The association between anxiety and cardiac interoceptive accuracy: a systematic review and meta-analysis
The association between anxiety and cardiac interoceptive accuracy: a systematic review and meta-analysis
Anxiety is often conceptualised as the prototypical disorder of interoception (one’s perception of bodily states). Whilst theoretical models predict an association between interoceptive accuracy and anxiety, empirical work has produced mixed results. This manuscript presents a pre-registered systematic review (https://osf.io/2h5xz) and meta-analysis of 55 studies, obtained via a Pubmed search on 9th November 2020, examining the relationship between state and trait anxiety and objectively measured cardiac interoceptive accuracy as assessed by heartbeat counting and discrimination tasks. Potential moderators of this relationship - the age, gender and clinical diagnoses of participants, the anxiety measures used and the study design - were also explored. Overall, we found no evidence for an association between cardiac interoceptive accuracy and anxiety, with none of the factors examined moderating this finding. We discuss the implications these findings have for future research, with a particular focus on the need for further investigation of the relationship between anxiety and other facets of interoception.
Anxiety, Cardiac interoception, Interoceptive accuracy, Meta-analysis, Panic disorder
Adams, Kiera
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Edwards, Alexandra
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Peart, Charlotte
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Ellett, Lyn
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Mendes, Ines
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Bird, Geoffrey
4edb5ec6-9fda-4bf3-8062-e8dd484fb59d
Murphy, Jennifer
fbe7717e-9f5b-4446-88b5-427bdad9b175
September 2022
Adams, Kiera
5944668c-b34f-4c9d-9251-8daa0ffa47ec
Edwards, Alexandra
f7ef52be-15e1-4109-9eae-d7a42bc5e5be
Peart, Charlotte
361fcdef-840f-4bd4-b50d-adf4d4ee15ab
Ellett, Lyn
96482ea6-04b6-4a50-a7ec-ae0a3abc20ca
Mendes, Ines
d6c17e4d-7fa2-4260-965c-d6f2deee5daa
Bird, Geoffrey
4edb5ec6-9fda-4bf3-8062-e8dd484fb59d
Murphy, Jennifer
fbe7717e-9f5b-4446-88b5-427bdad9b175
Adams, Kiera, Edwards, Alexandra, Peart, Charlotte, Ellett, Lyn, Mendes, Ines, Bird, Geoffrey and Murphy, Jennifer
(2022)
The association between anxiety and cardiac interoceptive accuracy: a systematic review and meta-analysis.
Neuroscience & Biobehavioral Reviews, 140, [104754].
(doi:10.1016/j.neubiorev.2022.104754).
Abstract
Anxiety is often conceptualised as the prototypical disorder of interoception (one’s perception of bodily states). Whilst theoretical models predict an association between interoceptive accuracy and anxiety, empirical work has produced mixed results. This manuscript presents a pre-registered systematic review (https://osf.io/2h5xz) and meta-analysis of 55 studies, obtained via a Pubmed search on 9th November 2020, examining the relationship between state and trait anxiety and objectively measured cardiac interoceptive accuracy as assessed by heartbeat counting and discrimination tasks. Potential moderators of this relationship - the age, gender and clinical diagnoses of participants, the anxiety measures used and the study design - were also explored. Overall, we found no evidence for an association between cardiac interoceptive accuracy and anxiety, with none of the factors examined moderating this finding. We discuss the implications these findings have for future research, with a particular focus on the need for further investigation of the relationship between anxiety and other facets of interoception.
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Anxiety Interoception Meta Analysis PDF
- Accepted Manuscript
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1-s2.0-S0149763422002433-main
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More information
Accepted/In Press date: 22 June 2022
Published date: September 2022
Additional Information:
Funding Information:
KLA is funded by the University of Oxford Medical Sciences Graduate School Studentship (Clarendon Fund in partnership with the University College Award and the Experimental Psychology Studentship ).
Publisher Copyright:
© 2022 The Authors
Keywords:
Anxiety, Cardiac interoception, Interoceptive accuracy, Meta-analysis, Panic disorder
Identifiers
Local EPrints ID: 467913
URI: http://eprints.soton.ac.uk/id/eprint/467913
ISSN: 0149-7634
PURE UUID: 217d0760-18df-4041-a34d-f30e9b283400
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Date deposited: 25 Jul 2022 16:41
Last modified: 17 Mar 2024 04:10
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Contributors
Author:
Kiera Adams
Author:
Alexandra Edwards
Author:
Charlotte Peart
Author:
Ines Mendes
Author:
Geoffrey Bird
Author:
Jennifer Murphy
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