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Knowing your own heart: distinguishing interoceptive accuracy from interoceptive awareness

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journal contribution
posted on 2023-06-08, 20:04 authored by Sarah Garfinkel, Anil SethAnil Seth, Adam BarrettAdam Barrett, Keisuke Suzuki, Hugo CritchleyHugo Critchley
Interoception refers to the sensing of internal bodily changes. Interoception interacts with cognition and emotion, making measurement of individual differences in interoceptive ability broadly relevant to neuropsychology. However, inconsistency in how interoception is defined and quantified led to a three-dimensional model. Here, we provide empirical support for dissociation between dimensions of: (1) interoceptive accuracy (performance on objective behavioural tests of heartbeat detection), (2) interoceptive sensibility (self-evaluated assessment of subjective interoception, gauged using interviews/questionnaires) and (3) interoceptive awareness (metacognitive awareness of interoceptive accuracy, e.g. confidence-accuracy correspondence). In a normative sample (N = 80), all three dimensions were distinct and dissociable. Interoceptive accuracy was only partly predicted by interoceptive awareness and interoceptive sensibility. Significant correspondence between dimensions emerged only within the sub-group of individuals with greatest interoceptive accuracy. These findings set the context for defining how the relative balance of accuracy, sensibility and awareness dimensions explain cognitive, emotional and clinical associations of interoceptive ability.

Funding

Sackler Centre - donation; G0951; SACKLER-DR MORTIMER AND THERESA SACKLER FOUNDATION

Cardiac control of fear in brain; G1120; EUROPEAN UNION; 324150 CCFIB

History

Publication status

  • Published

File Version

  • Published version

Journal

Biological Psychology

ISSN

0301-0511

Publisher

Elsevier

Volume

104

Page range

65-74

Department affiliated with

  • BSMS Neuroscience Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2015-03-09

First Open Access (FOA) Date

2015-03-09

First Compliant Deposit (FCD) Date

2015-03-09

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