Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness

Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness
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DOI:
10.1016/j.biopsycho.2014.11.004
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发表时间:
2015-01-01
影响因子:
2.6
通讯作者:
Critchley, Hugo D.
Critchley, Hugo D.
中科院分区:
医学3区
文献类型:
--
作者:
Garfinkel, Sarah N.;Seth, Anil K.;Critchley, Hugo D.

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内感受是指对身体内部变化的感觉。内感受与认知和情感相互作用,使得内感受能力的个体差异的测量与神经心理学广泛相关。然而,如何定义和量化内感受的不一致导致了一个三维模型。在这里,我们为以下维度之间的分离提供了实证支持:(1)内感受准确性(心跳检测的客观行为测试的表现),(2)内感受敏感性(主观内感受的自我评估,使用访谈/问卷进行测量)和(3)内感受意识(内感受准确性的元认知意识,例如,认知能力)。G.置信度-准确度对应)。在一个规范性样本(N = 80),所有三个维度是不同的和分离。内感受意识和内感受敏感性仅部分预测内感受准确性。维度之间的显着对应关系只出现在最大的interoceptive准确性的个人的子组。这些发现为定义准确性、敏感性和意识维度的相对平衡如何解释内感受能力的认知、情感和临床关联提供了背景。(C)2014作者由Elsevier B出版。诉
Interoception refers to the sensing of internal bodily changes. Interoception interacts with cognition and emotion, making measurement of individual differences in interoceptive ability broadly relevant to neuropsychology. However, inconsistency in how interoception is defined and quantified led to a three-dimensional model. Here, we provide empirical support for dissociation between dimensions of: (1) interoceptive accuracy (performance on objective behavioural tests of heartbeat detection), (2) interoceptive sensibility (self-evaluated assessment of subjective interoception, gauged using interviews/questionnaires) and (3) interoceptive awareness (metacognitive awareness of interoceptive accuracy, e. g. confidence-accuracy correspondence). In a normative sample (N = 80), all three dimensions were distinct and dissociable. Interoceptive accuracy was only partly predicted by interoceptive awareness and interoceptive sensibility. Significant correspondence between dimensions emerged only within the sub-group of individuals with greatest interoceptive accuracy. These findings set the context for defining how the relative balance of accuracy, sensibility and awareness dimensions explain cognitive, emotional and clinical associations of interoceptive ability. (C) 2014 The Authors. Published by Elsevier B. V.