Estimating the stability of heartbeat counting in middle childhood: A twin study.

There is growing interest in interoception, the perception of the body's internal state, and its relevance for health across development. Most evidence linking interoception to health has used the heartbeat counting task. However, the temporal stability of the measure, particularly during childhood, and the etiological factors that underlie stability, remain largely unexamined. Using data from the ECHO twin sample we estimated the magnitude of genetic and environmental influences on the stability of heartbeat counting across two years (age 8-10), the longest time-frame examined. Heartbeat counting accuracy was modestly correlated across time, (r = .35) and accuracy improved with age. Non-shared environmental factors accounted for the most variance at both time points and were the main contributors to temporal stability of heartbeat counting. Future research should seek to identify these non-shared environmental factors and elucidate whether this relatively modest stability reflects variability of interoception across development or unreliability of the heartbeat counting task.

I feel it in my finger: Measurement device affects cardiac interoceptive accuracy.

In recent years, measures of cardiac interoceptive accuracy have been heavily scrutinised. The focus has been on potentially confounding physiological and psychological factors; little research has examined whether the device used to record objective heartbeats may influence cardiac interoceptive accuracy. The present studies assessed whether the device employed influences heartbeat counting (HCT) accuracy and the location from which heartbeats are perceived. In Study One, participants completed the HCT using a hard-clip finger pulse oximeter, electrocardiogram (ECG) and a smartphone application. In Study Two, an ECG, hard-clip and soft-clip oximeter were compared. Moderate-strong correlations were observed across devices, however, mean HCT accuracy and confidence varied as a function of device. Increased sensation in the finger when using a hard-clip pulse oximeter was related to increased accuracy relative to ECG. Results suggest that the device employed can influence HCT performance, and argue against comparing, or combining, scores obtained using different devices.