Trial reportPloS one2021
Does contingent biofeedback improve cardiac interoception? A preregistered replication of Meyerholz, Irzinger, Withöft, Gerlach, and Pohl (2019) using the heartbeat discrimination task in a randomised control trial.
Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- The Effectiveness of Brief Meditation Assisted with Cardiac Biofeedback on Interoceptive Accuracy, Sensibility and Awareness: A Randomized Controlled Trial.Applied psychophysiology and biofeedback · 2026Trial
- Two weeks to tune in: Evaluating the effects of a short-term body scan on interoception.Applied psychology. Health and well-being · 2025Trial
- Selective interoception impairments and treatment effects in borderline personality disorder.Translational psychiatry · 2026Article
- Stress enhances heartbeat-evoked potentials, independent of continuous or intermittent theta burst stimulation of the interoceptive brain network targeting the right supramarginal gyrus: a preliminary study.Journal of neural transmission (Vienna, Austria : 1996) · 2025Article
- Effectiveness of 2 Just-in-Time Adaptive Interventions for Reducing Stress and Stabilizing Cardiac Autonomic Function: Microrandomized Trials.Journal of medical Internet research · 2025Article
- Inconsistent Bodily Feedback? Interoceptive Sensibility Affects Internet Gaming Disorder in Emerging Adults.Behavioral sciences (Basel, Switzerland) · 2025Article
- The Interoceptive Brain: Confidence Ratings and Accuracy Scores are Independently and Differently Associated With Task-Related Alpha Power During the Heartbeat Tracking Task.Psychophysiology · 2025Article
- Real-time fMRI neurofeedback boosts heartbeat perception by modulating insula activation pattern during interoceptive attention.Imaging neuroscience (Cambridge, Mass.) · 2025Article
- The effect of 10-week long yoga training on interoceptive abilities: cross-sectional and longitudinal investigation of cardiac and gastric accuracy.Biologia futura · 2024Article
- Interoceptive ability moderates the effect of physiological reactivity on social judgment.Emotion (Washington, D.C.) · 2023Article
- Effect of subconscious changes in bodily response on thought shifting in people with accurate interoception.Scientific reports · 2023Article
- Complexity and Entropy in Physiological Signals (CEPS): Resonance Breathing Rate Assessed Using Measures of Fractal Dimension, Heart Rate Asymmetry and Permutation Entropy.Entropy (Basel, Switzerland) · 2023Article
- The Effects of a 3-Week Heartbeat Perception Training on Interoceptive Abilities.Frontiers in neuroscience · 2022Article
- Cardiovascular mechanisms of interoceptive awareness: Effects of resonance breathing.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2021Article
- High-intensity interval training (HIIT) and slow breathing interventions alleviate premature ejaculation (PE) symptoms.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Meyerholz, Irzinger, Withöft, Gerlach, and Pohl (2019) reported on a comparably large effect (d = 1.21) of a contingent biofeedback procedure on cardiac accuracy as assessed by the heartbeat tracking task. However, this task has recently been criticized as a measure of interoceptive accuracy. We aimed to replicate this finding by using the well-validated heartbeat discrimination task and to compare the biofeedback with a deep breathing and a control condition (viewing a film clip). The trial was preregistered at open science framework (https://osf.io/9fxn6). Overall, 93 participants were randomized to one of the three conditions and the heartbeat discrimination task was presented prior and after the 20-minutes training sessions. The study had a power of .86 to detect a medium-sized effect in the biofeedback group and a power of .96 to detect a medium-sized interaction of intervention group and time. A general tendency for improvement in heartbeat detection accuracy was found across intervention groups (d = 0.19, p = .08); however, groups did not differ significantly. In particular, there was no significant interaction of intervention group and time (f = .00, p = .98) and no reliable effect for the biofeedback group (d = 0.15, p = .42). One limitation is that a different, but well-validated task was used to quantify interoceptive accuracy. This study suggests that biofeedback might not improve interoceptive accuracy in the cardiac domain, but effects seem to depend on the specific task applied.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.