@article{PollatosKurzAlbrechtetal.2008, author = {Pollatos, Olga and Kurz, Anne-Lene and Albrecht, Jessica and Schreder, Tatjana and Kleemann, Anna Maria and Sch{\"o}pf, Veronika and Kopietz, Rainer and Wiesmann, Martin and Schandry, Rainer}, title = {Reduced perception of bodily signals in anorexia nervosa}, issn = {1471-0153}, year = {2008}, abstract = {OBJECTIVE: Interoceptive awareness is known to be impaired in eating disorders. To date, it has remained unclear whether this variable is related to the construct of interoceptive sensitivity. Interoceptive sensitivity is considered to be an essential variable in emotional processes. The objective of the study was to elucidate this potential relationship and to clarify whether general interoceptive sensitivity is reduced in anorexia nervosa. METHODS: Using a heartbeat perception task, interoceptive sensitivity was assessed in 28 female patients with anorexia nervosa and 28 matched healthy controls. Questionnaires assessing interoceptive awareness (EDI) and several other variables were also administered. RESULTS: Patients with anorexia nervosa displayed significantly decreased interoceptive sensitivity. They also had more difficulties in interoceptive awareness. CONCLUSIONS: In addition to a decreased ability to recognize certain visceral sensations related to hunger, there is a generally reduced capacity to accurately perceive bodily signals in anorexia nervosa. This highlights the potential importance of interoceptive sensitivity in the pathogenesis of eating disorders.}, language = {en} } @article{PollatosHerbertSchandryetal.2008, author = {Pollatos, Olga and Herbert, Beate M. and Schandry, Rainer and Gramann, Klaus}, title = {Impaired central processing of emotional faces in anorexia nervosa}, issn = {0033-3174}, year = {2008}, abstract = {OBJECTIVES: To elucidate the potential relationship between classification of emotional faces and impaired central processing in eating disorders and to investigate the potential mediatory role of alexithymia and depression in this relationship. METHODS: Visual-evoked potentials (VEPs) to emotional faces and classification performance were assessed in 12 anorexic females and matched healthy controls. RESULTS: Patients with anorexia nervosa showed no modulation of emotional face processing and displayed significantly increased N200 amplitudes in response to all emotional categories and decreased VEPs in response to unpleasant emotional faces in the P300 time range as compared with healthy controls. They also made more mistakes in emotional face recognition, in particular, for neutral, sad, and disgusted content. CONCLUSIONS: There are marked differences in evoked potentials and emotion recognition performances of patients with anorexia nervosa and controls in facial processing. Differences in brain dynamics might contribute to difficulties in the correct recognition of facially expressed emotions, deficits in social functioning, and in turn the maintenance of eating disorders.}, language = {en} } @article{PollatosTrautMattauschSchandry2009, author = {Pollatos, Olga and Traut-Mattausch, Eva and Schandry, Rainer}, title = {Differential effects of anxiety and depression on interoceptive accuracy}, issn = {1091-4269}, year = {2009}, abstract = {BACKGROUND: Feedback from the body is assumed to be altered in depression. Nevertheless, empirical studies investigating this assumed relationship remain sparse. This study aimed to examine interrelations between the ability to perceive heartbeats accurately (interoceptive awareness), depressive symptoms, and anxiety in healthy participants. METHODS: A well-validated heartbeat perception task to measure interoceptive awareness together with two questionnaires indexing anxiety and depression were administered to 119 participants. RESULTS: As main results we observed a negative correlation between heartbeat perception and depression. Only when focussing on high anxiety levels this negative correlation coefficient between depression and interoception remained significant. CONCLUSIONS: Our results highlight the possible relationship between depressive symptoms and interoceptive awareness and may have further implications for theoretical models of anxiety disorders and their treatment. Further research is required to examine the potential consequences of altering interoceptive awareness in healthy subjects in relation to depression and anxiety.}, language = {en} } @article{PollatosSchuboeHerbertetal.2008, author = {Pollatos, Olga and Schub{\"o}, Anna and Herbert, Beate M. and Matthias, Ellen and Schandry, Rainer}, title = {Deficits in early emotional reactivity in alexithymia}, issn = {0048-5772}, year = {2008}, abstract = {Abstract 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.}, language = {en} } @article{PollatosSchandry2008, author = {Pollatos, Olga and Schandry, Rainer}, title = {Emotional processing and emotional memory are modulated by interoceptive awareness}, issn = {0269-9931}, year = {2008}, abstract = {The ability to perceive interoceptive signals plays a central role in many theories of emotions. The present study was designed to investigate the relationship between interoceptive awareness and the conscious processing and memory of emotional information. Heart-rate changes were recorded during baseline and affective picture presentation in two groups of participants, differing in cardiac awareness. After a 60-minute break, a recognition task was conducted. Statistical analyses revealed significantly stronger heart-rate deceleration to pleasant and unpleasant stimuli in participants with high interoceptive awareness. In the subsequent picture recognition task, participants with high interoceptive awareness demonstrated a superior recall of pleasant and unpleasant pictures, while no differences were found between interoceptive awareness groups for pictures of neutral content. Our results demonstrate a strong relationship between the perception of cardiac signals and both the processing as well as the recognition of emotional stimuli. High interoceptive awareness was related to increased physiological responses to emotional stimuli and is therefore an important mediating variable when investigating cardiovascular reactivity both in healthy subjects as well as in clinical populations.}, language = {en} } @article{PollatosWernerDuscheketal.2011, author = {Pollatos, Olga and Werner, Natalie S. and Duschek, Stefan and Schandry, Rainer and Matthias, Ellen and Traut-Mattausch, Eva and Herbert, Beate M.}, title = {Differential effects of alexithymia subscales on autonomic reactivity and anxiety during social stress}, series = {Journal of psychosomatic research}, volume = {70}, journal = {Journal of psychosomatic research}, number = {6}, publisher = {Elsevier}, address = {Oxford}, issn = {0022-3999}, doi = {10.1016/j.jpsychores.2010.12.003}, pages = {525 -- 533}, year = {2011}, abstract = {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.}, language = {en} }