Cited by 248Heart Rate Variability and Autonomic ControlPsychosomatic Disorders and Their TreatmentsTactile and Sensory Interactions

Focus of attention modulates the heartbeat evoked potential

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Petzschner, Frederike H., Weber, Lilian A., Wellstein, Katharina V., Paolini, Gina, Do, Cao Tri, Stephan, Klaas E.·2019·NeuroImage

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Abstract

Theoretical frameworks such as predictive coding suggest that the perception of the body and world - interoception and exteroception - involve intertwined processes of inference, learning, and prediction. In this framework, attention is thought to gate the influence of sensory information on perception. In contrast to exteroception, there is limited evidence for purely attentional effects on interoception. Here, we empirically tested if attentional focus modulates cortical processing of single heartbeats, using a newly-developed experimental paradigm to probe purely attentional differences between exteroceptive and interoceptive conditions in the heartbeat evoked potential (HEP) using EEG recordings. We found that the HEP is significantly higher during interoceptive compared to exteroceptive attention, in a time window of 524-620 ms after the R-peak. Furthermore, this effect predicted self-report measures of autonomic system reactivity. Our study thus provides direct evidence that the HEP is modulated by pure attention and suggests that this effect may provide a clinically relevant readout for assessing interoception.

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  • Turning attention inwards and explicitly attending to one's own heartbeats consistently modulates HERs.

    “Turning attention inwards and explicitly attending to one's own heartbeats consistently modulates HERs 92-98 .”

    From Interoceptive rhythms in the brain (2023) · cites this paper as [98]

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  1. Brener, J., Ring, C., 1995. Sensory and perceptual factors in heartbeat detection. In: Schandry, D. (Ed.), Interoception and Cardiovascular Processes. Springer, Heidelberg.
  2. Katkin, E.S., Cestaro, V.L., Weitkunat, R., 1991b. Individual differences in cortical evoked potentials as a function of heartbeat detection ability. Int. J. Neurosci. 61 (3-4), 269-276. http://doi.org/10.3109/00207459108990745. · DOI
  3. Katkin, E.S., Reed, S.D., Deero, C., 1983. A methodological analysis of three techniques for the assessment of individual-differences in heartbeat detection. Psychophysiology 20 (4), 452, 452.
  4. Montoya, P., Schandry, R., Müller, A., 1993b. Heartbeat evoked potentials (HEP) : topography and influence of cardiac awareness and focus of attention. Electroencephalogr. Clin. Neurophysiol. 88, 163-172. http://doi.org/10.1016/0168- 5597(93)90001-6. · DOI · Paper page
  5. Petzschner, F.H., Weber, L.A.E., Wellstein, K.V., Paolini, G., Do, C.T., Stephan, K.E., 2018. Focus of attention modulates the heartbeat evoked potential. BioRxiv 384305.
  6. Pollatos, O., Kirsch, W., Schandry, R., 2005b. Brain structures involved in interoceptive awareness and cardioafferent signal processing: a dipole source localization study. Hum. Brain Mapp. 26 (1), 54-64. http://doi.org/10.1002/hbm.20121. · DOI · Paper page
  7. Pollatos, O., Schandry, R., 2004b. Accuracy of heartbeat perception is reflected in the amplitude of the heartbeat-evoked brain potential. Psychophysiology 41 (3), 476-482. http://doi.org/10.1111/1469-8986.2004.00170.x. · DOI · Paper page
  8. Schandry, R., Sparrer, B., Weitkunat, R., Sparrer, J., Weitkunat, R., 1986b. From the heart to the brain: a study of heartbeat contingent scalp potentials. Int. J. Neurosci. 30 (4), 261-275. http://doi.org/10.3109/00207458608985677. · DOI · Paper page

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Authors
Petzschner, F. H., Weber, L. A., Wellstein, K. V., Paolini, G., Do, C. T., & Stephan, K. E.
Affiliations
  • University of Zurich (CH)
  • Wellcome Centre for Human Neuroimaging (GB)
Corresponding author
Petzschner, Frederike H.
Venue
NeuroImage
Publisher
Elsevier BV
Published
2019-02
Volume
186
Pages
595-606
ISSN
1053-8119 (ISSN-L)
OpenAlex
W2886679412
Cited by
248
References
122
Citations by year
2026: 35 · 2025: 48 · 2024: 39 · 2023: 29 · 2022: 25 · 2021: 36 · 2020: 24 · 2019: 10 · 2018: 2
FWCI
13.79
Type
journal article
Language
en
Open access
Locations
  • NeuroImage (publishedVersion, cc-by-nc-nd)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by-nc-nd)
  • MPG.PuRe (Max Planck Society) (submittedVersion)
  • Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by-nc-nd)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by-nc-nd)
  • ETH Zürich Research Collection
  • Zurich Open Repository and Archive (University of Zurich)
Funders
  • René and Susanne Braginsky Foundation
  • University of Zurich
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Tactile and Sensory Interactions
Keywords
heartbeat-evoked potentials, interoception, exteroception, attentional focus, predictive coding, heartbeat perception, EEG, interoceptive attention
MeSH terms
Adult, Attention, Cerebral Cortex, Electrocardiography, Electroencephalography, Evoked Potentials, Heart Rate, Humans, Male, Young Adult, Interoception

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