PIIS0960982223001744
PIIS0960982223001744
Correspondence
irena.arslanova@rhul.ac.uk
In brief
Arslanova et al. show that cardiac signals
arising from the heart distort experienced
time. Durations of non-arousing stimuli
are contracted during systole but
expanded during diastole. This balance is
disrupted when arousal increases. The
work provides causal evidence for the
involvement of interoceptive processes in
human time perception.
Highlights
d Time-locking identical stimuli to distinct cardiac phases
distorts perceived duration
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Report
Perceived time expands and contracts
within each heartbeat
Irena Arslanova,1,4,5,* Vassilis Kotsaris,2 and Manos Tsakiris1,3
1Department of Psychology, Royal Holloway, University of London, Egham TW20 0EY, UK
2School of Psychology, University of Kent, Canterbury CT2 7NP, UK
3Centre for the Politics of Feeling, School of Advanced Study, University of London, London WC1E 7HU, UK
4Twitter: @irena_arslanova
5Lead contact
*Correspondence: irena.arslanova@rhul.ac.uk
https://doi.org/10.1016/j.cub.2023.02.034
SUMMARY
Perception of passing time can be distorted.1 Emotional experiences, particularly arousal, can contract or
expand experienced duration via their interactions with attentional and sensory processing mechanisms.2,3
Current models suggest that perceived duration can be encoded from accumulation processes4,5 and from
temporally evolving neural dynamics.6,7 Yet all neural dynamics and information processing ensue at the
backdrop of continuous interoceptive signals originating from within the body. Indeed, phasic fluctuations
within the cardiac cycle impact neural and information processing.8–15 Here, we show that these momen-
tary cardiac fluctuations distort experienced time and that their effect interacts with subjectively experi-
enced arousal. In a temporal bisection task, durations (200–400 ms) of an emotionally neutral visual shape
or auditory tone (experiment 1) or of an image displaying happy or fearful facial expressions (experiment 2)
were categorized as short or long.16 Across both experiments, stimulus presentation was time-locked to
systole, when the heart contracts and baroreceptors fire signals to the brain, and to diastole, when the
heart relaxes, and baroreceptors are quiescent. When participants judged the duration of emotionally neu-
ral stimuli (experiment 1), systole led to temporal contraction, whereas diastole led to temporal expansion.
Such cardiac-led distortions were further modulated by the arousal ratings of the perceived facial expres-
sions (experiment 2). At low arousal, systole contracted while diastole expanded time, but as arousal
increased, this cardiac-led time distortion disappeared, shifting duration perception toward contraction.
Thus, experienced time contracts and expands within each heartbeat—a balance that is disrupted under
heightened arousal.
Current Biology 33, 1–7, April 10, 2023 ª 2023 The Author(s). Published by Elsevier Inc. 1
This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Please cite this article in press as: Arslanova et al., Perceived time expands and contracts within each heartbeat, Current Biology (2023), https://
doi.org/10.1016/j.cub.2023.02.034
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PSE, just noticeable difference (JND) reflects temporal sensi- statistically significant effect (beta = 24.1, SE = 2.4, c2 = 48.7,
tivity, where smaller values indicate better discriminability of p < 0.001). Thus, the effect of the cardiac phase on duration
changes in stimulus durations (Figure 2C). In experiment 1, the perception was independent from heart rate changes.
cardiac phase did not have a significant effect (F(1,27) = 1.5,
p = 0.24, h2p = 0.05), but JND values were significantly affected Cardiac distortion of experienced duration extends to
by modality (F(1,27) = 100.0, p < 0.001, h2p = 0.79) with higher low arousal stimuli but disappears when subjective
sensitivity for tone durations (M = 22, SD = 8) as compared arousal increases
with visual durations (M = 46, SD = 17). That auditory stimuli First, experiment 2 (Figure 2D) was analyzed like experiment 1,
are perceived to last longer and result in more precise duration with a repeated-measures ANOVA coding for the cardiac phase
representation than visual stimuli is a common finding.17 The (diastole, systole) and the emotional valence of the presented
interaction between cardiac phase and modality was not statis- face (happy, fearful). There was a significant main effect of car-
tically significant (F(1,27) = 0.001, p = 0.94, h2p < 0.001). diac phase on PSE values (F(1,38) = 20.9, p < 0.001, h2p =
Because we observed heart rate changes over the course of the 0.35), with stimuli presented at diastole judged, on average,
trial, in particular, heart deceleration before and during the stim- 9 ms longer (M = 305, SD = 25) than those at systole (M = 314,
ulus presentation, we tested whether the cardiac phase effect SD = 26). The effect of valence was not statistically significant
was independent from the effects arising from the heart rate (F(1,38) = 1.3, p = 0.27, h2p = 0.03) and neither was the cardiac
changes. For that reason, we ran a mixed linear model (MLL) on phase by valence interaction (F(1,38) = 1.3, p = 0.26, h2p = 0.03;
PSE and JND values with predictors coding for cardiac phase Figure 2E). In contrast to experiment 1, the cardiac phase
and modality while controlling for heart deceleration just before extended a small but statistically significant influence on JND
and during the stimulus presentation (STAR Methods). The magni- values (F(1,38) = 4.5, p = 0.04, h2p = 0.14) with sensitivity being
tude of heart deceleration did not affect PSE values (beta = 0.1, higher during the diastolic (M = 42, SD = 17) than during the sys-
SE = 2.2, c2 = 0.0, p = 0.96). Cardiac phase retained its effect tolic phase (M = 45, SD = 17). There was no interaction
when heart deceleration was added into the model (beta = 6.8, (F(1,38) < 0.001, p = 1.0, h2p < 0.001) and no main effect of
SE = 2.4, c2 = 7.7, p = 0.006) and so did the effect of modality valence (F(1,38) = 0.58, p = 0.45, h2p = 0.001; Figure 2F).
(beta = 12.7, SE = 5.3, c2 = 5.3, p = 0.02). The interaction between Second, we considered the arousal ratings given to each pre-
cardiac phase and modality remained statistically not significant sented face (Figure 1A) because such ratings can capture the vari-
(beta = 6.6, SE = 4.8, c2 = 1.9, p = 0.17). Heart deceleration did ance in people’s affective response to the stimuli and conse-
not affect JND values either (beta = 0.6, SE = 1.5, c2 = 0.2, p = quently in the arousal-led effects on time perception.2,3 For that
0.66). When heart deceleration was added into the model, cardiac reason, we included arousal ratings for each stimulus, indepen-
phase effect remained statistically not significant (beta = 1.9, SE = dently of its valence, into the LMM model and controlled for the
1.9, c2 = 1.0, p = 0.31) as well as its interaction with modality heart deceleration like in experiment 1 (STAR Methods). PSE
(beta = 0.3, SE = 3.8, c2 = 0.0, p = 0.93). Modality retained its values were significantly affected by an interaction between
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Figure 2. PSE and JND values estimated from the psychometric functions as a function of cardiac phase, modality (experiment 1), or emotion
(experiment 2)
(A) Fitted individual (gray) and group-level (black) cumulative Gaussian functions showing the proportion of long responses as a function of test durations across
modality (auditory, visual) by cardiac (systole, diastole) conditions in experiment 1. The vertical lines show the average PSE.
(B) PSE values in experiment 1 from systolic (red) and diastolic (blue) conditions, across modality conditions. Labels in gray indicate the main effects and in-
teractions of the repeated-measures ANOVA, n = 28. The cardiac phase influenced PSEs without interaction by modality. Systolic durations were under-
estimated, whereas diastolic durations overestimation. The dots represent individual data while the boxplots reprsent group-level data (median and quartiles).
Distribution plots were created with ‘‘raincloud’’ R package.18,19
(C) Same for JND values. Only modality influenced JNDs.
(D) Fitted individual (gray) and group-level (black) cumulative Gaussian functions showing the proportion of long responses as a function of test durations across
emotion (happy, fearful) by cardiac (systole, diastole) conditions in experiment 2.
(E) PSE values in experiment 2 from systolic (red) and diastolic (blue) conditions, across emotion conditions. Labels in gray indicate the main effects and in-
teractions of the repeated-measures ANOVA, n = 39. The cardiac phase influenced the PSEs in the same way as in experiment 1 without an interaction by emotion.
(F) Same for the JND values. The cardiac phase influenced JNDs without interaction by emotion. Participants were more sensitive to duration differences at
diastole compared with systole. n.s., non-significant; **p < 0.001; *p < 0.05.
cardiac phase and arousal ratings (beta = 5.2, SE = 2.3, c2 = 5.3, experienced duration, while diastole expanded it. Experiment 2
p = 0.02). The main effect of arousal ratings was not significant replicated the observed cardiac-led temporal distortion and
(beta = 0.9, SE = 1.7, c2 = 0.3, p = 0.59), but the cardiac phase re- showed that it was further modulated by the subjectively experi-
tained its statistical significance (beta = 9.2, SE = 2.3, c2 = 16.1, enced arousal in response to the presented facial expressions.
p < 0.001). A significant cardiac phase by arousal interaction was As the experienced arousal increased, the relative cardiac-led
followed up with simple slopes analysis (Figure 3), which showed temporal contraction-expansion was disrupted, biasing duration
that the opposing effects of systole and diastole on time percep- perception toward contraction.
tion were present for low and average arousal ratings (beta = There has been a growing interest in the idea of embodied
14.4, SE = 3.2, t = 4.5, p < 0.001 and beta = 9.2, SE = 2.3, t = time, according to which experienced time is influenced by phys-
4.1, p < 0.001, respectively) but disappeared when arousal ratings iological, interoceptive, signals from the body.20,21 For example,
increased (beta = 4.1, SE = 3.2, t = 1.3, p = 0.21). For JND values, past studies have examined interoceptive attention effects,22
none of the predictors and their interactions made a statistically the cortical processing of cardiac signals,23 and heart rate
significant contribution. The main effect of the cardiac phase changes.24–27 Specifically, asking participants to focus on bodily
was no longer significant (beta = 2.8, SE = 2.1, c2 = 1.8, p = 0.18). sensations exaggerates the emotional distortions of time so that
negative experiences seem to last even longer and positive ones
DISCUSSION seem to pass even quicker compared with when participants
focus externally.22 In addition, the strength of cortical processing
Experiment 1 showed that when timing emotionally neutral audi- of afferent cardiac signals indexed by heart-evoked potential
tory and visual stimuli, cardiac systole contracted the (HEP) is modulated by the over- and underestimation of elapsed
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Figure 3. Simple slopes analysis breaking
down the cardiac phase by subjective arousal
interaction on PSE values in experiment 2
A linear mixed model was run on the PSE values
modeling the effects of the cardiac phase (systole,
diastole), subjective arousal, and changes in heart
rate. The cardiac effect on PSEs was concentrated
at low and mean levels of arousal but disappeared
at high arousal levels. Arousal ratings were
mean-centered. The lines represent the slopes and
the shading represents the 95% confidence band.
n.s., non-significant; **p < 0.001; *p < 0.05.
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d RESOURCE AVAILABILITY 9. Al, E., Iliopoulos, F., Forschack, N., Nierhaus, T., Grund, M., Motyka, P.,
Gaebler, M., Nikulin, V.V., and Villringer, A. (2020). Heart–brain interactions
B Lead contact
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B Materials availability
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B Data and code availability 1915629117.
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STAR+METHODS
RESOURCE AVAILABILITY
Lead contact
Further information and requests for resources should be directed to and will be fulfilled by the lead contact, Irena Arslanova (irena.
arslanova@rhul.ac.uk).
Materials availability
This study did not generate new materials.
d De-identified behavioral data have been deposited at OSF. They are publicly available as of the date of publication. DOIs are
listed in the key resources table.
d All original code for running the experiments as well as the analysis reported in this paper has been deposited at OSF and is
publicly available as of the date of publication. DOIs are listed in the key resources table.
d Any additional information required to reanalyze the data reported in this paper is available from the lead contact upon request.
For Experiment 1, 36 participants were recruited. Data from 8 participants was excluded from the final analysis, resulting in n = 28 (5
men, aged between 18 to 40, average age 22).
For Experiment 2, 45 participants were recruited. Data from 6 participants was excluded from the final analysis, resulting in n = 39 (4
men, aged between 18 to 40, average age 23). Psychometric fits and timing of the stimuli relative to cardiac phase for each participant
(including those that were excluded from the analysis) can be found at the DOI listed in the key resources table. The criterion for
participant exclusion was as follows:
(1) More than 20% of trials were flagged in one cardiac phase condition relative to the other. The trial was flagged if: (a) Inter-beat
interval (IBI) was less than 500 ms or more than 1200 ms, which indicated impossibly low or high heart rate. (b) The actual start
of the stimulus was considerably displaced relative to the systolic or diastolic phase. (c) A wrong key was pressed, or no
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response was given within the 2 second time limit. (d) The stimuli presented at the diastole exceeded the IBI by at least 200 ms,
which made it overlap with the systolic phase of the next R wave. This happened if the IBI was too short.
(2) The psychometric function fit to behavioral data did not reach a above chance level (50%) performance in any one of the con-
ditions
However, a re-analysis of the data with the excluded participants did not change the main inferences of the paper.
The sample size for Experiment 1 was based on previous studies examining heart-related effects on time perception24 and cardiac
phase effects on perception.12
The sample size for Experiment 2 was based on the effect sizes obtained in the visual task of the Experiment 1. The prediction was
that the valence of the visual stimulus (happy vs. fearful face) will modulate the cardiac phase effect. Specifically, that the fearful face
will reverse the cardiac effect relative to the happy face. We simulated data within a 2 (cardiac phase: systole, diastole) by 2 (emotion:
happy, fear) within-subject ANOVA using the ‘‘faux’’ package53 in R. We assumed that the cardiac effect under happy condition will
be equivalent to the one in the Experiment 1 (PSE = 290 ms at diastole, PSE = 300 ms at systole). Thus, we estimated the sample size
required to find an interaction, whereby PSE under fearful condition will be smaller by 10 ms at systole (PSE = 280 ms at systole)
compared to the diastole (PSE = 290 ms at diastole). SDs were kept at 30 ms and correlations at 0.5. Simulations (1000 iterations)
were run with sample sizes of 30, 35, 40, 45, 50, 55, and 60 until the power of 80% was achieved. At n = 40, we reached a power of.83
(h2p =.20).
Participants were recruited from the Royal Holloway’s community and were compensated for their time with either money (£10 per
hour) or class credit. The study was approved by Royal Holloway’s Ethics Committee in accordance with the 1964 Declaration of
Helsinki, and signed informed consents were obtained from all participants.
METHOD DETAILS
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Stimuli
In Experiment 1, the auditory stimuli comprised of 300 Hz (4410 sampling Hz) neutral tones with rising and falling phases of 10 ms,
played at a 70% volume via headphones. The tones were created with audiowrite function in MATLAB according to the script pro-
vided by Penney and Cheng.52 The resulting tones can be found at the DOI listed in the key resources table. The visual stimulus was a
black star shape with a white outline presented at the center of the screen. The stimuli can be found at the DOI listed in the key re-
sources table.
In Experiment 2, the stimuli were grayscaled and cropped images of 6 people (3 men, 3 women) chosen from validated FACES
database.51 Each person was presented with either a happy or a fearful expression. The stimuli can be found at the DOI listed in
the key resources table.
For each participant, the proportion of ‘‘long’’ responses as a function of test durations was fitted with Gaussian cumulative psycho-
metric functions using the ‘‘quickpsy’’ R package,56 separately for each condition (in Experiment 1: modality & cardiac phase; in
Experiment 2: emotion & cardiac phase). The goodness of fits was evaluated with deviance. By re-fitting the psychometric functions
with 1000 bootstrap samples, we used the distribution of bootstrapped deviances to calculate the p-value of obtaining a deviance
greater than that of the original data. In Experiment 1, none of the participants in any of the conditions showed a statistically significant
deviance (mean p =.83, SD =.23). In Experiment 2, three participants (P24, P27, P39) showed a significant deviance in one of the
conditions, but none of the other participants showed significant deviance (mean p =.76, SD =.26). However, the results remain
the same if those participants were excluded from the analyses. We decided to retain these three participants in the analysis because
they reached a sufficient performance (i.e., above a chance level) and thus were capable of distinguishing between the stimulus
durations.
Once fitted, the point of subjective equality (PSE) and the just noticeable difference (JND) were extracted. The PSE is the duration
value at which the participant is equally likely to classify the duration as short or long. Thus, shifts in PSE indicate temporal under- or
overestimation. For example, lower PSE values suggest temporal overestimation, because participants would be predicted to begin
responding long during physically short test durations. The JND reflects the temporal sensitivity, whereby smaller values indicate
better discriminability of changes in stimulus durations.
ECG processing
The timepoints of R-wave peaks were recorded online with a hardware-based function (fast output response), which identifies the
ECG R-wave with a delay smaller than 1 ms by detecting when the amplitude exceeds an individually defined threshold. These time-
points were plotted onto the raw ECG signal for visual checks. The R-peak segments were divided into their respective trials. For each
trial, the correspondence between the stimulus onset and the R peak onset was checked, so that trials where the stimulus occurred
outside the predefined cardiac phase time-window were flagged. In addition, a trial was flagged if the inter-beat-interval (IBI) between
any of the R-peaks was less than 500 ms or more than 1200 ms, which indicated impossibly low or high heart rate. These flagged trials
were excluded from the analysis. Further, we flagged additional trials where the duration of the stimulus exceeded the average IBI on
that trial by more than 200 ms, which indicated a considerable overlap with the systolic phase of the next R-wave. For most partic-
ipants, this affected only the longest stimuli (400 ms), and thus were retained for the analysis, because removing these trials distorted
the psychometric fitting. If anything, the fact that some diastolic trials may have not been purely diastolic would result in underesti-
mation of the true cardiac effect.
To ensure that the cardiac phase influence on duration perception was independent of any heart rate changes over the course of a
trial, IBI lengths at five consecutive IBIs – two prior the stimulus presentation (during ITI: S-2 & S-1), during the stimulus presentation
(S), and two after the stimulus (during the response: S+1, S+2) – were calculated.57,58 For both experiments, across all conditions, the
heart decelerated prior and during the stimulus presentation (from S-2 to S+1), followed by a short acceleration during the response
(from S+1 to S+2). For each trial, we took the IBI length difference between S-2 and S+1, which indexed the magnitude of the heart’s
deceleration during the stimulus presentation. We averaged heart’s deceleration for each duration and response category and added
it as a control variable in the linear mixed models (see Linear mixed model (LMM) analyses below).
ANOVA analyses
First, PSE and JND values were analyzed with a type-3 repeated-measures ANOVA using the ezANOVA() function from ‘‘ez’’ R pack-
age.59 In Experiment 1, the repeated factors were: modality (auditory, visual) and cardiac phase (diastole, systole). In Experiment 2,
the repeated factors were: emotion (happy, fear) and cardiac phase (diastole, systole). The residual plots of the two ANOVA models
were visually inspected to detect violations of normality. However, given that ANOVA with a balanced design is considered robust
even with normality violations60 and that alternative non-parametric Friedman test cannot be done for factorial designs, parametric
ANOVA was used in both cases.
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outcome variable cardiac phase * modality + heart deceleration + (1 | participant) + (1 | cardiac phase : participant) + (1 | modality :
participant)
Heart deceleration (see ECG processing above) was added as a control variable because we were not interested in its interaction
with our main predictors. Categorical variables (cardiac phase and modality) were sum-coded, while continuous variables (heart
deceleration) were mean-centered and standardized. Separate intercept was added for each participant to account for repeated
measures. In addition, we specified that random effect of ‘‘participant’’ was fully crossed within both cardiac phase and modality
conditions – each participant appears at each level of cardiac phase and modality. Statistical significance was evaluated with likeli-
hood ratio tests using the mixed() function from the ‘‘afex’’ package.63
Initial run of both PSE and JND models produced a singular fit warning, suggesting that the random effect structure did not explain
sufficient variance to warrant its inclusion. We checked the proportion of variance explained by each of the random effects with
rePCA() function from the ‘‘lme4’’ package,61 which showed that (1 | cardiac phase : participant) random effect explained 0 variance.
Thus, in the final models that random effect was removed. However, the removal of that random effect led to equivalent statistical
significance of the fixed effects as for the models with the full random effect structure. Model assumptions were checked by plotting
the model residuals with check_model() function from ‘‘performance’’ R package.64 Both PSE and JND models did not reveal any
clear violations.
In Experiment 2, the LMM model coded for subjective arousal ratings given to the happy and fearful images, which were added
irrespective of the stimulus valence (i.e., each participant had 2 arousal ratings per cardiac phase). Due to a coding error, ratings
from three participants were missing, thus the models were run on the remaining participants (n = 36). The model structure was
as follows:
outcome variable cardiac phase * arousal rating + heart deceleration + (1 | participant) + (1 | cardiac phase : participant)
Categorical variables (cardiac phase) were sum-coded, while continuous variables (arousal rating & heart deceleration) were
mean-centered and standardized. Initial run of both PSE and JND models produced a singular fit warning, suggesting that the
random effect structure did not explain sufficient variance to warrant its inclusion. We checked the proportion of variance explained
by each of the random effects with rePCA() function from the ‘‘lme4’’ package,61 which showed that (1 | cardiac phase : participant)
random effect explained 0 variance. Thus, in the final models that random effect was removed. However, the removal of that random
effect led to equivalent statistical significance of the fixed effects as for the models with the full random effect structure. Diagnostic
plots did not show any clear assumption violations.
Statistically significant interactions were followed up by a simple slopes analysis,65 whereby the effect of one continuous variable
was examined when the interacting continuous variable was either low (-1 SD from the mean), at its mean value, or high (+1 SD from
the mean). We used sim_slopes() function from the ‘‘interactions’’ package66 in R.