述情障碍而非自闭症与内感受性受损有关。

Alexithymia, not autism, is associated with impaired interoception.

作者信息

Shah Punit, Hall Richard, Catmur Caroline, Bird Geoffrey

机构信息

MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, University of London, UK.

MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, University of London, UK; Department of Psychological Sciences, Birkbeck College, London, UK.

出版信息

Cortex. 2016 Aug;81:215-20. doi: 10.1016/j.cortex.2016.03.021. Epub 2016 Apr 5.

Abstract

It has been proposed that Autism Spectrum Disorder (ASD) is associated with difficulties perceiving the internal state of one's body (i.e., impaired interoception), causing the socio-emotional deficits which are a diagnostic feature of the condition. However, research indicates that alexithymia - characterized by difficulties in recognizing emotions from internal bodily sensations - is also linked to atypical interoception. Elevated rates of alexithymia in the autistic population have been shown to underpin several socio-emotional impairments thought to be symptomatic of ASD, raising the possibility that interoceptive difficulties in ASD are also due to co-occurring alexithymia. Following this line of inquiry, the present study examined the relative impact of alexithymia and autism on interoceptive accuracy (IA). Across two experiments, it was found that alexithymia, not autism, was associated with atypical interoception. Results indicate that interoceptive impairments should not be considered a feature of ASD, but instead due to co-occurring alexithymia.

摘要

有人提出,自闭症谱系障碍(ASD)与感知自身身体内部状态的困难(即内感受受损)有关,这导致了作为该病症诊断特征的社会情感缺陷。然而,研究表明,述情障碍——其特征是难以从身体内部感觉中识别情绪——也与非典型内感受有关。自闭症人群中述情障碍的高发生率已被证明是一些被认为是ASD症状的社会情感障碍的基础,这增加了ASD中内感受困难也归因于并发述情障碍的可能性。按照这一探究思路,本研究考察了述情障碍和自闭症对内感受准确性(IA)的相对影响。在两项实验中,研究发现与非典型内感受有关的是述情障碍,而非自闭症。结果表明,内感受障碍不应被视为ASD的一个特征,而应归因于并发的述情障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/352e/4962768/c0ad949dee68/gr1.jpg

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