Abstract
Commonly used methods for assessing cardiac interoceptive accuracy have been criticised for
assuming that all individuals perceive their heartbeat at the same delay following contraction of
the heart, despite evidence for notable variability across individuals. However, it remains unclear
whether some individuals perceive their heartbeat at a particular phase of their cardiac cycle –
that is, at a relative point in the cycle that may vary in absolute timing depending on heart rate -
rather than at a specific delay. Identification of all heartbeat perceivers is critical for accurate
measurement of cardiac interoceptive accuracy, individual differences in which are theorised to
play a role in several aspects of higher-order cognition as well as health and wellbeing. In the
current study, data from 526 participants who completed the Phase Adjustment Task (PAT) as a
measure of cardiac interoceptive accuracy were examined. In this task, participants are asked to
adjust a virtual dial until tones appear synchronous with their heartbeats. Data were analysed
using a novel framework that allows differentiation between delay-based and phase-based
response patterns. Of 76 interoceptive individuals identified, 21% (N = 16) demonstrated
response patterns consistent only with phase-based responding. These novel findings challenge
current assumptions regarding individual differences in the perception of heartbeats, and suggest
that many commonly used measures may underestimate the true proportion of heartbeat
perceivers.