Abstract
The aim of the study was to investigate the possible association of hypnotizability and deep sleep (N3) duration, and whether the interoceptive sensibility influences this association. This was motivated by the proneness of highly hypnotizable individuals to easily change their psychophysiological state, i.e., from wakefulness to hypnosis and sleep, and by the positive association observed between hypnotizability and interoceptive sensibility. Forty-seven healthy participants previously enrolled in a polysomnographic night sleep study completed the questionnaire for Multidimensional Assessment of Interoceptive Awareness (MAIA) and underwent hypnotic assessment through the Stanford Hypnotic Susceptibility Scale, form A (SHSS,A). Results showed that N3 duration is not linearly correlated with hypnotizability. Controlling for a few MAIA scales did not modify the relation between hypnotizability and deep sleep. A polynomial relation indicates that N3 duration and N3 percentage of the total sleep time increase with hypnotizability in the low-to-medium range of hypnotizability and decrease in the medium-to-high range. In conclusion, hypnotic assessment predicts N3 duration and their association is not modified by interoceptive awareness/sensitivity.
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References
Balthazard CG, Woody EZ (1989) Bimodality, dimensionality, and the notion of hypnotic types. Int J Clin Exp Hypn 37(1):70–89
Barrett LF, Simmons WK (2015) Interoceptive predictions in the brain. Nat Rev Neurosci 16:419–429
Bei B, Wiley JF, Trinder J, Manber R (2016) Beyond the mean: a systematic review on the correlates of daily intraindividual variability of sleep/wake patterns. Sleep Med Rev 28:108–124
Berry RB (2017) AASM scoring manual updates for 2017. J. Clin. Sleep Med 5:665–666
Blume C, del Giudice R, Wislowska A, Heib DPJ, Schabus M (2018) Standing sentinel during human sleep: continued evaluation of environmental stimuli in the absence of consciousness. NeuroImage 178:638–648
Blunden S, Galland B (2014) The complexities of defining optimal sleep: empirical and theoretical considerations with a special emphasis on children. Sleep Med Rev 18(5):371–378
Bocci T, Barloscio D (2017) High hypnotizability impairs the cerebellar control of pain. Cerebellum 16(1):55–61
Brindle RC, Duggan KA, Cribbet MR, Kline CE, Krafty RT, Thayer JF, Mulukutla SR (2018 Apr) Hall MH cardiovascular stress reactivity and carotid intima-media thickness: the buffering role of slow-wave sleep. Psychosom Med 80(3):301–306
Buckelew SP, Douglas E, DeGood DE, Roberts KD, Butkovic JD, MacKewn AS (2009) Awake EEG disregulation in good compared to poor sleepers. Appl Psychophysiol Bio 34:99–103
Calì G, Ambrosini E, Picconi L, Mehling WE, Committeri G (2015) Investigating the relationship between interoceptive accuracy, interoceptive awareness, and emotional susceptibility. Front Psychol 6:1202
Critchley HD, Garfinkel SN (2017) Interoception and emotion. Curr Opinion Psychol 17:7–14
Critchley HD, Harrison NA (2013) Visceral influences on brain and behavior. Neuron 77:624–638
Danziger N, Fournier E, Bouhassira D, Michaud D, De Broucker T, Santarcangelo E, Carli G, Chertock L (1998) Willer JC Different strategies of modulation can be operative during hypnotic analgesia: a neurophysiological study. Pain 75(1):85–92
De Benedittis G, Cigada M, Bianchi A, Signorini MG, Cerutti S (1994) Autonomic changes during hypnosis: a heart rate variability power spectrum analysis as a marker of sympatho-vagal balance. Int J Clin Exp Hypn 42:140–152
De Pascalis V, Russo P, Marucci FS (2000) Italian norms for the Harvard Group Scale of Hypnotic Susceptibility. A Int J Clin Exp Hypn 48:44–55
De Pascalis V, Bellusci A, Russo PM (2000) Italian norms for the Stanford hypnotic susceptibility scale, form. Int J Clin Exp Hypn 48:315–323
Derbyshire SW, Whalley MG, Oakley DA (2009) Fibromyalgia pain and its modulation by hypnotic and non-hypnotic suggestion: an fMRI analysis. Eur J Pain 13(5):542–550
Dittborn JM, O’Connell DN (1967) Behavioral sleep, physiological sleep, and hypnotizability. Int J Clin Exp Hypn 15:181–188
Elkins GR, Barabasz AF, Council JR, Spiegel D (2015) Advancing research and practice: the revised APA division 30 definition of hypnosis. Int J Clin Exp Hypn 63(1):1–9
Evans FJ (1972) Hypnosis And Sleep: Techniques For Exploring Cognitive Activity During Sleep. In: Fromm E, Shor RE (eds) Hypnosis: Research Developments And Perspectives. Aldine-Atherton, Chicago
Evans FJ (2014) Hypnotizability: Individual differences in dissociation and the flexible control of psychological processes. In: Rhue JW (ed) Theories of Hypnosis current models and perspectives. Guilford Press, London
Ewing DL, Manassei M, Gould van Praag C, Philippides AO, Critchley HD, Garfinkel SN (2017) Sleep and the heart: Interoceptive differences linked to poor experiential sleep quality in anxiety and depression. Biol Psychol 127:163–172
Ferentzi E, Drew R, Tihanyi BT, Köteles F (2018) Interoceptive accuracy and body awareness - temporal and longitudinal associations in a non-clinical sample. Physiol Behav 184:100–107
Forkmann T, Scherer A, Meessen J, Michal M, Schächinger H, Vögele C, Schulz A (2016) Making sense of what you sense: disentangling interoceptive awareness, sensibility and accuracy. Int J Psychophysiol 109:71–80
Garfinkel SN, Seth AK, Barrett AB, Suzuki K, Critchley HD (2015) Knowing your own heart: distinguishing interoceptive accuracy from interoceptive awareness. Biol Psychol 104:65–74
Hilgard E (1977) Divided consciousness: multiple controls in human thought and action. Wiley, New York, NY
Jambrik Z, Santarcangelo EL, Ghelarducci B, Picano E, Sebastiani L (2004) Does hypnotizability modulate the stress-related endothelial dysfunction? Brain Res Bull 63(3):213–216
Jambrik Z, Santarcangelo EL, Rudisch T, Varga A, Forster T, Carli G (2005) Modulation of pain-induced endothelial dysfunction by hypnotisability. Pain 116(3):181–186
Javaheri S, Zhao YY, Punjabi NM, Quan SF, Gottlieb DJ, Redline S (2018) Slow-wave sleep is associated with incident hypertension: the sleep heart health study. Sleep 41:1
Kiernan BD, Dane JR, Phillips LH, Price DD (1995) Hypnotic analgesia reduces R-III nociceptive reflex: further evidence concerning the multifactorial nature of hypnotic analgesia. Pain 60:39–47
Kuehn E, Mueller K, Lohmann G, Schuetz-Bosbach S (2016) Interoceptive awareness changes the posterior insula functional connectivity profile. Brain Struct & Function 221:1555–1571
Landry M, Lifshitz M, Raz A (2017) Brain correlates of hypnosis: a systematic review and meta-analytic exploration. Neurosci Biobehav Rev 81:75–98
Lechinger J, Heib DPJ, Gruber W, Schabus M, Klimesch W (2015) Heartbeat-related EEG amplitude and phase modulations from wakefulness to deep sleep: interactions with sleep spindles and slow oscillations. Psychophysiology 52:1441–1450
Lemola S, Ledermann T, Friedman EM (2013) Variability of sleep duration is related to subjective sleep quality and subjective well-being: an actigraphy study. PLoS ONE 8(8):71–292
Mehling W (2016) Differentiating attention styles and regulatory aspects of self-reported interoceptive sensibility. Philos Trans R Soc Lond B Biol Sci 371(1708):20160013
Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A (2012) The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE 7(11):e48230
Murphy J, Geary H, Millgate E, Catmur C, Bird G (2018) Direct and indirect effects of age on interoceptive accuracy and awareness across the adult lifespan. Psychon Bull Rev 25:1193–1202
Murphy J, Catmur C, Bird G (2019) Classifying individual differences in interoception: Implications for the measurement of interoceptive awareness. Psychon Bull Rev 26(5):1467–1471
Picerni E, Santarcangelo EL, Laricchiuta D, Cutuli D, Petrosini L, Spalletta G, Piras F (2019) Cerebellar structural variations in subjects with different hypnotizability. Cerebellum 18:109–118
Price CJ, Hooven C (2018) Interoceptive awareness skills for emotion regulation: theory and approach of mindful awareness in body-oriented therapy (MABT). Psychon Bull Rev 25(3):1193–1202
Quadt L, Critchley HD, Garfinkel SN (2018) The neurobiology of interoception in health and disease. Ann N Y Acad Sci 1428(1):112–128
Santarcangelo EL (2014) New views of hypnotizability. Front Behav Neurosci 8:224
Santarcangelo EL, Busse K, Carli G (1989) Changes in electromyographically recorded human monosynaptic reflex in relation to hypnotic susceptibility and hypnosis. Neurosci Lett 104(1–2):157–160
Santarcangelo EL, Emdin M, Picano E, Raciti M, Macerata A, Michelassi C, Kraft G, Riva A, L’Abbate A (1992) Can hypnosis modify the sympathetic-parasympathetic balance at heart level? J Amb Monitor 5(2):191–196
Santarcangelo EL, Busse K, Carli G (2003) Frequency of occurrence of the F wave in distal flexor muscles as a function of hypnotic susceptibility and hypnosis. Brain Res Cogn Brain Res 16(1):99–103
Santarcangelo EL, Paoletti G, Balocchi R, Carli G, Morizzo C, Palombo C (2012) Hypnotizability modulates the cardiovascular correlates of subjective relaxation. Int J Clin Exp Hypn 60(4):383–396
Santarcangelo EL, Paoletti G, Balocchi R, Carli G, Morizzo C, Palombo C (2016) Complementing the APA definition of Hypnosis: sensory-motor and vascular peculiarities involved in hypnotizability. Int J Clin Exp Hypn 64(3):318–330
Schulz SM (2016) Neural correlates of heart-focused interoception: a functional magnetic resonance imaging meta-analysis. Phil Trans Royal Soc, London
Sebastiani L, D’Alessandro L, Menicucci D, Ghelarducci B, Santarcangelo EL (2007) Role of relaxation and specific suggestions in hypnotic emotional numbing. Int J Psychophysiol 63(1):125–132
Sebastiani L, Diolaiuti F, Huber A, Ciaramella A, Santarcangelo EL (2018) Interoceptive awareness, conditioned emotion and hypnotizability. Int J Psychophysiol 131:S147–S148
Seth AK, Friston KJ (2016) Active interoceptive inference and the emotional brain. Phil Trans Royal Soc, London
Stern ER, Grimaldi SJ, Muratore A, Murrough J, Leibu E, Fleysher L, Goodman WK, Burdick KE (2017) Neural correlates of interoception: effects of interoceptive focus and relationship to dimensional measures of body awareness. Hum Brain Mapp 38:6068–6082
Strigo IA, Craig AD (2016) Interoception, homeostatic emotions and sympatho-vagal balance. Phil Trans Royal Soc, London
Tellegen A, Atkinson G (1974) Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. J Abnorm Psychol 83(3):268–277
Todd J, Mullan B (2013) The role of self-regulation in predicting sleep hygiene in university students. Psychol Health Med 18(3):275–288
Wei Y, Ramautar JR, Colombo MA, Stoffers D, Gómez-Herrero G, van der Meijden WP, Te Lindert BH, van der Werf YD, Van Someren EJ (2016) I Keep a close watch on this heart of mine: increased interoception in insomnia. Sleep 39:2113–2124
Weitzenhoffer AM, Hilgard ER (1959) Scala Stanford Di Suscettibilità Ipnotica. Forme A.B. Versione Italiana. Organizzazioni Speciali, Firenze
Zachariae R, Jørgensen MM, Bjerring P, Svendsen G (2000) Autonomic and psychological responses to an acute psychological stressor and relaxation: the influence of hypnotizability and absorption. Int J Clin Exp Hypn 48(4):388–396
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Research funded by Finalizzata GR-2011-02348998 Stella Maris and University of Pisa (Fondi Ateneo 2017).
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Diolaiuti, F., Fantozzi, M.P.T., Di Galante, M. et al. Association of hypnotizability and deep sleep: any role for interoceptive sensibility?. Exp Brain Res 238, 1937–1943 (2020). https://doi.org/10.1007/s00221-020-05853-4
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DOI: https://doi.org/10.1007/s00221-020-05853-4