TY - JOUR A1 - Herbert, Beate M. A1 - Herbert, Cornelia A1 - Pollatos, Olga T1 - On the relationship between interoceptive awareness and alexithymia - is interoceptive awareness related to emotional awareness? JF - Journal of personality N2 - Interoceptive awareness (IA) is associated with emotional experience, the processing of emotional stimuli, and activation of brain structures that monitor the internal visceral and emotional state of the organism. Alexithymia is characterized by difficulties in identifying and describing one's emotions and externally oriented thinking (EOT) and reflects impairments in emotional awareness and the regulation of emotions. This study examined the relationship between alexithymia and IA in a healthy population of N = 155 persons. A well-validated heartbeat perception task to measure interoceptive awareness, the Toronto Alexithymia Scale (TAS-20) and a depression questionnaire (BDI-2) were administered to 88 women and 67 men. IA was inversely associated with all features of alexithymia in the whole sample. When considering sex differences, IA turned out to be a relevant negative predictor for the EOT subscale only in men. This large sample investigation in a nonclinical population indicates that IA represents a relevant negative predictor for alexithymia. Y1 - 2011 U6 - https://doi.org/10.1111/j.1467-6494.2011.00717.x SN - 0022-3506 VL - 79 IS - 5 SP - 1149 EP - 1175 PB - Wiley-Blackwell CY - Malden ER - TY - JOUR A1 - Pollatos, Olga A1 - Dietel, Anja A1 - Herbert, Beate M. A1 - Wankner, Sarah A1 - Wachsmuth, Cornelia A1 - Henningsen, Peter A1 - Sack, Martin T1 - Blunted autonomic reactivity and increased pain tolerance in somatoform patients JF - Pain : journal of the International Association for the Study of Pain N2 - Somatoform disorders are characterized by the presence of multiple somatic symptoms. Patients often experience different pain syndromes, and recent research suggests that sympathovagal balance is disturbed in somatoform patients, which could be related to alteration in pain sensitivity. This study analyzed how proposed sympathovagal imbalance interacts with objective pain assessment and the imagination of pain in somatoform disorders. Twenty-one patients (4 men) with diagnosed multisomatoform disorder were included in the study and matched to healthy control subjects. Autonomic measures and heart rate variability were assessed during baseline; pain perception was assessed by means of a pressure algometer and pain imagination. We found evidence for a sympathovagal imbalance in somatoform disorders characterized by low parasympathetic activation and high sympathetic activation during all conditions. Additionally, somatoform patients had reduced pain tolerance. Vagal withdrawal during pain assessment was more pronounced for healthy control subjects and correlated positively with assessed pain tolerance. During imagination somatoform, patients reported higher pain unpleasantness and higher pain intensity as compared to control subjects. We conclude that our data demonstrate an imbalance in sympathovagal activation and a hyposensitivity to pain tolerance stimuli in somatoform disorders. Parasympathetic reactivity might form crucial information when judging pain-associated affective-motivational components. Our results might be attributable to a deficient detection of visceral signals and might be a pathogenetic mechanism for the development of emotional difficulties and increased everyday vulnerability in somatoform patients. KW - Autonomic KW - Heart rate variability KW - Pain threshold KW - Pain tolerance KW - Response KW - Somatoform disorder KW - Sympathovagal balance Y1 - 2011 U6 - https://doi.org/10.1016/j.pain.2011.05.024 SN - 0304-3959 VL - 152 IS - 9 SP - 2157 EP - 2164 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Pollatos, Olga A1 - Herbert, Beate M. A1 - Wankner, Sarah A1 - Dietel, Anja A1 - Wachsmuth, Cornelia A1 - Henningsen, Peter A1 - Sack, Martin T1 - Autonomic imbalance is associated with reduced facial recognition in somatoform disorders JF - Journal of psychosomatic research N2 - Objectives: Somatoform disorders are characterized by the presence of multiple somatic symptoms. While the accuracy of perceiving bodily signal (interoceptive awareness) is only sparely investigated in somatoform disorders, recent research has associated autonomic imbalance with cognitive and emotional difficulties in stress-related diseases. This study aimed to investigate how sympathovagal reactivity interacts with performance in recognizing emotions in faces (facial recognition task). Methods: Using a facial recognition and appraisal task, skin conductance levels (SCLs), heart rate (HR) and heart rate variability (HRV) were assessed in 26 somatoform patients and compared to healthy controls. Interoceptive awareness was assessed by a heartbeat detection task. Results: We found evidence for a sympathovagal imbalance in somatoform disorders characterized by low parasympathetic reactivity during emotional tasks and increased sympathetic activation during baseline. Somatoform patients exhibited a reduced recognition performance for neutral and sad emotional expressions only. Possible confounding variables such as alexithymia, anxiety or depression were taken into account. Interoceptive awareness was reduced in somatoform patients. Conclusions: Our data demonstrate an imbalance in sympathovagal activation in somatoform disorders associated with decreased parasympathetic activation. This might account for difficulties in processing of sad and neutral facial expressions in somatoform patients which might be a pathogenic mechanism for increased everyday vulnerability. KW - Somatoform disorder KW - Interoceptive awareness KW - Facial recognition KW - Autonomic response KW - Heart rate variability Y1 - 2011 U6 - https://doi.org/10.1016/j.jpsychores.2011.03.012 SN - 0022-3999 VL - 71 IS - 4 SP - 232 EP - 239 PB - Elsevier CY - Oxford ER - TY - JOUR A1 - Pollatos, Olga A1 - Werner, Natalie S. A1 - Duschek, Stefan A1 - Schandry, Rainer A1 - Matthias, Ellen A1 - Traut-Mattausch, Eva A1 - Herbert, Beate M. T1 - Differential effects of alexithymia subscales on autonomic reactivity and anxiety during social stress JF - Journal of psychosomatic research N2 - 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. KW - Alexithymia KW - Autonomic response KW - Social stress KW - Skin conductance KW - Anxiety KW - Social performance KW - Decoupling hypothesis Y1 - 2011 U6 - https://doi.org/10.1016/j.jpsychores.2010.12.003 SN - 0022-3999 VL - 70 IS - 6 SP - 525 EP - 533 PB - Elsevier CY - Oxford ER -