Volume 16, Issue 2 (May 2022)                   Qom Univ Med Sci J 2022, 16(2): 178-189 | Back to browse issues page

Ethics code: IR.IUMS.REC.1399.529


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ramesh S, Besharat M A, Soltanian-Zadeh H, Rostami R, Vasheghani Farahani A, Farahani H. Prediction of Vasovagal Syncope Based on Interoceptive Awareness and Anxiety Sensitivity. Qom Univ Med Sci J 2022; 16 (2) :178-189
URL: http://journal.muq.ac.ir/article-1-3442-en.html
1- Department of Psychology, University of Tehran, Tehran, Iran
2- Department of Psychology, University of Tehran, Tehran, Iran , besharat@ut.ac.ir
3- Control and Intelligent Processing Center of Excellence (CIPCE), School of Electrical and Computer Engineering, College of Engineering, University of Tehran, Tehran, Iran
4- Department of Cardiology, Cardiac Primary Prevention Research Center, Cardiovascular Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Psychology, Tarbiat Modares University, Tehran, Iran
Abstract:   (1118 Views)
Background and Objectives: Vasovagal syncope is the most common type of syncope. Recurrent vasovagal syncope can have a profound effect on the patients’ quality of life. This study aims to predict vasovagal syncope based on interoceptive awareness and anxiety sensitivity of patients.
Methods: This is an analytical and case-control study. The study population consists of patients with vasovagal syncope referred to Tehran Heart Center in 2021. Fifty patients with vasovagal syncope and 54 healthy individuals were selected by a purposive sampling method. Data collection tools included Multidimensional Assessment of Interoceptive Awareness and Anxiety Sensitivity Index. Data analysis was performed by logistic regression analysis in SPSS software, version 22. The significance level was set at 0.05.
Results: The Hosmer-Lemeshow test results (χ2=8.9, P=0.346) showed the good fit of the model. According to the results of logistic regression analysis, the coefficient of determination was -0.074 for the anxiety sensitivity and 0.018 for the interoceptive awareness.
Conclusion: For patients with vasovagal syncope, the measures for increasing their interoceptive awareness and reducing anxiety sensitivity, can be helped for reducing their syncope.
Full-Text [PDF 4491 kb]   (321 Downloads) |   |   Full-Text (HTML)  (588 Views)  
Type of Study: Original Article | Subject: روانشناسی
Received: 2022/04/10 | Accepted: 2022/04/25 | Published: 2022/03/30

References
1. Poothrikovil RP, Al Mashaikhi T. Vasovagal syncope in epilepsy monitoring unit: A case report and review. Neurodiagn J. 2021; 61(3):132-43. [DOI:10.1080/21646821.2021.1933862] [PMID] [DOI:10.1080/21646821.2021.1933862]
2. Gregson H, Ivkov A. Sex and age impact prevalence and symptoms of vasovagal syncope: Implications for accurate diagnosis. Stem Fellow J. 2021; 7(2):13-5. [DOI:10.17975/sfj-2021-008] [DOI:10.17975/sfj-2021-008]
3. Liao Y, Du J. Pathophysiology and individualized management of vasovagal syncope and postural tachycardia syndrome in children and adolescents: An update. Neurosci Bull. 2020; 36(6):667-81. [DOI:10.1007/s12264-020-00497-4] [PMID] [PMCID] [DOI:10.1007/s12264-020-00497-4]
4. Zyśko D, Szewczuk-Bogusławska M, Kaczmarek M, Agrawal AK, Rudnicki J, Gajek J, et al. Reflex syncope, anxiety level, and family history of cardiovascular disease in young women: Case-control study. Europace. 2014; 17(2):309-13. [DOI:10.1093/europace/euu200] [PMID] [DOI:10.1093/europace/euu200]
5. Harrison JM, Gilchrist PT, Corovic TS, Bogetti C, Song Y, Bacon SL, et al. Respiratory and hemodynamic contributions to emotion-related pre-syncopal vasovagal symptoms. Biol Psychol. 2017; 127:46-52. [DOI:10.1016/j.biopsycho.2017.04.011] [PMID] [DOI:10.1016/j.biopsycho.2017.04.011]
6. Stewart JM, Medow MS, Sutton R, Visintainer P, Jardine DL, Wieling W. Mechanisms of vasovagal syncope in the young: Reduced systemic vascular resistance versus reduced cardiac output. J Am Heart Assoc. 2017; 6(1):e004417. [DOI:10.1161/JAHA.116.004417] [PMID] [PMCID] [DOI:10.1161/JAHA.116.004417]
7. Price CJ, Hooven C. Interoceptive awareness skills for emotion regulation: Theory and approach of mindful awareness in body-oriented therapy (MABT). Front Psychol. 2018; 9(2):798. [DOI:10.3389/fpsyg.2018.00798] [PMID] [PMCID] [DOI:10.3389/fpsyg.2018.00798]
8. Trevisan DA, Altschuler MR, Bagdasarov A, Carlos C, Duan S, Hamo E, et al. A meta-analysis on the relationship between interoceptive awareness and alexithymia: Distinguishing interoceptive accuracy and sensibility. J Abnorm Psychol. 2019; 128(8):765-9. [DOI:10.1037/abn0000454] [PMID] [DOI:10.1037/abn0000454]
9. Trevisan DA, Mehling WE, McPartland JC. Adaptive and maladaptive bodily awareness: Distinguishing Interoceptive sensibility and interoceptive attention from anxiety‐induced somatization in autism and alexithymia. Autism Res. 2021; 14(2):240-7. [DOI:10.1002/aur.2458] [PMID] [DOI:10.1002/aur.2458]
10. Stewart JL, Khalsa SS, Kuplicki R, Puhl M, Paulus MP. Interoceptive attention in opioid and stimulant use disorder. Addict Biol. 2020; 25(6):e12831. [DOI:10.1111/adb.12831] [PMID] [PMCID] [DOI:10.1111/adb.12831]
11. Critchley HD, Garfinkel SN. Interoception and emotion. Curr Opin Psychol. 2017; 17:7-14. [DOI:10.1016/j.copsyc.2017.04.020] [PMID] [DOI:10.1016/j.copsyc.2017.04.020]
12. Garfinkel SN, Seth AK, Barrett AB, Suzuki K, Critchley HD. Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biol Psychol. 2015; 104:65-74. [DOI:10.1016/j.biopsycho.2014.11.004] [PMID] [DOI:10.1016/j.biopsycho.2014.11.004]
13. Yoris A, Esteves S, Couto B, Melloni M, Kichic R, Cetkovich M, et al. The roles of interoceptive sensitivity and metacognitive interoception in panic. Behav Brain Funct. 2015; 11:14. [DOI:10.1186/s12993-015-0058-8] [PMID] [PMCID] [DOI:10.1186/s12993-015-0058-8]
14. Yoris A, Abrevaya S, Esteves S, Salamone P, Lori N, Martorell M, et al. Multilevel convergence of interoceptive impairments in hypertension: New evidence of disrupted body-brain interactions. Hum. Brain Mapp. 2018; 39(4):1563-81. [DOI:10.1002/hbm.23933] [PMID] [PMCID] [DOI:10.1002/hbm.23933]
15. Elhai JD, Levine JC, O'Brien KD, Armour C. Distress tolerance and mindfulness mediate relations between depression and anxiety sensitivity with problematic smartphone use. Comput Human Behav. 2018; 84:477-84. [DOI:10.1016/j.chb.2018.03.026] [DOI:10.1016/j.chb.2018.03.026]
16. Rogers AH, Kauffman BY, Bakhshaie J, McHugh RK, Ditre JW, Zvolensky MJ. Anxiety sensitivity and opioid misuse among opioid-using adults with chronic pain. Am J Drug Alcohol Abuse. 2019; 45(5):470-8. [DOI:10.1080/00952990.2019.1569670] [PMID] [PMCID] [DOI:10.1080/00952990.2019.1569670]
17. Stanley IH, Boffa JW, Rogers ML, Hom MA, Albanese BJ, Chu C, et al. Anxiety sensitivity and suicidal ideation/suicide risk: A meta-analysis. J Consult Clin Psychol. 2018; 86(11):946-60. [DOI:10.1037/ccp0000342] [PMID] [PMCID] [DOI:10.1037/ccp0000342]
18. Raudales AM, Kiefer R, Forkus SR, Contractor AA, Weiss NH. Positive emotion dysregulation and posttraumatic stress disorder symptoms: Investigating the role of anxiety sensitivity. J Anxiety Disord. 2021; 84:102475. [DOI:10.1016/j.janxdis.2021.102475] [PMID] [PMCID] [DOI:10.1016/j.janxdis.2021.102475]
19. Oser M, Khan A, Kolodziej M, Gruner G, Barsky AJ, Epstein L. Mindfulness and interoceptive exposure therapy for anxiety sensitivity in atrial fibrillation: A pilot study. Behav Modif. 2021; 45(3):462-79. [DOI:10.1177/0145445519877619] [PMID] [DOI:10.1177/0145445519877619]
20. Mai-Lippold SA, Dettlinger CM, Khalsa SS, Pollatos O. A pilot study on the effect of an energy drink on interoception in high vs. low anxiety sensitivity individuals. Eur J Health Psychol. 2021; 27(4):126-31. [DOI:10.1027/2512-8442/a000061] [DOI:10.1027/2512-8442/a000061]
21. Mehling WE, Price C, Daubenmier JJ, Acree M, Bartmess E, Stewart A. The multidimensional assessment of interoceptive awareness (MAIA). Plos One. 2012; 7(11):48-53. [DOI:10.1371/journal.pone.0048230] [PMID] [PMCID] [DOI:10.1371/journal.pone.0048230]
22. Abbasi M, Ghorbani N, Hatami J, Gholamali Lavasani M. [Validity and reliability of multidimensional assessment of interoceptive awareness (MAIA) in Iranian students (Persian)]. J Sabzevar Univ Med Sci. 2018; 25(1):47-59. [Link]
23. Reiss S, Peterson RA, Gursky DM, McNally RJ. Anxiety sensitivity index (ASI). In: Association for Advancement of Behavior Therapy, editor. Practitioner's guide to empirically based measures of anxiety. Berlin: Springer Science & Business Media; 2001. [Link]
24. Foroughi AA, Mohammadpour M, Khanjani S, Pouyanfard S, Dorouie N, Parvizi Fard AA. Psychometric properties of the Iranian version of the anxiety sensitivity index-3 (ASI-3). Trends Psychiatry Psychother. 2019; 41(3):254-61. [DOI:10.1590/2237-6089-2018-0078] [PMID] [DOI:10.1590/2237-6089-2018-0078]
25. Gracie J, Newton JL, Norton M, Baker C, Freeston M. The role of psychological factors in response to treatment in neurocardiogenic (vasovagal) syncope. Europace. 2006; 8(8):636-43. [DOI:10.1093/europace/eul073] [PMID] [DOI:10.1093/europace/eul073]
26. Owens AP, Low DA, Iodice V, Critchley HD, Mathias CJ. The genesis and presentation of anxiety in disorders of autonomic overexcitation. Auton Neurosci. 2017; 203:81-7. [DOI:10.1016/j.autneu.2016.10.004] [PMID] [DOI:10.1016/j.autneu.2016.10.004]
27. Kim JB, Suh SI, Seo WK, Koh SB, Kim JH. Right insular atrophy in neurocardiogenic syncope: A volumetric MRI study. AJNR Am J Neuroradiol. 2014; 35(1):113-8-15. [DOI:10.3174/ajnr.A3611] [PMID] [PMCID] [DOI:10.3174/ajnr.A3611]
28. Paulus MP, Stein MB. Interoception in anxiety and depression. Brain Struct Funct. 2010; 214(5-6):451-63. [DOI:10.1007/s00429-010-0258-9] [PMID] [PMCID] [DOI:10.1007/s00429-010-0258-9]
29. Bouton ME, Mineka S, Barlow DH. A modern learning theory perspective on the etiology of panic disorder. Psychol Rev. 2001; 108(1):4-12. [DOI:10.1037/0033-295X.108.1.4] [PMID] [DOI:10.1037/0033-295X.108.1.4]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Qom University of Medical Sciences Journal

Designed & Developed by : Yektaweb