Key result
Heartbeat counting accuracy shows no link to heart-rate discrimination sensitivity despite correlating with interoceptive threshold.
Cross-Sectional (n=47)
Effect estimate: ρ= +0.41
p-value: p=0.004
Findings support a behavioral and neural dissociation between heartbeat counting and heart-rate discrimination, cautioning against pooling them as interchangeable indices of interoceptive accuracy.
Bidirectional communication between the heart and the brain shapes emotion, self-regulation, and adaptive behaviour, yet how the brain's intrinsic organisation supports cardiac interoception remains unclear. Two assays dominate the literature - heartbeat counting (HBC) and heart-rate discrimination (HRD) - but whether they engage separable resting-brain networks at high spatial density is untested. We analysed 256-channel resting EEG from 47 healthy adults (5 min eyes-open, 5 min eyes-closed) with the Schandry HBC task (Schandry, 1981; Garfinkel et al., 2015) and the psychophysical HRD task (Legrand et al., 2022), which includes a tone-versus-tone exteroceptive control block. Source-space connectivity was evaluated with the network-based statistic (NBS), complemented by modified multi-scale sample entropy. HBC accuracy was unrelated to HRD sensitivity in either modality (d', slope), though it covaried with the HRD interoceptive threshold, which indexes bias rather than precision (ρ= +0.41, p = .004), a parameter that indexes bias rather than precision. Entropy yielded the most robust association: higher eyes-closed source-space sample entropy co-occurred with better HBC accuracy across a broad multi-network cortical mantle (50 of 100 parcels at q<0.05); no other behaviour produced an FDR-significant parcel. This entropy-accuracy association survived adjustment for alpha power and the aperiodic (1/f) exponent, and all headline associations were unchanged after controlling pulse-derived heart rate and heart-rate variability and after excluding reversed responders identified by influence diagnostics. NBS returned four family-wise-significant subnetworks. Three were anchored on default-mode parcels but tracked d' in the exteroceptive rather than the interoceptive block; the fourth, a disjoint theta-band dorsal-attention-somatosensory cluster, tracked HBC awareness. Because 128 NBS families were screened and the reported clusters re-test a pre-selected subset of them, the yield of significant clusters does not clearly exceed chance expectation; the connectivity results are therefore reported as hypothesis-generating. The findings support a behavioural and neural dissociation between HBC and HRD and caution against pooling them as interchangeable indices of interoceptive accuracy.
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Kang et al. (2026) conducted a cross-sectional in Healthy (cardiac interoception) (n=47). Heartbeat counting (HBC) and heart-rate discrimination (HRD) tasks was evaluated on Association between HBC accuracy and HRD sensitivity / threshold (ρ= +0.41, p=0.004). Heartbeat counting accuracy was unrelated to heart-rate discrimination sensitivity, though it covaried with the interoceptive threshold (ρ= +0.41, P=0.004).
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