• search hit 1 of 1
Back to Result List

Enhanced cardiac perception predicts impaired performance in the Iowa Gambling Task in patients with panic disorder

Please always quote using this URN: urn:nbn:de:bvb:20-opus-119865
  • 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. InterindividualOBJECTIVE: 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. Interindividual 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=0.04) of high cardiac perception with improved IGT-performance in matched control-participants (r=0.36, n=14) but impaired IGT-performance in PD patients (r=-0.38, 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.show moreshow less

Download full text files

Export metadata

Additional Services

Share in Twitter Search Google Scholar Statistics
Metadaten
Author: Julian Wölk, Stefan Sütterlin, Stefan Koch, Claus Vögele, Stefan M. Schulz
URN:urn:nbn:de:bvb:20-opus-119865
Document Type:Journal article
Faculties:Fakultät für Humanwissenschaften (Philos., Psycho., Erziehungs- u. Gesell.-Wissensch.) / Institut für Psychologie
Language:English
Parent Title (English):Brain and Behavior
ISSN:2162-3279
Year of Completion:2014
Volume:4
Issue:2
Pagenumber:238-46
Source:Brain and Behavior 2014; 4(2): 238–246. doi: 10.1002/brb3.206
DOI:https://doi.org/10.1002/brb3.206
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=24683516
Dewey Decimal Classification:1 Philosophie und Psychologie / 15 Psychologie / 152 Sinneswahrnehmung, Bewegung, Emotionen, Triebe
Tag:Iowa Gambling Task; cardiac perception; decision making; interoception; panic disorder; somatic marker hypothesis
Release Date:2015/11/17
Licence (German):License LogoCC BY: Creative-Commons-Lizenz: Namensnennung