Role of interoceptive fear and maladaptive attention and behaviors in the escalation of psychopathology-a network analysis.
Cogn Behav Ther
; 53(5): 524-543, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-38593025
ABSTRACT
The complex interplay of fear, attention, and behavior toward bodily sensations with psychopathological symptoms and how they mutually influence and potentially reinforce one another remains to be fully elucidated. In this study, we used a network analytical approach to unravel these complex interactions. Specifically, we aimed to identify central symptoms and etiologically relevant factors that might be associated with anxiety and depressive core symptoms. To this end, the following clusters were assessed in 791 adults interoceptive fear, interoceptive attention, maladaptive behaviors related to bodily sensations, and core symptoms of anxiety and depression. This network was modeled using a Gaussian Graphical Model. Central variables (nodes) were identified using centrality indices and bridge analysis. Self-examination and attention to bodily sensations emerged as central nodes. Moreover, time spent paying attention to bodily sensations, fear of anxiety-related sensations, and self-examination were identified as central bridge nodes, that is, central nodes connecting psychopathologically relevant symptom clusters. The present study indicates that fear of bodily sensations, the amount of attention and time spent focusing on somatic sensations, and self-examination are central factors. The findings suggest potential targets for future longitudinal studies on the impact of these factors for the escalation of anxiety and depressive symptoms.
Central variables were identified through centrality indices and bridge analysisAttention to bodily sensations and self-examination were identified as central nodesFear of bodily sensations and self-examination emerged as central bridge nodesTime spent paying attention to body sensations also emerged as central bridge nodeResults suggest possible targets for future experimental and longitudinal research.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Anxiety
/
Attention
/
Depression
/
Fear
/
Interoception
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Cogn Behav Ther
/
Cogn. behav. ther
/
Cognitive behaviour therapy
Journal subject:
CIENCIAS DO COMPORTAMENTO
/
TERAPEUTICA
Year:
2024
Document type:
Article
Affiliation country:
Country of publication: