Interoception: The inside story - A model for psychosomatic processes

Interoception: The inside story - A model for psychosomatic processes
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DOI:
10.1097/00006842-200109000-00001
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发表时间:
2001-09-01
影响因子:
3.3
通讯作者:
Cameron, OG
Cameron, OG
中科院分区:
医学3区
文献类型:
--
作者:
Cameron, OG

文献摘要

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目的:为了理解心身过程,有必要了解大脑对身体功能的影响,以及身体对中枢神经系统的传入感觉输入,包括这种输入对行为和认知功能的影响,特别是情绪。这次总统演讲的目的是回顾大约2000年的内脏感觉心理生物学的过程和机制,通常称为内感受。研究方法:超过1000出版物,自19世纪世纪以来出现了审查准备这篇评论,包括一组在这里特别引用,结果:因素和数据进行了审查,被确定为密切相关的理解interoception。这些包括定义问题、历史根源、神经基础、心血管-呼吸系统和消化道-胃肠系统的研究和结果、情绪研究以及对精神障碍患者的研究。药物和激素的影响,疼痛,本体感觉,幻肢或器官因素,以及意识的作用进行了简要描述。方法学问题,研究方法,包括功能成像,并确定了未来可能的研究方向。结论:要理解心身过程的物理基础,包括所谓的身心问题,就需要详细了解内感受的心理生物学。
Objective: To comprehend psychosomatic processes, it will be necessary to understand the brain's influences on bodily functions and also the body's afferent sensory input to the central nervous system, including the effects of this input on behavior and cognitive functions, especially emotion, The objective of this Presidential Address is to review what is known circa the year 2000 of the processes and mechanisms of visceral sensory psychobiology, often called interoception. Methods: Over 1000 publications that have appeared since the 19th century were reviewed to prepare this review, including a group that are specifically cited here, Results: Factors and data were reviewed that were identified as germane to understanding interoception. These included definitional issues, historical roots, the neural basis, studies and results in the cardiovascular-respiratory and alimentary-gastrointestinal systems, studies of emotion, and studies in people with mental disorders. Drug and hormone effects, pain, proprioception, and phantom limb or organ factors, and the role of awareness were briefly described. Methodological issues, methods of study including functional imaging, and possible future directions for study were identified. Conclusions: Understanding the physical basis of psychosomatic processes, including the so-called mind-body problem, will require a detailed understanding the psychobiology of interoception.