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Biological Psychology
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Phase confusion: how inconsistent cardiac labelling obscures interoception research

Authors: Angelia Caparco; Genaro Lopez-Martin; Alejandro Galvez-Pol;

Phase confusion: how inconsistent cardiac labelling obscures interoception research

Abstract

Research on the interaction between interoception and external sensory processing has grown rapidly, with a key focus on how different phases of the cardiac cycle (systole and diastole) affect stimulus processing. This typically involves synchronizing stimulus presentation with specific cardiac phases. However, the definition of these phases varies significantly across studies. As in biomedical disciplines, some studies define systole as the period from the R-peak to the end of the T-wave in the electrocardiogram (ECG), with diastole encompassing the rest of the cycle. Others use a time-based heuristic approach, defining systole based on the estimated time for afferent signals from the heart to reach the brain. These studies assume that baroreceptor activity near the heart plays a key role in cognition, though conclusive evidence for this assumption is lacking. This variation in definitions has led to a confusing characterization of cardiac phases, where systole in one study may correspond to diastole in another (and vice versa). To address this, we review current research on how cardiac phases affect external stimulus processing and highlight methodological inconsistencies in their operationalization. We debate the use of time-based heuristic approaches and discuss additional sources of variability, such as differences in recording equipment and measures of interoceptive abilities. Rather than focusing on specific study findings, we emphasize the broader challenges posed by these inconsistencies, including issues with replicability and interpretation. Finally, we provide recommendations for standardizing methodologies to improve the reliability and comparability of future research.

Related Organizations
Keywords

Electrocardiography, Cognitive Neuroscience, Cognitive Psychology, Humans, Perception, Heart, Social and Behavioral Sciences, Neuroscience, Interoception

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
9
Top 10%
Average
Top 10%
hybrid
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