Childhood Trauma Affects Stress-Related Interoceptive Accuracy
Open accessAbstract
Early life adversity (ELA) may cause permanent disturbances in brain-body signaling. These disturbances are thought to contribute to physical symptoms and emotional dysregulation in adulthood. The current study investigated the effects of childhood trauma on young adults' interoceptive accuracy as an indicator of brain-body communication that may be dysregulated by ELA. Sixty-six participants completed an online questionnaire followed by a laboratory session including the socially evaluated cold pressor stress test during which ECG, salivary cortisol, and interoceptive accuracy were assessed. Childhood trauma was negatively related to interoceptive accuracy (IAc) after the stressor. This stress effect could not be observed for heart rate and cortisol, which were unrelated to IAc. Participants reporting higher baseline unpleasantness exhibited lower IAc after the stressor, while increases in unpleasantness due to the stressor were associated with higher IAc. Unpleasantness at baseline mediated the effect of childhood trauma on IAc after the stressor.
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Insula dysfunction may precede psychopathology via disrupted interoceptive processing or arise as a consequence of chronic stress and trauma that amplify afferent signaling.
“Insula dysfunction may precede psychopathology via disrupted interoceptive processing or arise as a consequence of chronic stress and trauma that amplify afferent signaling [55].”
From Neural correlates of altered interoception in depressive and anxiety disorders: a systematic review and meta-analysis (2026) · cites this paper as [55]
The Introduction says stress-related changes in brain–body communication may affect afferent signals and interoception; the Discussion links childhood trauma to reduced interoceptive accuracy after an acute stressor. Neither section establishes insula dysfunction, whether it precedes psychopathology or follows trauma, or that chronic stress and trauma amplify afferent signaling. The paper instead describes the chronic-stress relationship as unclear. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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- Authors
- Schaan, V. K., Schulz, A., Rubel, J. A., Bernstein, M., Domes, G., Schächinger, H., & Vögele, C.
- Affiliations
- University of Luxembourg (LU)
- Justus-Liebig-Universität Gießen (DE)
- Pennsylvania State University (US)
- Universität Trier (DE)
- Corresponding author
- Schaan, Violetta K.
- ORCID
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2019-10-17
- Volume
- 10
- Pages
- 750-750
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC6813623
- OpenAlex
- W2980517342
- Cited by
- 79
- References
- 80
- Citations by year
- 2026: 8 · 2025: 21 · 2024: 22 · 2023: 10 · 2022: 6 · 2021: 6 · 2020: 6
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Open Repository and Bibliography (University of Luxembourg) (submittedVersion)
- Funders
- Fonds National de la Recherche Luxembourg (9825384)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- childhood trauma, childhood adversity, interoceptive accuracy, stress response, salivary cortisol, heart rate, unpleasantness, brain-body communication, emotional dysregulation, young adults
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