Atypical interoception as a common risk factor for psychopathology: A review.

Atypical interoception as a common risk factor for psychopathology: A review.
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DOI:
10.1016/j.neubiorev.2021.07.036
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发表时间:
2021-11
影响因子:
8.2
通讯作者:
Bird G
Bird G
中科院分区:
医学1区
文献类型:
--
作者:
Brewer R;Murphy J;Bird G

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回顾非典型内感受在多种疾病中观察到的证据。内感受与基本功能领域的表现有关。内感受与交叉障碍症状有关。认为内感受可能是精神病理学的共同弱点。概述了未来研究的突出问题。对精神卫生诊断采取分类方法的不足现在已得到充分认识,许多作者、诊断手册和资助机构提倡对精神卫生研究采取一种多维的、跨诊断的方法。内感受的差异,即感知一个人身体内部状态的能力,被报道为跨越诊断界限,并与跨症状类别的非典型功能相关。根据行为和神经科学证据,我们概述了内感受对许多认知和情感能力(在典型和临床人群中)的贡献的当前研究,并描述了在一系列精神疾病中看到的内感受非典型性。我们讨论了内感受在精神病理学的发展和维持中可能发挥的作用,以及在不同的临床表现中,内感受可能不同的方式。强调了内感受在精神病理学中的作用的一些重要领域的进一步研究。
Reviews evidence that atypical interoception is observed across multiple disorders. Interoception is associated with performance in fundamental domains of functioning. Interoception is associated with cross-disorder symptomology. Argues that interoception may be a common vulnerability for psychopathology. Outstanding questions for future research are outlined. The inadequacy of a categorial approach to mental health diagnosis is now well-recognised, with many authors, diagnostic manuals and funding bodies advocating a dimensional, trans-diagnostic approach to mental health research. Variance in interoception, the ability to perceive one’s internal bodily state, is reported across diagnostic boundaries, and is associated with atypical functioning across symptom categories. Drawing on behavioural and neuroscientific evidence, we outline current research on the contribution of interoception to numerous cognitive and affective abilities (in both typical and clinical populations), and describe the interoceptive atypicalities seen in a range of psychiatric conditions. We discuss the role that interoception may play in the development and maintenance of psychopathology, as well as the ways in which interoception may differ across clinical presentations. A number of important areas for further research on the role of interoception in psychopathology are highlighted.
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