112 results on '"Köteles F"'
Search Results
2. Exercise involvement and trait-anxiety are determinants of physical self-concept: exercisers exhibit superior profiles compared with non-exercisers
- Author
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Tóth, L., Lőkös, D., Sipos, K., Köteles, F., Szabó, A., Testnevelési Intézeti Tanszék, Pszichológia Tanszék, Doktori Iskola, PhD Neveléstudományi Doktori Iskola, Magyar Testnevelési Egyetem, Egészségfejlesztési és Sporttudományi Intézet, and Pszichológia és Sportpszichológia Tanszék
- Published
- 2019
3. Efeitos de placebo relacionados com a ingestão de monohidrato de creatina no desempenho de exercício anaeróbico breve: Uma investigação laboratorial
- Author
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Szabo, A., Szemerszky, R., Dömötör, Z., de la Vega, R., and Köteles, F.
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Cardiovascular / Cardiorrespiratorio ,Eficiência ,Fatiga ,Cardiovascular / Cardiorespiratória ,Fuerza ,Força ,Efficiency ,Psicología ,Eficiencia ,Cardiovascular/Cardiorespiratory ,Fadiga ,Psicologia ,Psychology ,Strength ,Fatigue - Abstract
People's thoughts influence their action that led researchers to investigate the placebo effect in exercise performance. In the current study the placebo effects of creatine monohydrate on a one-minute anaerobic step-exercise performance were examined in a double blind laboratory inquiry. University students (n = 79, 64.5% women) were randomly assigned to one of three experimental conditions: 1) intervention (ingestion of 80 mg/kg dissolved creatine monohydrate, n = 26), 2) placebo (ingestion of dissolved corn starch, thought to be creatine, n = 26), and 3) no-intervention control (ingestion of drinking water only, n = 27). After a baseline measurement, participants have consumed their respective drinks and 40 minutes later the 1-minute exercise was repeated. While analysis of variance revealed no group level differences in actual and perceived change in performance, the latter was linked to participants' expectations regarding performance on the second exercise test in the correlation analysis. Two thirds of the participants in the current study believed that their performance would improve in the actual test-exercise. However, these expectations were not linked to creatine ingestion. These findings suggest that (1) a single dose of creatine monohydrate does not affect anaerobic performance, (2) in low-challenge and low-subjective-importance "artificial" research conditions sufficient expectations could not be evoked, and probably due to the lack of creatine-related expectations the placebo effects did not emerge. La influencia de los pensamientos de las personas sobre sus acciones, llevó a los investigadores a investigar el efecto placebo sobre el rendimiento en el ejercicio. En el presente estudio se analiza el efecto placebo de la creatina monohidrato sobre el rendimiento en un ejercicio anaeróbico de un minuto de duración en laboratorio mediante el método de doble ciego. Los participantes fueron estudiantes universitarios (n = 79, 64,5% mujeres) que se asignaron aleatoriamente a una de las tres condiciones experimentales: 1) intervención (ingestión de creatina monohidrato disuelta, n = 26); 2) placebo (ingestión de almidón de maíz disuelto, creyendo que es creatina , n = 26); y 3) grupo control sin intervención (ingestión de agua potable solamente, n = 27). Después de establecer la línea base, los participantes tomaron sus respectivas bebidas y 40 minutos más tarde se repitió el ejercicio de 1 minuto de duración. Si bien el análisis de varianza no reveló diferencias entre los grupos entre el rendimiento real y el percibido, este último se vinculó, mediante análisis de correlación, a las expectativas de los participantes en relación con el rendimiento en la segunda prueba realizada. Dos tercios de los participantes consideraron que su rendimiento mejoraría en la prueba de ejercicio real, sin embargo, estas expectativas no estuvieron relacionadas con la ingesta de creatina. Los resultados sugieren que: (1) una dosis única de creatina monohidrato no afecta al rendimiento anaeróbico; (2) en la condición de bajo desafío y baja importancia subjetiva, no emergió el efecto placebo debido, probablemente, a la falta de expectativas evocadas sobre los efectos de la creatina. A influência dos pensamentos das pessoas sobre suas ações, levou os pesquisadores a investigar o placebo efeito sobre o desempenho do exercício. No presente estudo, a creatina mono-hidrato de placebo no desempenho no exercício anaeróbio de um minuto no laboratório pelo método de efeito duplo-cego é analisada. Os participantes eram estudantes universitários (n = 79, 64,5% mulheres) que foram atribuídos aleatoriamente a uma de três condições experimentais atribuída: 1) intervenção (ingestão de creatina mono-hidratada dissolvida, n = 26); 2) placebo (amido de milho dissolvido ingestão, acreditando que a creatina, n = 26); e 3) grupo de controlo sem intervenção (apenas ingestão de água potável, n = 27). Depois de estabelecer a linha de base, os participantes tomaram suas bebidas e 40 minutos depois do exercício de 1 minuto de duração repetido. Enquanto a análise de variância não revelou diferenças entre os grupos de entre o desempenho real e percebidos, a última foi ligada por análise de correlação, as expectativas dos participantes em relação ao desempenho no segundo teste realizado. Dois terços dos participantes sentiram que seu desempenho iria melhorar no teste de esforço real, no entanto, essas expectativas não foram relacionados com a ingestão de creatina. Os resultados sugerem que: (1) uma única dose de mono-hidrato de creatina não afecta o desempenho anaeróbio; (2) a condição sob desafio e menor importância subjetiva, surgiu o efeito placebo, provavelmente devido à falta de expectativas evocado sobre os efeitos da creatina.
- Published
- 2017
4. Creatine monohydrate ingestion-related placebo effects on brief anaerobic exercise performance: A laboratory investigation
- Author
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Attila Szabo, Szemerszky, R., Dömötör, Z., La Vega, R., and Köteles, F.
- Subjects
Cardiovascular/Cardiorespiratory ,Psychology ,Efficiency ,Strength ,Fatigue - Abstract
People's thoughts influence their action that led researchers to investigate the placebo effect in exercise performance. In the current study the placebo effects of creatine monohydrate on a one-minute anaerobic step-exercise performance were examined in a double blind laboratory inquiry. University students (n = 79, 64.5% women) were randomly assigned to one of three experimental conditions: 1) intervention (ingestion of 80 mg/kg dissolved creatine monohydrate, n = 26), 2) placebo (ingestion of dissolved corn starch, thought to be creatine, n = 26), and 3) no-intervention control (ingestion of drinking water only, n = 27). After a baseline measurement, participants have consumed their respective drinks and 40 minutes later the 1-minute exercise was repeated. While analysis of variance revealed no group level differences in actual and perceived change in performance, the latter was linked to participants' expectations regarding performance on the second exercise test in the correlation analysis. Two thirds of the participants in the current study believed that their performance would improve in the actual test-exercise. However, these expectations were not linked to creatine ingestion. These findings suggest that (1) a single dose of creatine monohydrate does not affect anaerobic performance, (2) in low-challenge and low-subjective-importance "artificial" research conditions sufficient expectations could not be evoked, and probably due to the lack of creatine-related expectations the placebo effects did not emerge.
- Published
- 2017
5. Physiological and psychological correlates of attention-related body sensations (tingling and warmth)
- Author
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Tihanyi, BT, primary and Köteles, F, additional
- Published
- 2017
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6. Polar OwnIndex is not a reliable indicator of aerobic training status
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Köteles, F, primary, Dömötör, Z, additional, Berkes, T, additional, and Szemerszky, R, additional
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- 2015
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7. Subjective and objective effects of coffee consumption — caffeine or expectations?
- Author
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Dömötör, Zs., primary, Szemerszky, R., additional, and Köteles, F., additional
- Published
- 2015
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8. Creatine monohydrate ingestion-related placebo effects on brief anaerobic exercise performance. A laboratory investigation.
- Author
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Szabo, A., Szemerszky, R., Dömötör, Z., de la Vega, R., and Köteles, F.
- Abstract
Copyright of Cuadernos de Psicología del Deporte is the property of Cuadernos de Psicologia del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
9. Role of expectations and pleasantness of essential oils in their acute effects
- Author
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Köteles, F., primary and Babulka, P., additional
- Published
- 2014
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10. Polluted places or polluted minds? An experimental sham-exposure study on background psychological factors of symptom formation in 'Idiophatic Environmental Intolerance attributed to electromagnetic fields'.
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Szemerszky R, Köteles F, Lihi R, and Bárdos G
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- 2010
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11. Psychometric properties of the Hungarian version of the original and the short form of the positive and negative affect schedule (PANAS),A pozitív és negatív affektivitás skála (PANAS) eredeti és rövidített változatának pszichometriai jellemzo{double acute}i
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Gyollai, A., Simor, P., Köteles, F., and Zsolt Demetrovics
12. Physiological characteristics of aikido practitioners and aikido workouts
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Szabolcs, Z., János Körmendi, Ihász, F., Köteles, F., and Szemerszky, R.
13. A multichannel investigation of proprioceptive accuracy.
- Author
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Horváth Á, Ferentzi E, Moravetz O, and Köteles F
- Subjects
- Humans, Female, Male, Young Adult, Adult, Psychomotor Performance physiology, Bayes Theorem, Knee Joint physiology, Elbow Joint physiology, Adolescent, Functional Laterality physiology, Proprioception physiology
- Abstract
Proprioceptive accuracy (PAc), i.e., the acuity of perception of the state of different parts of the motor system, shows substantial intraindividual differences, and is often considered a general ability. However, it is questionable whether there is an association between accuracies measured with different tests at different body sites. PAc with respect to both knee and elbow joints (joint position reproduction) and the flexors of the upper arms (weight discrimination) was measured in 87 young healthy individuals with regular physical activity across multiple indices. Expected and perceived performance was also assessed for each behavioral task. Frequentist and Bayesian analysis largely supported the idea that PAc with respect to various parts of the motor system are unrelated. No dominant-subdominant differences for actual performance were found; however, PAc for the dominant and subdominant limb were associated in many cases. Finally, perceived performance was related to expected but not to actual performance for all three proprioceptive modalities. In conclusion, actual accuracy of perception of the actual state of a part (i.e., joint, muscle) of the motor system cannot be generalized to other parts. Perceived accuracy, dominantly shaped by expectations, is independent from actual accuracy., Competing Interests: Declaration of Competing Interest None., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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14. Placebo and nocebo interventions impact perceived but not actual proprioceptive accuracy.
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Horváth Á, Aranyosy B, Drozdovszky O, Szabo A, and Köteles F
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- Humans, Male, Female, Young Adult, Adult, Anxiety psychology, Motivation physiology, Surveys and Questionnaires, Adolescent, Electric Stimulation, Nocebo Effect, Placebo Effect, Proprioception physiology
- Abstract
Changes in performance caused by positive and negative expectations (i.e., placebo and nocebo responses) were found to play an important role in many aspects of motor performance. This study aimed to test the impact of placebo/nocebo responses and the assumed moderating role of dispositional optimism and anxiety on proprioceptive accuracy, an essential aspect of motor functions. 78 undergraduate university students completed questionnaires assessing dispositional optimism, state anxiety, and motivation to cooperate, then were randomly assigned to three experimental groups. A sham subliminal electric stimulation was applied with claimed positive (placebo group, n = 26), negative (nocebo group, n = 26) or neutral (control group, n = 26) impact on proprioceptive accuracy. Proprioceptive accuracy was measured with active and passive versions of the Joint Position Reproduction task before and after the intervention. Expected and perceived changes in performance were also assessed; changes in state anxiety, optimism, and motivation to cooperate were used as control variables (covariates). Mixed analyses of variance indicated that the experimental manipulation did not affect actual proprioceptive accuracy but impacted expected and perceived performance. Adding the covariates to the models did not substantially change the results. Further, no significant association emerged between actual and perceived change in performance in the active test, and only a weak correlation was found in the passive test. Expected performance did not predict actual performance but predicted perceived performance in both tasks. The results suggest that only perceived (subjective) aspects of proprioceptive accuracy are susceptible to placebo and nocebo interventions., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Horváth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
- Published
- 2024
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15. "And how did that make you feel?" - Repeated symptom queries enhance symptom reports elicited by negative affect.
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Petzke TM, Elspaß L, Köteles F, Van den Bergh O, and Witthöft M
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- Humans, Female, Male, Adult, Young Adult, Surveys and Questionnaires, Cross-Sectional Studies, Medically Unexplained Symptoms, Affective Symptoms psychology, Anxiety psychology, Affect
- Abstract
Objective: Negative affect, alexithymia, and other predisposing traits (such as health anxiety) can influence an individual's symptom perception. In this study, we used the affective picture paradigm (APP, Bogaerts et al., 2010) to induce symptoms using affective picture stimuli. We aimed to cross-sectionally test the effect of high vs low-frequency symptom queries and analyze the time course of the APP, including interactions with health anxiety and somatic symptom distress., Methods: Participants (N = 124) completed a modified APP and filled out various questionnaires. In the APP, participants were randomized to either a highly-frequent-query condition (18 symptom checklists) or a less-frequent-query condition (6 checklists). Data were analyzed using ANOVAs, cross-lagged panel models, moderation models, and multilevel models., Results: Both groups had comparable symptom baseline values, but people in the highly frequent as opposed to less frequent condition reported significantly higher symptom levels once the experiment started (F (1,120) = 14.319, p < .001, η
2 =.107). Symptom levels stayed stable over the course of the experiment and were best predicted by symptom levels at earlier timepoints in the experiment (β = 0.43 and β = 0.68, both p < .001). Health anxiety levels significantly predicted symptom levels (F(1,121) = 10.054, p = .002, η2 =.077) and moderated the relation between condition and symptom levels (F(2,121) = 16.253, p < .001, η2 =.212)., Conclusion: In terms of the predictive processing model (e.g.,[1]), repeated symptom queries following negative affective cues may activate prior beliefs about symptoms, resulting in elevated levels of symptom reports in interaction with health anxiety., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests. Michael Witthöft reports financial support was provided by Horizon 2020 European Innovation Council Fast Track to Innovation. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)- Published
- 2024
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16. Somatic symptom distress is not related to cardioceptive accuracy.
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Petzke TM, Köteles F, Pohl A, and Witthöft M
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- Humans, Female, Male, Adult, Cross-Sectional Studies, Middle Aged, Somatoform Disorders diagnosis, Somatoform Disorders psychology, Surveys and Questionnaires, Bayes Theorem, Self Report, Young Adult, Interoception physiology, Medically Unexplained Symptoms
- Abstract
Objective: (Cardiac) interoception was long considered a key mechanism behind symptom perception in persistent somatic symptoms (PSS). In this study, we aimed to extend earlier findings to clarify this potential interoceptive mechanisms of PSS., Methods: A cross-sectional sample of 251 participants (23.1% with self-reported functional somatic syndrome) completed a laboratory study with two cardioceptive accuracy tasks (Schandry task and a new cardiac signal detection task) and multiple questionnaires. Somatic symptom distress and associated constructs were assessed with the PHQ-15, as well as with a novel multidimensional questionnaire measure (HiTOP-SF1) derived from the somatoform spectrum of the Hierarchical Taxonomy of Psychopathology (HiTOP). Correlations (frequentist and Bayesian) and structural equation modelling (SEM) helped further investigate the interplay between these variables., Results: There were no significant correlations between measures of interoception and somatic symptom distress. Self-report and behavioral cardioceptive accuracy measures did not correlate significantly. No significant covariances emerged between diagnostic tools and cardioceptive accuracy; Bayesian analyses supported the lack of association between interoception and symptom perception., Conclusions: Cardiac interoception (specifically cardioceptive accuracy) unlikely represents a key mechanism in PSS etiology. We recommend investigating other factors in PSS., Competing Interests: Declaration of competing interest The authors declare that there were no conflicts of interest with respect to the authorship or the publication of this article., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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17. Heart rate perception and expectation impact laboratory-induced perceived stress.
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Nagy T, Ipacs H, Ferentzi E, and Köteles F
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- Humans, Male, Young Adult, Adult, Female, Heart Rate physiology, Motivation, Perception physiology, Stress, Psychological, Hand Strength, Interoception physiology
- Abstract
Previous studies have shown that the human capacity to gauge one's own physiological state is notoriously flawed. The cause for the mismatch between perceived and physiological stress has not yet been properly identified. In this study, we assumed that cardioceptive accuracy (CAc) is positively associated with cardiovascular reactivity, and CAc and expectation about stress might account for the discrepancy between perceived and physiological stress. In a crossover experiment, we assessed cardioceptive accuracy in two ways (mental heartbeat tracking task and perception of heart rate), and induced physiological (handgrip exercise) and mental (N-back task) stress in 64 university students (51 % male, mean age 22.2). We assessed cardiac and electrodermal activity, and expected and perceived stress. We found that indicators of cardioceptive accuracy were not associated with cardiovascular reactivity. However, heart rate perception moderated the association between the change in heart rate and perceived stress in the physical but not in the mental task. Whereas heartbeat tracking accuracy was not associated with perceived stress. Moreover, perceived stress was predicted by the expected stress but not by the change in heart rate and electrodermal activity in the mental stress task. In conclusion, heart rate perception and expectation of stress may shape perceived stress more than actual physiological changes in moderate acute stress., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)
- Published
- 2024
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18. Do somatic symptom distress and attribution predict symptoms associated with environmental factors?
- Author
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Köteles F and Nordin S
- Subjects
- Humans, Cross-Sectional Studies, Medically Unexplained Symptoms, Multiple Chemical Sensitivity diagnosis, Multiple Chemical Sensitivity epidemiology, Multiple Chemical Sensitivity etiology
- Abstract
Objective: Not much is known on the development of symptoms associated with environmental factors (SAEF), also known as (idiopathic) environmental intolerances. Findings from qualitative studies suggest that appearance of symptoms might be the first step, followed by the acquisition of a specific attribution. The current study investigated cross-sectional and longitudinal (three years) associations between attribution and symptoms with respect to symptoms associated with chemical substances, certain indoor environments (buildings), sounds, and electromagnetic fields (EMFs)., Methods: We used data from the first two waves of the population-based Västerbotten Environmental Health Study (n = 2336). Participants completed the Patient Health Questionnaire Somatic Symptom Scale (PHQ-15), the Environmental Symptom-Attribution Scale, and answered single questions on the four aforementioned SAEFs., Results: Using binary logistic regression analyses, all four SAEFs showed significant cross-sectional associations with somatic symptom distress and the respective attribution. In the longitudinal analysis, development of SAEF-Sound and SAEF-Chemicals were predicted by both somatic symptom distress and attribution. SAEF-EMFs was predicted only by attribution, whereas neither somatic symptom distress nor attribution forecasted SAEF-Buildings., Conclusion: Overall, these findings suggest that attribution (i.e., a specific expectation) plays a substantial role in the development and maintenance of many SAEFs., Competing Interests: Declaration of competing interest None., (Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2024
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19. Sensory and affective aspects of the perception of respiratory resistance.
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Drozdovszky O, Petzke T, and Köteles F
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- Humans, Male, Female, Young Adult, Adult, Perception physiology, Surveys and Questionnaires, Airway Resistance physiology
- Abstract
Perception of airway resistance has a sensory and an affective aspect, i.e., perceived resistance and unpleasantness, respectively. The current study aimed to shed more light on the relationship of these aspects, as well as their malleability to trait-like aspects of body awareness. In a laboratory study, 71 young participants completed two respiratory resistive load discrimination tasks relying on sensory and affective evaluation, respectively, and filled out questionnaires assessing somatosensory amplification, anxiety sensitivity, somatic symptoms distress, and breath awareness. Frequentist and Bayesian statistical analysis revealed no differences in discrimination accuracy with respect to the sensory and affective aspect of perceived resistance. Psychological traits were not associated with accuracy scores. In conclusion, affective evaluation of respiratory load is as accurate as sensory evaluation. Neither sensory not affective accuracy is influenced by various aspects of body awareness., (© 2023. The Author(s).)
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- 2024
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20. Effects of a complex yoga-based intervention on physical characteristics.
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Koncz Á, Csala B, Körmendi J, Horváth Á, Dömötör Z, Selmeci C, Bogdán ÁS, Köteles F, and Boros S
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- Humans, Middle Aged, Male, Female, Adult, Yoga
- Abstract
Empirical studies on yoga have shown that regular practice can have a beneficial effect on risk factors of cardiovascular diseases; also, it can decrease body weight, body fat and increase muscle mass. Positive effects on balance and flexibility were also reported. This study evaluated the impact of a 3-month complex yoga-based program, including physical exercises, education, and social support, with a quasi-randomized design in a middle-aged community sample. The intervention group consisted of 46 participants while the passive control group was 29 participants. The intervention group showed a significant increase in core muscle strength and hamstring flexibility and a decrease in body fat. No significant changes were found concerning risk factors of cardiovascular diseases, body weight, muscle mass, balancing ability, and dietary habits. A 3-month yoga intervention cannot substantially impact the cardiovascular system and body weight control in middle-aged adults., (© 2024. The Author(s).)
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- 2024
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21. Vague sensations. About the background and consequences of discordance between actual and perceived physiological changes.
- Author
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Köteles F
- Subjects
- Humans, Cognition, Sensation, Nocebo Effect
- Abstract
Empirical evidence consistently shows that discordance, also called dissociation or discrepancy, between actual physiological (mainly visceral) events and their perceived counterparts is substantial. On the one hand, we typically do not perceive actual visceral events occurring in our bodies; on the other hand, sometimes we do perceive bodily changes that do not really take place. This narrative review presents the available empirical findings on the discordance, and summarizes possible explanations that approach the phenomenon from the viewpoint of evolution, cognitive development, and predictive processing. Also, the role of top-down factors, such as expectations and experiences is discussed. Finally, practically relevant consequences of the discordance are presented using the examples of mind-body practices, the placebo and nocebo phenomenon, and medically unexplained symptoms. It is concluded that the discordance between actual and perceived body changes can have a negative impact on health, mainly through issues with adherence and other behavioral factors. The existence of actual-perceived discordance should be taught and demonstrated in the elementary and high school, as well as in many areas of higher education., Competing Interests: Declaration of competing interest none., (Copyright © 2024 Elsevier Ltd. All rights reserved.)
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- 2024
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22. Is the rubber hand illusion associated with somatic symptom reporting?
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Horváth Á, Witthöft M, and Köteles F
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- Humans, Female, Male, Young Adult, Adult, Body Image psychology, Hand, Medically Unexplained Symptoms, Proprioception physiology, Surveys and Questionnaires, Illusions physiology, Illusions psychology
- Abstract
Current approaches to somatic symptom perception conceptualize somatic symptoms partly as somato-visceral or body illusions evoked by an interaction between bottom-up (sensory) and top-down (expectations, attention) processes. Similar processes of multisensory integration are assumed to contribute to the rubber hand illusion (RHI). Findings concerning the strength and direction of associations between these two phenomena, symptom perception and the RHI, are equivocal. Individuals of a non-clinical sample (N = 63; 56% females; M
age = 20.4; SD = 1.6) completed the Patient Health Questionnaire Somatic Symptom Scale (PHQ-15) and participated in an experiment that evoked the RHI. In repeated measures analyses of variance with the PHQ-15 score as covariate, no significant interaction effects between the PHQ-15 score and indicators of the RHI, i.e., proprioceptive drift (F(1,61) < 0.001 p = 0.993, partial η2 < 0.001; BF10 = 0.307), felt body ownership(F(1,59) = 0.043, p = 0.836, partial η2 = 0,001; BF10 = 0.501), and felt body disownership (F(1,59) = 0.148, p = 0.702, partial η2 = 0.002; BF10 = 1.972) were found. Overall, frequentist and Bayesian analysis indicated that the support for a possible association between the PHQ-15 and indicators of the RHI remains inconclusive, i.e., neither the null nor the alternative hypotheses were sufficiently supported. At least in this non-clinical sample, the association between somatic symptom distress and the strength of the RHI appears so weak (perhaps non-existing), that both phenomena (somatic symptom distress and the RHI) appear distinct and largely unrelated., (© 2023. Akadémiai Kiadó Zrt.)- Published
- 2024
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23. Associations between symptoms, modern health worries, and somatosensory amplification in patients with building-related symptoms.
- Author
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Köteles F, Nordin S, and Claeson AS
- Subjects
- Female, Humans, Cross-Sectional Studies, Surveys and Questionnaires, Self Report, Anxiety psychology, Sensation
- Abstract
Objective: The objective of the present study was to investigate the associations between somatosensory amplification, modern health worries (MHWs), and symptoms among patients with building-related symptoms (BRS)., Methods: Patients with self-reported and medically confirmed BRS (n = 83) were included in this cross-sectional study. The Somatosensory Amplification Scale (SSAS) was used to quantify the tendency to amplify somatic sensations and perceive them as unpleasant and dangerous. Concerns about harmful effects of modern technologies were assessed with the Modern Health Worries Scale (MHWS). Symptoms commonly found in different forms of environmental intolerance were assessed with the Environmental Hypersensitivity Symptom Inventory (EHSI)., Results: Patients with BRS were characterized by more frequent and more severe environmental hypersensitivity symptoms compared to a reference population. Females and those with co-morbid self-reported chemical intolerance reported even more symptoms. MHWS and SSAS scores showed weak to moderate associations with symptoms, even after adjusting for socio-economic variables. However, neither the mean MHWS score or the SSAS score of our sample differed from normative scores., Conclusion: Patients with BRS are not characterized by elevated levels of MHWs and somatosensory amplification, thus other, psychosocial and/or environmental, factors may have contributed to the development of the condition. However, the associations between severity of symptoms and MHWs and somatosensory amplification suggest that psychosocial characteristics may substantially influence symptom experience in this group., Competing Interests: Declaration of Competing Interest None., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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24. Modern health worries and annoyance from environmental factors are largely unrelated to smoking, alcohol consumption, and physical activity.
- Author
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Köteles F, Szemerszky R, Petrie K, and Nordin S
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- Humans, Smoking epidemiology, Alcohol Drinking epidemiology, Life Style, Health Behavior, Exercise
- Abstract
Objective: Modern health worries, as well as environmental annoyance from chemical agents, noise, and electromagnetic exposure are associated with symptom reporting and marked affective-behavioural changes. As promotion and protection of health is a primary characteristic of these conditions, it can be expected that they will be related to less risk behaviour (smoking and alcohol consumption) and more health behaviour (physical activity), both cross-sectionally and longitudinally., Methods: Hypotheses were tested in a sample of 2336 individuals participating in T1 and T2 data collection (3 years apart) of the Västerbotten Environmental Health Study, Sweden. Health-related behaviours were assessed using single self-report questions. Smoking was measured on a binary (yes-or-no) scale; frequency of alcohol consumption and physical activity was measured on a 5-point and a 4-point scale, respectively., Results: Modern health worries showed no cross-sectional association with the three behaviours, whereas annoyance was typically inversely, very weakly, related to smoking and alcohol consumption. Physical activity was significantly positively associated only with chemical annoyance. None of the variables significantly predicted change of behaviours at T2 after controlling for the respective T1 value and demographic variables., Conclusions: Individuals with high levels of modern health worries and annoyance from various environmental agents are not clearly characterized by a healthier lifestyle. Perhaps they focus on the alleviation of their existing symptoms; alternatively, somatic symptom distress decreases their cognitive-affective resources necessary for a long-term life style change., Competing Interests: Declaration of Competing Interest All authors declare that there is no conflict of interest., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2023
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25. Self-reported interoception, worries and protective behaviors during the COVID-19 pandemic: a longitudinal study.
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Vig L, Ferentzi E, and Köteles F
- Abstract
Background: Protective behaviors were essential for minimizing the spread of the virus during the coronavirus disease 2019 (COVID-19) pandemic. It is often assumed that awareness of bodily sensations (interoception) can improve decision-making and facilitate adaptive behavior., Objective: This paper investigates cross-sectional and longitudinal relationships between different aspects of self-reported interoception, trait anxiety, COVID-related worry, and health protective behaviors., Methods: The study was conducted on a community sample of 265 adults. The two data collection phases took place online, before (baseline) and during the second wave of the COVID-19 pandemic in Hungary., Results: Contrary to our expectations, neither cross-sectional nor longitudinal associations were found between protective behaviors and indicators of self-reported interoception. However, worry at baseline predicted protective behaviors during the second wave, even after controlling for socio-economical characteristics and protective behaviors at baseline., Conclusion: Our results highlight the adaptivity of health-related worry when behavioral steps to avoid threats are known and available. Also, higher level of perceived interoception did not appear to be health protective under these circumstances., (© 2023. Graduate Program in Psychology (Federal University of Rio Grande do Sul, Porto Alegre).)
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- 2023
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26. Impact of comorbidity on symptomatology in various types of environmental intolerance in a general Swedish and Finnish adult population.
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Nordin S, Köteles F, Witthöft M, Van den Bergh O, Nyback MH, and Sainio M
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- Adult, Humans, Sweden epidemiology, Finland epidemiology, Cross-Sectional Studies, Comorbidity, Electromagnetic Fields adverse effects, Multiple Chemical Sensitivity epidemiology, Multiple Chemical Sensitivity etiology
- Abstract
Comorbidity with various health conditions is common in environmental intolerances (EIs), which restricts understanding for what symptoms that are associated with the intolerance per se. The present objectives were to study (i) prevalence of a broad range of specific symptoms in chemical, building-related, electromagnetic field- (EMF) related, and sound EI, irrespective of comorbidity, (ii) prevalence of symptoms in body systems in exclusive EIs, and (iii) increased risk of symptoms in body systems in exclusive EIs that cannot be referred to functional somatic syndromes, inflammatory diseases or mental disorders. Cross-sectional data (n = 4941) were used from two combined population-based surveys, the Västerbotten (Sweden) and Österbotten (Finland) Environmental Health Studies. Categorization of EI cases and controls were based on self-reports. Symptoms were assessed with the Environmental Hypersensitivity Symptom Inventory, and these were converted to 27 symptoms of the International Classification of Primary Care, 2nd edition, in eight chapters of body systems. The results showed, with few exceptions, that all assessed specific symptoms were significantly more prevalent in all four EIs than in referents. Although a large overlap between EIs, characteristic body system symptoms were eye and respiratory symptoms in chemical and building-related intolerance, skin symptoms in EMF-related intolerance, and general and unspecified, digestive, eye, cardiovascular, neurological, and psychological symptoms in sound intolerance. After controlling for various comorbidities, all studied body system symptoms were positively associated with chemical intolerance, fewer with sound intolerance, only one with building-related intolerance, and none with EMF-related EI. In conclusion, a broad range of symptoms are reported in all four EIs implying common mechanisms, but symptoms of certain body systems are more likely to be reported in a certain EI that cannot be explained by comorbidity., Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Steven Nordin reports financial support was provided by AFA Insurance., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)
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- 2023
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27. Do we need to accurately perceive our heartbeats? Cardioceptive accuracy and sensibility are independent from indicators of negative affectivity, body awareness, body image dissatisfaction, and alexithymia.
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Körmendi J, Ferentzi E, Petzke T, Gál V, and Köteles F
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- Humans, Adolescent, Young Adult, Adult, Affective Symptoms psychology, Heart Rate, Bayes Theorem, Awareness, Body Dissatisfaction, Interoception
- Abstract
Assessment of the acuity of heartbeat perception, dubbed cardioceptive accuracy, as well as its association with various psychological characteristics are hot topics of interoception research. In this study, we aimed (1) to replicate previously reported findings on the association between the mental tracking task and a novel motor tracking task that eliminates disturbing tactile sensations; and (2) to explore associations between performance in the latter task and indicators of negative affectivity (anxiety, depression, anxiety sensitivity, somatic symptom distress), alexithymia, body focus, and dissatisfaction with body image. 102 young people (age = 20.8±5.08 yrs) participated in the study. Mental tracking score was significantly higher than motor tracking scores, although they were strongly associated. Frequentist correlation analysis showed no significant associations between indicators of cardioceptive accuracy and questionnaire scores; Bayesian analysis indicated the lack of association for the majority of the cases. Similarly, detectors and non-detectors showed no differences in any of the assessed characteristics and Bayesian results typically supported the lack of associations. In conclusion, cardioceptive accuracy, as assessed with different tracking methods, is not associated with the aforementioned self-reported characteristics in young individuals., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 Körmendi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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28. Are there placebo or nocebo effects in balancing performance?
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Horváth Á, Szabo A, Gál V, Suhaj C, Aranyosy B, and Köteles F
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- Humans, Cognition, Motivation, Anxiety, Nocebo Effect, Placebo Effect
- Abstract
Placebo and nocebo effects could influence the perceived, actual, or both postural stabilities. Therefore, this experiment examined whether postural stability is susceptible to placebo and nocebo effects. Driven by expectations, these cognitions could influence the motor stability of people in physical rehabilitation and those with motion instability. We randomly assigned 78 participants to a placebo, nocebo, or control group. Then, we applied a sham sports cream with positive, negative, or neutral instructions about its impact on balance. Next, we tested postural stability with a modified version of the Modified Clinical Test of Sensory Interaction in Balance, including standard, proprioceptive, visual, and vestibular tests before and after the intervention. Further, we measured expected and perceived performance with visual analog scales and assessed trait anxiety, change in state anxiety, optimism, holistic thinking, persistence, and cooperation with questionnaires. The intervention did not affect actual test performances; similarly, trait and state variables and expectations did not have an impact. Furthermore, the experimental manipulation and trait and state variables did not significantly affect perceived performance. However, the association between expectation and perceived performance was strong (ϱ = 0.627, p < 0.001). These findings suggest that postural stability is not susceptible to placebo and nocebo influences. Still, there is a dissociation between objective and subjective performance, showing that expectations impact perceived but not actual performance, which could fuel motivation in rehabilitation settings., (© 2023. The Author(s).)
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- 2023
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29. The retention of proprioceptive information is suppressed by competing verbal and spatial task.
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Horváth Á, Ferentzi E, Ragó A, and Köteles F
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- Humans, Motor Skills, Proprioception, Memory, Short-Term
- Abstract
Proprioceptive information makes us able to perceive the position of our joints from an internal point of view. In the certain cases, proprioceptive information has to be stored in short-term memory, for example, during the learning of new motor skills or the assessment of proprioceptive accuracy. However, there are contradictory findings about the modality-specific storage of proprioceptive information in working memory. In this preregistered study, we applied the interference paradigm, assessing proprioceptive memory capacity in the subdominant elbow joint for 35 young individuals in five different experimental conditions: (a) without competing task/interference (baseline condition), (b) with motor interference, (c) with spatial interference, (d) with visual interference, and (e) with verbal interference. Proprioceptive span was lower in the verbal and spatial interference condition than in the baseline condition, whereas no significant differences were found for the motor and visual conditions. These results indicate that individuals use verbal and spatial strategies to encode proprioceptive information in short-term memory, and, in contrast to our expectation, the motor subsystem of working memory is not substantially involved in this process.
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- 2023
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30. The effects of a complex yoga-based intervention on healthy psychological functioning.
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Koncz A, Nagy E, Csala B, Körmendi J, Gál V, Suhaj C, Selmeci C, Bogdán ÁS, Boros S, and Köteles F
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Background: Yoga based interventions were found to have a positive impact on various indicators of psychological functioning, such as perceived stress, satisfaction with life, positive and negative affectivity. Additionally, such interventions improved bodily or interoceptive awareness and spirituality., Methods: The present study assessed the effects of a 3-month long complex yoga-based intervention compared to a passive control group in a Hungarian community sample. The final sample consisted of 44 intervention (Mage = 47.5, SD = = 8.76) and 29 control participants (Mage = 47.4, SD = 9.47). The aforementioned constructs were measured 1 week before and after the intervention., Results: The intervention reduced participants' perceived stress ( p = <0.001, η
p 2 = 0.153) and negative affectivity ( p = 0.019, ηp 2 = 0.113), improved spirituality ( p = 0.048, ηp 2 = 0.054) and various aspects of interoceptive awareness such as noticing ( p = <0.001, ηp 2 = 0.169) attention regulation ( p = <0.001, ηp 2 = 0.211), self-regulation ( p = 0.002, ηp 2 = 0.190) body listening ( p = 0.010, ηp 2 = 0.097), trusting ( p = 0.026, ηp 2 = 0.070), but did not impact positive affectivity and satisfaction with life., Conclusion: A 3-months long complex yoga-based intervention has a positive impact on many aspects of healthy psychological functioning., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Koncz, Nagy, Csala, Körmendi, Gál, Suhaj, Selmeci, Bogdán, Boros and Köteles.)- Published
- 2023
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31. The measurement of proprioceptive accuracy: A systematic literature review.
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Horváth Á, Ferentzi E, Schwartz K, Jacobs N, Meyns P, and Köteles F
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- Proprioception physiology, Movement physiology
- Abstract
Background: Proprioceptive accuracy refers to the individual's ability to perceive proprioceptive information, that is, the information referring to the actual state of the locomotor system, which originates from mechanoreceptors located in various parts of the locomotor system and from tactile receptors located in the skin. Proprioceptive accuracy appears to be an important aspect in the evaluation of sensorimotor functioning; however, no widely accepted standard assessment exists. In this systematic review, our goal was to identify and categorize different methods that are used to assess different aspects of proprioceptive accuracy., Methods: A literature search was conducted in 5 different databases (PubMed, SPORTDiscus, PsycINFO, ScienceDirect, and SpringerLink)., Results: Overall, 1139 scientific papers reporting 1346 methods were included in this review. The methods assess 8 different aspects of proprioception: (a) the perception of joint position, (b) movement and movement extent, (c) trajectory, (d) velocity, and the sense of (e) force, (f) muscle tension, (g) weight, and (h) size. They apply various paradigms of psychophysics (i.e., the method of adjustment, constant stimuli, and limits)., Conclusion: As the outcomes of different tasks with respect to various body parts show no associations (i.e., proprioceptive accuracy is characterized by site-specificity and method-specificity), the appropriate measurement method for the task needs to be chosen based on theoretical considerations and/or ecological validity., (Copyright © 2022. Production and hosting by Elsevier B.V.)
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- 2023
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32. Passion and risk of addiction in experienced female yoga practitioners.
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Szabo A, Ábel K, Lukács V, Boros S, and Köteles F
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- Female, Humans, Cross-Sectional Studies, Breathing Exercises, Emotions, Yoga, Meditation
- Abstract
Yoga is a popular leisure activity and health practice worldwide, especially among women. It could become a long-term lifestyle involving passion, but, like other exercises, it may become addictive. While exercise addiction is widely studied, addiction to yoga remains unexplored. In this cross-sectional study, we examined 215 highly experienced women who practiced yoga for at least three years and at least twice weekly. We scrutinized harmonious passion (HP), obsessive passion (OP), risk of exercise addiction (REA), and various yoga-related measures. Only 2/215 (0.93%) of the sample were at REA. Reported HP, OP, feeling guilty when missing a yoga session, and the tendency to practice yoga when injured predicted the REA by accounting for 42% of the variance. Yogis who regularly practiced pranayama (breathing exercises) scored higher on HP, weekly yoga practice, and posting messages on social media than those who never or seldom used breath regulation. Participants choose yoga primarily for health and social reasons. The posting of yoga-related messages on social media was positively related to HP, OP, REA, and frequency of practice. The conclusions of this study are 1) the REA among experienced female yogis is negligible, 2) HP is higher in yoga forms that involve pranayama, 3) yoga practice is primarily related to health and social factors, and 4) a more intense passion for yoga is related to more frequent social media activities., Competing Interests: Declaration of competing interest The authors have no conflict of interest to declare., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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33. What counts when heartbeats are counted.
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Ferentzi E, Wilhelm O, and Köteles F
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- Heart Rate, Humans, Interoception
- Abstract
Schandry's mental heartbeat tracking task is a widely used measure of interoception, assessing heartbeat perception. We classify the factors that contribute to performance on the task as (i) trait-like characteristics, (ii) expectation-related factors, and (iii) factors showing participants' task set. We recommend conducting further research to better understand what exactly the task measures., Competing Interests: Declaration of interests No interests are declared., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
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- 2022
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34. Dimensions of passion and their relationship to the risk of exercise addiction: Cultural and gender differences.
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Szabo A, de la Vega R, Kovácsik R, Jiménez Almendros L, Ruíz-Barquín R, Demetrovics Z, Boros S, and Köteles F
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This study was performed to investigate further the two-dimensional aspect of passion and its relationship to the risk of exercise addiction (REA) in nine nations and to clarify the unresolved gender differences. The here reported results stem from the reanalysis of data gathered in three previous empirical studies. The analyses demonstrated that harmonious (HP) and obsessive (OP) passion are two independent, non-interacting predictors of the REA, the prevalence of which was 12.1 % in the current sample that included 1448 people (age = 30.49 ± SD = 11.17 years; 55 % men), who exercised at least three hours per week . Furthermore, the results show that HP and OP could co-exist as a single 'total' or 'true' passion within the individual or in high-low HP and OP proportions, supporting the proposal for one, two-dimensional passion. Indeed, most people at REA demonstrated both high HP and high OP. The weekly amount of exercise was weakly associated with the two dimensions of passion. Relatively specific cultural differences in the REA and OP, but not HP, have emerged. The results also demonstrate that when a minimal weekly volume of training (i.e., 3 h) is a criterion for participant recruitment, no gender differences occur in the REA., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2022 The Author(s).)
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- 2022
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35. Questionnaires of interoception do not assess the same construct.
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Vig L, Köteles F, and Ferentzi E
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- Adult, Awareness, Correlation of Data, Humans, Self Report, Surveys and Questionnaires, Interoception
- Abstract
There are a number of questionnaires assessing the self-reported trait-like aspect of interoception, also called interoceptive sensibility (ISb). Based on the varying purposes of their development and characteristics, however, it is not likely that they assess exactly the same construct. In a community sample of 265 adults, we examined this assumption for three commonly used questionnaires of ISb, namely the Body Awareness subscale of the Body Perception Questionnaire (BPQ-BA), the Body Awareness Questionnaire (BAQ), and the eight subscales of Multidimensional Assessment of Interoceptive Awareness (MAIA). We investigated their associations, and their relation to positive and negative affect and somatosensory amplification. According to the results of correlation analysis, BPQ-BA, BAQ and MAIA were partly unrelated to each other, partly showed weak to moderate positive associations. Also, differences with respect to their association with positive and negative affect were found. These findings suggest that the investigated questionnaires cannot be used interchangeably to assess the subjective aspect of interoception, and the term ISb is not appropriately defined., Competing Interests: The authors have declared that no competing interests exist.
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- 2022
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36. Comment on Wardzinski et al. Mobile Phone Radiation Deflects Brain Energy Homeostasis and Prompts Human Food Ingestion. Nutrients 2022, 14 , 339.
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Witthöft M, Köteles F, and Szemerszky R
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- Brain, Eating, Homeostasis, Humans, Nutrients, Cell Phone
- Abstract
Wardzinski and colleagues present the findings of an experimental provocation study, in which the effect of a 25 min exposure to radiofrequency electromagnetic field (EMF) emitted by a mobile phone on food consumption is studied [...].
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- 2022
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37. An idiographic approach to idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) part I. Environmental, psychosocial and clinical assessment of three individuals with severe IEI-EMF.
- Author
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Dömötör Z, Szabolcs Z, Bérdi M, Witthöft M, Köteles F, and Szemerszky R
- Abstract
IEI-EMF refers to an environmental illness whose primary feature is the occurrence of symptoms that are attributed to exposure to weak electromagnetic fields (EMFs). There is a growing evidence that this condition is characterized by marked individual differences thus a within-subject approach might add important information beyond the widely used nomothetic method. A mixed qualitative/quantitative idiographic protocol with a threefold diagnostic approach was tested with the participation of three individuals with severe IEI-EMF. In this qualitative paper, the environmental, psychosocial, and clinical aspects are presented and discussed (results of ecological momentary assessment are discussed in Part II of this study). For two participants, psychopathological factors appeared to be strongly related to the condition. Psychological assessment indicated a severe pre-psychotic state with paranoid tendencies, supplemented with a strong attentional focus on bodily sensations and health status. The psychological profile of the third individual showed no obvious pathology. Overall, the findings suggest that the condition might have uniformly been triggered by serious psychosocial stress for all participants. Substantial aetiological differences among participants with severe IEI-EMF were revealed. The substantial heterogeneity in the psychological and psychopathological profiles associated with IEI-EMF warrants the use of idiographic multimodal assessments in order to better understand the different ways of aetiology and to facilitate person-taylored treatments., Competing Interests: The authors declare no conflict of interest., (© 2022 The Author(s).)
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- 2022
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38. Mental heartbeat tracking and rating of emotional pictures are not related.
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Ferentzi E, Vig L, Lindkjølen MJ, Lien ME, and Köteles F
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- Adult, Bayes Theorem, Female, Heart Rate physiology, Humans, Male, Young Adult, Arousal, Emotions physiology
- Abstract
Our aim was to conceptually replicate the findings of previous empirical studies showing that people with higher cardiac interoceptive accuracy experience more intense emotions. Apart of the mental heartbeat tracking task of Schandry, Hungarian (n = 46, 76.0% female, mean age 22.28 ± 2.228) and Norwegian (n = 50, 60.0% female, mean age 24.66 ± 3.048) participants rated the arousal and valence evoked by positive, neutral and negative pictures. Multivariate repeated analysis of variance (applying both frequentist and Bayesian approaches) did not reveal any connection between heartbeat perception scores and the subjective ratings (i.e., arousal and valence) of the pictures in any of the two groups. The lack of the expected association between cardioceptive accuracy and arousal might partly be explained by the methodological differences between previous studies and this one; for example, we did not split or preselected the sample based on the performance on the Schandry task and applied a relatively strict instruction (i.e., by encouraging to count felt heartbeats only, and to report zero if no sensations were detected)., (© 2021. The Author(s).)
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- 2022
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39. An idiographic approach to Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI-EMF) Part II. Ecological momentary assessment of three individuals with severe IEI-EMF.
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Dömötör Z, Ruzsa G, Thuróczy G, Necz PP, Nordin S, Köteles F, and Szemerszky R
- Abstract
IEI-EMF refers to a self-reported sensitivity characterized by attribution of non-specific physical symptoms to exposure to weak EMFs. The majority of empirical results do not support the existence of a causal relationship between EMF and IEI-EMF. However, this conclusion was drawn from environmental and experimental studies that are not without methodological limitations. In the current study, as part of a complex biopsychosocial approach, an ecological momentary assessment (EMA) protocol was applied for the investigation of the temporal relationship between actual radio frequency (RF) EMF exposure and IEI-EMF, at the individual level. Continuous measurement of autonomic variables by holter electrocardiogram (ECG) monitors and the ambient RF EMF by personal dosimeters, as well as repeated (8/day) paper-and-pencil assessments of momentary internal states (symptoms, mood, perceived EMF intensity) and situational factors was conducted for 21 days with the participation of three individuals with severe IEI-EMF. Temporal relationships were examined by time series analyses. For two participants, the results did not support the association between the suspected EMF frequency range(s) and symptom reports. Nevertheless, the results revealed a reverse association with respect to another frequency range (GSM900 downlink), which contradicts the IEI-EMF condition. Autonomic activation related findings were inconsistent. For the third participant, the claimed association was partly supported, both for symptom reports and autonomic reactions (UMTS downlink, total RF; RMS values). The findings of this study suggest that IEI-EMF does not have a unitary aetiology. For certain individuals, a biophysical background cannot be excluded, whereas no such underlying factor appears to be at work for others. EMA is a useful method for the investigation of the aetiology of IEI-EMF., Competing Interests: The authors declare no conflict of interest., (© 2022 The Author(s).)
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- 2022
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40. A heartbeat away from a valid tracking task. An empirical comparison of the mental and the motor tracking task.
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Körmendi J, Ferentzi E, and Köteles F
- Subjects
- Adolescent, Exercise, Heart Rate physiology, Humans, Sensation physiology, Interoception physiology
- Abstract
Individuals' ability to perceive their heartbeats, called cardioceptive accuracy, is assessed with various paradigms. Performance in the mental and a novel motor tracking task that eliminates disturbing tactile sensations was assessed at rest and during walking with the participation of 45 young people. Significantly higher scores in the mental tracking task than in the motor tracking task were found. Scores obtained at rest were consistently higher than their walking counterparts. Motor responses showed no temporal association with heartbeats for 84% of participants at rest and 95% during walking. Overall, participants' cardioceptive accuracy at rest and under slight physical activity was poor. Even if people rely on their heartbeat-related sensations during their daily activity, it is either not the ability that is assessed by the tracking tasks, or it is a relatively poor source of information about the actual state of the body., (Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.)
- Published
- 2022
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41. Psychological models of development of idiopathic environmental intolerances: Evidence from longitudinal population-based data.
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Watrin L, Nordin S, Szemerszky R, Wilhelm O, Witthöft M, and Köteles F
- Subjects
- Anxiety, Humans, Models, Psychological, Nocebo Effect, Medically Unexplained Symptoms, Multiple Chemical Sensitivity epidemiology, Multiple Chemical Sensitivity etiology
- Abstract
The origin of idiopathic environmental intolerances (IEIs) is an open question. According to the psychological approaches, various top-down factors play a dominant role in the development of IEIs. The general psychopathology model assumes a propensity towards mental ill-health (negative affectivity) increases the probability of developing IEIs. The attribution model emphasizes the importance of mistaken attribution of experienced somatic symptoms; thus, more symptoms should lead to more IEIs. Finally, the nocebo model highlights the role of expectations in the development of IEIs. In this case, worries about the harmful effects of environmental factors are assumed to evoke IEIs. We estimated cross-lagged panel models with latent variables based on longitudinal data obtained at two time points (six years apart) from a large near-representative community sample to test the hypothesized associations. Indicators of chemical intolerance, electromagnetic hypersensitivity, and sound sensitivity fit well under a common latent factor of IEIs. This factor, in turn, showed considerable temporal stability. However, whereas a positive association was found between IEIs and increased somatic symptoms and modern health worries six years later, the changes therein could not be predicted as hypothesized by the three psychological models. We discuss the implications of these results, as well as methodological aspects in the measurement and prediction of change in IEIs., (Copyright © 2021 Elsevier Inc. All rights reserved.)
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- 2022
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42. Benefits of a Mindfulness-Based Intervention upon School Entry: A Pilot Study.
- Author
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Koncz A, Köteles F, Demetrovics Z, and Takacs ZK
- Subjects
- Child, Executive Function, Female, Humans, Pilot Projects, Schools, Stress, Psychological prevention & control, Meditation, Mindfulness
- Abstract
Background: mindfulness meditation is effective at fostering the executive functioning of children, i.e., the skills that play important roles in academic performance and social-emotional wellbeing. One possible mechanism for such an effect might be that meditation practices can decrease stress, especially if someone is at a risk for elevated cortisol levels, for instance, due to a stressful life event, such as starting school., Participants and Methods: the present pilot study tested the effects of a six-session mindfulness intervention applied right after school entry compared to a passive control group. In total 61 first graders participated ( M
age = 84.95 months, SD = 5.21) in this study from four classes of a primary school in Budapest. Repeated-measures ANOVA were performed to explore the effects on executive functioning skills and cortisol levels., Results: no effect was found on morning salivary cortisol levels, but the working memory capacities of girls significantly improved as a result of the intervention., Conclusions: a relatively short, story-based mindfulness intervention can improve the working memory capacities of first-graders; thus, it could potentially contribute to the academic performance and adaptation of children in schools.- Published
- 2021
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43. The interplay of self-critical rumination and resting heart rate variability on subjective well-being and somatic symptom distress: A prospective study.
- Author
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Kocsel N, Köteles F, Galambos A, and Kökönyei G
- Abstract
Objective: The aim of this prospective study was to investigate the association of self-critical rumination, autonomic function (indexed by a time domain metric of resting heart rate variability-RMSSD), subjective well-being and somatic symptom distress., Method: 84 healthy participants (73 females; mean age = 23.56, SD = 3.35 years) completed the Somatic Symptom Severity Scale of the Patient Health Questionnaire and Mental Health Continuum Short Form at two timepoints (at baseline and six months later). Resting heart rate variability (HRV) was assessed at baseline, along with content specific rumination using the Self-Critical Rumination Scale. Four moderation analyses were performed to test these associations., Results: The interaction between resting HRV and self-critical rumination significantly explained somatic symptom distress at baseline. For those participants who had high resting HRV, somatic symptom distress was basically independent from the level of self-critical rumination. At the same time, lower resting HRV was associated with higher somatic symptom distress, especially in the presence of more ruminative thoughts. Prospectively, however, the interaction between rumination and resting HRV was not a significant predictor of somatic symptom distress. The association between resting HRV and self-critical rumination did not explain the variance on subjective well-being, but subjective well-being was negatively related to self-critical rumination., Conclusion: Our findings potentially indicate that self-critical rumination could have a long-term negative impact on psychological functioning, even in a non-clinical sample, and highlight that a lower level of parasympathetic activation, assessed with RMSSD, might be an important factor in the relationship of self-critical rumination and somatic symptom distress., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2021
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44. No evidence for interactions between modern health worries, negative affect, and somatic symptom distress in general populations.
- Author
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Köteles F, Szemerszky R, Witthöft M, and Nordin S
- Subjects
- Anxiety, Attitude to Health, Bayes Theorem, Cross-Sectional Studies, Humans, Surveys and Questionnaires, Medically Unexplained Symptoms
- Abstract
Objective: Three theoretically grounded hypotheses were tested that predict interactions between modern health worries (MHWs), somatic symptom distress, and negative affect., Design: Cross-sectional., Main Outcome Measures: Hypotheses were tested in a representative German sample ( n = 2306) and a near-representative Swedish sample ( n = 3406). Participants completed the 12-item Modern Health Worries Scale, the Patient Health Questionnaire 15-Item Somatic Symptom Severity Scale (both samples), the Patient Health Questionnaire 9-Item Depression Scale (German sample), and the Hospital Anxiety and Depression Scale (Swedish sample)., Results: According to the results obtained from the two samples, MHWs were only weakly associated with somatic symptoms and negative affectivity. Frequentist and Bayesian linear regression analyses showed an interaction only in one case. All other factors being equal, individuals high on somatic symptoms and MHWs did not experience disproportionately less anxiety or depression; those high on MHWs and negative affect were characterized by disproportionately more symptoms in the German sample but not in the Swedish sample; and high level of negative affect did not strengthen the positive association between somatic symptoms and MHWs., Conclusion: Based on data from two large community samples, temporal stability of MHWs cannot be explained by somatic symptom distress and negative affectivity.
- Published
- 2021
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45. Is Weekly Frequency of Yoga Practice Sufficient? Physiological Effects of Hatha Yoga Among Healthy Novice Women.
- Author
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Csala B, Szemerszky R, Körmendi J, Köteles F, and Boros S
- Subjects
- Adolescent, Adult, Bayes Theorem, Female, Heart Rate, Humans, Physical Fitness, Young Adult, Meditation, Yoga
- Abstract
Beneficial physical and physiological health outcomes of yoga practice are well-supported by empirical data. However, whether weekly frequency of training is sufficient to evoke positive changes, is still an open question. The present intervention study investigated the effects of 10 weekly sessions of beginner level hatha yoga with respect to indicators of physical fitness and physiological markers. 82 young women (mean age of 22.0 ± 3.83 years) participated in the study. The yoga group ( N = 49) attended a yoga course consisting of 10 sessions (1.5 h each) on a weekly basis. The control group ( N = 33) did not receive any intervention. BMI, body fat percentage, balance (one-leg-stand test with open and closed eyes, functional reach test), flexibility (side bend test, modified sit and reach test) core muscle strength (plank test) as well as resting heart rate (HR), and heart rate variability (HRV) were assessed 1 week before and after the course. Both frequentist and Bayesian analysis showed an improvement in flexibility and balance in the yoga group compared to the control group. The yoga group showed also increased core muscle strength. No changes with respect to BMI, body fat percentage, resting HR and HRV were found. Ninety minute beginner level hatha yoga classes were characterized by 93.39 HR and 195 kcal energy consumption on average. The present findings suggest that weekly setting of a 10-session long hatha yoga training leads to improvements in balance, flexibility and core muscle strength among healthy young women. However, for changes in BMI, body fat percentage, resting HR and HRV longer, and/or more intense interventions are needed., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Csala, Szemerszky, Körmendi, Köteles and Boros.)
- Published
- 2021
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46. Sustained attention is related to heartbeat counting task performance but not to self-reported aspects of interoception and mindfulness.
- Author
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Vig L, Ferentzi E, and Köteles F
- Subjects
- Adolescent, Adult, Attention, Awareness, Bayes Theorem, Female, Heart Rate, Humans, Self Report, Task Performance and Analysis, Young Adult, Interoception, Mindfulness
- Abstract
Although association between sustained attention and various aspects of interoception (i.e. the perception of the body state) seems plausible, research on this subject is scarce. In the present study, 74 undergraduate students (41 females; age: 22.3 ± 4.04 yrs) filled out the Body Awareness Questionnaire, the Mindful Attention Awareness Scale, and the Somatosensory Amplification Scale and completed the Heartbeat Counting Task (HCT), a sensory-perceptual measure of cardiac interoception and the PEBL Continuous Performance Test (CPT) assessing sustained attention. The HCT score showed a weak to moderate negative correlation with the number of commission errors shown in CPT, indicating a lack of response inhibition (frequentist analysis: r
s = -0.313, p = 0.008; Bayesian analysis: τb = -0.216, BF10 = 5.865). Questionnaire measures did not show any connection with CPT-performance. These findings suggest that the subjective representation of attentiveness to bodily processes is unrelated to the objectively measured sustained attention. Response inhibition, however, is moderately related to HCT performance., (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)- Published
- 2021
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47. Nocebo effects on motor performance: A systematic literature review.
- Author
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Horváth Á, Köteles F, and Szabo A
- Subjects
- Humans, Nocebo Effect, Placebo Effect
- Abstract
Directionally opposite to placebo effects are the nocebo effects that negatively impact people's thoughts, feelings, and actions. An important but scarcely studied aspect of everyday functioning is motor performance, in which nocebo effects might impair athletic skills and the much-needed purposeful daily movements and motor actions. The aim of this literature review is to unveil the nocebo effects on motor performance. Searched databases were PubMed, PsycINFO, and SPORTDiscus. Twenty-one articles, reporting 23 studies, met the eligibility criteria for inclusion in the current review. All reports exhibited "some" risk of bias. Of the 23 studies, 14 found a nocebo effect on motor performance, equivocal results emerged from two studies, and negative findings were reported in seven studies. Most (10/12) studies using a between-subjects design have reported a nocebo effect. The mean effect size was 0.60, suggesting a medium-to-large effect of nocebo intervention on motor performance. Based on this review, we conclude that nocebo effects do influence motor performance and can be evoked with negative verbal information. This effect may be more robust than the placebo effect but also depends on the type of motor performance, on the examined sample, and on the nocebo agent. Hence, nocebo effects should be recognized and controlled in empirical research on motor performance, and they should be prevented or extinguished in practical and therapeutic settings. More extensive examination of the nocebo effect on motor performance is warranted, especially using between-subjects research design and a "no agent" control condition., (© 2021 The Authors. Scandinavian Journal of Psychology published by Scandinavian Psychological Associations and John Wiley & Sons Ltd.)
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- 2021
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48. Expectation predicts performance in the mental heartbeat tracking task.
- Author
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Körmendi J, Ferentzi E, and Köteles F
- Subjects
- Heart Rate, Humans, Interoception, Motivation
- Abstract
The mental heartbeat tracking task by Schandry is sensitive to non-interoceptive (top-down) influences, e.g., estimation of heart rate and expectation. The two studies reported here investigated the impact of these factors on the outcome of the task. In Study 1, performance-related expectation was assessed between the training interval and the real trials. Performance was strongly related (β = .595, p < .001) to expectation even after controlling for sex, body fat, resting heart rate and estimation of heart rate. In Study 2, expectation was assessed before and after the training interval for Group 1 and 2, respectively. The strong association (r = 0.78, p < .001) between performance and expectation was replicated for Group 2; however, a moderate association (r = 0.39, p < .01) was also found in Group 1. People with high expectation may be prone to categorize and count vague sensations, such as attention evoked sensations, as heartbeats; this can lead to an inflated Schandry-score., (Copyright © 2021 The Author(s). Published by Elsevier B.V. All rights reserved.)
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- 2021
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49. Examining the Factor Structure and Validity of the Multidimensional Assessment of Interoceptive Awareness.
- Author
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Ferentzi E, Olaru G, Geiger M, Vig L, Köteles F, and Wilhelm O
- Subjects
- Factor Analysis, Statistical, Humans, Self Report, Surveys and Questionnaires, Awareness, Interoception
- Abstract
The goal of this study was to psychometrically evaluate the Multidimensional Assessment of Interoceptive Awareness (MAIA), a popular self-report questionnaire claimed to assess the most important subjective aspects of interoception. We collected data in two samples (N = 644 and N = 1,516) and focused on the factor structure and validity of MAIA, as well as its associations with personality traits. Confirmatory Factor Analysis suggested that six of the eight subscales measure a common general factor of self-reported interoception ; two MAIA subscales, Not-Worrying and Not-Distracting were only weakly related to this factor. Whereas the general factor correlated strongly with a measure of perceived attentiveness to normal nonemotive body processes, and moderately with Extraversion, Openness and Conscientiousness, the Not-Worrying factor showed moderate to strong negative correlations with Emotionality, pain catastrophization, and anxiety-related aspects of body focus. Not-Distracting was only weakly associated with the validating scales. Overall, these findings do not support the claimed eight-factor structure of the MAIA but indicate the existence of an overarching general factor. Additionally, this study provides evidence that interoceptive awareness, as measured by the MAIA, is related to, but distinct from personality.
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- 2021
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50. Body focus and cardioceptive accuracy are not associated with physical performance and perceived fatigue in a sample of individuals with regular physical activity.
- Author
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Kósa L, Mikó A, Ferentzi E, Szabolcs Z, Bogdány T, Ihász F, and Köteles F
- Subjects
- Adult, Bicycling physiology, Female, Humans, Male, Young Adult, Attention physiology, Exercise physiology, Fatigue physiopathology, Heart Rate physiology, Interoception physiology, Physical Exertion physiology, Physical Functional Performance, Respiratory Rate physiology
- Abstract
It is often assumed that distracting attention from unpleasant body sensations evoked by physical exertion can alleviate perceived fatigue and increase physical performance. Also, the higher acuity of perception of heartbeats was associated with less physical performance in one study with sedentary participants. The current study was designed to shed more light on these associations. In a within-subject experiment, 98 students characterized by regular physical activity completed the Schandry-task assessing cardioceptive accuracy and cycled for 15 min on a bicycle ergometer at a convenient pace, listening to their own breathing through a headset (internal attention condition) or to distracting noises (external attention condition). Physical performance (number of pedal turns), physical exertion (heart rate), and self-reported fatigue were assessed for both tasks. Frequentist and Bayesian analyses showed no impact of the direction of attention and cardioceptive accuracy on physical performance, exertion, and perceived fatigue. In fact, the lack of association between cardioceptive accuracy and performance and perceived fatigue was more probable than the alternative hypothesis. Impact of distraction and cardioceptive accuracy on subjective and objective characteristics of physical exercise in the aerobic domain may be different for physically active and sedentary individuals. Future research in this area should systematically explore the background of these differences., (© 2021 The Authors. Psychophysiology published by Wiley Periodicals LLC on behalf of Society for Psychophysiological Research.)
- Published
- 2021
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