Journal of Psychosomatic Research
Volume 69, Issue 3 , Pages 249-257 , September 2010

Attention to the body in nonclinical somatoform dissociation depends on emotional state

  • Richard J. Brown

      Affiliations

    • School of Psychological Sciences, University of Manchester, Manchester, United Kingdom
    • Corresponding Author InformationCorresponding author. School of Psychological Sciences, University of Manchester, Manchester, United Kingdom
    • ,
  • Adam N. Danquah

      Affiliations

    • School of Psychological Sciences, University of Manchester, Manchester, United Kingdom
    • ,
  • Eleanor Miles

      Affiliations

    • School of Psychological Sciences, University of Manchester, Manchester, United Kingdom
    • ,
  • Emily Holmes

      Affiliations

    • Department of Psychiatry, Warneford Hospital, University of Oxford, Oxford, United Kingdom
    • ,
  • Ellen Poliakoff

      Affiliations

    • School of Psychological Sciences, University of Manchester, Manchester, United Kingdom

Received 8 October 2009 ,Revised 18 April 2010 ,Accepted 27 April 2010.

References 

  1. Nimnuan C, Hotopf M, Wessely S. Medically unexplained symptoms. An epidemiological study in seven specialities. J Psychosom Res. 2001;51:361–367
  2. Barsky AJ, Orav J, Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Arch Gen Psychiatry. 2005;62:903–910
  3. Jackson J, Fiddler M, Kapur N, Wells A, Tomenson B, Creed F. Number of bodily symptoms predicts outcome more accurately than health anxiety in patients attending neurology, cardiology, and gastroenterology clinics. J Psychosom Res. 2006;60:357–363
  4. Gara MA, Cohen Silver R, Escobar JI, Holman A, Waitzkin H. A hierarchical classes analysis (HICLAS) of primary care patients with medically unexplained somatic symptoms. Psychiatry Res. 1998;81:77–86
  5. Interian A, Gara MA, Díaz-Martínez AM, Warman MJ, Escobar JI, Allen LA, et al. The value of pseudoneurological symptoms for assessing psychopathology in primary care. Psychosom Med. 2004;66:141–146
  6. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM–IV). Washington, DC: American Psychiatric Press; 1994;
  7. World Health Organisation . The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland: World Health Organization; 1992;
  8. Nijenhuis ER. Somatoform Dissociation: Phenomena, Measurement, & Theoretical Issues. New York: Norton; 2004;
  9. Janet P. L'automatisme psychologique [Psychological automatisms]. Paris: Alcan; 1889;
  10. Ludwig AM. Hysteria: A neurobiological theory. Arch Gen Psychiatry. 1972;27:771–777
  11. Kihlstrom JF. Dissociative and conversion disorders. In:  Stein DJ,  Young J editor. Cognitive Science and Clinical Disorders. San Diego, CA: Academic Press; 1992;p. 247–270
  12. Brown RJ. The cognitive psychology of dissociative states. Cognit Neuropsychiatry. 2002;7:221–235
  13. Brown RJ. Psychological mechanisms of medically unexplained symptoms: An integrative conceptual model. Psychol Bull. 2004;130:793–812
  14. Kirmayer LJ, Taillefer S. Somatoform disorders. In:  Turner SM,  Hersen M editor. Adult Psychopathology and Diagnosis. New York: Wiley; 1997;p. 333–383
  15. Barsky AJ, Wyshak G, Klerman GL. The Somatosensory Amplification Scale and its relationship to hypochondriasis. J Psychiatr Res. 1990;24:323–334
  16. Barsky AJ, Goodson JD, Lane RS, Cleary PD. The amplification of somatic symptoms. Psychosom Med. 1988;50:510–519
  17. Bendefeldt F, Miller LL, Ludwig AM. Cognitive performance in conversion hysteria. Arch Gen Psychiatry. 1976;33:1250–1254
  18. Roelofs K, van Galen GP, Eling P, Keijsers GPJ, Hoogduin CAL. Endogenous and exogenous attention in patients with conversion paresis. Cogn Neuropsychol. 2003;20:733–745
  19. Moldofsky H, England RS. Facilitation of somatosensory average-evoked potentials in hysterical anesthesia and pain. Arch Gen Psychiatry. 1975;32:193–197
  20. Horvath T, Friedman J, Meares R. Attention in hysteria: A study of Janet's hypothesis by means of habituation and arousal measures. Am J Psychiatry. 1980;137:217–220
  21. Rief W, Auer C. Is somatization a habituation disorder? Physiological reactivity in somatization syndrome. Psychiatry Res. 2001;101:63–74
  22. Rief W, Shaw R, Fichter MM. Elevated levels of psychophysiological arousal and cortisol in patients with somatization syndrome. Psychosom Med. 1998;60:198–203
  23. Afzal M, Potokar JP, Probert CSJ, Monafò MR. Selective processing of gastrointestinal symptom-related stimuli in irritable bowel syndrome. Psychosom Med. 2006;68:758–761
  24. Hou R, Moss-Morris R, Bradley BP, Peveler R, Mogg K. Attentional bias towards health-threat information in chronic fatigue syndrome. J Psychosom Res. 2008;65:47–50
  25. Lim S-L, Kim J-H. Cognitive processing of emotional information in depression, panic and somatoform disorder. J Abnorm Psychol. 2005;114:50–61
  26. Andersson G, Haldrup D. Personalized pain words and Stroop interference in chronic pain patients. Eur J Pain. 2003;7:431–438
  27. Asmundson GJG, Kuperos JL, Norton GR. Do patients with chronic pain attend to pain-related information? Preliminary evidence for the mediating role of fear. Pain. 1997;72:27–32
  28. Asmundson GJG, Wright KD, Hadjistavropolous HD. Hypervigilance and attentional fixedness in chronic musculoskeletal pain: Consistency of findings across modified Stroop and dot-probe tasks. J Pain. 2005;6:497–506
  29. Asmundson GJG, Carleton RN, Ekong J. Dot-probe evaluation of selective attentional processing of pain cues in patients with chronic headaches. Pain. 2005;114:250–256
  30. Moss-Morris R, Petrie KJ. Experimental evidence for interpretive but not attention biases toward somatic information in patients diagnosed with chronic fatigue syndrome. Br J Health Psychol. 2003;8:195–208
  31. Mailloux J, Brener J. Somatosensory amplification and its relationship to heartbeat detection ability. Psychosom Med. 2002;64:353–357
  32. Aronson KR, Feldman Barrett L, Quigley KS. Feeling your body or feeling badly: Evidence for the limited validity of the Somatosensory Amplification Scale as an index of somatic sensitivity. J Psychosom Res. 2001;51:387–394
  33. Barsky AJ, Brener J, Coeytaux RR, Cleary PD. Accurate awareness of heartbeat in hypochondriacal and non-hypochondriacal patients. J Psychosom Res. 1995;39:489–497
  34. Brown RJ, Poliakoff E, Kirkman MA. Somatoform dissociation and somatosensory amplification are differentially associated with attention to the tactile modality following exposure to body-related stimuli. J Psychosom Res. 2007;62:159–165
  35. Posner MI. Orienting of attention. Q J Exp Psychol. 1980;32:3–25
  36. Poliakoff E, O'Boyle DJ, Moore AP, McGlone FP, Cody FWJ, Spence C. Orienting of attention and Parkinson's disease: Tactile inhibition of return and response inhibition. Brain. 2003;126:2081–2092
  37. Miles E, Poliakoff E, Brown RJ. Investigating the time-course of tactile reflexive attention using a non-spatial discrimination task. Acta Psychol. 2008;128:210–215
  38. Nijenhuis ER, Spinhoven P, van Dyck R, van der Hart O, Vanderlinden J. The development and psychometric characteristics of the Somatoform Dissociation Questionnaire (SDQ-20). J Nerv Ment Dis. 1996;184:688–694
  39. Holmes EA, Bourne C. Inducing and modulating intrusive emotional memories: A review of the trauma film paradigm. Acta Psychol. 2008;127:553–566
  40. Stuart ADP, Holmes EA, Brewin CR. The influence of a visuospatial grounding task on intrusive images of a traumatic film. Behav Res Ther. 2006;44:611–619
  41. Holmes EA, Brewin CR, Hennessy RG. Trauma films, information processing, and intrusive memory development. J Exp Psychol Gen. 2004;133:3–22
  42. Hagenaars MA, van Minnen A, Holmes EA, Brewin CR, Hoogduin KAL. The effect of hypnotically induced somatoform dissociation on the development of intrusions after an aversive film. Cogn Emot. 2008;22:944–963
  43. Tomarken AJ, Davidson RJ, Henriques JB. Resting frontal brain asymmetry predicts affective responses to films. J Pers Soc Psychol. 1990;59:791–801
  44. Hewig J, Hagemann D, Seifert J, Gollwitzer M, Naumann E, Bartussek D. A revised film set for the induction of basic emotions. Cogn Emot. 2005;19:1095–1109
  45. Nijenhuis ERS. The scoring and interpretation of the SDQ-20 and SDQ 5: Update 2003. Retrieved 21st January 2007 from http://www.enijenhuis.nl/sdq2.html
  46. Maaranen P, Tanskanen A, Haatainen K, Honkalampi K, Koivumaa-Honkanen H, Hintikka J, et al. The relationship between psychological and somatoform dissociation in the normal population. J Nerv Ment Dis. 2005;193:690–692
  47. Spielberger CD. Manual for the State-Trait Anxiety Inventory (STAI). Palo Alto, CA: Consulting Psychologists Press; 1983;
  48. Watson D, Pennebaker JW. Health complaints, stress and distress: Exploring the role of negative affectivity. Psychol Rev. 1989;96:234–254
  49. Resnick HS, Best, CL, Kilpatrick, DG, Freedy, JR, Falsetti, SA. Trauma assessment for adults — self-report version, 1993.
  50. Kilpatrick DG, Resnick HS, Freedy JRV. Potential Stressful Events Inventory. Crime Victims Treatment and Research Center. Charleston, SC: Medical University of South Carolina; 1991;
  51. Pennebaker JW. The Psychology of Physical Symptoms. New York: Springer; 1982;
  52. Kirkwood CR, Clure HR, Brodsky R, Gould GH, Knaak R, Metcalf M, et al. The diagnostic content of family practice: 50 most common diagnoses recorded in the WAMI community practices. J Fam Pract. 1982;15:485–492
  53. Posner MI, Rafal RD, Choate LS, Vaughan J. Inhibition of return: Neural basis and function. Cogn Neuropsychol. 1985;2:211–228
  54. van Selst M, Jolicoeur P. A solution to the effect of sample size on outlier elimination. Q J Exp Psychol. 1994;47A:631–650
  55. Tabachnick BG, Fiddell LS. Using Multivariate Statistics. New York: HarperCollins; 1996;
  56. Field A. Discovering Statistics Using SPSS for Windows. London: Sage; 2000;
  57. Delaney HD, Maxwell SE. On using analysis of covariance in repeated measures designs. Multivariate Behav Res. 1981;16:105–123
  58. Compton RJ, Wirtz D, Pajoumand G, Claus E, Heller W. Association between positive affect and attentional shifting. Cogn Ther Res. 2004;28:733–744
  59. Mogg K, Holmes A, Garner M, Bradley BP. Effects of threat cues on attentional shifting, disengagement and response slowing in anxious individuals. Behav Res Ther. 2008;46:656–667
  60. Mogg K, Bradley B. A cognitive-motivational analysis of anxiety. Behav Res Ther. 1998;36:809–848
  61. Mogg K, Bradley BP, Miles F, Dixon R. Time course of attentional bias for threat scenes: Testing the vigilance-avoidance hypothesis. Cogn Emot. 2004;18:689–700
  62. Nijenhuis ERS, van der Hart O, Steele K. The emerging psychobiology of trauma-related dissociation and dissociative disorders. In:  D'Haenen H,  Den Boer JA,  Willner P editor. Biological Psychiatry. 2002;p. 1079–1098
  63. Spence C, Nicholls MER, Driver J. The cost of expecting events in the wrong sensory modality. Percept Psychophys. 2001;63:330–336
  64. Nijenhuis ER, van Dyck R, Spinhoven P, van der Hart O, Chatrou M, Vanderlinden J, et al. Somatoform dissociation discriminates among diagnostic categories over and above general psychopathology. Aust N Z J Psychiatry. 1999;33:511–520
  65. Duddu V, Chaturvedi SK, Isaac MK. Amplification and attribution styles in somatoform and depressive disorders – A study from Bangalore, India. Psychopathology. 2003;36:98–103
  66. Roelofs K, Spinhoven P. Trauma and medically unexplained symptoms: Towards an integration of cognitive and neuro-biological accounts. Clin Psychol Rev. 2007;27:798–820
  67. Kroenke K, Spitzer RL, Williams JB, Linzer M, Hahn SR, deGruy FV, et al. Physical symptoms in primary care. Predictors of psychiatric disorders and functional impairment. Arch Fam Med. 1994;3:774–779

PII: S0022-3999(10)00207-2

doi: 10.1016/j.jpsychores.2010.04.010

Journal of Psychosomatic Research
Volume 69, Issue 3 , Pages 249-257 , September 2010

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