Abstract
Mental stress evokes several physiological responses such as the acceleration of heart rate, increase of electrodermal activity and the release of adrenaline. Moreover, physiological stress responses interact with emotional and behavioral stress responses. In the present study we provide evidence that viscero-sensory feedback from the heart (cardiac perception) is an important factor modulating emotional and cognitive stress responses. In our study, we compared participants with high versus low cardiac perception using a computerized mental stress task, in which they had to respond to rapidly presented visual and acoustic stimuli. Additionally, we assessed physiological responses (heart rate, skin conductance). Participants high in cardiac perception reported more negative emotions and showed worse task performance under the stressor than participants low in cardiac perception. These results were not moderated by physiological responses. We conclude that cardiac perception modulates stress responses by intensifying negative emotions and by impairing cognitive performance.
Similar content being viewed by others
Notes
Additionally we conducted correlation analyses between heart rate and skin conductance level under stress and emotional experience as well as cognitive performance. There was neither a significant correlation between heart rate under stress and emotional experience (all rs <.23, all ps >.12) nor between skin conductance level under stress and emotional experience (all rs <.17, all ps >.24). There was also no significant correlation between skin conductance level under stress and cognitive performance (all rs <.12, all ps >.42). Only the correlation between heart rate under stress and correct reactions (r = −.29, p < .05) as well as heart rate under stress and omitted reactions (r = .29, p = .05) reached significance.
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (Vol. 4). Washington, D.C.: American Psychiatric Association.
Barrett, L. F., Quigley, K. S., Bliss-Moreau, E., & Aronson, K. R. (2004). Interoceptive sensitivity and self-reports of emotional experience. Journal of Personality and Social Psychology, 87, 684–697. doi:10.1037/0022-3514.87.5.684
Bechara, A., & Naqvi, N. (2004). Listening to your heart: Interoceptive awareness as a gateway to feeling. Nature Neuroscience, 7, 102–103. doi:10.1038/nn0204-102
Brener, J. (1974). A general model of voluntary control applied to the phenomena of learned cardiovascular change. In P. A. Obrist, A. H. Black, J. Brener, & L. V. DiCara (Eds.), Cardiovascular psychophysiology (pp. 365–391). Chicago: Aldine.
Brener, J., & Kluvitse, C. (1988). Heartbeat detection: Judgements of the simultaneity of external stimuli and heartbeats. Psychophysiology, 25, 554–561. doi:10.1111/j.1469-8986.1988.tb01891.x
Cacioppo, J. T., Berntson, G. G., & Klein, D. J. (1992). What is an emotion? The role of somatovisceral afference, with special emphasis on somatovisceral “illusions”. In M. S. Clark (Ed.), Emotion and social behaviour (pp. 63–98). Thousand Oaks, CA: Sage.
Cameron, O. G. (2001). Interoception: The inside story—A model for psychosomatic processes. Psychosomatic Medicine, 63, 697–710. doi:http://www.ncbi.nlm.nih.gov/pubmed/11573016
Carroll, D., & Whellock, J. (1980). Heart rate perception and the voluntary control of heart rate. Biological Psychology, 11, 169–180. doi:10.1016/0301-0511(80)90053-8
Critchley, H. D., Wiens, S., Rotshtein, R., Öhman, A., & Dolan, R. J. (2004). Neural systems supporting interoceptive awareness. Nature Neuroscience, 7, 189–195. doi:10.1038/nn1176
Dale, A., & Anderson, D. (1978). Information variables in voluntary control and classical conditioning of heart rate: Field dependence and heart-rate perception. Perceptual and Motor Skills, 47, 79–85. doi:10.2466/pms.1978.47.1.79
Damasio, A. R. (1994). Descartes’ error: Emotion, reason, and the human brain. New York: Grosset/Putnam Books.
Domschke, K., Stevens, S., Pfleiderer, B., & Gerlach, A. L. (2010). Interoceptive sensitivity in anxiety and anxiety disorders: An overview and integration of neurobiological findings. Clinical Psychology Review, 30, 1–11. doi:10.1016/j.cpr.2009.08.008
Dunn, B. D., Galton, H. C., Morgan, R., Evans, D., Oliver, C., Meyer, M., et al. (2010). Listening to your heart: How interoception shapes emotion experience and intuitive decision making. Psychological Science. doi:10.11.77/0956797610389191.
Ehlers, A., & Breuer, P. (1992). Increased cardiac awareness in panic disorder. Journal of Abnormal Psychology, 101, 371–382. doi:10.1037//0021-843X.101.3.371
Ehlers, A., & Breuer, P. (1996). How good are patients with panic disorder at perceiving their heartbeats? Biological Psychology, 42, 165–182. doi:10.1016/0301-0511(95)05153-8
Eichler, S., & Katkin, E. S. (1994). The relationship between cardiovascular reactivity and heartbeat detection. Psychophysiology, 31, 229–234. doi:10.1111/j.1469-8986.1994.tb02211.x
Eley, T. C., Stirling, L., Ehlers, A., Gregory, A. M., & Clark, D. M. (2004). Heart-beat perception, panic/somatic symptoms and anxiety sensitivity in children. Behaviour Research and Therapy, 42, 439–448. doi:10.1016/S0005-7967(03)00152-9
European Agency for Safety and Health at Work (EU-OSHA). (2003). Annual report 2002. ISBN 92-9191-024-4.
Forcier, K., Stroud, L. R., Papandonatos, G. D., Hitsman, B., Reiches, M., Krishnamoorthy, J., et al. (2006). Links between physical fitness and cardiovascular reactivity and recovery to psychological stressors: A meta-analysis. Health Psychology, 25, 723–739. doi:10.1037/0278-6133.25.6.723
Gonzalez-Bono, E., Moya-Albiol, L., Salvador, A., Carrillo, E., Ricarte, J., & Gomez-Amor, J. (2002). Anticipatory autonomic response to a public speaking task in women: The role of trait anxiety. Biological Psychology, 60, 37–49. doi:10.1016/S0301-0511(02)00008-X
Hantas, M., Katkin, E. S., & Blascovich, J. (1982). Relationship between heartbeat discrimination and subjective experience of affective state. Psychophysiology, 19, 563. doi:10.1111/j.1469-8986.1982.tb02584.x
Harver, A., Katkin, E. S., & Bloch, E. (1994). Signal-detection outcomes on heartbeat and respiratory resistance detection tasks in male and female subjects. Psychophysiology, 30, 223–230. doi:10.1111/j.1469-8986.1993.tb03347.x
Herbert, B. M., Pollatos, O., Flor, H., Enck, P., & Schandry, R. (2010). Cardiac awareness and autonomic cardiac reactivity during emotional picture viewing and mental stress. Psychophysiology, 47, 342–354. doi:10.1111/j.1469-8986.2009.00931.x
James, W. (1884). What is an emotion? Mind, 9, 188–205.
Jones, G. E. (1994). Perception of visceral sensations: A review of recent findings, methodologies, and future directions. In J. R. Jennings, P. K. Ackles, & M. G. H. Coles (Eds.), Advances in psychophysiology (pp. 55–191). London: Jessica Kingsley.
Jones, F., & Bright, J. (2007). Stress: Health and illness. In A. Monat, R. S. Lazarus, & G. Reevy (Eds.), The Praeger handbook on stress and coping (Vol. 1). Westport, CT: Praeger.
Jones, G. E., & Hollandsworth, J. G. (1981). Heart rate discrimination before and after exercise-induced augmented cardiac activity. Psychophysiology, 18, 252–257. doi:10.1111/j.1469-8986.1981.tb03029.x
Katkin, E. S. (1985). Blood, sweat, and tears: Individual differences in autonomic self-perception. Psychophysiology, 22, 125–137. doi:10.1111/j.1469-8986.1985.tb01573.x
Katkin, E. S., Blascovich, J., & Goldband, S. (1981). Empirical assessment of visceral self-perception: Individual and sex differences in the acquisition of heartbeat discrimination. Journal of Personality and Social Psychology, 40, 1095–1101. doi:10.1037/0022-3514.40.6.1095
Katkin, E. S., Morell, M. A., Goldband, S., Bernstein, G. L., & Wise, J. A. (1982). Individual differences in heartbeat discrimination. Psychophysiology, 19, 160–166. doi:10.1111/j.1469-8986.1982.tb02538.x
Kindermann, N. K., & Werner, N. S. Cardiac perception enhances stress experience. Journal of Psychophysiology (accepted).
Laux, L., Glanzmann, P., Shaffner, P., & Spielberger, C. D. E. (1981). Das State-Trait-Angstinventar. Weinheim: Beltz Test.
Low, C. A., Salomon, K., & Matthews, K. A. (2009). Chronic life stress, cardiovascular reactivity, and subclinical cardiovascular disease in adolescents. Psychosomatic Medicine, 71, 927–931. doi:10.1097/PSY.0b013e3181ba18ed
Matthias, E., Schandry, R., Duschek, S., & Pollatos, O. (2009). On the relationship between interoceptive awareness and the attentional processing of visual stimuli. International Journal of Psychophysiology, 72, 154–159. doi:10.1016/j.ijpsycho.2008.12.001
McFarland, R. A. (1975). Heart rate perception and heart rate control. Psychophysiology, 12, 402–405. doi:10.1111/j.1469-8986.1975.tb00011.x
Montgomery, W. A., Jones, G. E., & Hollandsworth, J. G. (1984). The effects of physical fitness and exercise on cardiac awareness. Biological Psychology, 18, 11–22. doi:10.1016/0301-0511(84)90022-X
Montoya, P., Schandry, R., & Mueller, A. (1993). Heartbeat evoked potentials (HEP): Topography and influence of cardiac awareness and focus of attention. Electroencephalography and Clinical Neurophysiology, 88, 163–172. doi:10.1016/0168-5597(93)90001-6
Neuwirth, W., & Benesch, M. (2007). Wiener test system manual. Determinations test. Mödling: Schuhfried GmbH.
Pennebaker, J. W. (1982). The psychology of physical symptoms. New York: Springer.
Pollatos, O., Gramann, K., & Schandry, R. (2007a). Neural systems connecting interoceptive awareness and feelings. Human Brain Mapping, 28, 9–18. doi:10.1002/hbm.20258
Pollatos, O., Herbert, B. M., Kaufmann, C., Auer, D. P., & Schandry, R. (2007b). Interoceptive awareness, anxiety and cardiovascular reactivity to isometric exercise. International Journal of Psychophysiology, 65, 167–173. doi:10.1016/j.ijpsycho.2007.03.005
Pollatos, O., Herbert, B. M., Matthias, E., & Schandry, R. (2007c). Heart rate response after emotional picture presentation is modulated by interoceptive awareness. International Journal of Psychophysiology, 63, 117–124. doi:10.1016/j.ijpsycho.2006.09.003
Pollatos, O., Kirsch, W., & Schandry, R. (2005). On the relationship between interoceptive awareness, emotional experience, and brain processes. Cognitive Brain Research, 25, 948–962. doi:10.1016/j.cogbrainres.2005.09.019
Pollatos, O., & Schandry, R. (2008). Emotional processing and emotional memory are modulated by interoceptive awareness. Cognition and Emotion, 22, 272–287. doi:10.1080/02699930701357535
Pollatos, O., Traut-Mattausch, E., & Schandry, R. (2009). Differential effects of anxiety and depression on interoceptive accuracy. Depression and Anxiety, 26, 167–173. doi:10.1002/da.20504
Rouse, C. H., Jones, G. E., & Jones, K. R. (1988). The effect of body composition and gender on cardiac awareness. Psychophysiology, 25, 400–407. doi:10.1111/j.1469-8986.1988.tb01876.x
Schandry, R. (1981). Heart beat perception and emotional experience. Psychophysiology, 18, 483–488. doi:10.1111/j.1469-8986.1981.tb02486.x
Schandry, R. (1983). On the relationship between improvement of cardiac perception and the increase of emotional experience. Psychophysiology, 20, 468–469. doi:10.1111/j.1469-8986.1983.tb00923.x
Schandry, R., & Bestler, M. (1995). Cardiovascular function and heartbeat perception. In D. S. R. Vaitl & R. Schandry (Eds.), From the heart to the brain (pp. 224–250). Frankfurt a. M.: Peter Lang.
Schandry, R., Bestler, M., & Montoya, P. (1993). On the relation between cardiodynamics and heartbeat perception. Psychophysiology, 30, 467–474. doi:10.1111/j.1469-8986.1993.tb02010.x
Schandry, R., Sparrer, B., & Weitkunat, R. (1986). Brain-electrical correlates of the heart-beat signal. Psychophysiology, 23, 459. doi:10.1111/j.1469-8986.1986.tb00655.x
Steyer, R., Schwenkmezger, P., Notz, P., & Eid, M. (1997). Der Mehrdimensionale Befindlichkeitsfragebogen (MDBF)—Multidimensional Mood Questionnaire. Göttingen: Hogrefe.
Thayer, J. F., & Lane, R. D. (2000). A model of neurovisceral integration in emotion regulation and dysregulation. Journal of Affective Disorders, 61, 201–216. doi:10.1016/S0165-0327(00)00338-4
Vaitl, D. (1996). Interoception. Biological Psychology, 42, 1–27. doi:10.1016/0301-0511(95)05144-9
Van der Does, W. A. J., Antony, M. M., Ehlers, A., & Barsky, A. J. (2010). Heartbeat perception in panic disorder: A reanalysis. Behaviour Research and Therapy, 38, 47–62. doi:10.1016/S0005-7967(98)00184-3
Werner, N. S., Duschek, S., Mattern, M., & Schandry, R. (2009a). Interoceptive sensitivity modulates anxiety during public speaking. Journal of Psychophysiology, 23, 85–94. doi:10.1027/0269-8803.23.2.85
Werner, N. S., Duschek, S., Mattern, M., & Schandry, R. (2009b). The relationship between pain perception and interoception. Journal of Psychophysiology, 23, 35–42. doi:10.1027/0269-8803.23.1.35
Werner, N. S., Jung, K., Duschek, S., & Schandry, R. (2009c). Enhanced cardiac perception is associated with benefits in decision-making. Psychophysiology, 46, 1123–1129. doi:10.1111/j.1469-8986.2009.00855.x
Werner, N. S., Kerschreiter, R., Kindermann, N. K., & Duschek, S. (2013). Interoceptive awareness as a moderator of affective responses to social exclusion. Journal of Psychophysiology, 27, 39–50. doi:10.1027/0269-8803/a000086
Werner, N. S., Mannhart, T., Reyes del Paso, G. A., & Duschek, S. (2014). Attention interference for emotional stimuli in cardiac interoceptive awareness. Psychophysiology. doi:10.1111/psyp.12200.
Werner, N. S., Peres, I., Duschek, S., & Schandry, R. (2010). Implicit memory for emotional words is modulated by cardiac perception. Biological Psychology, 85, 370–376. doi:10.1016/j.biopsycho.2010.08.008
Whitehead, W. E., Drescher, V. M., Heiman, P., & Blackwell, B. (1977). Relation of heart rate control to heartbeat perception. Biofeedback and Self-Regulation, 2, 371–392. doi:10.1007/BF00998623
Wiens, S., Mezzacappa, E. S., & Katkin, E. S. (2000). Heartbeat detection and the experience of emotions. Cognition and Emotion, 14, 417–427. doi:10.1080/026999300378905
Wilken, J. A., Smith, B. D., Tola, K., & Mann, M. (2000). Trait anxiety and prior exposure to non-stressful stimuli: Effects on psychophysiological arousal and anxiety. International Journal of Psychophysiology, 37, 233–242. doi:10.1016/S0167-8760(00)00082-9
Wittchen, H.-U., & Perkonig, A. (1996). DIA-X SSQ. Frankfurt: Swets Test Services.
Conflict of interest
Authors Nicole K. Kindermann and Natalie S. Werner declare that they have no conflict of interest.
Animal and Human Rights and Informed Consent
All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kindermann, N.K., Werner, N.S. The impact of cardiac perception on emotion experience and cognitive performance under mental stress. J Behav Med 37, 1145–1154 (2014). https://doi.org/10.1007/s10865-014-9564-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10865-014-9564-7