHg) with 40 normotensive controls (mean systolic BP = 124.1 mmHg) using 6 computer-based tasks measuring tonic and phasic alertness; selective, divided, and sustained attention; and working memory. To control for possible confounders, the authors used a test battery examining motor performance and a mood questionnaire. BP was monitored continuously during the entire experiment. Hypotensives showed prolonged execution times in each of the attentional tasks (p < .001). Moderately decreased accuracy was found in the tests assessing sustained attention (p = .059) and working memory (p = .012). Moreover hypotensives showed smaller elevations in BP during the execution of the cognitive tasks. This study is the first to demonstrate the relationship between BP and cognitive performance while controlling for motor function and mood.