Fischer Dana, Messner Matthias, Pollatos Olga
Department of Clinical and Health Psychology, Institute of Psychology and Education, Ulm UniversityUlm, Germany.
Front Hum Neurosci. 2017 Sep 12;11:452. doi: 10.3389/fnhum.2017.00452. eCollection 2017.
Interoceptive processes are defined as ability to detect sensations arising within the body. There is a growing body of research investigating ways of improving interoceptive processes. One promising approach increasing the attention to bodily sensations is the body scan (BS), a method stemming from mindfulness-based stress reduction. Research so far revealed only heterogenous findings of meditational practice and mindfulness-based stress reduction on interoceptive processes. Even more importantly, there is no study considering the effect of an 8-week BS intervention on interoceptive processes and the distinguishable subdomains of interoception. Therefore, the main objective of this research is to examine the effects of a BS intervention on different interoceptive subdomains over 8 weeks of training in two different samples. In study 1, healthy participants executed a 20 min standardized audiotaped BS in the BS intervention group ( = 25) each day over 8 weeks. The control group ( = 24) listened to an audio book for the same amount of time. In study 2, the BS group ( = 18) was compared to an inactive control group ( = 18). In both studies, three measurement points were realized and interoceptive accuracy (IAc) - using a heartbeat perception task - as well as interoceptive sensibility (IS) - using confidence ratings for the heartbeat perception task and the subscale 'interoceptive awareness' of the Eating Disorder Inventory-2 (EDI-2) - were assessed. In study 1, we found, as a descriptive trend, IAc and confidence ratings to be increased irrespective of the condition. However, analysis revealed a significant improvement of IAc between T1 and T3 in the BS intervention only. IS revealed to be unaffected by the interventions. In study 2, we observed a significant positive effect of the BS intervention on IAc and confidence ratings compared to the inactive controls. As in study 1, IS (EDI-2) was unaffected by the intervention. The results highlight the fact that interoception can be improved by long-term interventions focusing on bodily signals. Further studies might focus on clinical samples showing deficits in interoceptive processes and could use other bodily systems for measurement (e.g., respiratory signals) as well methods manipulating body ownership.
内感受过程被定义为检测身体内部产生的感觉的能力。越来越多的研究在探索改善内感受过程的方法。一种很有前景的增加对身体感觉关注的方法是身体扫描(BS),这是一种源自基于正念减压疗法的方法。到目前为止的研究仅揭示了冥想练习和基于正念减压疗法在内感受过程方面的异质性结果。更重要的是,没有研究考虑为期8周的身体扫描干预对内感受过程以及内感受可区分子领域的影响。因此,本研究的主要目的是在两个不同样本中,通过8周的训练来检验身体扫描干预对不同内感受子领域的影响。在研究1中,8周内,身体扫描干预组(n = 25)的健康参与者每天进行20分钟的标准化录音身体扫描。对照组(n = 24)听相同时长的有声读物。在研究2中,将身体扫描组(n = 18)与非活动对照组(n = 18)进行比较。在两项研究中,都设置了三个测量点,并使用心跳感知任务评估内感受准确性(IAc),以及使用心跳感知任务的置信度评级和进食障碍问卷-2(EDI-2)的“内感受意识”子量表评估内感受敏感性(IS)。在研究1中,我们发现,作为一种描述性趋势,无论处于何种条件下,内感受准确性和置信度评级都会提高。然而,分析显示只有在身体扫描干预中,T1和T3之间的内感受准确性有显著提高。内感受敏感性不受干预影响。在研究2中,与非活动对照组相比,我们观察到身体扫描干预对内感受准确性和置信度评级有显著的积极影响。与研究1一样,内感受敏感性(EDI-2)不受干预影响。结果突出了这样一个事实,即通过关注身体信号的长期干预可以改善内感受。进一步的研究可能聚焦于在内感受过程存在缺陷的临床样本,并可以使用其他身体系统进行测量(例如呼吸信号)以及操纵身体所有权的方法。