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Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
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Reducing State Anxiety Using Working Memory Maintenance
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Gender Differences in the Association Between Anxiety and Interoceptive Insight.

Olivia K Harrison1,2,3, Laura Köchli3, Stephanie Marino3

  • 1Department of Psychology, University of Otago, Dunedin, New Zealand.

The European Journal of Neuroscience
|January 13, 2025
PubMed
Summary
This summary is machine-generated.

Anxiety is linked to altered bodily perception (interoception). This study found state anxiety reduced metacognitive bias in all, but impaired interoceptive insight specifically in women, suggesting targeted treatments.

Keywords:
breathingcomputational psychiatryinsightinteroceptionmetacognition

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Area of Science:

  • Psychology
  • Neuroscience
  • Mental Health

Background:

  • Anxiety disorders are prevalent, particularly in women, and linked to interoception (perception of internal bodily states).
  • Gender differences in the association between anxiety and interoception are under-researched.
  • Interoception involves sensitivity, decision bias, and metacognitive processes.

Purpose of the Study:

  • To investigate gender-specific relationships between state anxiety and interoception in the breathing domain.
  • To examine how anxiety relates to interoceptive sensitivity, decision bias, metacognitive bias, and metacognitive insight.
  • To identify potential sex differences in these associations.

Main Methods:

  • Utilized multicentre data from 175 participants (51% women).
  • Assessed state anxiety using the Spielberger State-Trait Anxiety Inventory.
  • Measured breathing-related interoception using an inspiratory load task to evaluate sensitivity, decision bias, metacognitive bias, and metacognitive insight.

Main Results:

  • State anxiety was negatively associated with metacognitive bias and insight across all participants.
  • No significant relationship was found between state anxiety and interoceptive sensitivity or decision bias.
  • The negative association between state anxiety and interoceptive insight was significant in women but not in men, indicating a gender-specific effect.

Conclusions:

  • State anxiety is associated with reduced metacognitive bias in interoception for everyone.
  • Decreased interoceptive insight is specifically linked to anxiety in women.
  • Interventions targeting interoceptive metacognitive bias may benefit all anxiety patients, while insight-focused interventions could be particularly valuable for women with anxiety.