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Interoceptive awareness in patients with attention-deficit/hyperactivity disorder (ADHD)

  • Katrin Kutscheidt
  • Thomas DreslerEmail author
  • Justin Hudak
  • Beatrix Barth
  • Friederike Blume
  • Thomas Ethofer
  • Andreas J. Fallgatter
  • Ann-Christine Ehlis
Original Article
  • 58 Downloads

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a neuropsychiatric disorder normally diagnosed in childhood and persisting into adulthood in up to two-thirds of the patients. Its core symptoms comprise inattention and hyperactive–impulsive behaviours. Several studies suggest that patients with ADHD show alterations in self-regulation and self-monitoring. So far, it has not been described whether these deficits also affect the awareness of one’s own bodily signals, that is, interoceptive awareness. To investigate possible alterations in interoceptive awareness, 14 adult patients with ADHD and 16 healthy controls performed a heartbeat detection task, in which they had to count their heartbeat without any external help (e.g. visualization on a screen). As an indicator of the individual interoceptive awareness ability, a score based on the comparison between recorded and counted heart beats was calculated. Our results showed that patients with ADHD performed significantly worse on this task than controls, which indicates that they were less aware of internal bodily signals while additionally experiencing deficits in regulating and monitoring their own (overt) behaviours.

Keywords

ADHD Interoception Interoceptive awareness Self-regulation 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they do not have any conflicts of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Katrin Kutscheidt
    • 1
    • 2
  • Thomas Dresler
    • 1
    • 3
    Email author
  • Justin Hudak
    • 1
    • 3
  • Beatrix Barth
    • 1
    • 4
  • Friederike Blume
    • 3
    • 5
  • Thomas Ethofer
    • 1
  • Andreas J. Fallgatter
    • 1
    • 3
    • 6
  • Ann-Christine Ehlis
    • 1
    • 3
  1. 1.Department of Psychiatry and PsychotherapyUniversity Hospital TübingenTübingenGermany
  2. 2.International Max Planck Research School (IMPRS)TübingenGermany
  3. 3.LEAD Graduate School & Research NetworkTübingenGermany
  4. 4.Graduate School of Neural and Behavioral SciencesUniversity of TübingenTübingenGermany
  5. 5.Department of Psychology, School PsychologyUniversity of TübingenTübingenGermany
  6. 6.Centre for Integrative NeuroscienceTübingenGermany

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