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内感受与性别:我们应该关注哪些方面?

Interoception and gender: What aspects should we pay attention to?

作者信息

Grabauskaitė Aida, Baranauskas Mindaugas, Griškova-Bulanova Inga

机构信息

Department of Neurobiology and Biophysics, Vilnius University, Vilnius, Lithuania.

Department of Neurobiology and Biophysics, Vilnius University, Vilnius, Lithuania.

出版信息

Conscious Cogn. 2017 Feb;48:129-137. doi: 10.1016/j.concog.2016.11.002. Epub 2016 Nov 17.

DOI:10.1016/j.concog.2016.11.002
PMID:27866005
Abstract

Interoception is involved in both somatic and mental disorders with different prevalence between genders; however, gender differences are often neglected. To examine the potential gender differences in interoceptive awareness, we recruited 376 healthy subjects (51% males, aged 17-30years), to fill in the Multidimensional Assessment of Interoceptive Awareness (MAIA). Of that sample, in a subgroup of 40 subjects (50% males), interoceptive accuracy was assessed by heartbeat counting task (HCT). The results on interroceptive awareness suggest that females tendto notice bodily sensations more often, better understand relations between bodily sensations and emotional states, worry or experience more emotional distress with sensations of pain or discomfort and see body as less safe. The results of interoceptive accuracy further suggest that females are less efficient in consciously detecting heartbeats. Therefore, gender should be considered when interoceptive evaluation is performed in disorders associated to bodily sensations and to the emotional/mood states.

摘要

内感受作用于躯体和精神障碍,且在不同性别中的患病率不同;然而,性别差异常常被忽视。为了研究内感受性觉知中潜在的性别差异,我们招募了376名健康受试者(51%为男性,年龄在17至30岁之间),让他们填写内感受性觉知多维评估量表(MAIA)。在该样本中,选取了40名受试者(50%为男性)组成一个亚组,通过心跳计数任务(HCT)评估其内感受准确性。关于内感受性觉知的结果表明,女性往往更频繁地注意到身体感觉,能更好地理解身体感觉与情绪状态之间的关系,对疼痛或不适的感觉会更担心或体验到更多的情绪困扰,并且认为身体不太安全。内感受准确性的结果进一步表明,女性在有意识地检测心跳方面效率较低。因此,在对与身体感觉以及情绪/心境状态相关的障碍进行内感受评估时,应考虑性别因素。

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