Interoceptive awareness, positive affect, and decision making in Major Depressive Disorder
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Background Little work has examined the relation between interoceptive awareness and symptoms of Major Depressive Disorder (MDD). Existing research suggests that depressed individuals exhibit impaired heartbeat perception, though the results of this research have been equivocal. Importantly, depressed participants in these studies have had comorbid anxiety disorders, making it difficult to draw inferences about interoceptive awareness in MDD. The current study addresses this issue by assessing heartbeat perception in depressed women without current anxiety disorders and exploring the relation between interoception and perturbations in both affective intensity and decision making, components of MDD postulated to be related to bodily awareness.Methods Depressed women without concurrent anxiety disorders (n=25) and never-disordered controls (n=36) performed a heartbeat perception task. Participants completed the self-report Affect Intensity Measure (AIM), and decision-making difficulty was assessed in MDD participants using the Structured Clinical Interview for DSM-IV.Results Depressed women exhibited poorer heartbeat perception accuracy than did control participants. Impaired accuracy in MDD participants was associated with reduced positive affectivity and difficulty in decision making.Limitations Our sample was composed exclusively of females and was heterogeneous with respect to treatment status, thereby limiting our ability to generalize results to depressed males and to exclude the contribution of exogenous factors to the observed group differences.Conclusions Results of this study suggest that for depressed individuals without anxiety comorbidities, disrupted perception of bodily responses reduces both the experience of positive arousal and the ability to use interoceptive feedback to inform decision making.
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Among patients with depression, those reporting difficulties with decision-making had poorer interoceptive accuracy (measured by the Heartbeat Counting Task) than patients not reporting problems with decision-making and healthy controls.
“Furman et al. (2013), for example, found that among patients with depression, those reporting difficulties with decision-making had poorer interoceptive accuracy (measured by the Heartbeat Counting Task) than patients not reporting problems with decision-making, and a healthy control group.”
From Atypical interoception as a common risk factor for psychopathology: A review (2021) · cites this paper as Furman et al., 2013
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- Authors
- Furman, D. J., Waugh, C. E., Bhattacharjee, K., Thompson, R. J., & Gotlib, I. H.
- Affiliations
- Stanford University (US)
- Wake Forest University (US)
- Corresponding author
- Furman, Daniella J.
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 151
- Issue
- 2
- Pages
- 780-785
- ISSN
- 0165-0327 (ISSN-L)
- PMC
- PMC3797260
- OpenAlex
- W2006995168
- Cited by
- 142
- References
- 43
- Citations by year
- 2026: 9 · 2025: 9 · 2024: 16 · 2023: 10 · 2022: 12 · 2021: 16 · 2020: 16 · 2019: 10 · 2018: 7 · 2017: 8 · 2016: 14 · 2015: 6 · 2014: 8 · 2013: 1
- FWCI
- 6.85
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH080683)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- interoceptive awareness, major depressive disorder, heartbeat perception, positive affect, decision-making, emotional intensity, women, anxiety comorbidity, interoception, body awareness
- MeSH terms
- Adult, Awareness, Decision Making, Major Depressive Disorder, Female, Heart Rate, Humans, Middle Aged, Perception, Young Adult
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