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呼吸感知及其与焦虑的关系。

Interoception of breathing and its relationship with anxiety.

机构信息

Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland; Department of Psychology, University of Otago, Dunedin, New Zealand; Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK.

Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland.

出版信息

Neuron. 2021 Dec 15;109(24):4080-4093.e8. doi: 10.1016/j.neuron.2021.09.045. Epub 2021 Oct 20.

DOI:10.1016/j.neuron.2021.09.045
PMID:34672986
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8691949/
Abstract

Interoception, the perception of internal bodily states, is thought to be inextricably linked to affective qualities such as anxiety. Although interoception spans sensory to metacognitive processing, it is not clear whether anxiety is differentially related to these processing levels. Here we investigated this question in the domain of breathing, using computational modeling and high-field (7 T) fMRI to assess brain activity relating to dynamic changes in inspiratory resistance of varying predictability. Notably, the anterior insula was associated with both breathing-related prediction certainty and prediction errors, suggesting an important role in representing and updating models of the body. Individuals with low versus moderate anxiety traits showed differential anterior insula activity for prediction certainty. Multi-modal analyses of data from fMRI, computational assessments of breathing-related metacognition, and questionnaires demonstrated that anxiety-interoception links span all levels from perceptual sensitivity to metacognition, with strong effects seen at higher levels of interoceptive processes.

摘要

内感受,即对内部身体状态的感知,被认为与情感特质(如焦虑)密切相关。尽管内感受涉及从感觉到元认知的加工,但目前尚不清楚焦虑是否与这些加工水平存在差异相关。在这里,我们使用计算模型和高场(7T) fMRI 来研究呼吸领域的这一问题,以评估与吸气阻力的动态变化相关的大脑活动,这些变化的可预测性各不相同。值得注意的是,前岛叶与呼吸相关的预测确定性和预测误差都有关联,这表明其在代表和更新身体模型方面具有重要作用。与中低度焦虑特质的个体相比,低焦虑特质的个体在前岛叶的预测确定性方面表现出不同的活动。对来自 fMRI、呼吸相关元认知的计算评估以及问卷调查的数据进行的多模态分析表明,焦虑与内感受的联系跨越了从感知敏感性到元认知的所有水平,在更高水平的内感受过程中观察到了强烈的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/5b5ae853158b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/90237d8ce8f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/00651ec73562/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/8c63ce655ba8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/cae546c27a9e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/26f4d263cd1e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/5b5ae853158b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/90237d8ce8f1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/00651ec73562/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/8c63ce655ba8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/cae546c27a9e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/26f4d263cd1e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a75/8691949/5b5ae853158b/gr6.jpg

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本文引用的文献

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In the Body's Eye: The computational anatomy of interoceptive inference.在身体的眼中:内脏感知推断的计算解剖学。
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2
Simulating homeostatic, allostatic and goal-directed forms of interoceptive control using active inference.使用主动推理模拟内感受控制的稳态、应变和目标导向形式。
Biol Psychol. 2022 Mar;169:108266. doi: 10.1016/j.biopsycho.2022.108266. Epub 2022 Jan 17.
3
Dissociating breathlessness symptoms from mood in asthma.
功能性神经障碍患者的呼吸敏感性降低,且与较高的躯体形式解离有关。
Brain Commun. 2025 Jul 31;7(4):fcaf283. doi: 10.1093/braincomms/fcaf283. eCollection 2025.
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Increased breathlessness in post-COVID syndrome despite normal breathing patterns in a rebreathing challenge.在重复呼吸激发试验中呼吸模式正常的情况下,新冠后综合征患者呼吸急促症状仍加重。
Sci Rep. 2025 Jul 29;15(1):27666. doi: 10.1038/s41598-025-11728-x.
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The role of affective states in computational psychiatry.情感状态在计算精神病学中的作用。
Int J Neuropsychopharmacol. 2025 Aug 1;28(8). doi: 10.1093/ijnp/pyaf049.
6
Human forebrain neural synchronization and entrainment to breathing during wakefulness, sleep, and external mechanical ventilation.人类前脑在清醒、睡眠和外部机械通气期间的神经同步与呼吸同步。
Res Sq. 2025 May 14:rs.3.rs-6568046. doi: 10.21203/rs.3.rs-6568046/v1.
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Disrupted profiles of interoception and mental health in youths: a systematic review.青少年内感受性与心理健康的紊乱概况:一项系统综述
Eur Child Adolesc Psychiatry. 2025 May 5. doi: 10.1007/s00787-025-02705-w.
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Breaking through the mind-body divide: patient priorities for interoception research.突破身心二分法:患者对内感受研究的优先需求
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GABAergic neurons in central amygdala contribute to orchestrating anxiety-like behaviors and breathing patterns.中央杏仁核中的γ-氨基丁酸能神经元有助于协调类似焦虑的行为和呼吸模式。
Nat Commun. 2025 Apr 14;16(1):3544. doi: 10.1038/s41467-025-58791-6.
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Bayesian Workflow for Generative Modeling in Computational Psychiatry.计算精神病学中生成模型的贝叶斯工作流程
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将哮喘的呼吸困难症状与情绪区分开来。
Biol Psychol. 2021 Oct;165:108193. doi: 10.1016/j.biopsycho.2021.108193. Epub 2021 Sep 22.
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The Filter Detection Task for measurement of breathing-related interoception and metacognition.呼吸相关内感受和元认知测量的过滤器检测任务。
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