![]() ; Schulz, André ![]() in Mental Health and Physical Activity (in press) Background: Patients with chronic heart failure often experience symptoms during physical activity, such as shortness of breath and tachycardia, which may result in fear of physical activity (FoPA). This ... [more ▼] Background: Patients with chronic heart failure often experience symptoms during physical activity, such as shortness of breath and tachycardia, which may result in fear of physical activity (FoPA). This study tested whether interoception (i.e., the perception of body sensations) and symptom distress (i.e., negative appraisal of symptoms) are associated with FoPA in outpatients with chronic heart failure. Method: FoPA was assessed with the Fear of Activities in Situations (FActS) in patients with diagnosed heart failure and healthy controls. A heartbeat tracking task and self-reports were used to assess interoceptive accuracy and interoceptive attention in patients and controls. Heart failure-related distress was assessed using ratings of symptom and treatment burden in patients. Multiple regression models were calculated to determine associations with continuous FoPA scores. Results: Patients with low FoPA perceived their heartbeats more accurately than patients with high FoPA and healthy controls. Interoceptive accuracy and symptom distress explained almost half of the variance in FoPA, after adjustments for sex and disease severity, in patients with heart failure. Conclusions: In patients inaccurate interoception and symptom distress were associated with high FoPA, independent of heart failure severity. The perception and appraisal of cardiac arousal and symptoms during physical activity deserve further attention to develop interventions to reduce FoPA in patients with heart failure. [less ▲] Detailed reference viewed: 24 (0 UL)![]() Schulz, André ![]() ![]() in International Journal of Psychophysiology (2020), 157(1), 70-81 Startle stimuli evoke lower responses when presented during the early as compared to the late cardiac cycle phase, an effect that has been called ‘cardiac modulation of startle’ (CMS). The CMS effect may ... [more ▼] Startle stimuli evoke lower responses when presented during the early as compared to the late cardiac cycle phase, an effect that has been called ‘cardiac modulation of startle’ (CMS). The CMS effect may be associated with visceral-afferent neural traffic, as it is reduced in individuals with degeneration of afferent autonomic nerves. The aim of this study was to investigate whether the CMS effect is due a modulation of only early, automatic stages of stimulus processing by baro-afferent neural traffic, or if late stages are also affected. We, therefore, investigated early and late components of auditory-evoked potentials (AEPs) to acoustic startle stimuli (105, 100, 95 dB), which were presented during the early (R-wave +230 ms) or the late cardiac cycle phase (R +530 ms) in two studies. In Study 1, participants were requested to ignore (n=25) or to respond to the stimuli with button-presses (n=24). In Study 2 (n=23), participants were asked to rate the intensity of the stimuli. We found lower EMG startle response magnitudes (both studies) and slower pre-motor reaction times in the early as compared to the late cardiac cycle phase (Study 1). We also observed lower N1 negativity (both studies), but higher P2 (Study 1) and P3 positivity (both studies) in response to stimuli presented in the early cardiac cycle phase. This AEP modulation pattern appears to be specific to the CMS effect, suggesting that early stages of startle stimulus processing are attenuated, whereas late stages are enhanced by baro-afferent neural traffic [less ▲] Detailed reference viewed: 96 (12 UL)![]() ; ; et al in Physiology and Behavior (2020), 225(1), 113044 Fear of physical activity (FoPA) is prevalent in patients with heart failure and associated with lower physical activity despite medical exercise prescriptions. The present study examined physiological ... [more ▼] Fear of physical activity (FoPA) is prevalent in patients with heart failure and associated with lower physical activity despite medical exercise prescriptions. The present study examined physiological indicators of FoPA by assessing startle modulation and heart rate responses after affective priming with lexical stimuli of positive, neutral, and negative valence, as well as words related to physical activity as potentially phobic cues. After screening for FoPA in patients with heart failure and healthy adults, twenty participants each were assigned to one of three subsamples: a healthy control group and two cardiac patient groups scoring either low or high on FoPA. The high-FoPA group showed more pronounced startle potentiation and heart rate acceleration (i.e., mobilization of defensive behavior) in the phobic prime condition compared to controls. Differences in FoPA accounted for 30% of the startle potentiation by phobic priming, whereas general anxiety, depression, and disease severity were no significant predictors in patients with heart failure. These findings suggest that heart failure-associated FoPA elicits avoidance behavior at a largely automatic level, and might thereby contribute to low adherence to exercise regimen. Thus, FoPA should be addressed in the design of psychological interventions for cardiac patients to foster physical activity. [less ▲] Detailed reference viewed: 134 (3 UL)![]() ; Schulz, André ![]() in PLoS ONE (2020), 15(1), 0227799 Objective: Perceived rejection plays an important role for mental health and social integration. This study investigated the impact of rejection intensity and rejection sensitivity on social approach ... [more ▼] Objective: Perceived rejection plays an important role for mental health and social integration. This study investigated the impact of rejection intensity and rejection sensitivity on social approach behavior. Method: 121 female participants were randomly assigned to one of three conditions differing in the degree of induced rejection (inclusion, medium rejection, severe rejection). Thereafter they were asked to interact with an unknown person during a touch-based cooperative task. Results: Participants high in rejection sensitivity sought significantly less physical contact than participants low in rejection sensitivity. Individuals in the medium rejection condition touched their partners more often than those in the included condition, while no difference between included and severely rejected participants could be observed. Conclusions: The results suggest that the intensity of rejection matters with regard to coping. While participants in the medium intensity rejection condition aimed to ‘repair’ their social self by seeking increased contact with others, severely rejected participants did not adapt their behavior compared to included participants. Implications for therapy are discussed. [less ▲] Detailed reference viewed: 126 (5 UL)![]() Schulz, André ![]() in Physiology and Behavior (2020), 215(1), 112792 Cortisol, the final product of human HPA axis activation, rapidly modulates the cortical processing of afferent signals originating from the cardiovascular system. While peripheral effects have been ... [more ▼] Cortisol, the final product of human HPA axis activation, rapidly modulates the cortical processing of afferent signals originating from the cardiovascular system. While peripheral effects have been excluded, it remains unclear whether this effect is mediated by cortical or subcortical (e.g. brainstem) CNS mechanisms. Cardiac modulation of startle (CMS) has been proposed as a method to reflect cardio-afferent signals at subcortical (potentially brainstem-) level. Using a single blind, randomized controlled design, the cortisol group (n = 16 volunteers) received 1 mg cortisol intravenously, while the control group (n = 16) received a placebo substance. The CMS procedure involved the assessment of eye blink responses to acoustic startle stimuli elicited at six different latencies to ECG-recorded R-waves (R + 0, 100, 200, 300, 400 and 500 ms). CMS was assessed at four measurement points: baseline, -16 min, +0 min, and +16 min relative to substance application. Baroreflex sensitivity (BRS) of heart rate (HR) control was measured non-invasively based on spontaneous beat-to-beat HR and systolic blood pressure changes. In the cortisol group, salivary cortisol concentration increased after IV cortisol administration, indicating effective distribution of the substance throughout the body. Furthermore, BRS increased in the cortisol group after cortisol infusion. There was no effect of cortisol on the CMS effect, however. These results suggest that low doses of cortisol do not affect baro-afferent signals, but central or efferent components of the arterial baroreflex circuit presumably via rapid, non-genomic mechanisms. [less ▲] Detailed reference viewed: 81 (2 UL)![]() Schaan, Violetta ![]() ![]() in Frontiers in Psychiatry (2019), 10(1), 750 Early life adversity (ELA) may cause permanent disturbances in brain-body signaling. These disturbances are thought to contribute to physical symptoms and emotional dysregulation in adulthood. The current ... [more ▼] Early life adversity (ELA) may cause permanent disturbances in brain-body signaling. These disturbances are thought to contribute to physical symptoms and emotional dysregulation in adulthood. The current study investigated the effects of childhood trauma on young adults’ interoceptive accuracy as an indicator of brain-body communication that may be dysregulated by ELA. Sixty-six participants completed an online-questionnaire followed by a laboratory session including the socially-evaluated cold pressor stress test during which ECG, salivary cortisol and interoceptive accuracy were assessed. Childhood trauma was negatively related to interoceptive accuracy (IAc) after the stressor. This stress-effect could not be observed for heart rate and cortisol, which were unrelated to IAc. Participants reporting higher baseline unpleasantness exhibited lower IAc after the stressor, while increases in unpleasantness due to the stressor were associated with higher IAc. Unpleasantness at baseline mediated the effect of childhood trauma on IAc after the stressor. [less ▲] Detailed reference viewed: 143 (5 UL)![]() Schulz, André ![]() ![]() in Physiology and Behavior (2019), 199(1), 165-172 The aim of the current study was to investigate if startle methodology is suitable to reflect urinary urgency. Eighteen healthy men were tested on two separate days, each including an ingestion of fluid ... [more ▼] The aim of the current study was to investigate if startle methodology is suitable to reflect urinary urgency. Eighteen healthy men were tested on two separate days, each including an ingestion of fluid until 80% of the subjective urge to micturate was reached. EMG responses to acoustic startle stimuli were assessed before and after micturition, as well as in the early and late cardiac cycle phases (230 vs. 530 ms after a cardiac R-wave). Sonographic assessment confirmed bladder-filling status. Emotional arousal, stress, urge and unpleasantness ratings, as well as mean blood pressure were higher before than after micturition. Startle eye blink responses were lower during the early than during the late cardiac cycle phase, but were not affected by bladder filling status. We conclude that startle methodology is suitable for the investigation of afferent signals from the cardiovascular system, but not to reflect urinary urgency. This result may be due to different neurophysiological mechanisms underlying afferent signals from the bladder compared to other visceral organs or interference with affective states or sympathetic activation associated with bladder filling. Notwithstanding, the present research protocol of fluid intake, sonographic assessment of the bladder, and subjective reports, can be applied to examine visceral-afferent signals from the bladder. [less ▲] Detailed reference viewed: 164 (5 UL)![]() Schaan, Violetta ![]() ![]() in Journal of Affective Disorders (2019), 257(1), 91-99 Background: Parental divorce has been associated with reduced well-being in young adults. It is, however, unclear whether this finding is clinically relevant as studies using structural clinical ... [more ▼] Background: Parental divorce has been associated with reduced well-being in young adults. It is, however, unclear whether this finding is clinically relevant as studies using structural clinical interviews are missing. This study, therefore, investigated if young adults with divorced parents are at risk to develop mental disorders. Furthermore, differences in parental care, social connectedness, chronic stress and traumatic experiences between children of divorced and non-divorced parents were investigated. Methods: 121 women (mean age: 23 years) were interviewed using the Structured Clinical Interview for DSMIV Axis I (i.e., major mental disorders) and II (i.e., personality disorders) Disorders and asked to complete questionnaires assessing parental care, social connectedness (loneliness, attachment anxiety and avoidance), chronic stress, childhood trauma and depression. Results: Young adults of divorced parents had a higher risk for Axis I but not Axis II disorders as compared to young adults of non-divorced parents. Participants from divorced families as compared to non-divorced families reported more depression, loneliness, childhood trauma, attachment avoidance, attachment anxiety, chronic stress and less parental care. Limitations: Due to the cross-sectional design of this study, conclusions about causality remain speculative. Conclusion: The increased vulnerability of children of divorced parents to develop mental disorders, and to experience more chronic stress, loneliness, attachment avoidance, attachment anxiety, and traumatic experiences during childhood is alarming and highlights the importance of prevention programs and psycho-education during the process of parental divorce. Parental support with regard to adequate caregiving is needed to help parents to better support their children during and after their divorce. [less ▲] Detailed reference viewed: 236 (5 UL)![]() ![]() ; Schaan, Violetta ![]() Poster (2016, June) Detailed reference viewed: 150 (7 UL)![]() Dierolf, Angelika ![]() in Hormones and Behavior (2016), 81 The stress hormone cortisol is assumed to influence cognitive functions. While cortisol-induced alterations of declarative memory in particular are well-investigated, considerably less is known about its ... [more ▼] The stress hormone cortisol is assumed to influence cognitive functions. While cortisol-induced alterations of declarative memory in particular are well-investigated, considerably less is known about its influence on executive functions. Moreover, most research has been focused on slow effects, and rapid non-genomic effects have not been studied. The present study sought to investigate the impact of acute cortisol administration as well as basal cortisol levels on cognitive flexibility, a core executive function, within the non-genomic time frame. Thirty-eight healthy male participants were randomly assigned to intravenously receive either cortisol or a placebo before performing a task switching paradigm with happy and angry faces as stimuli. Cortisol levels were measured at six points during the experiment. Additionally, before the experiment, basal cortisol measures for the cortisol awakening response were collected on three consecutive weekdays immediately following awakening and 30, 45, and 60 min after. First and foremost, results showed a pronounced impact of acute and basal cortisol on reaction time switch costs, particularly for angry faces. In the placebo group, low basal cortisol was associated with minimal switch costs, whereas high basal cortisol was related to maximal switch costs. In contrast, after cortisol injection, basal cortisol levels showed no impact. These results show that cognitive flexibility-enhancing effects of acute cortisol administration are only seen in men with high basal cortisol levels. This result supports the context dependency of cortisol administration and shows the relevance of taking basal cortisol levels into account. [less ▲] Detailed reference viewed: 140 (1 UL)![]() ; ; et al in International Journal of Psychophysiology (2016), 109(1), 71-80 Garfinkel and Critchley (2013) recently proposed a three level model of interoception. Only few studies, however, have empirically tested this theoretical model thus far. The present study aimed at ... [more ▼] Garfinkel and Critchley (2013) recently proposed a three level model of interoception. Only few studies, however, have empirically tested this theoretical model thus far. The present study aimed at investigating (1) the central assumptions of this model, i.e. that Accuracy, Sensibility and Awareness are distinguishable facets of interoception and that Interoceptive Accuracy is the basic level of interoception, and (2) whether cardiovascular activation (as indexed by heart rate) is differentially related to the three facets of interoception. Analyses were conducted on a total sample of N=159 healthy participants (118 female [74.2%]; mean age = 23.9 years, SD = 3.3, range = 19-45) who performed either the heartbeat tracking task, the heartbeat discrimination task or both. The results suggest that Accuracy, Sensibility and Awareness are empirically distinct facets of interoception, showing no correlation when based on heartbeat tracking, but moderate correlations when based on heartbeat discrimination. The assumption that Interoceptive Accuracy is the basic level of interoception could only be partially confirmed. Instead, we conclude that the level of objective physiological states should be considered as the most basic level of interoceptive signal processing. [less ▲] Detailed reference viewed: 289 (6 UL)![]() ![]() Dierolf, Angelika ![]() Poster (2015, June) The acoustic startle response is decreased by a prepulse occurring 30-500 ms earlier. This prepulse inhibition (PPI) is interpreted in terms of the Interruption and Protection hypotheses, in which startle ... [more ▼] The acoustic startle response is decreased by a prepulse occurring 30-500 ms earlier. This prepulse inhibition (PPI) is interpreted in terms of the Interruption and Protection hypotheses, in which startle responding interrupts prepulse processing, and PPI indicates the degree to which prepulse processing is protected from that interruption. We evaluated this hypotheses by measuring startle responding and evoked potentials (N1, P2) to both prepulse and startle stimuli under different attentional conditions (Attend Startle, Attend Prepulse, Ignore Both). 192 trials were presented in randomized order: Startle Alone (105dB noise), Prepulse Alone (70dB noise), and prepulse+startle stimuli with a stimulus onset asynchrony (SOA) of 120 (PPI120) or 500 ms (PPI500). 36 participants, randomly assigned to the three attention conditions, pressed a key to the startle or to the pre-pulse or did not respond. A 32-channel EEG and eyeblink EMG were measured. Independent of the attentional conditions, the EMG startle response was decreased by a pre-pulse at both SOAs, illustrating PPI. Prepulse N1/P2 amplitude was identical for the Prepulse Alone, PPI120, and PPI500 stimuli independent of the attentional conditions, demonstrating protection of primary sensory prepulse processing. N1/P2 potentials to the startle stimulus were affected by the SOAs and the attentional conditions, suggesting a change in startle processing by both variables. The results suggest a complete protection of prepulse processing. The reduced N1/P2 amplitudes to the startle stimulus at both SOAs suggest that the eliciting properties of the startle stimulus are decreased by the prepulse. [less ▲] Detailed reference viewed: 19 (0 UL)![]() Schulz, André ![]() in Trierer Psychologische Berichte (2013), 38(1), 52-53 Interozeption – die Wahrnehmung von Körpervorgängen – spielt bei der Regulation des Essverhaltens möglicherweise eine entscheidende Rolle. Nahrungsdeprivation hat eine Reihe von metabolischen und ... [more ▼] Interozeption – die Wahrnehmung von Körpervorgängen – spielt bei der Regulation des Essverhaltens möglicherweise eine entscheidende Rolle. Nahrungsdeprivation hat eine Reihe von metabolischen und endokrinologischen Konsequenzen. Bei kurzzeitiger Nahrungsdeprivation zeigt sich eine Erhöhung des sympathischen Tonus, welche dafür verantwortlich sein könnte, dass sich die Interozeptionsgenauigkeit gegenüber kardialer Stimuli gleichzeitig erhöht. Die physiologischen Grundlagen von Interozeption sind die Übermittlung von viszeral-afferenten neuronalen Signalen, während die Wahrnehmung dieser Signale die Lenkung der Aufmerksamkeit auf diese Signale erfordert. Bisherige Ergebnisse gehen auf Leistungen in Herzschlagdetektionsaufgaben zurück. Obwohl diese Methoden mehrfach validiert wurden, sind sie wahrscheinlich ungeeignet dazu, die viszeral-afferente Signalübermittlung und Aufmerksamkeitslenkung auf diese Signale voneinander zu trennen. Daher hatte die vorliegende Studienreihe zum Ziel, den Einfluss von kurzzeitiger Nahrungsdeprivation auf Herzschlag-evozierte Potenziale (HEPs) in Ruhebedingung zu untersuchen. Die HEPs gelten als psychophysiologischer Indikator für die kortikale Verarbeitung kardial-interozeptiver Prozesse. Bislang ist unbekannt, ob metabolische und endokrinologische Prozesse HEPs modulieren können. In einer ersten Studie wurden 16 gesunden Männern (Alter: 23,8 [2,1] Jahre) intravenös sowohl das Stresshormon Cortisol, als auch eine Placebo-Substanz verabreicht. Es zeigte sich, dass Cortisol bei offenen Augen kurzfristig zu einer höheren HEP-Amplitude führte, als bei geschlossenen Augen (p = .03). Daraus kann man ableiten, dass endokrinologische Prozesse das Potenzial haben, die HEP-Amplitude zu modulieren. In der folgenden Studie wurden 16 gesunde Frauen (Alter: 22,6 [1,9] Jahre) sowohl nach standardisierter Nahrungsaufnahme, als auch nach 18-stündiger Nahrungsdeprivation getestet. Es zeigte sich eine Erhöhung der HEP-Amplitude nach Nahrungsdeprivation (p = .02). Gleichzeitig konnten keine Veränderungen der Herzrate, noch der Herzratenvariabilität beobachtet werden. Unsere Ergebnisse legen nahe, dass Nahrungsdeprivation die kortikale Verarbeitung afferenter Signale aus dem kardiovaskulären System intensiviert, was nicht durch eine höhere sympathische Aktivität erklärt werden kann. Mögliche physiologische Signalwege und Implikationen für die Ätiologie von Essstörungen werden diskutiert. [less ▲] Detailed reference viewed: 191 (3 UL)![]() Schulz, André ![]() ![]() in Biological Psychology (2013), 93(1), 167-174 Interoception depends on visceral afferent neurotraffic and central control processes. Physiological arousal and organ activation provide the biochemical and mechanical basis for visceral afferent ... [more ▼] Interoception depends on visceral afferent neurotraffic and central control processes. Physiological arousal and organ activation provide the biochemical and mechanical basis for visceral afferent neurotraffic. Perception of visceral symptoms occurs when attention is directed toward body sensations. Clinical studies suggest that stress contributes to the generation of visceral symptoms. However, during stress exposure attention is normally shifted away from bodily signals. Therefore, the net effects of stress on interoception remain unclear. We, therefore, investigated the impact of the cold pressor test or a control intervention (each n = 21) on three established laboratory paradigms to assess cardioceptive accuracy (CA): for the Schandry-paradigm, participants were asked to count heartbeats, while during the Whitehead-tasks subjects were asked to rate whether a cardiac sensation appeared simultaneously with an auditory or visual stimulus. CA was increased by stress when attention was focused on visceral sensations (Schandry), while it decreased when attention was additionally directed toward external stimuli (visual Whitehead). Explanations for these results are offered in terms of internal versus external deployment of attention, as well as specific effects of the cold pressor on the cardiovascular system. [less ▲] Detailed reference viewed: 241 (10 UL)![]() ; ; et al in Pain (2010) Detailed reference viewed: 123 (2 UL) |
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