Reference : Enhanced cardiac perception predicts impaired performance in the Iowa Gambling Task i... |
Scientific journals : Article | |||
Social & behavioral sciences, psychology : Treatment & clinical psychology | |||
http://hdl.handle.net/10993/12372 | |||
Enhanced cardiac perception predicts impaired performance in the Iowa Gambling Task in patients with panic disorder | |
English | |
Wölk, Julian [> >] | |
Sütterlin, Stefan [> >] | |
Koch, Stefan [> >] | |
Vögele, Claus ![]() | |
Schulz, Stefan M. [> >] | |
2014 | |
Brain and Behavior | |
Wiley | |
4 | |
2 | |
238-246 | |
Yes (verified by ORBilu) | |
International | |
2162-3279 | |
[en] cardiac perception ; decision making ; interoception ; Iowa Gambling Task ; panic disorder ; somatic marker hypothesis | |
[en] Objective: Somatic marker theory predicts that somatic cues serve intuitive decision- making; however, cardiovascular symptoms are threat cues for patients with panic disorder (PD). Therefore, enhanced cardiac perception may aid intuitive decision-making only in healthy individuals, but impair intuitive decision-making in PD patients.
Methods: PD patients and age- and sex-matched volunteers without a psychiatric diagnosis (n = 17, respectively) completed the Iowa Gambling Task (IGT) as a measure of intuitive decision-making. Inter-individual differences in cardiac perception were assessed with a common mental tracking task. Results: In line with our hypothesis, we found a pattern of opposing associations (Fisher’s Z=1.78, p=.04) of high cardiac perception with improved IGT-performance in matched control-participants (r = .36, n = 14) but impaired IGT-performance in PD patients (r = -.38, n = 13). Conclusion: Interoceptive skills, typically assumed to aid intuitive decision-making, can have the opposite effect in PD patients who experience interoceptive cues as threatening, and tend to avoid them. This may explain why PD patients frequently have problems with decision-making in everyday life. Screening of cardiac perception may help identifying patients who benefit from specifically tailored interventions. | |
Researchers ; Professionals ; Students | |
http://hdl.handle.net/10993/12372 | |
10.1002/brb3.206 |
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