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Altered Interoceptive Processing in Generalized Anxiety Disorder—A Heartbeat-Evoked Potential Research

Bibliographic Data

ID15517539
AuthorsJiaoyan Pang (Shanghai Mental Health Center), Xiaochen Tang (0000-0003-3796-7111, Shanghai Mental Health Center), Hui Li (0000-0001-9355-1116, Shanghai Jiao Tong University), Qiang Hu (0000-0001-8359-5764, Shanghai Jiao Tong University), Huiru Cui (0000-0001-5171-1871, Shanghai Jiao Tong University), Lanlan Zhang (0000-0003-0246-9841, Suzhou Guangji Hospital), Wei Li (0000-0002-3581-849X, Shanghai Mental Health Center), Zhuoying Zhu (0000-0002-8865-9218, Shanghai Jiao Tong University), Jijun Wang (0000-0003-4536-9664, Institute of Psychology, Chinese Academy of Sciences, corresponding author), Chunbo Li (0000-0002-3387-4439, Center for Excellence in Brain Science and Intelligence Technology, corresponding author)
Year2019
Volume10
Pages616-616
Publication date2019-09-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2019.00616
PMID31543837
OpenAlexW2965633253
LanguageEN
Citations received2
References cited9

Generalized anxiety disorder (GAD) is one of the most common anxiety disorders. The brain's dysfunctional processing of interoceptive information is increasingly recognized as an important component of anxiety disorders. However, the neural mechanisms remain insufficiently understood. In the present study, patients with GAD and healthy control participants underwent an eyes-closed (EC) resting state (interoception) and eyes-open (EO) resting state (exteroception) without paying conscious attention to heartbeat. Electrocardiography (ECG) and electroencephalography (EEG) signals were recorded at the same time. The results show that in healthy controls, the heartbeat-evoked brain potential (HEP) was modulated by the conditions, with a significantly higher amplitude under EC than EO, while this was not the case in GAD patients. Further analysis revealed that the dysfunction of HEP modulation in GAD patients may be attributed to excessive interoceptive processing under EO, with a marginally higher HEP in GAD than in the healthy controls. Finally, the right prefrontal HEP amplitude during EC condition was significantly correlated with the severity of the patients' anxiety symptoms. Our results suggest that altered cortical processing of interoceptive signals may play an important role in the pathophysiology of generalized anxiety disorder

Anxiety · Audiology · Electroencephalography · Generalized anxiety disorder · Heartbeat · Interoception · Panic disorder · Perception · Psychiatry · Resting state fMRI · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Medicine · Neural and Behavioral Psychology Studies · Neuroscience · Psychology · Psychosomatic Disorders and Their Treatments

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Unique citing works2
Citations per year0,5
Citation span2022 - 2025 (4)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2

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