Sleep and the heart: interoceptive differences linked to poor experiential sleep quality in anxiety and depression

Ewing, Donna L, Manassei, Miranda, Gould van Praag, Cassandra, Philippides, Andrew O, Critchley, Hugo D and Garfinkel, Sarah N (2017) Sleep and the heart: interoceptive differences linked to poor experiential sleep quality in anxiety and depression. Biological Psychology, 127. pp. 163-172. ISSN 0301-0511

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Interoception is the sense through which internal bodily changes are signalled and perceived. Individual differences in interoception are linked to emotional style and vulnerability to affective disorders. Here we test how experiential sleep quality relates to dimensions of interoceptive ability. 180 adults (42 ‘non-clinical’ individuals, 138 patients accessing mental health services) rated their quality of sleep before performing tests of cardiac interoception. Poor sleep quality was associated with lower measures of interoceptive performance accuracy, and higher self-report measures of interoceptive sensibility in individuals with diagnoses of depression and/or anxiety. Additionally, poor sleep quality was associated with impaired metacognitive interoceptive awareness in patients with diagnoses of depression (alone or with anxiety). Thus, poor sleep quality, a common early expression of psychological disorder, impacts cardiac interoceptive ability and experience across diagnoses. Sleep disruption can contribute to the expression of affective psychopathology through effects on perceptual and interpretative dimensions of bodily awareness.

Item Type: Article
Keywords: Interoception; Interoceptive accuracy; Interoceptive sensibility; Interoceptive awareness; Sleep quality; Anxiety; Depression
Schools and Departments: Brighton and Sussex Medical School > Neuroscience
School of Engineering and Informatics > Informatics
Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Research Centres and Groups: Sackler Centre for Consciousness Science
Subjects: Q Science > QP Physiology
Q Science > QP Physiology > QP0001 General Including influence of the environment
Q Science > QP Physiology > QP0351 Neurophysiology and neuropsychology
Q Science > QZ Psychology
Depositing User: Alexei Fisk
Date Deposited: 15 Jun 2017 10:15
Last Modified: 02 Jul 2019 17:49

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Project NameSussex Project NumberFunderFunder Ref
Cardiac control of fear in brainG1120EUROPEAN UNION324150 CCFIB