Interoception, conditioning, and fear: The panic threesome
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The present article aims to illustrate and review evidence on how associative learning involving interoceptive stimuli (interoceptive conditioning) can lead to changes in physiological, emotional, and perceptual outcomes. We first outline a functional perspective on Pavlovian conditioning and provide a general introduction and historical background on interoceptive conditioning as a special instance of Pavlovian conditioning. Next, biological and learning accounts of panic disorder are discussed, followed by an analysis of which stimuli and responses may be most promising to model learning that is relevant to panic disorder. Finally, studies on interoceptive fear conditioning with respiratory stimuli are reviewed and discussed, and future directions are outlined.
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Interoceptive stimuli like dyspnea are easily threat-conditioned.
“Furthermore, experimental studies have demonstrated that interoceptive stimuli like dyspnea is easily threat-conditioned (Van Diest, 2019), and that anxiety is associated with inaccurate perceptions and overreporting of respiratory symptoms (Boudreau, Lavoie, Cartier, Trutshnigg, Morizio, Lemiere & Bacon, 2015;Janssens et al., 2009).”
From Exposure‐based cognitive behavior therapy for anxiety related to asthma: A feasibility study with multivariate baseline design. (2020) · cites this paper as Van Diest, 2019
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- Authors
- Van Diest, I.
- Affiliations
- Health, Behavior & Psychopathology, Faculty of Psychology & Educational Sciences University of Leuven Leuven Belgium
- ORCID
- Van Diest, Ilse
- Venue
- Psychophysiology
- Publisher
- Wiley
- Published
- 2019-06-22
- Volume
- 56
- Issue
- 8
- Pages
- e13421-e13421
- ISSN
- 0048-5772 (ISSN-L)
- 1469-8986
- OpenAlex
- W2951324233
- Cited by
- 44
- References
- 24
- Citations by year
- 2026: 10 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- green
- lirias.kuleuven.be
- Licence
- Locations
- Psychophysiology (publishedVersion)
- PubMed (publishedVersion)
- Lirias (KU Leuven) (submittedVersion, other-oa)
- Funders
- Research Foundation - Flanders, Belgium (G071918N, K802117N)
- Flemish Government, Belgium (Meth/15/011)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- interoception, interoceptive conditioning, panic disorder, fear conditioning, classical conditioning, physiological responses, emotional learning, perceptual learning
- MeSH terms
- Animals, Anxiety, Association Learning, Conditioning, Classical, Fear, Humans, Panic Disorder, Interoception
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