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Awareness of cardiac function in anxious, phobic and hypochondriacal patients

Published online by Cambridge University Press:  09 July 2009

Peter Tyrer*
Affiliation:
Faculty of Medicine, University of Southampton
Ian Lee
Affiliation:
Faculty of Medicine, University of Southampton
John Alexander
Affiliation:
Faculty of Medicine, University of Southampton
*
1Address for correspondence: Dr P. Tyrer, University Department of Psychiatry, Royal South Hants Hospital, Graham Road, Southampton SO9 4PE.

Synopsis

Awareness of pulse rate was tested in 60 psychiatric out-patients with anxiety, phobic or hypochondriacal neuroses by asking them to record how fast their hearts were beating during exposure to short film sequences. Correlations between subjective and objective heart rate (ECG) were significantly higher in anxious and hypochondriacal patients than in phobic ones. The results suggest that somatic symptoms in hypochondriacal and anxiety neurosis reflect increased awareness of bodily function.

Type
Brief Communication
Copyright
Copyright © Cambridge University Press 1980

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References

Breggin, P. R. (1964). The psychophysiology of anxiety: with a review of the literature concerning adrenaline. Journal of Nervous and Mental Disease 139, 558568.CrossRefGoogle ScholarPubMed
Brown, F. (1936). The bodily complaint: a study of hypochondriasis. Journal of Mental Science 82, 295359.CrossRefGoogle Scholar
Cotard, J. (1882). Du délire des négations. Archives Neurologie Paris 4, 152–170, 282–296. Trans. Rohde, M. (1974). In Themes and Variations in European Psychiatry (ed. Hirsch, S. and Shepherd, M.), pp. 353373. John Wright: Bristol.Google Scholar
Freud, S. (1893). On the psychical mechanism of hysterical phenomena. In Complete Psychological Works Vol. III (standard edition) (trans. Strachey, J. and Freud, A.), pp. 2739. Hogarth Press: London (1962).Google Scholar
Kenyon, F. E. (1964). Hypochondriasis: a clinical study. British Journal of Psychiatry 110, 478488.CrossRefGoogle ScholarPubMed
Kreitman, N., Sainsbury, P., Pearce, K. & Costain, W. R. (1965). Hypochondriasis and depression in out-patients at a general hospital. British Journal of Psychiatry 111, 607615.CrossRefGoogle ScholarPubMed
Lader, M. H. & Mathews, A. M. (1970). Physiological changes during spontaneous panic attacks. Journal of Psychosomatic Research 14, 377382.CrossRefGoogle ScholarPubMed
Mandler, G. & Kahn, M. (1960). Discrimination of changes in heart rate: two unsuccessful attempts. Journal for the Experimental Analysis of Behavior 3, 2125.CrossRefGoogle ScholarPubMed
Mandler, G. & Kremen, I. (1958). Autonomic feedback: a correlational study. Journal of Personality 26, 388399.CrossRefGoogle Scholar
Mandler, G., Mandler, J. M. & Uviller, E. T. (1958). Autonomic feedback: the perception of autonomic activity. Journal of Abnormal and Social Psychology 56, 367373.CrossRefGoogle ScholarPubMed
Mayou, R. (1976). The nature of bodily symptoms. British Journal of Psychiatry 129, 5560.CrossRefGoogle ScholarPubMed
Perley, M. & Guze, S. (1962). Hysteria – the stability and usefulness of clinical criteria. New England Journal of Medicine 266, 421426.CrossRefGoogle ScholarPubMed
Reveley, M. A., Woodruff, R. A., Robins, L. N., Taibleson, M., Reich, T. & Helzer, J. (1977). Evaluation of a screening interview for Briquet syndrome (hysteria) by the study of medically ill women. Archives of General Psychiatry 34, 145149.CrossRefGoogle Scholar
Ryle, J. A. (1948). Nosophobia. Journal of Mental Science 94, 117.CrossRefGoogle ScholarPubMed
Sainsbury, P. & Gibson, J. G. (1954). Symptoms of anxiety and tension and the accompanying physiological changes in the muscular system. Journal of Neurology, Neurosurgery and Psychiatry 17, 216224.CrossRefGoogle ScholarPubMed
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Tyrer, P. (1976). The Role of Bodily Feelings in Anxiety. Oxford University Press: London.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms Cambridge University Press: London.Google Scholar