Fear of physical activity relates to cardiac interoception and symptom distress in patients with chronic heart failure

[en] 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.

Disciplines :

Neurosciences & behavior

Author, co-author :

Hoffmann, Jeremia Mark

SCHULZ, André ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Behavioural and Cognitive Sciences (DBCS)

Finke, Johannes B.

Lauterbach, Michael

Schächinger, Hartmut

Vögele, Claus ; University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Behavioural and Cognitive Sciences (DBCS)

Spaderna, Heike

External co-authors :

yes

Language :

English

Title :

Fear of physical activity relates to cardiac interoception and symptom distress in patients with chronic heart failure

Publication date :

2023

Journal title :

Mental Health and Physical Activity

ISSN :

1878-0199

Publisher :

Elsevier, Oxford, Netherlands

Volume :

Issue :

Pages :

100553

Peer reviewed :

Peer reviewed

Available on ORBilu :

since 11 September 2023

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