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RESEARCH PRODUCT

High blood pressure responders show largest increase in heartbeat perception accuracy after post-learning stress following a cardiac interoceptive learning task

Ilse Van DiestRuta MüllerJean T.m. FischbachClaus VögeleMichael WitthöftLara SchenkAndré Schulz

subject

MalePituitary-Adrenal SystemSocial SciencesBlood PressureSomatic symptom disorderMEMORY CONSOLIDATIONCortisolInteroception0302 clinical medicineHeart RatePsychologyANXIETYBRAINPsychology BiologicalPsychology ExperimentalGeneral Neuroscience05 social sciencesCold pressor testPerceptual learningNeuropsychology and Physiological PsychologyHypertensionCardiologyAnxietyFemaleMemory consolidationSENSITIVITYmedicine.symptomLife Sciences & BiomedicineBehavioral SciencesDECLARATIVE MEMORYHypothalamo-Hypophyseal SystemAWARENESSmedicine.medical_specialtyHeartbeatINDUCED CORTISOL ELEVATIONSStress050105 experimental psychologyYoung Adult03 medical and health sciencesStress PhysiologicalInternal medicinemedicineHumansAutonomic nervous system0501 psychology and cognitive sciencesMEDICALLY UNEXPLAINED SYMPTOMSScience & Technologybusiness.industryPanic disordermedicine.diseasePANIC DISORDERREACTIVITYAutonomic nervous systemBlood pressureHeartbeat perceptionSymptom perceptionbusiness030217 neurology & neurosurgery

description

Mental disorders with physical symptoms, e.g. somatic symptom disorder, are characterized by altered interoceptive accuracy (IAc), which can be explained by individual differences in interoceptive learning (IL). We investigated if stress facilitates IL. Seventy-three healthy participants performed a heartbeat counting task (HCT: T1) and a heartbeat perception training (HBPT). After exposure to a socially-evaluated cold pressor stress test (SECPT; n = 48) or a control condition (n = 25), two more HCTs were performed (T2: 30 min after SECPT; T3: 24 h later). After the HBPT, all participants showed an increase in IAc. We separated the stress group into high vs. low systolic blood pressures (SBP) responders (n = 24 each), with high SBP responders showing the largest IAc increases. Only SBP, but not cortisol responsiveness significantly predicted IAc increase from T1 to T2. Our results indicate that post-learning autonomic stress response facilitates IL, whereas the HPA axis response may be less important for this effect. ispartof: BIOLOGICAL PSYCHOLOGY vol:154 ispartof: location:Netherlands status: published

https://doi.org/10.1016/j.biopsycho.2020.107919