Advanced search
1 file | 597.97 KB

Generalized hypervigilance in fibromyalgia : normal interoceptive accuracy, but reduced self-regulatory capacity

Author
Organization
Abstract
Objective: The factors underlying the aetiology of fibromyalgia (FM) are largely unknown. According to the generalized hypervigilance hypothesis (GHH), FM patients show excessive attention towards pain stimuli and other sensory events, thereby increasing pain perception and dysfunctional behaviour. We tested this notion by assessing interoceptive accuracy (IA) in FM patients and matched healthy controls. We also tested the hypothesis that FM is characterized by reduced self-regulatory capacity as indexed by heart rate variability (HRV). Methods: 47 FM patients (M-age = 45.5,39 females) and 45 healthy controls (M-age, = 44.9,37 females) completed several self-report scales (Body Vigilance Scale, Depression Anxiety Stress Scales, Pain Catastrophizing Scale). To derive HRV, heart rate was monitored under resting conditions: for the assessment of IA participants performed a heartbeat tracking task in which they were asked to silently count their heartbeats. Results: FM patients reported higher body vigilance than healthy controls, but there were no group differences in IA. FM patients had lower HRV compared with healthy controls. HRV did not predictor IA. Conclusion: In conclusion, our findings do not support the hypothesis of generalized hypervigilance in FM patients. Patients reported a heightened focus on bodily sensations, which was not reflected in IA. It may be that hypervigilance is not a general and stable characteristic but is rather context dependent and modality-specific. (C) 2016 Elsevier Inc. All rights reserved.
Keywords
HEART-BEAT PERCEPTION, PAIN CATASTROPHIZING SCALE, PANIC DISORDER, ET-AL., NEUROVISCERAL INTEGRATION, ANXIETY SENSITIVITY, PERCEIVED, INTENSITY, AUDITORY-STIMULI, RATE-VARIABILITY, DECISION-MAKING, Generalized hypervigilance, Fibromyalgia, Interoceptive accuracy, Heart, rate variability

Downloads

  • Rost VanRyckeghmA12017 JoPR.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 597.97 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Rost, Silke, Dimitri Van Ryckeghem, Andre Schulz, Geert Crombez, and Claus Vogele. 2017. “Generalized Hypervigilance in Fibromyalgia : Normal Interoceptive Accuracy, but Reduced Self-regulatory Capacity.” Journal of Psychosomatic Research 93: 48–54.
APA
Rost, S., Van Ryckeghem, D., Schulz, A., Crombez, G., & Vogele, C. (2017). Generalized hypervigilance in fibromyalgia : normal interoceptive accuracy, but reduced self-regulatory capacity. JOURNAL OF PSYCHOSOMATIC RESEARCH, 93, 48–54.
Vancouver
1.
Rost S, Van Ryckeghem D, Schulz A, Crombez G, Vogele C. Generalized hypervigilance in fibromyalgia : normal interoceptive accuracy, but reduced self-regulatory capacity. JOURNAL OF PSYCHOSOMATIC RESEARCH. Oxford: Pergamon-elsevier Science Ltd; 2017;93:48–54.
MLA
Rost, Silke et al. “Generalized Hypervigilance in Fibromyalgia : Normal Interoceptive Accuracy, but Reduced Self-regulatory Capacity.” JOURNAL OF PSYCHOSOMATIC RESEARCH 93 (2017): 48–54. Print.
@article{8518542,
  abstract     = {Objective: The factors underlying the aetiology of fibromyalgia (FM) are largely unknown. According to the generalized hypervigilance hypothesis (GHH), FM patients show excessive attention towards pain stimuli and other sensory events, thereby increasing pain perception and dysfunctional behaviour. We tested this notion by assessing interoceptive accuracy (IA) in FM patients and matched healthy controls. We also tested the hypothesis that FM is characterized by reduced self-regulatory capacity as indexed by heart rate variability (HRV). Methods: 47 FM patients (M-age = 45.5,39 females) and 45 healthy controls (M-age, = 44.9,37 females) completed several self-report scales (Body Vigilance Scale, Depression Anxiety Stress Scales, Pain Catastrophizing Scale). To derive HRV, heart rate was monitored under resting conditions: for the assessment of IA participants performed a heartbeat tracking task in which they were asked to silently count their heartbeats. Results: FM patients reported higher body vigilance than healthy controls, but there were no group differences in IA. FM patients had lower HRV compared with healthy controls. HRV did not predictor IA. Conclusion: In conclusion, our findings do not support the hypothesis of generalized hypervigilance in FM patients. Patients reported a heightened focus on bodily sensations, which was not reflected in IA. It may be that hypervigilance is not a general and stable characteristic but is rather context dependent and modality-specific. (C) 2016 Elsevier Inc. All rights reserved.},
  author       = {Rost, Silke and Van Ryckeghem, Dimitri and Schulz, Andre and Crombez, Geert and Vogele, Claus},
  issn         = {0022-3999},
  journal      = {JOURNAL OF PSYCHOSOMATIC RESEARCH},
  keywords     = {HEART-BEAT PERCEPTION,PAIN CATASTROPHIZING SCALE,PANIC DISORDER,ET-AL.,NEUROVISCERAL INTEGRATION,ANXIETY SENSITIVITY,PERCEIVED,INTENSITY,AUDITORY-STIMULI,RATE-VARIABILITY,DECISION-MAKING,Generalized hypervigilance,Fibromyalgia,Interoceptive accuracy,Heart,rate variability},
  language     = {eng},
  pages        = {48--54},
  publisher    = {Pergamon-elsevier Science Ltd},
  title        = {Generalized hypervigilance in fibromyalgia : normal interoceptive accuracy, but reduced self-regulatory capacity},
  url          = {http://dx.doi.org/10.1016/j.jpsychores.2016.12.003},
  volume       = {93},
  year         = {2017},
}

Altmetric
View in Altmetric
Web of Science
Times cited: