Interoception and Mental Health: A Roadmap.

Interoception and Mental Health: A Roadmap.
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DOI:
10.1016/j.bpsc.2017.12.004
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发表时间:
2018-06
期刊:
Biological psychiatry. Cognitive neuroscience and neuroimaging
影响因子:
--
通讯作者:
Interoception Summit 2016 participants
Interoception Summit 2016 participants
中科院分区:
其他
文献类型:
--
作者:
Khalsa SS;Adolphs R;Cameron OG;Critchley HD;Davenport PW;Feinstein JS;Feusner JD;Garfinkel SN;Lane RD;Mehling WE;Meuret AE;Nemeroff CB;Oppenheimer S;Petzschner FH;Pollatos O;Rhudy JL;Schramm LP;Simmons WK;Stein MB;Stephan KE;Van den Bergh O;Van Diest I;von Leupoldt A;Paulus MP;Interoception Summit 2016 participants

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内感受是指神经系统感知、解释和整合源自身体内部的信号的过程,从而在意识和无意识层面上提供身体内部景观的即时映射。内感受信号被认为是反射、冲动、感觉、驱动、适应性反应以及认知和情感体验的组成过程,强调其对维持稳态功能、身体调节和生存的贡献。内感受功能障碍越来越被认为是不同心理健康状况的重要组成部分,包括焦虑症、情绪障碍、饮食障碍、成瘾障碍和躯体症状障碍。然而,许多概念和方法上的挑战使得内感受结构难以广泛应用于心理健康研究和治疗环境。 2016 年 11 月,劳瑞德大脑研究所组织了首届内感受峰会,来自世界各地的内感受专家齐聚一堂,其目标是加快了解内感受在心理健康中的作用。会议上的讨论围绕四个主题进行:内感受评估、内感受整合、内感受精神病理学以及可作为未来努力指南的路线图的生成。这篇评论文章概述了会议所达成的共识。
Interoception refers to the process by which the nervous system senses, interprets, and integrates signals originating from within the body, providing a moment-by-moment mapping of the body’s internal landscape across conscious and unconscious levels. Interoceptive signaling has been considered a component process of reflexes, urges, feelings, drives, adaptive responses, and cognitive and emotional experiences, highlighting its contributions to the maintenance of homeostatic functioning, body regulation, and survival. Dysfunction of interoception is increasingly recognized as an important component of different mental health conditions, including anxiety disorders, mood disorders, eating disorders, addictive disorders, and somatic symptom disorders. However, a number of conceptual and methodological challenges have made it difficult for interoceptive constructs to be broadly applied in mental health research and treatment settings. In November 2016, the Laureate Institute for Brain Research organized the first Interoception Summit, a gathering of interoception experts from around the world, with the goal of accelerating progress in understanding the role of interoception in mental health. The discussions at the meeting were organized around four themes: interoceptive assessment, interoceptive integration, interoceptive psychopathology, and the generation of a roadmap that could serve as a guide for future endeavors. This review article presents an overview of the emerging consensus generated by the meeting.
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